Using a longitudinal mixed-methods research design, the present study examined the development of multicultural competence and skills among 14 doctoral-level clinical trainees across three cohort groups, through providing counseling and therapy to refugees within a multicultural psychotherapy practicum. The results show that trainees reported significant increases in all domains of the measures of multicultural counseling competencies and self-efficacy as they worked with refugee clients between pre- and post-practicum, with medium to large effect sizes. The results of the Multi-Level Model analysis of trainees’ coded, post-session qualitative journals further revealed that the trainees’ growth curve for developing multicultural counseling and therapy skills was characterized by a non-linear pattern. Finally, trainees’ qualitative journal narratives additionally highlighted profound and nuanced cognitive, affective, behavioral, and interpersonal learning impacts and gains through this refugee-servicing practicum. Implications and recommendations for future multicultural counseling training and research are considered.

中文翻译：

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通过在多元文化心理治疗实践中与难民一起工作来培养临床学员的多元文化咨询能力：混合方法调查

本研究使用纵向混合方法研究设计，通过在多元文化心理治疗实习中为难民提供咨询和治疗，检查了三个队列组的 14 名博士级临床学员的多元文化能力和技能的发展。结果表明，受训者在实习前和实习后与难民客户一起工作时，在多元文化咨询能力和自我效能的衡量指标的所有领域都有显着提高，效果为中到大。对受训者编码的会后定性期刊进行多层次模型分析的结果进一步表明，受训者发展多元文化咨询和治疗技能的成长曲线具有非线性模式。最后，受训者的定性日记叙述还强调了通过这种难民服务实践深刻而微妙的认知、情感、行为和人际关系学习的影响和收获。考虑了对未来多元文化咨询培训和研究的影响和建议。