How do culture and values influence the therapist client relationship

10 Multicultural Factors to Consider in Counseling - Blog

how do culture and values influence the therapist client relationship

How do psychotherapy, biomedical therapy, and an eclectic approach to therapy differ . How do culture and values influence the therapist client relationships?. How do culture and values influence the therapist-client relationship? Clinical psychologists Clinical or Psychiatric Social Worker Counselors. In short, the a counselor's own cultural values or bias must not take precedence that of the client. recognize that a client's race and culture influence their personality, Counselors should also maintain knowledge of family dynamics, a counseling relationship helps the counselor-client relationship stay.

Behavioral therapy approaches relied on principles of operant conditioningclassical conditioning and social learning theory to bring about therapeutic change in observable symptoms. The approach became commonly used for phobiasas well as other disorders. Some therapeutic approaches developed out of the European school of existential philosophy. Concerned mainly with the individual's ability to develop and preserve a sense of meaning and purpose throughout life, major contributors to the field e.

LaingEmmy van Deurzen attempted to create therapies sensitive to common "life crises" springing from the essential bleakness of human self-awareness, previously accessible only through the complex writings of existential philosophers e. The uniqueness of the patient-therapist relationship thus also forms a vehicle for therapeutic inquiry. A related body of thought in psychotherapy started in the s with Carl Rogers. Based also on the works of Abraham Maslow and his hierarchy of human needsRogers brought person-centered psychotherapy into mainstream focus.

The primary requirement was that the client be in receipt of three core "conditions" from his counselor or therapist: This type of interaction was thought to enable clients to fully experience and express themselves, and thus develop according to their innate potential.

Others developed the approach, like Fritz and Laura Perls in the creation of Gestalt therapyas well as Marshall Rosenberg, founder of Nonviolent Communicationand Eric Bernefounder of transactional analysis. Later these fields of psychotherapy would become what is known as humanistic psychotherapy today. Self-help groups and books became widespread. Independently a few years later, psychiatrist Aaron T. Beck developed a form of psychotherapy known as cognitive therapy. Both of these included relatively short, structured and present-focused techniques aimed at identifying and changing a person's beliefs, appraisals and reaction-patterns, by contrast with the more long-lasting insight-based approach of psychodynamic or humanistic therapies.

Beck's approach used primarily the socratic methodand links have been drawn between ancient stoic philosophy and these cognitive therapies. These approaches gained widespread acceptance as a primary treatment for numerous disorders. However the "third wave" concept has been criticized as not essentially different from other therapies and having roots in earlier ones as well.

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Outcome research has yielded similar therapeutic effects for a wide range of therapies when they are practiced competently by the therapist. In the context of multicultural therapy, our clinical experience tells us that the quality of the relationship remains the key component to process and outcome.

Moreover, for some clients, an authentic, trusting, and therapeutic relationship may represent by itself the most important therapeutic process and outcome to be achieved from treatment. Therefore, at this point, there does not seem to be one best theoretical or technical approach to establishing a relationship in multicultural therapy.

how do culture and values influence the therapist client relationship

Finally, during our roundtable, we discussed the differences between treating clients who come from more collectivist cultures, as opposed to more individualistic cultures.

From an applied clinical perspective, this issue presents a possible challenge to therapists, as many minority clients, particularly refugees and recent immigrants, have a deep commitment and sense of obligation to their families and communities.

At the same time, these same clients may simultaneously present in therapy with concerns about personal growth, personal achievement, personal freedom, and self-efficacy. In some cases they may have needs in therapy to question, criticize, and work through familial or cultural beliefs and expectations that are being experienced as burdensome or that create some conflict.

  • 10 Multicultural Factors to Consider in Counseling
  • Psychotherapy
  • The Therapy Relationship in Multicultural Psychotherapy

As an example, consider a first-generation Pakistani female college student who is nearing her graduation from college and has an outstanding job offer that would require her to move to another city. She expects her parents would reject this option, and this causes her great anxiety and stress. Therapeutic work in this type of scenario would include helping the client achieve a balance between her personal goals and her obligations to family—and research suggests that this work would be facilitated, in most therapies, by a solid therapy relationship.

how do culture and values influence the therapist client relationship

We end by noting that much more theoretical and empirical work in needed in the areas of the therapy relationship and multicultural psychotherapy, and that this work is crucial given the demographic and cultural changes taking place in the U.

The therapy relationship in multicultural psychotherapy. Psychotherapy Bulletin, 50 1 A problem-management and opportunity-development approach to helping 9th ed. Specialty competencies in counseling psychology. The real relationship in psychotherapy: The hidden foundation of change.

Theory, research, and practice. Using race and culture in counseling and psychotherapy: The efficacy and effectiveness of psychotherapy. Counselor Awareness of Client Worldview: To achieve this understanding, counselors must be aware of their emotional reactions to other racial and ethnic groups, possess knowledge of the population with whom they work, and familiarize themselves with culturally appropriate research.

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Culturally Appropriate Intervention Strategies: Counselors must understand the characteristics of therapy and its impact on cultural groups. Counselors should also maintain knowledge of family dynamics, hierarchy, bias in assessments, and discriminatory practices that may impact their client.


Counseling professionals who are culturally skilled are able to engage in communication — both verbal and nonverbal — that transcends race or nationality and eliminates prejudice. The Importance of Multicultural Counseling As the population becomes more diversethe need for multicultural counseling grows more apparent.

Changing demographics of the United States population demand that counselor education programs provide training experience that facilitate the development of multiculturally competent counselors. The growing population of diverse individuals in the United States will put more pressure on counselors to be culturally competent in their service of delivery. Younger generations illustrate this diversity.

Pew Research indicates that 43 percent of adult millennials are non-white. Some clients are affected by their religion through transcendental experiences that extend beyond the ordinary.