Clients and therapists' cultural values, identities, beliefs, and worldviews shape the way they engage with others on a daily basis, including in psychotherapy. Despite much progress over the past 40 years, there are still many questions regarding how cultural dynamics are enacted during psychotherapy sessions.
Accordingly, this special issue was organized to highlight both the clinical and research aspects of the cultural processes in psychotherapy from a variety of different theoretical orientations, perspectives, and methodologies. More specifically, the issue includes empirical, narrative, and case study articles that highlight specific cultural clinical processes.
Table of contents
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- Introduction to Special Issue: Cultural Processes in Psychotherapy
Jesse Owen - Extending the Context-Responsive Psychotherapy Integration Framework to Cultural Processes in Psychotherapy
Brien J. Goodwin, Alice E. Coyne, and Michael J. Constantino - Therapist Effects Due to Client Racial/Ethnic Status When Examining Linear Growth for Client- and Therapist-Rated Working Alliance and Real Relationship
Katherine Morales, Brian TaeHyuk Keum, Dennis M. Kivlighan, Jr., Clara E. Hill, and Charles J. Gelso - Cultural Processes in Psychotherapy for Perinatal Loss: Breaking the Cultural Taboo Against Perinatal Grief
Rayna D. Markin and Sigal Zilcha-Mano - The Feasibility of a Culturally Informed Group Therapy for Patients With Schizophrenia and Their Family Members
Jessica Maura and Amy Weisman de Mamani - Extending the Multicultural Orientation (MCO) Framework to Group Psychotherapy: A Clinical Illustration
D. Martin Kivlighan III and Norah A. Chapman - Psychotherapy With American Indians: An Exploration of Therapist-Rated Techniques in Three Urban Clinics
Mark Beitel, Laurelle L. Myhra, Joseph P. Gone, Jacques P. Barber, Alyssa Miller, Aaron Rasband, Christopher J. Cutter, Richard S. Schottenfeld, and Declan T. Barry - Affirmative LGBT Psychotherapy: Outcomes of a Therapist Training Protocol
Christopher A. Pepping, Anthony Lyons, and Eric M. J. Morris - Responding to Gender and Sexual Minority Stress With Functional Analytic Psychotherapy
Matthew D. Skinta, Brandon Hoeflein, Amanda M. Muñoz-Martínez, and C. Lucía Rincón - Intersectionality in Psychotherapy: The Experiences of an AfroLatinx Queer Immigrant
Hector Y. Adames, Nayeli Y. Chavez-Dueñas, Shweta Sharma, and Martin J. La Roche
Evidence-Based Case Study
- Contextual Consideration of the Emergence of Alexithymia: A Case Study Highlighting Cross-Cultural Client Factors and Limited English Proficiency
Tabina K. Choudhury, Kimberley Stanton, and Steve Balsis
Practice Review
- The Multicultural Orientation Framework: A Narrative Review
Don E. Davis, Cirleen DeBlaere, Jesse Owen, Joshua N. Hook, David P. Rivera, Elise Choe, D. R. Van Tongeren, Everett L. Worthington, Jr., and Vanessa Placeres

