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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

The multicultural orientation framework: A narrative review.

Don E Davis¹, Cirleen DeBlaere¹, Jesse Owen²

¹Department of Counseling and Psychological Services, Georgia State University.

Psychotherapy (Chicago, Ill.)

|March 23, 2018

Summary

This summary is machine-generated.

Researchers are finding that multicultural orientation, including cultural humility, comfort, and opportunities, positively impacts therapy outcomes and reduces disparities. This framework enhances psychotherapy process research and practice.

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Area of Science:

Psychotherapy Research
Clinical Psychology
Cultural Competence in Mental Health

Background:

Multicultural competencies tradition has seen slow progress in linking therapist qualities to therapy outcomes.
The multicultural orientation (MO) framework integrates these competencies into psychotherapy process research.
Existing research often focuses on therapist qualities within the multicultural competencies tradition.

Purpose of the Study:

To review studies examining the three constructs of the multicultural orientation framework: cultural humility, cultural opportunities, and cultural comfort.
To assess the evidence linking these MO constructs to therapy outcomes.
To explore the implications of MO for psychotherapy process and practice.

Main Methods:

A narrative review of existing research studies.
Studies included at least one of the three MO constructs: cultural humility, cultural opportunities, or cultural comfort.
Analysis focused on the relationship between MO constructs and various therapy outcomes.

Main Results:

Initial evidence suggests a link between multicultural orientation constructs and improved therapy outcomes.
MO constructs are associated with perceived improvement, reduced racial/ethnic disparities in termination, and stronger therapy alliances.
Findings support the social bond and social oil hypotheses related to cultural humility.

Conclusions:

The multicultural orientation framework shows promise in connecting therapist multicultural competencies to tangible therapy outcomes.
Further research and clinical practice should integrate MO constructs to enhance psychotherapy effectiveness and equity.
Cultural humility, opportunities, and comfort are key elements for advancing multicultural psychotherapy.