Examining therapist effects in relation to clients' race-ethnicity and gender: An intersectionality approach

D Martin Kivlighan; Isaac W Hooley; Maria G Bruno; Lanaya L Ethington; Paula M Keeton; Barry A Schreier

doi:10.1037/cou0000316

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Examining therapist effects in relation to clients' race-ethnicity and gender: An intersectionality approach

Journal article

Peer reviewed

Examining therapist effects in relation to clients' race-ethnicity and gender: An intersectionality approach

D Martin Kivlighan, Isaac W Hooley, Maria G Bruno, Lanaya L Ethington, Paula M Keeton and Barry A Schreier

Journal of counseling psychology, Vol.66(1), pp.122-129

01/2019

DOI: 10.1037/cou0000316

PMID: 30489107

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Abstract

Women and Men of Color experience racism in unique and complex ways, just as White Women and Women of Color experience unique forms of sexism (i.e., gendered racism). Traditional analyses of therapists' cultural competence, broadly defined, have yet to examine the effect of intersectionality on the processes and outcomes of psychotherapy. Although previous research suggests that therapists differ in their effectiveness with Racial-Ethnic Minority (REM) clients, no study has examined therapist effects in terms of the intersectionality of clients' race-ethnicity and gender. This study applied an intersectionality framework to test therapist effects due to clients' race-ethnicity and gender. Data for this study consisted of 415 clients treated by 16 therapists. Results indicated that therapists differed in their ability to produce changes in symptom-defined psychological distress as a function of clients' intersecting identities of race-ethnicity and gender. Clinical implications and future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Adult

Continental Population Groups - psychology

Cultural Competency - psychology

Ethnic Groups - psychology

Female

Gender Identity

Humans

Male

Minority Groups - psychology

Professional-Patient Relations

Psychotherapy - methods

Stress, Psychological - psychology

Stress, Psychological - therapy

Treatment Outcome

Details

Title: Subtitle: Examining therapist effects in relation to clients' race-ethnicity and gender: An intersectionality approach
Creators: D Martin Kivlighan - Department of Psychological and Quantitative Foundations.
Isaac W Hooley - Department of Psychological and Quantitative Foundations.
Maria G Bruno - University of Iowa
Lanaya L Ethington - University of Iowa
Paula M Keeton - University of Iowa
Barry A Schreier - University of Iowa
Resource Type: Journal article
Publication Details: Journal of counseling psychology, Vol.66(1), pp.122-129
DOI: 10.1037/cou0000316
PMID: 30489107
NLM abbreviation: J Couns Psychol
ISSN: 0022-0167
eISSN: 1939-2168
Publisher: Amer Psychological Assoc
Language: English
Date published: 01/2019
Academic Unit: Psychiatry; Educational Policy and Leadership Studies; Counselor Education; Psychological and Quantitative Foundations; University College Courses; Internal Medicine
Record Identifier: 9984359783702771

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