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CORRESPONDENCE BETWEEN LEVEL OF RACIAL IDENTITY OF AFRICAN-AMERICAN
THERAPISTS AND OF A VIGNETTE-DEPICTED AFRICAN-AMERICAN
CLIENT AND
ASSESSED CLIENT PROBLEM SEVERITY
by
Saul Thomas Bush
____________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
EDUCATION (COUNSELING PSYCHOLOGY)
December 2008
Copyright 2008 Saul Thomas Bush
Object Description
| Title | Correspondence between level of racial identity of African-American therapists and of a vignette-depicted African-American client and assessed client problem severity |
| Author | Bush, Saul Thomas |
| Author email | saulbush@earthlink.net; saulbush@sbcglobal.net |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Education (Counseling Psychology) |
| School | Rossier School of Education |
| Date defended/completed | 2008-10-23 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-12-16 |
| Advisor (committee chair) | Goodyear, Rodney K. |
| Advisor (committee member) |
Stone, Gerald Davidson, Gerald |
| Abstract | This was the first study to examine the relationship between racial identity status of both clinicians and a client depicted in a vignette and the diagnostic impressions of those clinicians. Participants were 89 African American mental health professionals (53 female, 36 male). They were randomly assigned to read one of three versions of a vignette describing an African American woman with a mood disorder. In each version, though, descriptors were chosen to signal one of three levels of racial identity: Pre-encounter, Immersion-Emersion, and Integrated. They then were asked to (a) assess that client's level of functioning using the /DSM-IV/ Global Assessment of Functioning Axis V Scale (GAF) and (b) provide an Axis I diagnosis. They also completed the Revised Cross Racial Identity Scale (CRIS), which then was used to assign them to one of three levels of racial identity: Pre-encounter, Immersion-Emersion, and Internalized. Because 71% of the participants were in the Internalized stage of racial identity, there were insufficient cell sizes to examine interaction effects. However, main effects were examined for racial identity levels of the clinicians and of the client. Significant between-group differences were obtained for client racial identity levels, with a near-linear trend whereby GAF scores for the Pre-encounter client were lowest, with successively higher scores for the Immersion/Emersion and the Integrated client, in turn. No other differences were found.; That both the clinicians and the depicted client were African American minimized race as a factor in clinician judgment and highlighted the prominence of racial identity level. Whereas the study originally had been framed as one of assessment bias, the alternate explanation is that the stages of racial identity levels are proxies for general level of functioning. If so, the obtained between-group differences would reflect actual differences in client functioning rather than bias. |
| Keyword | racial identity development; psychological diagnoses; global assessment of functioning (GAF); African American mental health; clinical judgment; assessment bias |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1934 |
| Rights | Bush, Saul Thomas |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Bush-2541 |
| Archival file | uscthesesreloadpub_Volume26/etd-Bush-2541.pdf |
Description
| Title | Page 1 |
| Full text | CORRESPONDENCE BETWEEN LEVEL OF RACIAL IDENTITY OF AFRICAN-AMERICAN THERAPISTS AND OF A VIGNETTE-DEPICTED AFRICAN-AMERICAN CLIENT AND ASSESSED CLIENT PROBLEM SEVERITY by Saul Thomas Bush ____________________________________________________________________ A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY EDUCATION (COUNSELING PSYCHOLOGY) December 2008 Copyright 2008 Saul Thomas Bush |
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