Non-minority caregivers need to believe that it is not just political correctness to guard against racial stereotyping. Dealing with cultural issues becomes a therapeutic issue that must be discussed openly and uncritically. There is no best way to address it, but it will not become manifest unless confronted gently. One must be more attentive to structural issues in therapy such as scheduling enough time to avoid rushing the patient, avoiding excessively long silences, and providing feedback in the form of repeating how one has understood what was just said. When the patient feels safe to express feelings and believes the therapist genuinely wants to understand, treatment begins.
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Husaini BA (1997), Predictors of depression among the elderly: racial differences over time. Am J Orthopsychiatry 61(1):48-58.