Cultural humility and cultural competence in counseling: An exploratory mixed methods investigation

Zhu, Peitao; Luke, Melissa; Liu, Yanhong; Wang, Qiu

doi:10.1002/jcad.12469

Cited by 6 publications

(6 citation statements)

References 56 publications

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“…Individual-level variables need to unpack how psychological constructs related to trauma, like PTG, for example, impact the journey of an African American with SMI experiencing trauma (White et al, 2021). Competent service here eschews essentialism and promotes cultural humility (Zhu et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Recovery and trauma among urban African Americans with serious mental illness.

Corrigan,

Twiss,

Nieweglowski

et al. 2024

Psychiatric Rehabilitation Journal

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Objective: Traumatic experiences are prevalent among people with serious mental illness and can significantly worsen outcomes. This study aimed to identify an urban cluster of trauma types, compare continuous distress ratings versus categorical experience of trauma for predicting outcomes such as depression and quality of life, and investigate the mediating role of recovery orientation in the impact of trauma exposure on outcomes. Method: Data came from an intervention study on African Americans with serious mental illness living in a large urban area; 212 participants completed baseline self-report measures of past trauma experiences, related distress levels, recovery, depression, and quality of life. Data were assessed using correlations and regressive path modeling. Results: Overall, 56.6% of participants reported experiences with trauma. Analyses suggested an urban cluster of trauma types that was self-reported by over 25% of participants. Distress due to trauma strongly correlated with greater depression as well as reduced quality of life and recovery. Interestingly, the categorical presence of trauma history (yes/no) had no significant relationship with any outcomes. Path analyses revealed that recovery mediated the impact of trauma distress on depression and quality of life, specifically implicating the recovery subfactor of hope. Conclusions and Implications for Practice: Results suggested that cognitive reframing focused on positive appraisals of overall recovery, and the hope subfactor can have a positive influence on trauma outcomes. The study supported the role of recovery in posttraumatic growth and suggests that hope can be used to help patients process trauma healthily. Impact and ImplicationsThis study identified a cluster of traumas commonly experienced by urban African Americans with serious mental illness. Distress ratings-but not categorical presence of trauma history-predicted outcomes of depression and reduced quality of life, mediated by cognitive appraisal of recovery and specifically the hope subfactor of hope. Practitioners might use cognitive reframing toward schemas of recovery and hope to facilitate posttraumatic growth and improve patient outcomes. Research should further examine trauma clusters and their impact on outcomes.

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Section: Discussionmentioning

confidence: 99%

Recovery and trauma among urban African Americans with serious mental illness.

Corrigan,

Twiss,

Nieweglowski

et al. 2024

Psychiatric Rehabilitation Journal

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“…Theoretically, the interpersonal aspects of cultural humility imply a good understanding and communication between counselors and clients. Accordingly, cultural humility leads to better relationships and alliance between counselors and their clients (Grad, 2022;Hook et al, 2013;Zhang et al, 2021;Zhu et al, 2022Zhu et al, , 2023b. Correspondingly, the lack of cultural humility is associated with poorer working alliances and more counseling ruptures (Davis et al, 2016).…”

Section: Cultural Humility and Counseling Alliancementioning

confidence: 99%

“…Counseling practice with diverse clients requires the integration of cultural knowledge, skills, and culturally sensitive intervention to successfully and effectively serve clients from diverse cultural backgrounds (American Counseling Association [ACA], 2014). The key components emphasized in recent scholarship on working with cultural diversity are cultural competence and cultural humility (Hook et al, 2013;Zhu et al, 2023b). Cultural competence refers to the awareness, knowledge, and skills required for counselors to work competently with diverse clients (Zhu et al, 2023b).…”

Section: Introductionmentioning

confidence: 99%

“…Cultural humility helps counselors to continually update their LGBTQ+CC and focus on what is most relevant to diverse LGBTQ+ clients (Reeves et al, 2023;Zhu et al, 2023b). Because the terminologies, trends, needs, and perspectives of people in the LGBTQ+ community are fast evolving (Bitterman & Hess, 2021), and because legislation is changing rapidly, especially on issues relevant to transgender people (Wittlin et al, 2023), LGBTQ+CC may need constant update and revision to be currently relevant.…”

Section: Introductionmentioning

confidence: 99%

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Cultural humility, counseling alliance, and counseling outcome among LGBTQ+ clients

Ratanashevorn,

Kim,

Kashubeck‐West

et al. 2024

Jour of Counseling & Develop

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Literature suggests LGBTQ+ cultural competencies and cultural humility as critical components to providing counseling services to LGBTQ+ clients. Previous research has shown that cultural humility leads to better counseling outcomes through the counseling alliance in sexual minority clients. This study investigated the relationships among cultural humility, counseling alliance, and counseling outcome among 584 LGBTQ+ counseling clients (38.5% were non‐cisgender). The results revealed that all three constructs were positively related to one another. Counseling alliance mediated the relationship between cultural humility and counseling outcome. The overall mediation model indicated that cultural humility had direct and indirect effects accounting for 58% of the variance in counseling outcome when controlling for gender, sexual orientation, and level of education. The findings underscore the importance of cultivating cultural humility among counselors working with LGBTQ+ clients to improve counseling alliance and counseling outcomes.

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“…Two essential things in clinical supervision must be considered, especially in developing clinical competence. These two things are clinical competence outcome (decrease in client symptoms, improvement in supervisee competence) and multicultural competence outcome (improvement in supervisee multicultural competence) (Falender & Shafranske, 2023;Landon et al, 2023;Tsong & Goodyear, 2014;Zhu et al, 2023). Competent supervisors should be those who can address cultural diversity issues in both the supervision relationship and the trainee counselor's relationship with his client (Bernard, 2014).…”

mentioning

confidence: 99%

Resultado de la supervisión de la educación profesional de los consejeros escolares en formación

Sofyan,

Hidayah,

Wiyono

et al. 2024

CienciasPsi

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Professionalization efforts for school counselors through professional education, which are strengthened by supervision during the educational process, aim to improve their clinical and multicultural competence, which is essential in providing guidance and counseling services in schools. Using a quantitative approach and the Supervision Outcome Scale analyzed using the Rasch model, this study examined supervision conducted by university and field supervisors of internship counselors. The results showed that supervision outcomes were in the moderate category in competency development. However, a closer look revealed variations in the level of difficulty of item agreement based on supervisors' perspectives. The study also highlighted challenges in achieving maximum supervision outcomes, including limited internship time. While this study provides important insights into supervision outcomes, limitations such as using a quantitative approach may only partially capture the complexity of the supervision process. Recommendations for future research include using qualitative methods, exploring other factors that reveal supervision outcomes, and researching the impact of internship duration on counselor competency development.

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Cultural humility and cultural competence in counseling: An exploratory mixed methods investigation

Cited by 6 publications

References 56 publications

Recovery and trauma among urban African Americans with serious mental illness.

Recovery and trauma among urban African Americans with serious mental illness.

Cultural humility, counseling alliance, and counseling outcome among LGBTQ+ clients

Resultado de la supervisión de la educación profesional de los consejeros escolares en formación

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