Examining how lesbian, gay, and bisexual Christian clients' perceptions of therapists' cultural humility contribute to psychotherapy outcomes.

Understanding the intersection between sexual and religious identity has important implications for mental health. The lesbian, gay, and bisexual (LGB) community is at high risk for a wide range of psychopathologies, and religious culture can further these risks when it creates homophobic environments (Sherry et al., 2010). The present study examined lesbian, gay, and bisexual (LGB) Christian clients' religious commitment and perceptions of their therapists' cultural humility in relation to the working alliance and therapeutic outcomes. A sample of 158 LGB Christians who were currently or had been in psychotherapy within the last year participated in the study. Perceptions of their therapists' cultural humility positively predicted therapeutic outcomes, and the working alliance partially mediated the relation between cultural humility and therapeutic outcomes. Contrary to predictions, religious commitment did not moderate the relation between cultural humility and working alliance. Implications are discussed, namely, that the results of this study join existing literature to potentially suggest a systemic shift in psychotherapy training that includes cultural humility. (PsycInfo Database Record (c) 2021 APA, all rights reserved).