Beyond Competence: Cultivating Cultural Humility in Therapy

Cultural humility is not a checkbox—it’s a lifelong, relational practice. Explore how culture, power, and self-awareness shape ethical, healing-centered therapy.

A young woman with curly hair framed by the sun.

This Is Not About Getting It “Right”

Many people come to therapy carrying more than their immediate pain. They bring histories, identities, legacies, and systems—some named, many unspoken. Culture is not a single variable we assess and move past. It is a living, multisystemic force shaping how we make meaning, how we survive, and how we relate.

At Cultivating Capacity, we understand culture not as a static identity marker, but as something relational, contextual, and constantly in motion. This matters—because when therapy ignores culture, power, and positionality, it risks misunderstanding adaptive behaviors as pathology, or mistaking silence for resistance.

Cultural Competence vs. Cultural Humility

Traditional models of cultural competence often emphasize knowledge acquisition and mastery. While education and training matter, competence alone can quietly reinforce hierarchy: the therapist as expert, the client as subject.

Cultural humility, on the other hand, is a posture.

It is an other-oriented stance rooted in curiosity, self-reflection, and lifelong learning. Rather than assuming expertise about someone’s lived experience, cultural humility centers the client as the expert on their own life—while asking the therapist to remain accountable to their own identities, assumptions, and power.

This is not about knowing everything. It is about staying open.

The Multisystemic Dynamics of Culture

Culture moves through multiple, interconnected systems. In therapy, we attend to these dynamics not as background context, but as active forces shaping the therapeutic relationship:

  • Relationships: rules, roles, boundaries, and patterns of communication
  • Identity: values, beliefs, worldview, and meaning-making
  • Power: privilege, oppression, and social hierarchies
  • Generational Transmission: rituals, legacies, and inherited narratives
  • Language: how experience is expressed, silenced, or translated
  • Adaptation: how individuals and families evolve through migration, trauma, and change

When we slow down enough to notice these systems, we stop asking, “What’s wrong with you?” and begin asking, “What happened—and what has helped you survive?”

Self of the Therapist: The Work Beneath the Work

Cultural humility requires more than good intentions. It asks therapists to engage in ongoing self-awareness—recognizing how our identities, histories, and nervous systems show up in the room.

This includes:

  • Awareness of personal beliefs, biases, and triggers
  • Emotional regulation in the face of intensity or difference
  • A willingness to seek supervision, consultation, and repair
Ethical therapy is not neutral. It is relational.

Transparency as Care

At Cultivating Capacity, transparency is not an administrative detail—it is a form of safety. From informed consent to collaboration in treatment planning, we believe clients deserve to understand what is happening, why it matters, and how they are invited into the process.

This is therapy grounded in consent, clarity, and shared power.

A Closing Invitation

Cultural humility is not something you arrive at. It is something you practice.

In therapy—and in life—it asks us to listen longer, assume less, and stay accountable to the impact we have on others. When we do, healing becomes not just possible, but relationally sustainable.

There is space for all of you here. And there is a way forward that honors your full story.

References

This post is adapted from a training I offer called "The Multisystemic Dynamics of Culture," which explores the how cultural humility helps clinicians develop a culturally responsive approach. To request a training, please Get in Touch.

American Association for Marriage and Family Therapy. (2015,January 1). Code of ethics. AAMFT. https://www.aamft.org/AAMFT/Legal_Ethics/Code_of_Ethics.aspx

Asnaani, A., & Hofmann, S. G. (2012). Collaboration in multicultural therapy: Establishing a strong therapeutic alliance across cultural lines. Journal of Clinical Psychology68(2),187–197. https://doi.org/10.1002/jclp.21829

Blow, A. J., Sprenkle, D. H., & Davis, S. D. (2007). Is who delivers the treatment more important that the treatment itself? The role of the therapist in common factors. Journal of Marital and Family Therapy, 33(3), 298-317. https://doi.org/10.1111/j.1752-0606.2007.00029.x

Borne-Fisher, M. Cain, J. M., & Martin, S. L. (2015).From mastery to accountability: Cultural humility as an alternative to cultural competence. Social Work Education, 34(2), 165-181. https://doi.org/10.1080/02615479.2014.977244

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Hardy, K. V., & Laszloffy, T. A. (2002). The cultural genogram: Key to training culturally competent family therapists. Journal of Marital and Family Therapy, 28(3), 227-237. https://proceduresonline.com/trixcms2/media/16656/cai-003-cultural-genogram-hardy-laszloffy-1995.pdf

Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L.,& Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology60(3),353–366. https://doi.org/10.1037/a0032595

Milhausen, R., & Neustifter, R. (2014, March/April).Diversity in today’s families. Family Therapy Magazine, 13(2),18-21

Patallo, B. J. (2019). The multicultural guidelines in practice: Cultural humility in clinical training and supervision. Training and Education in Professional Psychology, 13(3), 227-232. https://doi.org/10.1037/tep0000253

Sude, M. E., & Baima, T. (2021). Training the self of the therapist through marriage and family therapy role-plays. International Journal of Systemic Therapy, 32(1), 23-40. https://doi.org/10.1080/2692398X.2020.1825909

Tervalon, M., & Murray-García, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of HealthCare for the Poor and Underserved, 9(2), 117-125. https://doi.org/10.1353/hpu.2010.0233

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