The effects of cultural humility on therapeutic alliance and psychotherapy outcomes: A systematic review and meta‐analysis.

Aim: The present review and meta‐analysis sought to synthesise previous findings of studies examining the correlation between therapist cultural humility, the quality of the therapeutic alliance and psychotherapy outcomes. Materials and Methods: Three databases were searched for relevant citations,...

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Published in:Counselling & Psychotherapy Research Vol. 25; no. 2; pp. 1 - 13
Main Authors: Orlowski, Edmund W., Moeyaert, Mariola, Monley, Corey, Redden, Clare
Format: meta analysis research systematic review tables/charts Journal Article
Published: Wiley-Blackwell Jun2025
Online Access:View this record in EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12835
        186283148
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        atl: The effects of cultural humility on therapeutic alliance and psychotherapy outcomes: A systematic review and meta‐analysis.
      aug:
        au:
          Orlowski, Edmund W.
          Moeyaert, Mariola
          Monley, Corey
          Redden, Clare
        affil: Department of Educational and Counseling Psychology, University at Albany/SUNY, Albany New York, , USA
      sug:
        subj:
          Cultural Competence
          Psychotherapists
          Therapeutic Alliance Evaluation
          Psychotherapy Methods
          Treatment Outcomes Evaluation
          Human
          Male
          Female
          Systematic Review
          Meta Analysis
          Psycinfo
          Medline
          Descriptive Statistics
          Checklists
          Confidence Intervals
          Data Analysis Software
          Professional-Client Relations
          Psychologists
          Racism
          Healthcare Disparities
          LGBTQ+ Persons
          Health Services Accessibility
          Male
          Female
      ab: Aim: The present review and meta‐analysis sought to synthesise previous findings of studies examining the correlation between therapist cultural humility, the quality of the therapeutic alliance and psychotherapy outcomes. Materials and Methods: Three databases were searched for relevant citations, yielding 548 records for review. After the systematic review of these articles, a final sample of 13 citations was submitted for coding and analysis. A random‐effects meta‐regression model was used to synthesise correlations collected from the final sample of studies. Heterogeneity was assessed using Cochran's Q, I2 and τ2. Publication bias was assessed using contour‐enhanced funnel plots and Egger's test for asymmetry. Results: There was a statistically significant, positive correlation between cultural humility and alliance quality (r =.66, 95% CI = [0.64, 0.68]). Similarly, a smaller, yet still statistically significant and positive association between cultural humility and psychotherapy outcomes was also found (r =.39, 95% CI = [0.36, 0.42]). Moderators related to client race, gender and lesbian, gay and bisexual (LGB) status were also examined though nonsignificant. Conclusion: Such results suggest that therapist cultural humility is an important part of a strong working relationship and eventual positive outcomes in psychotherapy regardless of race, gender or LGB status. Thus, efforts should be made to foster cultural humility among therapists.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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