PMID- 30489107 OWN - NLM STAT- MEDLINE DCOM- 20190221 LR - 20211204 IS - 0022-0167 (Print) IS - 0022-0167 (Linking) VI - 66 IP - 1 DP - 2019 Jan TI - Examining therapist effects in relation to clients' race-ethnicity and gender: An intersectionality approach. PG - 122-129 LID - 10.1037/cou0000316 [doi] AB - Women and Men of Color experience racism in unique and complex ways, just as White Women and Women of Color experience unique forms of sexism (i.e., gendered racism). Traditional analyses of therapists' cultural competence, broadly defined, have yet to examine the effect of intersectionality on the processes and outcomes of psychotherapy. Although previous research suggests that therapists differ in their effectiveness with Racial-Ethnic Minority (REM) clients, no study has examined therapist effects in terms of the intersectionality of clients' race-ethnicity and gender. This study applied an intersectionality framework to test therapist effects due to clients' race-ethnicity and gender. Data for this study consisted of 415 clients treated by 16 therapists. Results indicated that therapists differed in their ability to produce changes in symptom-defined psychological distress as a function of clients' intersecting identities of race-ethnicity and gender. Clinical implications and future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved). FAU - Kivlighan, D Martin AU - Kivlighan DM AD - Department of Psychological and Quantitative Foundations. FAU - Hooley, Isaac W AU - Hooley IW AD - Department of Psychological and Quantitative Foundations. FAU - Bruno, Maria G AU - Bruno MG AD - University Counseling Services. FAU - Ethington, Lanaya L AU - Ethington LL AD - University Counseling Services. FAU - Keeton, Paula M AU - Keeton PM AD - University Counseling Services. FAU - Schreier, Barry A AU - Schreier BA AD - University Counseling Services. LA - eng PT - Journal Article DEP - 20181129 PL - United States TA - J Couns Psychol JT - Journal of counseling psychology JID - 2985124R SB - IM MH - Adult MH - Cultural Competency/psychology MH - Ethnicity/*psychology MH - Female MH - *Gender Identity MH - Humans MH - Male MH - Minority Groups/psychology MH - *Professional-Patient Relations MH - Psychotherapy/*methods MH - Racial Groups/*psychology MH - Stress, Psychological/*psychology/therapy MH - Treatment Outcome EDAT- 2018/11/30 06:00 MHDA- 2019/02/23 06:00 CRDT- 2018/11/30 06:00 PHST- 2018/11/30 06:00 [pubmed] PHST- 2019/02/23 06:00 [medline] PHST- 2018/11/30 06:00 [entrez] AID - 2018-58844-001 [pii] AID - 10.1037/cou0000316 [doi] PST - ppublish SO - J Couns Psychol. 2019 Jan;66(1):122-129. doi: 10.1037/cou0000316. Epub 2018 Nov 29.