Jennings Todd L, Sprankle Eric
Department of Psychology, Minnesota State University, Mankato, Minnesota, USA.
J Homosex. 2024 Jul 28;71(9):2200-2216. doi: 10.1080/00918369.2023.2229473. Epub 2023 Jul 5.
Little attention has been given to how therapist cultural humility may benefit lesbian, gay, and bisexual (LGB) clients. Thus, the current study examined whether therapist cultural humility predicted stronger client-therapist working alliances in a sample of 333 LGB individuals. LGB identity centrality (IC; the extent to which a person's LGB identity is central to their overall identity) and LGB identity affirmation (IA; the extent to which an LGB person associates their sexual orientation with positive thoughts or feelings) were considered as moderators. Therapist cultural humility predicted stronger working alliances between LGB clients and their therapist; however, this association was not moderated by IC or IA. The present results suggest that LGB clients who rated their therapists as culturally humble toward their sexual orientation also reported stronger working alliances with their therapist, regardless of IC or IA. Lastly, exploratory analyses revealed that lower therapist cultural humility ratings were associated with greater sexual orientation acceptance concerns, internalized homonegativity, difficulties coming out, and sexual orientation concealment. The clinical implications of these findings are discussed. Future research should consider the benefits of therapist cultural humility for other gender and sexually diverse persons.
很少有人关注治疗师的文化谦逊如何使女同性恋、男同性恋和双性恋（LGB）客户受益。因此，当前的研究调查了在333名LGB个体的样本中，治疗师的文化谦逊是否预示着更强的客户-治疗师工作联盟。LGB身份中心性（IC；一个人的LGB身份在其整体身份中的核心程度）和LGB身份肯定（IA；一个LGB者将其性取向与积极想法或感受联系起来的程度）被视为调节变量。治疗师的文化谦逊预示着LGB客户与其治疗师之间更强的工作联盟；然而，这种关联并没有受到IC或IA的调节。目前的结果表明，将治疗师对其性取向的文化谦逊程度评为较高的LGB客户，也报告称与治疗师有更强的工作联盟，无论IC或IA如何。最后，探索性分析显示，治疗师文化谦逊评分较低与更大的性取向接受担忧、内化的同性恋消极态度、出柜困难和性取向隐瞒有关。讨论了这些发现的临床意义。未来的研究应该考虑治疗师文化谦逊对其他性别和性取向多元人群的益处。
