Galán Chardée A, Boness Cassandra L, Tung Irene, Bowdring Molly, Sequeira Stefanie, Call Christine C, Savell Shannon, Northrup Jessie B
University of Southern California, Department of Psychology.
University of New Mexico, Center on Alcohol, Substance Use, and Addictions.
Train Educ Prof Psychol. 2024 Aug;18(3):265-278. doi: 10.1037/tep0000443.
Despite requirements by the American Psychological Association and the Psychological Clinical Science Accreditation System regarding training and education in cultural humility, questions remain regarding the presence and quality of the training in clinical psychology PhD and PsyD programs. This is a critical issue as inadequate training in diversity, cultural humility, and multiculturalism has substantial downstream effects on care for clients of color and may contribute to racial disparities and inequities in access to mental health services. We seek to explicitly evaluate key features of the conceptual model thought to improve the provision of mental health services for clients facing oppression and marginalization which includes perceptions of clinical psychology graduate programs' training in and assessment of cultural humility. We also assess self-efficacy related to the application of cultural humility as well as actual practice of actions associated with cultural humility. Each of these domains are evaluated among a sample of 300 graduate students and faculty, clinical supervisors, and/or directors of clinical training (DCTs) and differences across position and race of participants were tested. Study findings highlight significant gaps between what trainees need to develop cultural humility and what they may actually be receiving from their respective programs. While findings suggest that there is still a lot of work to be done, understanding the state of the field with regards to clinical training in cultural humility is an important first step towards change.
尽管美国心理学会和心理临床科学认证系统对文化谦逊方面的培训和教育有要求，但临床心理学博士和心理学博士项目中培训的存在情况和质量仍存在问题。这是一个关键问题，因为在多样性、文化谦逊和多元文化主义方面的培训不足会对有色人种客户的护理产生重大的下游影响，并可能导致心理健康服务获取方面的种族差异和不公平现象。我们试图明确评估被认为可改善为面临压迫和边缘化的客户提供心理健康服务的概念模型的关键特征，其中包括对临床心理学研究生项目在文化谦逊方面的培训和评估的认知。我们还评估与文化谦逊应用相关的自我效能感以及与文化谦逊相关的实际行动。在300名研究生和教职员工、临床督导以及/或者临床培训主任（DCT）的样本中对这些领域中的每一个进行评估，并测试参与者在职位和种族方面的差异。研究结果凸显了学员培养文化谦逊所需的内容与他们各自项目实际提供的内容之间的显著差距。虽然研究结果表明仍有很多工作要做，但了解文化谦逊临床培训领域的现状是迈向变革的重要第一步。
