ABSTRACT
The issue of thresholds is one of the arguments for a dimensional rather than categorical view of psychopathology, but it remains the case that clinicians and clinical researchers are regularly faced with the task of a present/absent decision in regard to the diagnosis of pathology. Research by G. C. N. Hall et al., provides a demonstration of how psychotherapists using a widely used evidence-base therapy, cognitive-behavioral therapy, might use cultural adaptations in an effort to improve therapeutic alliance and, potentially, therapy outcomes. M. L. Andersen and P. H. Collins illustrate this using an intersectional framework that challenges scholars to treat race, class, and gender as systems of power in order to develop a more inclusive view of group differences and how each category shapes experiences. Research on the impact of gender, race, and class on therapy outcomes has shown that the statuses matter and that cultural adaptations to mental health interventions also improve outcomes.
