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)     

Counselor self-disclosure, East Asian American client adherence to Asian cultural values, and counseling process.

After completing a measure of adherence to Asian cultural values, 62 East Asian American clients talked about personal issues in a counseling session with a European American counselor who either disclosed personal information or refrained from disclosing personal information. Disclosure condition and client adherence to Asian values did not predict session outcome. However, type and intimacy of disclosure were related to immediate process and session outcome. Disclosures of strategies were perceived by the clients to be more helpful than disclosures of approval/reassurance, facts/credentials. and feelings, with disclosures of insight perceived as intermediate in helpfulness. Disclosures of strategies occurred more frequently in highly rated sessions than in sessions rated low. Also, client-and counselor- perceived intimacy of disclosures was significantly correlated with client- and counselor- perceived helpfulness of disclosures, respectively. (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)     

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)     

Understanding the perceptions and experiences of faculty who teach multicultural counseling courses: An exploratory study.

Professional psychologists who teach multicultural counseling courses often face significant challenges, and very little information is available on their perceptions and experiences. A survey blending quantitative and qualitative questions was distributed to 169 faculty members who teach multicultural counseling courses. Results indicate that most faculty members surveyed typically incorporated self-disclosure when teaching and viewed their cultural identity as influential in how they teach. They also identified the specific teaching strategies they used and specified common group dynamics in class. Understanding the perceptions and experiences of faculty members who teach multicultural courses is essential to providing support for the important work done by these multicultural educators. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychosocial costs of racism to white counselors: Predicting various dimensions of multicultural counseling competence.

In 2 interrelated investigations, the authors examined the extent to which affect, as measured by the Psychosocial Costs of Racism to Whites scale (PCRW; L. B. Spanierman & M. J. Heppner, 2004), would predict various dimensions of multicultural counseling competence (MCC). In Study 1, structural equation modeling was used to test a mediating model of PCRW predicting self-reported MCC among a sample of White trainees (n = 311) from 34 states across the country. The overall model was a good fit to the data, with affective variables (e.g., White empathy, White guilt, and White fear) mediating the associations between color-blind racial attitudes and MCC and multicultural training and MCC. In Study 2, self-reported, demonstrated, and observed MCC were assessed among a sample of White trainees (n = 59; 40 of whose clinical supervisors participated) from 20 states. White guilt significantly predicted multicultural case conceptualization, and White empathy significantly predicted supervisor ratings of participants' MCC. (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)     

Strategies for implementation of the multicultural guidelines in university and college counseling centers.

University and college counseling centers (CCs) can play an important role in the implementation of the American Psychological Association's "Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists." CCs are major providers of psychological services within institutional settings. In addition, CCs offer professional training programs, conduct research, and advocate for institutional change. Implementing the Multicultural Guidelines requires CCs to infuse multicultural perspectives into all CC functions and to become multiculturally competent organizations. Strategies for implementation of the Guidelines are presented regarding beginning the process, ongoing issues, and anticipated challenges. Examples of applications are provided. Implementation of the Guidelines calls for commitment to a long-term process to promote multiculturalism within both the CC and its home institution. (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)     

Arab and Israeli counseling trainees: A comparison of ethnically homogeneous and heterogeneous groups.

The study compared Arab and Jewish trainees in ethnically homogeneous and heterogeneous groups, in 1 counselor training program in Israel. The 60 participants were divided into 4 conditions: Jewish trainees in homogeneous and heterogeneous groups (n=15 in each), and Arab trainees in homogeneous and heterogeneous groups (n=15 in each). Functioning in the group was measured through group climate (engagement, conflict, and avoidance), group intimacy, self-disclosure, and regret of disclosure. Results indicated cultural differences only on self-disclosure, with Arabs scoring lower than Jews on several dimensions. Group composition differences were mainly indicated on the climate measure, with higher scores in the heterogeneous group on conflict and avoidance, and lower scores on regret of feeling exposure. Culture-by-group interactions were found for engagement, self-disclosure, and regret after disclosure about self, with Arabs in heterogeneous groups scoring higher on the first 2 and lower on the third. These results recommend placing Arab trainees in heterogeneous groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Deconstructing multicultural counseling competencies research: Comment on Owen, Leach, Wampold, and Rodolfa (2011).

The present article offers a commentary and critique of the research presented by J. Owen, M. M. Leach, B. Wampold and E. Rodolfa (see record 2010-24976-001). Given the complexity of the research methodology, findings, and conclusions, the authors provide a concise summary of findings, study limitations, and conclusions followed by a detailed critique of the study. The authors respect and appreciate the ambitious efforts made by Owen et al. to address gaps in the literature regarding outcome research using client ratings of counselors' multicultural counseling competencies (MCCs). The authors provide a critical analysis of some of J. Owen et al.'s specific conclusions and offer alternative conclusions based on conceptual and methodological bases. The authors use the opportunity to comment on this study as a means of advancing recommendations regarding future research on MCCs that might contribute to substantive revisions to the long-standing theoretical foundation in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between level of training, implicit bias, and multicultural competency among counselor trainees.

The assessment of attitudes toward diversity among counselor trainees has relied on self-report measures. Implicit measures might offer a valuable addition to self-report because they assess biased attitudes indirectly, do not rely on conscious introspection, and often demonstrate bias that contradicts self-reported attitudes. A sample (N = 105) of counselor trainees was assessed with measures of implicit bias toward African Americans and lesbians and gay men and a measure of self-reported multicultural competency. Implicit bias was present among counselor trainees despite high self-reported multicultural competency. In addition, self-reported multicultural competency varied by training level, but implicit bias did not. The results suggest that implicit bias can add to the understanding, assessment, and training of multicultural counselor competency. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived cultural importance and actual self-importance of values in cultural identification.

Cross-cultural psychologists assume that core cultural values define to a large extent what a culture is. Typically, core values are identified through an actual self-importance approach, in which core values are those that members of the culture as a group strongly endorse. In this article, the authors propose a perceived cultural importance approach to identifying core values, in which core values are values that members of the culture as a group generally believe to be important in the culture. In 5 studies, the authors examine the utility of the perceived cultural importance approach. Results consistently showed that, compared with values of high actual self-importance, values of high perceived cultural importance play a more important role in cultural identification. These findings have important implications for conceptualizing and measuring cultures. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of Culturally responsive counseling with Asian American men.

Reviews the book, Culturally responsive counseling with Asian American men by William M. Liu, Derek Kenji Iwamoto, and Mark H. Chae (see record 2010-05136-000). Once in awhile, a book fills a gap in the literature like a critical missing piece to a puzzle. Culturally Responsive Counseling with Asian American Men is just that book, as there is scant literature that focuses on the mental health needs of Asian American men as a distinct group. The 346-page book contains 16 chapters, and the editors, Drs. Liu, Iwamato, and Chae, have thoughtfully brought together 24 contributors whose collective contributions cover both a breadth and depth of mental health concerns that impact Asian American men in the United States. Drawing from their expertise as clinicians, educators, researchers, and students, the authors cover a wide range of topics, such as acculturation, gendered racism, intergenerational masculinity strain, fatherhood, alcoholism, suicide, domestic violence and sexual aggression, sexual orientation, interracial and interethnic relationships, and the use of the Internet as a source of coping and healing. Culturally Responsive Counseling with Asian American Men is a unique book that can enhance the assessment, conceptualization, and intervention skills of all clinicians who work with Asian American men due to its strong clinical focus and integration of rich case studies throughout. Educators may consider this book as they seek to enrich and provide nuance to complex topics such as acculturation, racial identity, and intergenerational conflict. Finally, graduate students will find that this book is an excellent bridge between science and practice. It brings to life the theories and research learned in the classroom, and, at the same time, it enhances our knowledge, awareness, and skills for working with the Asian American male clients. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of Strategies for building multicultural competence in mental health and educational settings.

Reviews the book, Stategies for building multicultural competence in mental health and educational settings edited by M. G. Constantine and D. W. Sue (2005). Strategies for Building Multicultural Competence in Mental Health and Educational Settings is an excellent resource designed for mental health professionals who may lack knowledge and expertise in working with diverse clients. It provides hands-on strategies and suggestions in a variety of contexts, using the Multicultural Guidelines as a framework. This book is strongly recommended for clinicians working with culturally diverse populations. The Surgeon General's report Mental Health: Culture, Race and Ethnicity (U.S. Department of Health & Human Services, 2001) clearly demonstrates the disparity in the mental health care of racial and ethnic minorities as compared with Whites. This book is useful not only to novices exploring diversity but also to those who are already cross-culturally competent. The authors successfully apply the APA Multicultural Guidelines in clinical practice and educational, training, and organizational settings while providing specific strategies for clinicians. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multicultural counseling competencies: An analysis of research on clients' perceptions: Comment on Owen, Leach, Wampold, and Rodolfa (2011).

J. Owen, M. M. Leach, B. Wampold, and E. Rodolfa (see record 2010-24976-001) tested the hypotheses that (a) some therapists express more multicultural competencies (MCCs) more than other therapists and (b) clients' perceptions of their therapists' MCCs are a function of specific client or therapeutic factors. In the present analysis, the authors critiqued 3 major components of the study: conceptual and methodological underpinnings, interpretation of research findings, and implications for future research. Although the authors agree with the importance of this line of research, the authors also believe that some of the researchers' underlying assumptions are worthy of examination; alternate interpretations of the findings are possible, and several recommendations for future research are imperative. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mistrust level and its effects on counseling expectations in Black client-White counselor relationships: An analogue study.

Black clients' high dropout rates from counseling with White counselors are often explained by the clients' lack of trust for Whites. This analogue study examined the effects of cultural mistrust on counseling expectations for Black clients assigned to both Black and White counselors. Subjects completed the Cultural Mistrust Inventory (an inventory designed to measure Blacks' mistrust of Whites) and the Expectations About Counseling questionnaire. In a 2 (subject sex)?×?2 (subject mistrust level)?×?2 (counselor race) factorial design, client mistrust level interacted significantly with counselor race. When assigned to a White instead of a Black counselor, highly mistrustful Blacks expected the counselor to be less accepting, trustworthy, and expert; they also expected less in terms of counseling outcome. We discuss the possible implications of these findings for counseling practice and the need for White counselors to be sensitive to the cultural mistrust issue when working with Black clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Asian international students' intentions to seek counseling: Integrating cognitive and cultural predictors.

This study integrated several cognitive and cultural predictors of Asian international students' intentions to seek counseling. Data from 295 Asian international students were used to determine whether help-seeking intentions could be predicted by a combination of cognitive variables (i.e., counseling attitudes and stigma concerns) and cultural factors (i.e., acculturation, Asian values, and loss-of-face concerns). Data supported a partially mediated model, such that participants who endorsed more traditional Asian values reported less positive counseling attitudes and lower help-seeking intentions. Contrary to expectations, however, loss-of-face and stigma concerns were associated with stronger intentions to seek counseling, which may have been due to participants' fears of sharing psychological problems with significant others and preference for the confidential nature of the counseling relationship. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effects of Client Expectation for Counseling Success, Client-Counselor Worldview Match, and Client Adherence to Asian and European American Cultural Values on Counseling Process With Asian Americans.

After assessing their expectation for counseling success, adherence to Asian cultural values, and adherence to European American cultural values, 88 Asian American volunteer clients with personal concerns engaged in single-session counseling with 1 of 11 female counselors who either matched or mismatched the client's worldview. Clients in the worldview match condition perceived stronger client-counselor working alliance and counselor empathy than those in the mismatch condition. Client adherence to Asian cultural values was positively related to client-counselor working alliance. Client adherence to European American values was positively associated with client-counselor working alliance and session depth. In addition, an interaction effect was observed such that high expectation for counseling success and strong adherence to European American cultural values were associated with increased perception of counselor empathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Addressing classism, extending multicultural competence, and serving the poor: Reply.

Replies to comments on "Psychotherapy, classism, and the poor: Conspicuous by their absence" (see record 2005-11834-002). In this article, the current author outlined what psychologists over the past four decades have had to say about the field's neglect of the poor in its research, practice, and theory. Characterizing this exclusion of the poor as a form of classist bias, she shared her experiences of confronting the results of this bias within her own work. In her commentary, Aronson (see record 2006-05893-011) offered some of her own experiences in working with poor clients. As Moyer (see record 2006-05893-012) asserted, nonprofit organizations that make mental health services available to the poor do indeed constitute welcome exceptions to the current author's statements regarding the mostly middle-class purview of psychological practice. Liu's (see record 2006-05893-013) comment illustrated the different and often complementary perspectives that emerge when one considers the same topic from different paradigmatic stances. Although much of the divergence between Liu's views and the current author's seems to be a manifestation of our differing emphases, the current author addresses a few points of frank disagreement, including the use of the word "classism." (PsycINFO Database Record (c) 2010 APA, all rights reserved)