Medical University of South Carolina, SC, USA.
J Clin Psychol. 2010 Aug;66(8):830-46. doi: 10.1002/jclp.20709.
Identifying psychotherapy processes that likely contribute to client outcome with ethnic minorities is a vital practice and research need, particularly within family-focused, evidence-based treatments (EBT) for youth with externalizing problems. Identifying process variables within a cross-cultural context may improve the efficacy of EBTs by informing psychotherapists how to modify their behavior when working with ethnically diverse clients. The authors described one approach to the development of culturally competent psychotherapy, using an observational coding system comprising Afrocentric codes to investigate culturally relevant therapist behaviors. Qualitative examples illustrated the quantitative findings relating to therapist in-session behavior that promote client engagement and positive responding during a midtreatment session of multisystemic therapy.
确定哪些心理治疗过程可能对少数族裔患者的治疗结果产生影响，是一项至关重要的实践和研究需求，特别是在针对外化问题青少年的以家庭为中心、基于证据的治疗（EBT）中。在跨文化背景下确定过程变量可以通过告知心理治疗师在与不同种族客户合作时如何调整行为，从而提高 EBT 的疗效。作者描述了一种发展文化能力心理治疗的方法，使用包含非裔美国人中心主义代码的观察性编码系统来研究与文化相关的治疗师行为。定性示例说明了与治疗师在治疗中期的行为有关的定量发现，这些行为可以促进客户的参与和积极反应。
