Electronic Theses and Dissertations



Document Type


Degree Name

Doctor of Philosophy


Counseling Psychology

Committee Chair

Sara Bridges, PhD

Committee Member

Suzanne Lease PhD

Committee Member

Rosie Davis PhD

Committee Member

Patrick Murphy PhD

Committee Member

Nakeshi Dyer EdD


A qualitative case study explored seven counseling psychology doctoral trainees’ experiences in a small-group training with a simulated therapy client of a marginalized identity, and more specifically, the trainees’ perceptions of how the interaction with the simulated client influenced their cultural humility development. The simulation training was designed to mirror a therapy intake and the case profile reflected an African American client presenting with race-based stress from ongoing discrimination across several life domains. A thematic analysis was performed on the training de-brief focus group yielding five themes: (1) trainees’ impressions (2) trainees’ affective responses (3) comparisons to clinical work with real clients, (4) factors impacting training, and (5) aspects of identity in the simulated client interaction. The Voice-Centered Relational Method of analysis was performed on all the individual post-training interviews, which illuminated the nuanced clinical insight simulation-based training can provide in the development of trainees’ cultural humility. The analysis revealed how trainees of color attended more to the interpersonal components of cultural humility development (e.g., decentering oneself, remaining “other-focused”), whereas White trainees attended more to the intrapersonal components within their development (e.g., perceiving their power, privilege, and limitations accurately within the therapeutic interaction). Suggestions for future research and simulation-based training are also offered.


Data is provided by the student.”

Library Comment

Dissertation or thesis originally submitted to ProQuest


Open Access