Clinician racial biases can lead to errors in clinician decision making, resulting in the overdiagnosis or underdiagnosis of certain disorders in clients of color.
This part describes how clinician bias and racial microaggressions can lead to misdiagnosis, damage the therapeutic relationship, and discourage clients of color from seeking or continuing mental health care.
(Huey et al. 2014), we argued for differentiating
This passage explains the three main models of cultural competence and points out that adaptation models are the most frequently tested, while skills-based and process-oriented models remain under studied
In general, we find that CBT is effective for ethnic minorities with diverse mental health problems, although nonsignificant trends suggest that CBT effects may be somewhat weaker for ethnic minorities compared to Whites. We find mixed support for the cultural adaptation of CBTs, but evidence for cultural sensitivity training of CBT clinicians is lacking, given a dearth of relevant trials.
This section highlights that CBT is generally effective across cultures but may work slightly less well for ethnic minorities, and it underscores a major research gap because very few trials test cultural sensitivity training for clinicians.