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Cultural concealment and therapy outcomes
Joanna M Drinane1, Jesse Owen1, Karen W Tao2
1Department of Counseling Psychology, University of Denver.
Journal of Counseling Psychology
|March 16, 2018
Summary
Clients concealing cultural identity in therapy negatively impacts treatment outcomes. Therapists whose clients reported more concealment experienced worse results, highlighting the importance of cultural openness in therapeutic settings.
Area of Science:
- Psychology
- Clinical Psychology
- Cultural Psychology
Background:
- Therapy requires clients to disclose personal information, including cultural values.
- Clients may conceal symptoms, feelings, or aspects of their cultural identity during therapy.
Purpose of the Study:
- To investigate client concealment of cultural identity in therapy.
- To examine therapist effects on cultural concealment.
- To determine the association between cultural concealment and therapy outcomes.
Main Methods:
- Utilized data from 233 clients treated by 37 therapists at a university counseling center.
- Assessed therapy outcomes using the Patient's Estimate of Improvement (PEI).
- Measured cultural concealment using a 5-item scale focusing on withheld cultural identity information.
Main Results:
- Client-reported cultural concealment was negatively associated with therapy outcomes.
- Therapists with higher average client cultural concealment had clients with poorer outcomes.
- Significant contextual effects indicated differences in cultural concealment within and between therapists.
Conclusions:
- Cultural concealment is linked to diminished therapy success.
- Therapist factors may influence the extent of client cultural concealment.
- Addressing cultural identity disclosure is crucial for effective therapeutic interventions.
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