Client perceptions of therapists’ multicultural orientation: Cultural (missed) opportunities and cultural humility.

In a university counseling center sample of 247 clients who were treated by 50 therapists, we retrospectively examined the association between client ratings of their therapists’ cultural humility and the degree to which clients perceived that their therapist missed opportunities to discuss their cultural identity. The results demonstrated that clients who rated their therapist as being more culturally humble also reported better therapy outcomes. Additionally, clients who perceived that their therapist missed cultural opportunities reported worse therapy outcomes. Client ratings of cultural humility moderated the association between cultural opportunities and therapy outcomes. For clients who reported that their therapist was less culturally humble, there was a negative association between missed opportunities and outcomes. However, for clients who reported that their therapist was more culturally humble, the degree to which therapists took advantage of discussing clients’ cultural heritage was not associated with outcomes. (PsycINFO Database Record (c) 2016 APA, all rights reserved)