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Abstract

We provide a broad overview of the research on expectations and preferences for counseling and psychotherapy with Native Americans and identify a critical lack of research in this area. We conclude that increased research could improve the effectiveness of counseling and psychotherapy for Native peoples. For example, understanding and engaging patients’ expectations and preferences would likely lead to increased retention and satisfaction. Finally, we suggest that a Native American clinical practice network might be one way to generate clinical and research knowledge in the area of expectations and preferences for psychotherapy and counseling.

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