Theses and Dissertations from UMD

Permanent URI for this communityhttp://hdl.handle.net/1903/2

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

More information is available at Theses and Dissertations at University of Maryland Libraries.

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    Therapist Cultural Humility, Black LGB Identity Centrality, and Therapeutic Outcomes in Black LGB Adults.
    (2023) Teran Hernandez, Manuel; Shin, Richard Q.; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Black lesbian, gay, and bisexual (LGB) adults experience discrimination at individual and institutional levels (Page et al., 2020) in part due to simultaneous experiences of anti-Black racism and heterosexism. Despite this, Black LGB adults continue to underutilize therapeutic services and also report high rates of premature termination from therapy (Garrett-Walker & Longmire-Avital, 2018). The current study advances the literature by investigating the association between therapist cultural humility, Black LGB centrality, and therapeutic outcomes among Black LGB adults. A sample of Black LGB adults (N = 157) participated in an online survey to respond to measures on demographic information, therapist cultural humility, centrality with their race x sexual orientation (Black LGB centrality), and therapeutic outcomes. Results showed that therapist cultural humility was a significant predictor of therapist satisfaction but not future utilization of counseling services while controlling for age and socioeconomic status among Black LGB adults. The analyses found that Black LGB centrality was not a significant moderator in the association between therapist cultural humility and therapist satisfaction, and only significant in the relation between future utilization of counseling services for participants who reported high levels of Black LGB centrality. Recommendations for future clinical practice and research efforts are provided.
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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