Across several decades the effects of matching clients with therapists of the same race/ethnicity have been explored using a variety of approaches. We conducted a meta-analysis of 3 variables frequently used in research on racial/ethnic matching: individuals' preferences for a therapist of their own race/ethnicity, clients' perceptions of therapists across racial/ethnic match, and therapeutic outcomes across racial/ethnic match. Across 52 studies of preferences, the average effect size (Cohen's d) was 0.63, indicating a moderately strong preference for a therapist of one's own race/ethnicity. Across 81 studies of individuals' perceptions of therapists, the average effect size was 0.32, indicating a tendency to perceive therapists of one's own race/ethnicity somewhat more positively than other therapists. Across 53 studies of client outcomes in mental health treatment, the average effect size was 0.09, indicating almost no benefit to treatment outcomes from racial/ethnic matching of clients with therapists. These 3 averaged effect sizes were characterized by substantial heterogeneity: The effects of racial/ethnic matching are highly variable. Studies involving African American participants demonstrated the highest effect sizes across all 3 types of evaluations: preferences, perceptions, and outcomes.

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Racial/ethnic matching of clients and therapists in mental health services: a meta-analytic review of preferences, perceptions, and outcomes.

http://psycnet.apa.org/journals/cou/41/3/378.pdf

Cultural mistrust, opinions about mental illness, and Black students' attitudes toward seeking psychological help from White counselors.

Ethnic Similarity in Counseling Psychology: A Review of Research

A meta-analysis of studies that assessed ethnic minorities' perceptions of and preferences for ethnically similar counselors and European American counselors showed that ethnic minorities tended to prefer ethnically similar counselors over European American counselors. However, the perceptions of and preferences for counselors were influenced by the cultural affiliation of the participants and the research methods used. More precise methods for determining the degree to which ethnic minorities' preferences for ethnically similar counselors is a function of inferences concerning attitudes, values, and skill needs to be developed

Ron A. Thompson

Papers

Black students' counselor preference and attitudes toward counseling center use.