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A Delay-Discounting Measure of Preference for Racial/Ethnic Matching in Psychotherapy

机译：心理治疗中种族/种族匹配偏好的延迟折扣措施

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In this study, we sought to compare racial/ethnic minority participants' preference for racial/ethnic matching in psychotherapy with preferences for other methods of addressing cultural factors in treatment. Using a delay-discounting method, college students (331 racial/ethnic minority students from 2 universities) and a nationwide sample of self-reported clients (n = 77) were asked to indicate their strength of preference for 4 different methods for addressing culturally related variables in psychotherapy, including a desire to (a) work with a therapist whose race/ethnicity matches their own, (b) work with a therapist with a high level of multicultural training and experience, (c) receive a culturally adapted treatment, and (d) receive a therapist who is also a member of a racial/ethnic minority group, but not the same as the participant (i.e., a racial/ethnic minority pairing). We found that participants were willing to make significant sacrifices in treatment efficacy in order to receive each of the variables tested. In both samples, preferences were significantly stronger for therapist multicultural training/experience and use of culturally adapted treatments compared with racial/ethnic matching and racial/ethnic minority pairing. Further analyses indicated that clients expressed stronger preferences for racial/ethnic match and minority pairing than college student participants, and preference strength for 3 of the 4 scenarios was significantly related to strength of minority culture identification. The results of this study have important implications for preference accommodation in psychotherapy with racial/ethnic minority individuals.
机译：在这项研究中，我们试图比较种族/族裔少数群体参与者对心理治疗中种族/族裔匹配的偏爱，以及对解决文化因素的其他偏爱。使用延迟折扣法，要求大学生（来自2所大学的331名种族/族裔学生）和全国范围内的自我报告客户样本（n = 77）表明他们对解决文化相关问题的4种不同方法的偏爱程度心理治疗中的变量，包括希望（a）与种族/族裔相称的种族的治疗师一起工作;（b）与经过多文化培训和丰富经验的治疗师一起工作;（c）接受适应文化的治疗，以及（d）接受一个治疗师，该治疗师也是种族/族裔少数群体的成员，但与参与者不同（即，种族/族裔少数配对）。我们发现，参与者愿意在治疗效果上做出重大牺牲，以便接受测试的每个变量。在这两个样本中，与种族/族裔匹配和种族/族裔少数配对相比，治疗师的多元文化培训/经验和采用适应文化的治疗的偏爱明显更强。进一步的分析表明，客户对种族/族裔匹配和少数族裔配对的偏好比大学生要强，这4种情况中的3种的偏好强度与少数群体文化认同的强度显着相关。这项研究的结果对种族/族裔少数群体的心理治疗中的偏爱调节具有重要意义。

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