ABSTRACT

The characteristics involved in cultural competency in psychotherapy and counseling have been difficult to specify. This article describes attempts to study factors associated with cultural competency and addresses 3 questions. First, is ethnic match between therapists and clients associated with treatment outcomes? Second, do clients who use ethnic-specific services exhibit more fa ­ vorable outcomes than those who use mainstream ser­ vices? Third, is cognitive match between therapists and clients a predictor o f outcomes? The research suggests that match is important in psychotherapy. The cultural competency research has also generated some contro­ versy, and lessons learned from the controversy are dis­ cussed. Finally, it is suggested that important and orthog­ onal ingredients in cultural competency are therapists’ scientific mindedness, dynamic-sizing skills, and culturespecific expertise.