Theses and Dissertations from UMD

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New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a give thesis/dissertation in DRUM

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Author: search.filters.author.Morales, Katherine ChanteSubject: search.filters.subject.HLM

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    Cultural humility, therapeutic relationship, and outcome: Between-therapist, within-therapist, and within-client effects
    (2019) Morales, Katherine Chante; Kivlighan, Jr., Dennis M; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The present study longitudinally examined the association between client-perceived cultural humility (CH) of the therapist, dyadic working alliance (WA), and dyadic session evaluation (SES). We analyzed cultural humility scores at three levels: a) between therapist b) within-therapist and c) within-client. Using a sample of 79 clients, 15 therapists, and 231 time periods, we conducted two multilevel analyses using dyadic WA and dyadic SES as predictors. We found that high between-therapist, within-therapist, and within-client CH yielded higher dyadic WA scores. We also found that within-therapist and within-client CH yielded higher dyadic SES scores. However, importance of client identity did not act as moderator as predicted for CH and dyadic WA; nor did importance of client identity moderate the relationships between within-therapist and within-client CH and dyadic SES. We did find that importance of client identity moderated the relationship between-therapist CH and dyadic SES. Implications for future research will be discussed. Keywords: cultural humility, working alliance, session evaluation, psychodynamic, HLM