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The Case for Cultural Competency in Psychotherapeutic Interventions
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Cultural competency practices have been widely adopted in the mental health field because of the disparities in the quality of services delivered to ethnic minority groups. In this review, we examine the meaning of cultural competency, positions that have been taken in favor of and against it, and the guidelines for its practice in the mental health field. Empirical research that tests the benefits of cultural competency is discussed.
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“When compared to White Americans, racial/ethnic minority populations have less access to mental health care, are less likely to receive care, and when they do, it tends to be poorer in quality (Institute of Medicine, 2001; Sue, Zane, Nagayama Hall, & Berger, 2009; U.S. Department of Health and Human Services [DHHS], 2001).”
From Guest Editors' Introduction to the Special Section: Cultural Adaptation of Mental Health Interventions for Americans of East Asian Descent (2019) · cites this paper as Sue, Zane, Nagayama Hall, & Berger, 2009
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“Importantly, the cross-cultural validity of these processes is actively debated.”
From Differential associations of Acceptance and Commitment Therapy processes with psychological distress across racial groups. (2026) · cites this paper as [19]
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Self-citation
Research works printed but not linked: 16
- Agency Healthcare Res. Qual., 2004, Setting the Agenda on Cultural Competence in Health Care
- 10.1037/0003-066X.57.12.1060 · DOI · Paper page
- Am. Psychiatr. Assoc. Steering Comm. to Reduce Disparities in Access to Psychiatr. Care, 2004, Reducing Mental Health Disparities for Racial and Ethnic Minorities: A Plan of Action
- Belgrave FZ, 2002, Public Health Rep., 117, 76
- Chambless DL, 1996, Clin. Psychol., 49, 5
- Comas-Díaz L, 2006, Psychother. Theory Res. Pract. Train., 43, 453
- Constantine MG, 2008, Handbook of Counseling Psychology
- Ivey MB, 1997, Couns. Today, 40, 42
- López SR, 1997, Handbook for Psychotherapy Supervision, 570
- President's New Freedom Commission on Mental Health, 2003, Report of the President's New Freedom Commission on Mental Health
- 10.1037//0893-3200.17.1.121 · DOI
- Satel S, 1999, Multicultural Mental Health: Does Your Skin Color Matter More Than Your Mind?
- 10.1037//0022-0167.35.1.87 · DOI
- Sue DW, 1996, ACES Spectrum, 57, 9
- Szapocznik J, 2003, National Strategic Plan on Hispanic Drug Abuse Research: From the Molecule to the Community, 91
- Weinrach SG, 2002, J. Ment. Health Couns., 24, 20
Cited by
Sorted by citations
A Handbook for the Study of Mental Health Second Edition
Scheid, T. L., & Brown, T. N. (2009) · Cited by 1,320
Rethinking cultural competence
Kirmayer, L. J. (2012) · Transcultural Psychiatry · doi:10.1177/1363461512444673 · Cited by 708
Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis.
Benish, S. G., Quintana, S., & Wampold, B. E. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023626 · Cited by 661
Rosenfield, S., & Mouzon, D. M. (2012) · Handbooks of sociology and social research · doi:10.1007/978-94-007-4276-5_14 · Cited by 592
American Indian and Alaska Native mental health: diverse perspectives on enduring disparities
Gone, J. P., & Trimble, J. E. (2012) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032511-143127 · Cited by 440
Metadata
- Authors
- Sue, S., Zane, N., Nagayama Hall, G. C., & Berger, L. K.
- Affiliations
- University of California, Davis (US)
- Department of Psychology, University of Oregon, Eugene, Oregon 97403;
- Venue
- Annual Review of Psychology
- Publisher
- Annual Reviews
- Published
- 2009-01-01
- Volume
- 60
- Issue
- 1
- Pages
- 525-548
- ISSN
- 0066-4308 (ISSN-L)
- 1545-2085
- PMC
- PMC2793275
- OpenAlex
- W2158121413
- Cited by
- 662
- References
- 117
- Citations by year
- 2026: 37 · 2025: 50 · 2024: 43 · 2023: 47 · 2022: 32 · 2021: 41 · 2020: 47 · 2019: 51 · 2018: 44 · 2017: 63 · 2016: 36 · 2015: 31 · 2014: 35 · 2013: 26 · 2012: 24
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P50MH073511)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- cultural competence, psychotherapy, ethnic minority mental health, mental health disparities
- MeSH terms
- Delivery of Health Care, Humans, Minority Groups, Prejudice, Psychotherapy, Quality Assurance, Health Care, Stereotyping, Cultural Competency, Healthcare Disparities
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.
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