Cultural Humility and Outcome Rating Scale: Multilevel Mediation Effects of Dyadic Working Alliance

dc.contributor.advisorKivlighan Jr., Dennis M.en_US
dc.contributor.authorDixon, Katherine Moralesen_US
dc.contributor.departmentPsychologyen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2023-10-06T05:45:21Z
dc.date.available2023-10-06T05:45:21Z
dc.date.issued2023en_US
dc.description.abstractAbstract Current psychotherapy research on cultural humility (CH) indicates that CH is positively associated with client treatment outcomes and that working alliance may mediate the relationship between CH and treatment outcome. However, these studies have used cross-sectional data and have largely ignored the nested nature of therapist-client data sets. To address this gap in the literature, the current study applied a two-level, time-lagged, Multilevel Structural Equation Model (MSEM) to a longitudinal data set and examined whether working alliance mediates the relationship between client-perceived CH of the therapist and client-perceived symptom improvement (Outcome Rating Scale; ORS). The working alliance was conceptualized and operationalized as a dyadic construct (Cl-WA, Th-WA). Results were mixed; contrary to predictions, sessions in which clients perceived the therapist as higher in CH compared to average sessions were associated with poorer ORS scores. This relationship between cultural humility and client perceived improvement was not significant at the between-client level. The mediation hypothesis was supported at the within-client level but not at the between-client level. Implications for practice and research are discussed.en_US
dc.identifierhttps://doi.org/10.13016/dspace/ioda-bhf6
dc.identifier.urihttp://hdl.handle.net/1903/30774
dc.language.isoenen_US
dc.subject.pqcontrolledCounseling psychologyen_US
dc.subject.pquncontrolledCultural Humilityen_US
dc.subject.pquncontrolledMSEMen_US
dc.subject.pquncontrolledORSen_US
dc.subject.pquncontrolledPsychodynamic therapyen_US
dc.subject.pquncontrolledWorking Allianceen_US
dc.titleCultural Humility and Outcome Rating Scale: Multilevel Mediation Effects of Dyadic Working Allianceen_US
dc.typeDissertationen_US

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