Joanna M Drinane, Rochelle C Cassells, Jeffrey A Hayes, JiSoo Park, Emma K Foster
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引用次数: 0
Abstract
Over the past 2 decades, a growing body of research has revealed that therapists differ in how effective they are at facilitating change depending on their clients' social identities (see Imel et al., 2011, for example). Most studies examining the phenomenon of variability within therapists' caseloads are based on the study of client race/ethnicity. However, two were recently published that found that therapists varied in the association between their clients' sexual orientation and their therapy outcomes (Cabrera et al., 2023; Drinane et al., 2022). The present study sought to replicate and expand upon these findings in a national data set composed of 78,681 clients from university counseling centers who are part of the Center for Collegiate Mental Health. We employed multilevel modeling techniques to detect within-therapist disparities based on client sexual orientation on the following three outcomes: depression scores, an index of distress, and treatment dropout. The association between sexual orientation and all three outcome variables varied significantly across therapists. The presence of sexual orientation disparities within therapist caseloads in such a large and widespread sample is concerning and highlights a need for the analysis of other demographic variables and training that might mitigate this problem. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在过去的20年里,越来越多的研究表明,治疗师在促进改变方面的效果因客户的社会身份而异(例如,见伊梅尔等人,2011年)。大多数检查治疗师病例量变化现象的研究都是基于对客户种族/民族的研究。然而,最近发表的两项研究发现,治疗师在客户的性取向与治疗结果之间的关系各不相同(Cabrera et al., 2023;Drinane et al., 2022)。目前的研究试图复制和扩展这些发现,在一个由来自大学心理健康中心的大学咨询中心的78,681名客户组成的国家数据集中。我们采用多层次建模技术来检测基于来访者性取向的治疗师内部差异在以下三个结果上:抑郁评分、痛苦指数和治疗退出。性取向和所有三个结果变量之间的关系在治疗师之间差异很大。在如此庞大和广泛的样本中,治疗师案例中存在性取向差异令人担忧,并强调需要分析其他人口统计学变量和培训,以减轻这一问题。(PsycInfo Database Record (c) 2025 APA,版权所有)。
期刊介绍:
Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.