African american women and behavior therapy: Integrating theory, culture, and clinical practice

Abstract

The utility of behavior therapy for the treatment of African American women is discussed, with particular attention to integrating cultural knowledge with assessment, conceptualization, and intervention strategies. Specific aspects of behavior theory that are compatible with assessing culturally-related variables are presented. These include a focus within behavior assessment on environmental, social, and cultural factors that influence learning. Cultural issues relevant to an accurate assessment of African American women's behavior are presented to illustrate ways in which a lack of cultural knowledge can lead to misinterpretation of behavior. Finally, guidelines for behavior therapists to consider when working with African American women are presented. It is suggested that integrating cultural factors with behavior therapy will result in greater flexibility for treating African American women as well as a range of diverse clients.