Predicting cultural competence: Implications for practice and training.

Training and work experience with clients from diverse groups were examined among 266 recent PhDs in counseling and clinical psychology. Surveys were mailed to 600 participants who completed their graduate work between 1985 and 1987. Analyses examined which training variables predicted self-rated competence in providing services to various cultural groups. Results indicated that most therapists reported competence in working with diverse clients, but there was notable variability among ratings of therapists' self-perceived competence with different client groups. Exposure during training to working with clients from specific cultural groups was important in predicting therapists' current perceived competence. Most respondents reported accessing education and training experiences in providing services to diverse client groups. A small but troubling number of respondents reported seeing clients despite reporting low levels of competence with that client group. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play therapists' self-perceived multicultural competence and adequacy of training.

Explored the self-perceived multicultural competencies and adequacy of multicultural training of play therapists across the United States. Registered play therapists belonging to the Association for Play Therapy (N=134) completed the Multicultural Counseling Survey (MMCTS) (C. C. Holcomb-McCoy & J. E. Myers, 1999). Results indicate that play therapists perceive themselves as competent on Multicultural counseling competence. The results also suggest that play therapists perceived their multicultural training as less than adequate. Although results indicate no difference between play therapists' competence and training based on years of experience, there was a difference in multicultural competence and training based on coursework in multicultural counseling. Implications for practice and future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward reflective practice: A multicultural competence training model from a community mental health center.

Despite the importance of multicultural competence in clinical practice and training, there is a surprising dearth of innovative training models from fieldwork sites that would be replicable in other practicum settings. The authors illustrate a multicultural competence training model from a community mental health center that highlights the Guidelines on Multicultural Education, Training, Research, Practice, and Organization Change for Psychologists (American Psychological Association, 2003). The model focuses on providing multicultural training through two separate but linked training teams for the dual purposes of internal reflection and reflective practice. The authors conclude with a discussion of the implications of this training model for practice, research, and organizational change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Race/ethnicity, color-blind racial attitudes, and multicultural counseling competence: The moderating effects of multicultural counseling training.

Increasing trainees' multicultural counseling competence (MCC) has been a hot topic in counseling. Scholars have identified predictors (e.g., race/ethnicity, color-blindness) of MCC, and educators provide multicultural training for trainees. Using a sample of 370 psychology trainees, this study examined whether multicultural training (a) moderated racial/ethnic differences on MCC and (b) changed the relationship between color-blindness and MCC. Results indicated a significant interaction effect of race/ethnicity (i.e., White vs. ethnic minority) and multicultural training on multicultural awareness, but not on multicultural knowledge. Specifically, at lower levels of training, racial/ethnic minority trainees had significantly higher multicultural awareness than their White counterparts; at higher levels of training, no significant difference was found. Described differently, more training significantly enhanced Whites' multicultural awareness, but did not enhance racial/ethnic minority trainees' awareness. Additionally, there was a significant interaction effect of color-blindness and multicultural training on multicultural knowledge, but not on multicultural awareness. The association between color-blindness and multicultural knowledge was stronger at higher levels of multicultural training than at lower levels of training. Alternatively, the effect of training on enhancing knowledge was stronger for those with lower color-blindness than for those with higher color-blindness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supervisee multicultural case conceptualization ability and self-reported multicultural competence as functions of supervisee racial identity and supervisor focus.

The purpose of this investigation was to test the hypothesis that supervisees' multicultural case conceptualization ability and self-reported multicultural competence are functions of their racial identity and their supervisors' instruction to focus on multicultural issues. Results from 116 supervisees, both Persons of Color and White persons, indicated that their racial identity was significantly related to self-reported multicultural competence. However, racial identity for both groups was not significantly related to multicultural case conceptualization ability. Furthermore, self-reported multicultural competence was not found to be significantly related to multicultural case conceptualization ability. However, supervisors' instruction to focus on multicultural issues was significantly related to conceptualizations of a multicultural treatment strategy. Theoretical, empirical, and practical implications for multicultural counselor supervision are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supervising international students: Relationship between acculturation, supervisor multicultural competence, cultural discussions, and supervision satisfaction.

The purpose of this study was twofold: (a) to explore the relationship between international trainees' acculturation level and cultural discussion on supervision satisfaction and (b) to examine the mediating effect of cultural discussions on the relationship between perceived supervisor multicultural competence and trainee satisfaction with supervision. One hundred and four international students from several clinical programs who have received clinical supervision participated in the study. Results revealed that students who had lower acculturation levels but greater cultural discussion showed more satisfaction with supervision. Furthermore, cultural discussion partially mediated the relationship between the perceived supervisor cultural competence and satisfaction with supervision. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-report multicultural counseling competence scales: Their relation to social desirability attitudes and multicultural case conceptualization ability.

This study examined the relationship between 4 self-report multicultural counseling competence measures and a general index of social desirability. The authors also investigated the association between these 4 multicultural scales and multicultural case conceptualization ability. Results revealed significant positive relationships between 3 of the 4 multicultural counseling competence inventories and a measure of social desirability attitudes. Additionally, after controlling for social desirability, none of the self-report multicultural counseling competence scales were significantly related to multicultural case conceptualization ability. Limitations of self-report multicultural counseling competence measures are discussed, and implications of the findings for counseling training, practice, and research are delineated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of observer ratings of multicultural counseling competence in Black, Latino, and White American trainees.

Using transcribed intake sessions of 52 counselor–client dyads, this study explored the relative contributions of (a) counselor and client race or ethnicity, (b) counselor–client racial or ethnic match, (c) previous academic training in multicultural counseling, and (d) self-reported multicultural counseling competence to observer ratings of trainees' multicultural counseling competence. Results revealed that (a) Black American and Latino American counselor trainees were rated as more multiculturally competent than their White American peers, and (b) prior multicultural training was positively predictive of observer-rated multicultural counseling competence. Implications of the findings for counselor training and practice are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multicultural experiences of U.S. military psychologists: Current trends and training target areas.

This study provides the first quantification of the multicultural experiences of U.S. military psychologists. The importance of multicultural competence cannot be overemphasized given that military psychologists now practice all over the world and are expected to treat active-duty personnel, their family members, and individuals encountered from many different countries. Additionally, a small, but significant portion of enlisted military members are not U.S. citizens. Provision of services to this diverse group can be improved through efforts to enhance the multicultural competence of military providers. To better understand the multicultural experience base of military psychologists, the authors sent a survey to all contactable active-duty U.S. military psychologists (i.e., 367). Eighty-six individuals responded to a survey regarding their experiences with active-duty personnel, U.S. civilians, and civilians from other countries. Also, respondents provided quantitative information regarding working with detainees, using interpreters, and interacting with patients from diverse religious backgrounds. Results indicated rich and varied multicultural experiences with definite trends, which can assist individual psychologists and military training program development. Recommended training target areas for military psychologists at all levels are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence on multicultural training in school psychology: Recommendations for future directions.

School psychology training programs are required to provide multicultural training to preservice school psychologists; however, trainers have had difficulty adequately including multicultural content into the curriculum. Thus, there is a gap between the requirements and the training that many school psychologists receive. Training programs have grappled with multicultural training because of difficulty identifying the structure and content of such training for school psychologists. To advance multicultural training in school psychology, guidance is needed regarding the content and structure necessary to adequately develop multicultural competence. Hence, the purpose of this article is to critically review the evidence on multicultural training in school psychology and provide a synthesis of the best evidence for preparing multiculturally competent school psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does pay for performance increase or decrease perceived self-determination and intrinsic motivation?

Laboratory and field studies examined the relationships of reward for high performance with perceived self-determination and intrinsic motivation. Study 1 found that pay for meeting a performance standard had positive effects on college students' perceived self-determination and competence, expressed task enjoyment, and free time spent performing the task. Furthermore, reward's incremental effect on expressed task enjoyment was mediated by perceived self-determination and competence. Study 2 established that perceived self-determination mediated positive relationships between employees' performance-reward expectancy and perceived organizational support, positive mood at work, and job performance. Study 3 demonstrated that performance-reward expectancy was positively related to employees' expressed interest in daily job activities, with this relationship being greater among employees having a high desire for control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Racial microaggressions against African American clients in cross-racial counseling relationships.

This study examined the relationships among African American clients' perceptions of their White counselors with respect to (a) perceived racial microaggressions in cross-racial counseling relationships, (b) the counseling working alliance, (c) their counselors' general and multicultural counseling competence, and (d) their counseling satisfaction. Findings revealed that greater perceived racial microaggressions by African American clients were predictive of a weaker therapeutic alliance with White therapists, which, in turn, predicted lower ratings of general and multicultural counseling competence. Greater perceived racial microaggressions also were predictive of lower counseling satisfaction ratings. In addition, African American clients' perceptions of racial microaggressions had a significant indirect effect on these clients' ratings of White counselors' general and multicultural counseling competence through the therapeutic working alliance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship between White racial identity attitudes and self-reported multicultural counseling competencies.

Tested a multicultural competency training model's hypothesis that counseling students' White racial identity development strongly influences their attainment of multicultural counseling competencies (H. B. Sabnani et al; see record 1991-16743-001). 128 White counseling graduate students completed measures of White racial identity development and self-reported multicultural counseling competencies. Students' White racial identity development, educational level, and clinical experience demonstrated moderate correlations with multicultural competencies. Regression analyses indicated that racial identity attitudes explained variability in competencies beyond that accounted for by demographic, educational, and clinical variables. Results suggest that racial identity attitude development should be considered an integral component in the planning of multicultural counseling training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gay, Lesbian, and Bisexual Training Competencies in American Psychological Association Accredited Graduate Programs.

The current study examines the extent to which American Psychological Association accredited clinical and counseling doctoral programs incorporate training on issues relevant to gay, lesbian, and bisexual (GLB) clients. One hundred four training directors completed surveys. Results reveal the 1st snapshot of how doctoral programs are addressing GLB issues in existing curricula. For example, programs are incorporating GLB issues in multicultural classes and practicum. However, counseling programs incorporated GLB issues more than clinical programs in several areas, such as requiring multicultural courses (where GLB issues are potentially addressed) and mentoring students in GLB research. Differences in levels of inclusion between clinical and counseling programs could be attributable to the programs' differential emphases on subspecialization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-reported multicultural supervision competence of White predoctoral intern supervisors.

This study assessed the self-reported supervision practices, experiences, and multicultural competence of White intern supervisors (n = 211). White training directors and staff psychologists who were currently supervising predoctoral interns completed a 2-page survey regarding their multicultural supervision. Female supervisors reported higher multicultural supervision competence and spent more time processing cultural differences with their supervisees than male supervisors. Training directors also reported higher multicultural supervision competence than staff psychologists. Further, the number of interns supervised currently and over a career significantly predicted multicultural supervision competence. Recommendations for White intern supervisors include ongoing participation in education and professional practice experiences to improve multicultural supervision competence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multicultural research and practice: Theoretical issues and maximizing cultural exchange.

This article reviews literature on cross-cultural approaches to assessment, research, and clinical practice, culminating in recommendations for using a “cultural exchange” approach when working with multicultural clients. It examines challenges in studying culture and mental illness, including methodological issues and problems in defining constructs in multicultural research. Measurement of disorders cross-culturally, including efforts to validate depression measures for use with multicultural populations, is also discussed. Perspectives on cultural competence are presented, including the American Psychological Association Multicultural Guidelines, and a “cultural exchange” approach to therapy is presented as a tool for maximizing the benefit of therapy with multicultural clients. Three clinical vignettes are presented to illustrate the use of this approach and how identifying the commission of Type I and Type II multicultural errors can enhance clinical work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapist multicultural competence, Asian American participants' cultural values, and counseling process.

Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of counseling process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on counseling process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The diversification of psychology: A multicultural revolution.

The National Multicultural Conference and Summit was held in January 1999 in California. Hosted by Divisions 17 (Counseling Psychology), 35 (Society for the Psychology of Women), and 45 (Society for the Psychological Study of Ethnic Minority Issues), the event drew support from many American Psychological Association (APA) divisions and other organizations and sponsors. Approximately 550 psychologists and graduate students attended the conference, which was intended to (1) examine state-of-the-art issues in ethnic minority psychology, (2) identify barriers to becoming a multicultural profession, and (3) forge alliances for political action and advocacy. The summit participants unanimously endorsed resolutions aimed at implementing cultural competence in all psychological endeavors. Multicultural themes arising from the summit included the diversification of the US; the facilitation of difficult dialogues on race, gender, and sexual orientation; spirituality as a basic dimension of the human condition; the invisibility of monoculturalism and Whiteness; and the teaching of multiculturalism and diversity. APA was strongly encouraged to take the lead in seeing that multicultural competence becomes a defining feature of psychological practice, education and training, and research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training consulting psychologists to be sensitive to multicultural issues in organizational consultation.

As diversity continues to increase significantly in the workforce, training organizational consultants to be competent to effectively address issues related directly to race, ethnicity, and gender becomes essential. However, these societal changes present a challenge to many training programs, faculty, and practitioners. Given the absence of specific guidelines for ensuring competence in addressing multicultural issues in work environments, the primary purpose of this article is to present and discuss specific strategies for addressing these challenges. The training and practice of the culturally sensitive organizational consultant should include competencies in attending to diversity issues in 4 critical aspects of organizations: organizational infrastructure, job satisfaction, relationships among staff, and job performance and work productivity. Factors encouraging professionals to practice with limited competency, issues of consent for participation in research and confidentiality, and practice without multicultural training in organizational consultation are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)