Male therapists' clinical bias: Influence of client gender roles and therapist gender role conflict.

Abstract

This study examined male therapists' gender role conflict, client sexual orientation, and client emotional expression as they interrelated with clinical judgments about male clients. Using a series of written clinical vignettes to manipulate the client variables of sexual orientation and emotional expression, 196 experienced male therapists completed a measure of male gender role conflict, read a clinical vignette varying the client's sexual orientation and emotional expression, and rated the client on several clinical dimensions. Canonical analysis revealed 2 roots indicating that therapist gender role conflict factors, in combination with client sexual orientation and emotional expression, were associated with therapists' ratings of the male client's prognosis and how much therapists liked, had empathy for, had comfort with, and had willingness to see the male client. Implications for counseling practice, limitations, and future research are discussed.