Date of Submission


Degree Type


Degree Name

Doctor of Psychology (PsyD)



Department Chair

Robert A. DiTomasso, Ph.D., ABPP

First Advisor

Bruce Zahn, Ed.D., ABPP, Chairperson

Second Advisor

Petra Kottsieper, Ph.D.

Third Advisor

Dr. Tamara Walker-Gladney


Using a qualitative approach, this study explored the process of developing treatment suggestions for adding cultural sensitivity to an empirically supported, group cognitive-behavioral therapy (CBT) treatment manual for Hispanic/Latino clients with depression. Suggestions were formulated through the implementation of one vignette centered on a male character, addressing Hispanic/Latino cultural values as described in the literature. This researcher sought bilingual mental health providers (English-Spanish/Spanish-English) who worked with Hispanic/Latino clients; four from a group of ten who responded, reviewed the researcher’s suggestions and answered a seven item semi-structured questionnaire, which was developed to elicit their comments. Analysis of the data revealed themes that endorsed the importance of addressing traditional cultural values when serving these clients, including familismo, dichos, fe, social and family network, gender role expectations, and stigma associated with mental health services. Implications for clinical practice, limitations of the study, and recommendations for future research were discussed.