Cultural Conversations in Therapy: How Often Clients Talk About Their Identities.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-10-29 DOI:10.1176/appi.ps.20230266

Patty B Kuo, Brendalisse Rudecindo, Joanna M Drinane, Karen Tao, Jake Van Epps, Zac E Imel

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引用次数: 0

Abstract

Objective: The purpose of this study was to examine how often clients report discussing cultural identities during counseling sessions; the extent to which discussion of cultural identities during treatment varies across therapists; whether identifying as BIPOC (Black, Indigenous, and people of color) predicts clients' discussion of cultural identities in sessions; and whether differences in the frequency of cultural conversations (i.e., dialogue that focuses on client cultural identities) across client groups depend on the therapist.

Methods: This study examined variation in reports of engagement in cultural conversations during sessions (N=10,731) with 1,997 clients and 72 therapists from a university counseling center. Data were analyzed by using Bayesian multilevel models.

Results: Overall, clients reported having cultural conversations in 48.4% of sessions. Cultural conversations were much more likely to occur in sessions with BIPOC clients than with White clients: 66.2% of sessions with BIPOC clients involved conversations about cultural identities, compared with only 39.8% of sessions with White clients. Of note, the magnitude of this difference varied by therapist.

Conclusion: Cultural conversations were more likely to occur in treatment with BIPOC clients than with White clients, and the presence of cultural conversations in treatment varied by therapist.

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治疗中的文化对话：客户谈论其身份的频率。

研究目的本研究的目的是考察客户报告在咨询过程中讨论文化身份的频率；不同治疗师在治疗过程中讨论文化身份的不同程度；是否认同BIPOC（黑人、土著人和有色人种）可以预测客户在咨询过程中讨论文化身份的情况；以及不同客户群体之间文化对话（即关注客户文化身份的对话）的频率差异是否取决于治疗师：本研究调查了一所大学心理咨询中心的 1,997 名客户和 72 名治疗师在治疗过程中参与文化对话的报告差异（N=10,731）。数据采用贝叶斯多层次模型进行分析：结果：总体而言，48.4%的咨询对象在咨询过程中进行了文化交流。与白人客户相比，文化对话更有可能发生在与 BIPOC 客户的会谈中：在与黑人、印度裔和华裔客户的谈话中，66.2% 的谈话涉及文化身份，而在与白人客户的谈话中，只有 39.8%的谈话涉及文化身份。值得注意的是，这一差异的程度因治疗师而异：结论：与白人客户相比，在对黑人、印度裔和华裔客户的治疗中更有可能出现文化对话，而且治疗中出现文化对话的情况因治疗师而异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.