{"title":"Therapist Multicultural Orientation: Client Perceptions of Cultural Humility, LGB Identity, and the Working Alliance.","authors":"Todd L Jennings, Eric Sprankle","doi":"10.1080/00918369.2023.2229473","DOIUrl":null,"url":null,"abstract":"<p><p>Little attention has been given to how therapist cultural humility may benefit lesbian, gay, and bisexual (LGB) clients. Thus, the current study examined whether therapist cultural humility predicted stronger client-therapist working alliances in a sample of 333 LGB individuals. LGB identity centrality (IC; the extent to which a person's LGB identity is central to their overall identity) and LGB identity affirmation (IA; the extent to which an LGB person associates their sexual orientation with positive thoughts or feelings) were considered as moderators. Therapist cultural humility predicted stronger working alliances between LGB clients and their therapist; however, this association was not moderated by IC or IA. The present results suggest that LGB clients who rated their therapists as culturally humble toward their sexual orientation also reported stronger working alliances with their therapist, regardless of IC or IA. Lastly, exploratory analyses revealed that lower therapist cultural humility ratings were associated with greater sexual orientation acceptance concerns, internalized homonegativity, difficulties coming out, and sexual orientation concealment. The clinical implications of these findings are discussed. Future research should consider the benefits of therapist cultural humility for other gender and sexually diverse persons.</p>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/00918369.2023.2229473","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/5 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
引用次数: 0
Abstract
Little attention has been given to how therapist cultural humility may benefit lesbian, gay, and bisexual (LGB) clients. Thus, the current study examined whether therapist cultural humility predicted stronger client-therapist working alliances in a sample of 333 LGB individuals. LGB identity centrality (IC; the extent to which a person's LGB identity is central to their overall identity) and LGB identity affirmation (IA; the extent to which an LGB person associates their sexual orientation with positive thoughts or feelings) were considered as moderators. Therapist cultural humility predicted stronger working alliances between LGB clients and their therapist; however, this association was not moderated by IC or IA. The present results suggest that LGB clients who rated their therapists as culturally humble toward their sexual orientation also reported stronger working alliances with their therapist, regardless of IC or IA. Lastly, exploratory analyses revealed that lower therapist cultural humility ratings were associated with greater sexual orientation acceptance concerns, internalized homonegativity, difficulties coming out, and sexual orientation concealment. The clinical implications of these findings are discussed. Future research should consider the benefits of therapist cultural humility for other gender and sexually diverse persons.
人们很少关注治疗师的文化谦逊会如何使女同性恋、男同性恋和双性恋(LGB)客户受益。因此,本研究以 333 名 LGB 个人为样本,研究了治疗师的文化谦逊是否会增强客户与治疗师之间的工作联盟。LGB身份中心性(IC;一个人的LGB身份在其整体身份中的中心程度)和LGB身份肯定性(IA;一个LGB人将其性取向与积极的思想或情感联系在一起的程度)被视为调节因素。治疗师的文化谦逊预示着 LGB 客户与其治疗师之间更强的工作联盟;然而,这种关联并没有受到 IC 或 IA 的调节。本研究结果表明,那些认为其治疗师在文化上对其性取向持谦逊态度的 LGB 客户也表示与其治疗师建立了更牢固的工作联盟,而与 IC 或 IA 无关。最后,探索性分析表明,较低的治疗师文化谦逊度评分与较高的性取向接受度担忧、内化的同性厌恶、出柜困难和性取向隐瞒有关。本文讨论了这些发现的临床意义。未来的研究应考虑治疗师的文化谦逊性对其他性别和性取向多元化者的益处。