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Racial triangulation and shifting standards in mental health assessments
Abstract
This study investigated the presence of racial bias in mental health assessments among White trainees and clinicians using the shifting standards paradigm (Biernat, 2003) and the racial triangulation framework (Kim, 1999). A total of 181 White participants viewed one of three case vignettes, all of which were identical except for the race of a fictitious client named Karl. Participants completed a clinical impressions inventory (Gushue, 2004) and the internal causality subscale from the Causation Dimension Scale (Russell, 1982). Results indicated differences in examiner ratings based on Karl's race. Black Karl was rated as significantly less symptomatic, compared to White or East Asian Karl, consistent with the shifting standards paradigm (Biernat, 2003; Gushue, 2004). No difference was found in symptom severity ratings between White Karl and East Asian Karl. Symptoms were also more likely to be attributed to internal factors with Black Karl than with White or East Asian Karl.
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Despite small adjustments to the methodology used by Gushue et al. (2022), the current study generated new diagnostic evidence regarding the construct of implicit bias expressed by counselors-in-training toward a marginalized population.
“Thus, despite small adjustments to the methodology utilized by Gushue et al. (2022) in their research (e.g., one extra group, using sexual orientation as the variable of interest), the current study generated new diagnostic evidence regarding the construct of implicit bias expressed by counselors-in-training toward a marginalized population.”
From Examining Counselor Trainees’ Clinical Impressions of Pornography Use: Implications for Couple and Family Counselors (2026) · cites this paper as Gushue et al. (2022)
Mental health trainees and new practitioners who conceptualized the African-American subject in Gushue et al.'s study applied different standards to him versus the White and East Asian subjects.
“Moreover, Gushue et al. (2022) reported that mental health trainees and new practitioners who conceptualized the African-American subject in their study applied different standards to him versus the White and East Asian subjects.”
From Examining Counselor Trainees’ Clinical Impressions of Pornography Use: Implications for Couple and Family Counselors (2026) · cites this paper as Gushue et al. (2022)
Within the current study, the missing item rate was >30%, while in contrast, the rate was <5% in the Gushue et al.'s (2022) study following the same methods.
“Within the current study, the missing item rate was >30%, while in contrast, the rate was <5% in the Gushue et al.'s (2022) study following the same methods.”
From Examining Counselor Trainees’ Clinical Impressions of Pornography Use: Implications for Couple and Family Counselors (2026) · cites this paper as Gushue et al.'s (2022)
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Metadata
- Authors
- Gushue, G. V., Lee, T. R., & Kim, J. E.
- Affiliations
- Columbia University (US)
- Corresponding author
- Gushue, George V.
- Venue
- Journal of Counseling & Development
- Publisher
- Wiley
- Published
- 2021-12-15
- Volume
- 100
- Issue
- 3
- Pages
- 330-338
- ISSN
- 0748-9633 (ISSN-L)
- 1556-6676
- OpenAlex
- W4200456715
- Cited by
- 6
- References
- 53
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 2
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Counseling & Development (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Keywords
- racial bias, mental health assessment, racial triangulation, case vignettes, symptom severity rating, attribution bias, Black clients, clinical impression
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