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Examining Between-Group and Within-Group Cultural Concealment in Group Therapy

机译：检查团体治疗中的组间和组内文化隐蔽性

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It is well established that cultural factors greatly influence mental health as well as the effectiveness of psychosocial treatments. However, all clients might not readily discuss cultural experiences in therapy, a process recently termed cultural concealment. Drinane et al. (2018) introduced the concept of cultural concealment and found a significant within-therapist and between-therapist effects of clients' cultural concealment and their perceived improvement in therapy. Despite an extensive literature on multicultural group work and recent developments in assessing cultural processes within therapy groups, there is a paucity of research examining the process of cultural concealment in therapy groups. Informed by social norm theory and the multicultural group literature, this study examined within-group and between-group effects of clients' cultural concealment and their perceptions of improvement, group cohesion, and a global therapeutic factor. Data consisted of 341 clients across 81 interpersonal process therapy groups. Results indicated significant within-group cultural concealment effects for clients' perceptions of improvement, group cohesion, and a global therapeutic factor. In contrast, between-group cultural concealment effects were only found for clients' perceptions of a global therapeutic factor. These findings suggest that group members' own cultural concealment is negatively associated with their perceptions of improvement, group cohesion, and a global therapeutic factor, whereas the group-as-a-whole's cultural concealment is negatively associated with members' perceptions of a global therapeutic factor. Group therapists should be cognizant of the consequential effect of cultural concealment at the member and group level to enhance the effectiveness of group treatments for all clients.
机译：建立,文化因素极大地影响心理健康的心理治疗的有效性。然而,所有客户可能不容易讨论文化经验治疗,一个过程最近被称为文化的隐蔽。艾尔。(2018)介绍了文化的概念隐蔽,发现一个重要within-therapist和between-therapist效果客户的文化隐藏和感知的改善治疗。文学在多元文化的组织工作,最近评估文化的发展进程在治疗组,有缺乏研究分析文化的过程隐藏在治疗组。规范理论和多元文化的集团文献,本研究调查了类内群体间的影响客户的文化隐蔽和他们的看法改善,群体凝聚力,和全球治疗因素。数据在81年由341个客户人际交往过程中治疗组。表示重要的类内文化隐藏客户感知的影响改善、团队凝聚力和全球治疗的因素。文化只发现了隐藏的影响客户的全球治疗的看法的因素。成员的文化隐藏是消极的与他们的看法改善,群体凝聚力,和全球治疗因素,而团体的文化隐藏是负相关的成员的全球治疗的看法的因素。文化的隐蔽的间接效应和小组成员水平提高团体治疗的有效性客户。

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