It's not a black-and-white issue

News & Trends

There's no doubt about it--in America, race matters. But does it matter if therapists and clients are the same color?.

Stanley Sue, Ph.D., a psychologist at the University of California at Davis, has spent almost two decades studying the effects of an ethnic "match" between counselors and the people they treat. Among his findings: Asian-Americans and Mexican-Americans appear to go to more sessions, drop out less frequently, and make more progress when they have the same ethnic background as their counselors. In addition, African-Americans and whites who have therapists of the same race stay in treatment longer--a situation that's associated with better outcomes.

To Sue's dismay, the studies have stirred strong protest, with critics charging that he is advocating the segregation of psychological services. Some South Africans have used his research to argue in favor of white-only and black-only psychotherapy practices.

Sue insists he doesn't believe that patients should seek out therapists of their own ethnicity, only that they ought to have the choice. "Match, in and of itself, is probably not that important," he says. "There are some good general skills that every therapist should have." Among them:

o Think like a scientist. That means forming and testing hypotheses rather than jumping to premature conclusions.

o Know what's personal and what's cultural. Therapists must be aware of cultural patterns while not resorting to stereotypes.

o Comprehend the culture. Therapists with similar backgrounds may catch on quicker, but sensitive therapists can learn to understand any client.

Tags: Asian Americans, client, counselors, dismay, ethnic background, ethnicity, match, no doubt, premature conclusions, psychological services, psychotherapy practices, race, race matters, scientist, south africans, stanley sue, testing hypotheses, therapist, therapy, university of california at davis

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