Putting Concepts Into Action: A Brief Description of 2022 BACB Ethics Code Standard 1.07 & Actionable Recommendations for Evolving Practices of Behavior Analysts

For over a decade, behavior analysts have been calling for more culturally responsive practices. Within the newest edition of the Ethics Code for Behavior Analysts, one addition in particular was Standard 1.07 Cultural Responsiveness and Diversity (Behavior Analyst Certification Board, 2020b). The inclusion of this new standard shows positive movement but there is more to unpack. This article seeks to contextualize the relevance and necessity of Standard 1.07 both at a societal level and within the field of applied behavior analysis (ABA). A timeline of previous calls to actions and changes within ABA that align with the inclusion of this standard is discussed along with the obstacles that hindered progress. Lastly, directions are provided for how to make behavior analytic practices more culturally responsive through confronting our personal biases, using culturally responsive pedagogies, updating and adapting our practices regarding the selection of target skills and assessment administration, and collaborating with our clients and their teams. Through an understanding of its urgency and direct applications into our work, this article seeks to aid behavior analysts in shifting our practices to being more culturally responsive.

Building a multicultural peer-consultation team: Planning, implementing, and early sustainment evaluation

This article represents an implementation-focused evaluation of a multicultural peer-consultation team situated within a psychiatry department in a large academic medical center in the Southern United States. The evaluation comprised anonymous self-report questionnaires (n = 14) as well as individual (n = 3) or group interviews (n = 10) conducted by outside independent evaluators. Participants were current and former team members (i.e., graduate trainees, mental health care providers, clinical and research staff members) who voluntarily participated in this multimethod implementation evaluation. Results indicated that attendance on the team had several important impacts on members, and most notably an increased ability to provide multiculturally competent care, that is treatment that carefully and routinely considers the influence of culture and context on patients and therefore their clinical presentation. Further, no negative impacts from participating on the team were noted. A primary strength of the team's sustainability is that participation on the team was deemed to be relevant and useful by current and former team members. A major barrier to participation on the team is competing demands, such as high clinical loads. We conclude that this model for multicultural peer-consultation holds promise as an effective and implementable educational method for mental health care professionals. We discuss strengths, limitations, and future directions for research.

Supervisors’ Perceptions of Their Integration of Strength-Based and Multicultural Approaches to Supervision

This study explored how, and to what degree, clinical supervisors utilize and integrate strength-based and multicultural approaches. We conducted a qualitative investigation using a grounded theory paradigm and consensual qualitative research methodology and analysis. Participants included 14 licensed psychologists. We organized the data into four domains: (a) supervisory approaches, (b) multicultural content/integration of multicultural approaches, (c) strength-based content/integration of strength-based approaches, and (d) supervisor power and supervisee empowerment. Results suggested that participants were keenly aware of multiculturalism and multicultural competence, and infused these perspectives throughout their supervision. Supervisors as a group were less aware of the ways that they used strength-based approaches with their supervisees, although a subset of participants intentionally used strength-based interventions. Notably, some supervisors used multicultural and strength-based perspectives in an integrative fashion by recognizing that strengths vary depending on the cultural context. We discuss implications for supervision practice, advocacy, theory, and research.

In Search of a Cyber Supervision Process: From the Perspective of Social Work Supervisees in Mainland China

PURPOSE

The need for cyber supervision has arisen owing to a lack of access to supervision resources in remote locations in Mainland China. This study explores the experiences of receiving or implementing cyber supervision.

METHODS

Twenty-four graduates of a nationwide supervision training program participated in telephone interviews.

RESULTS

The findings revealed the themes concerning the process of conducting cyber supervision. Methods used by cyber-supervisors to understand supervision context and build supervisory relationships were identified.

DISCUSSION

The findings lead to an increased understanding of the process of cyber supervision and will have implications for the further development of cyber supervision.

CONCLUSION

Implications of this study provide insights into the important process of cyber supervision.

Expanding Our Understanding of Eating Practices, Body Image, and Appearance in African American Women: A Qualitative Study

Researchers consistently have supported the notion that African American women experience greater body satisfaction and are less likely to engage in unhealthy restrictive eating practices due to broader and more flexible body image norms in the African American community. Yet empirical evidence also suggests that African American women experience high rates of binge-eating behaviors and obesity. The purpose of this qualitative study was to gain a deeper understanding of the factors that influence body image norms, eating practices, and overall appearance of African American women aged 25 years and older. Using consensual qualitative research as the guiding method, 11 semistructured interviews were conducted with African American women who self-identified as struggling with body and weight concerns. Five domains were identified: (a) participants’ perceptions of their body image, (b) challenges with body image, (c) participants’ perceptions of eating attitudes and behaviors, (d) role of food, and (e) perceptions of overall appearance. Implications for research and practice are included.

Complexity overlooked: enhancing cultural competency in the white lesbian counseling trainee through education and supervision

Self-awareness is often associated with enhanced multicultural competency. Training programs must work to facilitate self-awareness in counseling trainees who hold both privileged and oppressed identities. In this article, I highlight a gap in the literature regarding how best to supervise white lesbian counseling trainees. Facilitating self-awareness through supervision will be explored as a tool for enhancing multicultural competency in the white lesbian counseling trainee. An exploration of understanding white privilege as well as the impact of oppression on lesbian counseling trainees, will be used to draw conclusions regarding effective supervision for this population. Additionally, suggestions for future research will be proposed.

Supervisors’ Experiences of Providing Difficult Feedback in Cross-Ethnic/Racial Supervision

Seventeen clinical supervisors were interviewed regarding their experience of providing difficult feedback in cross-ethnic/racial supervision, and their responses were analyzed using consensual qualitative research (CQR). European American supervisors described supervisees of color who had difficulty in their clinical work with culturally different clients. These supervisors then shared with supervisees their concern that supervisees’ interpersonal skills may negatively affect their clinical and/or supervision work. Supervisors of color described European American supervisees who exhibited insensitivity toward clients of color in session or during supervision. These supervisors shared their concern that supervisees’ lack of cultural sensitivity may negatively affect their clinical work. These contrasting feedback experiences had a profound effect on supervisory relationships and the processes within supervision.

Clinical Supervision in South Korea and the United States

To provide cross-cultural empirical data for the advancement of supervisor competencies, we investigated differences in clinical supervision between South Korean and the United States from the supervisees’ perspective. Specifically, the comparative descriptive study had 191 South Korean and 187 U.S. supervisee participants receiving clinical supervision. Pursuing a hypothesis testing approach, comparative descriptive data across several variables suggested that there were more similarities than differences between supervision practices between the two cultures. Implications for theory, research, and practice were discussed.

Promoting Multicultural Competencies in Early Career Rehabilitation Counsellor Supervisors

This article discusses multicultural competency education options for early career rehabilitation counsellor supervisors. It specifically addresses the importance of the cultural awareness and competencies in supervised supervision. Multicultural counsellor competencies in clinical supervision are considered in the context of rehabilitation counsellor professional preparation programs in the United States. Diversity considerations are important to operationalising the construct of the working alliance in the context of clinical supervision training for early career rehabilitation counsellor supervisors. Acquiring, retaining and cultivating multicultural clinical supervision competencies in self and others is a lifelong process.

Influences on Women Counseling Psychology Associate Professors’ Decisions Regarding Pursuit of Full Professorship

Twelve women tenured as associate professors in American Psychological Association—accredited counseling psychology doctoral programs were interviewed regarding their pursuit of promotion to full professor. Interview data were analyzed using a modified version of consensual qualitative research. Most participants indicated a strong desire to be promoted and stated that they would not change their minds about achieving this goal. Participants reported that their universities’ guidelines for promotion emphasized a strong publication record and evidence of a national reputation, but participants often described these criteria as vague. Pursuit of full professorship was encouraged by having a current mentor, receiving supportive feedback about applying for promotion, and publishing noteworthy research. Pursuit of full professorship was discouraged by negative prior promotion experiences, feelings that colleagues did not value the participant’s research, and conflicts between career and family obligations. Results are discussed within the context of Super’s theory of career development and social cognitive career theory.

Qualitative research interviews

After presenting a brief overview of the complexity of the qualitative interviewing process used by psychotherapy researchers, the authors discuss some of the major ideas that psychotherapy researchers using such interviews must consider both before and during the interview process. They then offer thoughts regarding approaches to strengthen qualitative interviews themselves.

Helpful and Hindering Multicultural Events in Group Supervision

This study examines the relationship between multicultural events in group supervision, group climate, and supervisee multicultural competence using a mixed qualitative/quantitative design. The discovery-oriented approach yielded 196 helpful and hindering multicultural events among 136 participants. The most common events included multicultural learning and peer vicarious learning. Supervisees suggested improving their group supervision through better integration of multicultural issues and more supervisor involvement. Regarding group climate, supervisees reporting peer vicarious learning or multicultural learning experienced higher group engagement, whereas misapplications of multicultural theory related to higher reports of group conflict. Increased multicultural learning and extra-group multicultural events positively related to supervisees' multicultural competence whereas multicultural conflicts with supervisors, misapplication of multicultural theory, and the absence of multicultural events negatively related to supervisee multicultural competence. The findings of this study generated several suggestions for managing multicultural events as well as improving theory, research, and practice for group supervision.

Training Directors' Conceptualizations of the Intersections of Diversity and Trainee Competence Problems

Counseling psychology has demonstrated leadership on multicultural issues through serious and committed attention to diversity in scholarship, conferences, and training and recruitment. Yet a survey of the literature on trainees with competence problems resulted in limited references to race/ethnicity and/or gender (REG). Using transcripts of phone interviews, we examined the degree to which Training Directors from 14 counseling psychology doctoral programs included REG in their conceptualizations of trainee remediation. REG conceptualizations differed in terms of (a) definitional clarity and conceptual sophistication about RE, (b) differential integration of approaches to diversity and remediation, and (c) strong emotions associated with race/ethnicity in trainee remediation. Implications for training and research are discussed.