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A meta-analysis of multicultural competencies and psychotherapy process and outcome.
Abstract
For decades, psychologists have emphasized the provision of multiculturally competent psychotherapy to reduce racial and ethnic disparities in mental health treatment. However, the relationship between multicultural competencies (MC) and other measures of clinical process and treatment outcome has shown heterogeneity in effect sizes. This meta-analysis tested the association of client ratings of therapist MC with measures of therapeutic processes and outcome, including: (a) working alliance, (b) client satisfaction, (c) general counseling competence, (d) session impact, and (e) symptom improvement. Among 18 studies (20 independent samples) included in the analysis, the correlation between therapist MC and outcome (r = .29) was much smaller than the association with process measures (r = .75), but there were no significant differences in correlations across different types of MC or clinical process measures. Providing some evidence of publication bias, effect sizes from published studies (r = .67) were larger than those from unpublished dissertations (r = .28). Moderator analyses indicated that client age, gender, the representation of racial-ethnic minority (R-EM) clients, and clinical setting were not associated with effect size variability. Based on these findings, we discuss implications and recommendations for future research that might lead to a better understanding of the effects of therapist MC on treatment process and outcome. Primary needs in future research include…
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“Meta-analyses found that counselor-rated CC did not correlate with treatment outcomes, whereas client-rated CC correlated strongly with treatment outcomes (Soto et al., 2018;Tao et al, 2015).”
From Cultural humility and cultural competence in counseling: An exploratory mixed methods investigation (2023) · cites this paper as Tao et al, 2015
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Soto, A., Smith, T. B., Griner, D., Domenech Rodríguez, M., & Bernal, G. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22679 · Cited by 289
The multicultural orientation framework: A narrative review.
Davis, D. E., DeBlaere, C., Owen, J., Hook, J. N., Rivera, D. P., Choe, E., Van Tongeren, D. R., Worthington, E. L., & Placeres, V. (2018) · Psychotherapy · doi:10.1037/pst0000160 · Cited by 256
Self-citationControlling images: How awareness of group stereotypes affects Black women’s well-being.
Jerald, M. C., Cole, E. R., Ward, L. M., & Avery, L. R. (2017) · Journal of Counseling Psychology · doi:10.1037/cou0000233 · Cited by 153
Goldberg, S. B., Flemotomos, N., Martinez, V. R., Tanana, M. J., Kuo, P. B., Pace, B. T., Villatte, J. L., Georgiou, P. G., Van Epps, J., Imel, Z. E., et al. (2020) · Journal of Counseling Psychology · doi:10.1037/cou0000382 · Cited by 141
Self-citation
Metadata
- Authors
- Tao, K. W., Owen, J., Pace, B. T., & Imel, Z. E.
- Venue
- Journal of Counseling Psychology
- Published
- 2015-07
- Volume
- 62
- Issue
- 3
- Pages
- 337-350
- ISSN
- 1939-2168
- 0022-0167
- Cited by
- 120
- References
- 117
- Language
- en
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.