People · Therapy101
On this page
  1. At a glance
  2. Clinical overview
  3. Historical and clinical context
  4. Core therapeutic contributions
  5. In the consulting room
  6. Landmark clinical works
  7. Clinical critiques and limitations
  8. Clinical genealogy
  9. Related reading
  10. Sources and inspection notes

People / Contextual, feminist and multicultural

Derald Wing Sue

Wrote about culturally responsive counselling, developed a framework of multicultural competencies with colleagues, and studied racial microaggressions.

At a glance

Born 1942. American. Counselling Psychologist & Multicultural Theorist.

Active 1972 to present. Landmark year 2010. Clinical era: 2010 to present, pluralistic, somatic and cultural.

Lineage: Contextual, feminist and multicultural. Roles: Clinical theorist; Ethical, cultural and institutional reformer; Process and outcome researcher.

Associated modalities: Multicultural Counselling and Therapy (MCT); Anti-Racist & Culturally Responsive Psychotherapy.

Principal architect of the Multicultural Counselling Competencies and the clinical taxonomy of racial microaggressions.

Review status: Educational draft, subject review pending. Source status: source checks not documented for this draft. Dates, sources and clinical statements require independent verification and specialist review.

Clinical overview

Derald Wing Sue is an American psychologist and professor of psychology and education at Teachers College, Columbia University. His work has examined cultural and linguistic barriers to mental health care and the need for culturally responsive services.

His 1981 book Counseling the Culturally Different: Theory and Practice lists him as author, with chapter contributions by Edwin H. Richardson, Rene A. Ruiz and Elsie J. Smith. Later editions include his brother David Sue as co-author. The 2022 ninth edition is titled Counseling the Culturally Diverse: Theory and Practice and has four authors.

Historical and clinical context

In 1982 and 1992 landmark committee papers, Sue and colleagues formulated the tripartite Multicultural Counselling Competencies (MCC) framework later adopted by the American Psychological Association: (1) Therapist Awareness of one's own cultural assumptions, values, and biases; (2) Knowledge of the culturally diverse client's worldview and sociopolitical reality; and (3) Culturally responsive Intervention Skills.

In a 2007 paper, Sue and colleagues proposed a taxonomy of racial microaggressions and discussed how these experiences can affect clinical relationships. Later research has examined such experiences in different settings; neither a single study nor the taxonomy establishes the same effect in every therapeutic relationship.

Core therapeutic contributions

Tripartite Model of Multicultural Counselling Competencies. Operationalised culturally competent care across three domains: clinician self-awareness of cultural conditioning and privilege, socio-historical knowledge of diverse client groups, and culturally congruent clinical skills and institutional advocacy.

Taxonomy of Racial Microaggressions. Classified everyday brief, commonplace indignities into Microassaults (explicit conscious derogations), Microinsults (subtle rude or insensitive communications that demean heritage), and Microinvalidations (communications that nullify or deny the experiential reality of minoritised people, such as 'I don't see colour').

Critique of Eurocentric Monoculturalism in Psychotherapy. Exposed how unexamined Western clinical norms (radical individualism, verbal emotional expressiveness, strict intrapsychic locus of responsibility, and linear insight) can operate as cultural oppression when imposed universally.

Race Talk and Microinterventions. Analysed the defensive rhetorical protocols that derail conversations about race and formulated concrete microinterventions (making the invisible visible, disarming the microaggression, educating the offender, seeking external support).

In the consulting room

Therapeutic stance. Culturally humble, socio-politically conscious clinician who interrogates his own cultural conditioning, distinguishes external systemic oppression from internal psychopathology, and welcomes direct dialogue about race, power, and difference in the room.

Signature practices. Distinguishing 'functional paranoia' or healthy cultural mistrust in response to systemic racism from clinical pathology; Monitoring and repairing in-session therapeutic microaggressions (such as colour-blindness claims, pathologising extended family interdependence, or minimising experiences of discrimination); Adapting therapeutic roles beyond the fifty-minute office when needed (incorporating indigenous healing networks, family systems, and systemic advocacy); Initiating courageous 'race talk' and naming cultural differences within the therapeutic dyad openly and non-defensively

Common misreadings. Reducing multicultural competence to memorising static textbook stereotypes about ethnic groups ('cultural recipe-book' thinking) while ignoring within-group intersectional diversity and the therapist's own racial identity; Treating 'I treat everyone the same regardless of race' as an ethical ideal rather than a microinvalidation that erases the client's lived racial reality

Landmark clinical works

1981, Counseling the Culturally Different: Theory and Practice (1981; later titled Counseling the Culturally Diverse) (book). The 1981 catalogue names Derald Wing Sue as author and Richardson, Ruiz and Smith as chapter contributors. The ninth edition (2022) lists Derald Wing Sue, David Sue, Helen A. Neville and Laura Smith as authors.

1992, Multicultural Counseling Competencies and Standards: A Call to the Profession (with Patricia Arredondo and Roderick J. McDavis) (paper). Codified the three-by-three matrix of Multicultural Counselling Competencies (Awareness, Knowledge, Skills).

2007, Racial Microaggressions in Everyday Life: Implications for Clinical Practice (with Christina M. Capodilupo, Gina C. Torino, et al.) (paper). Landmark American Psychologist paper establishing the taxonomy of microassaults, microinsults, and microinvalidations in clinical practice.

2010, Microaggressions in Everyday Life: Race, Gender, and Sexual Orientation (book). Comprehensive analysis of microaggressions, their psychological toll, and clinical implications.

2015, Race Talk and the Conspiracy of Silence: Understanding and Facilitating Difficult Dialogues on Race (book). Examined the emotional and cultural barriers to honest racial dialogue in classrooms and consulting rooms.

Clinical critiques and limitations

Subsequent scholars of 'Cultural Humility' (such as Melanie Tervalon, Jann Murray-García, and Jesse Owen) cautioned that the phrase 'competencies' can inadvertently imply a finite skill-set one masters once and for all, arguing for lifelong relational cultural humility alongside structural competence.

Critics from psychometric and conservative perspectives (such as Scott Lilienfeld) raised questions about the subjective ambiguity of certain microaggression items, prompting ongoing empirical refinement of microaggression measurement and alliance-rupture tracking.

Experiences of discrimination and access to care vary across individuals, communities and settings. Broad rates or a single explanation should not be assumed for all minoritised clients.

Clinical genealogy

Influences and mentors: Chester M. Pierce; Stanley Sue; Paul B. Pedersen; Joseph L. White.

Collaborators: David Sue; Stanley Sue; Patricia Arredondo; Janet E. Helms; Christina M. Capodilupo; Helen A. Neville.

Students and successors: Christina M. Capodilupo; Gina C. Torino; Kevin L. Nadal; David P. Rivera.

Sources and inspection notes

  1. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271-286.

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  2. Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling & Development, 70(4), 477-486.

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  3. Sue, D. W., Sue, D., Neville, H. A., & Smith, L. (2022). Counseling the Culturally Diverse: Theory and Practice (9th ed.). Wiley.

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  4. American Psychological Association. (2006). Q&A with Derald Sue: Gaining cultural competence. Monitor on Psychology.

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  5. Kivlighan, D. M., Swancy, A. G., Smith, E., & Brennaman, C. (2021). Examining racial microaggressions in group therapy and the buffering role of members’ perceptions of their group’s multicultural orientation. Journal of Counseling Psychology, 68(5), 621–628.

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  6. CiNii Books. Counseling the culturally different: Theory and practice. 1981 catalogue record.

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  7. Sue, D. W., & Sue, D. (1990). Counseling the culturally different: Theory and practice. Wiley.

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Educational draft · Subject review pending · Source status: source checks not documented for this draft

An educational reference. It does not diagnose, recommend treatment, match people with therapists or offer crisis support.