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Background One of the most significant challenges facing the provision of health care in present societies is the fact that the largest growing segment of the patient population is comprised of individual and culturally diverse people. However, the impact of this diversity on clinician–client interactions has only been examined recently. This study addresses the issues of culture and diversity in psychotherapy processes in Portugal. Methods The study used an analogue experimental design, in a qualitative analogue study. The sample included 31 psychotherapists of varied years of experience and theoretical training background. Cultural diversity competences were measured with a semi‐structured interview, through case conceptualisation and intervention planning by watching four minute video case vignettes with stigmatised group clients (varying on migration background, religion, race and sexual orientation), and all female college students presenting the same complaint. Two cases (of four) were presented to each psychotherapist (at random, controlling for presentation order). Interviews addressed case conceptualisation of each of the clients, as well as questions on how the participants typically integrated diversity in psychotherapy practice. Transcripts of the interviews were analysed incorporating features of thematic content analysis and Consensual Qualitative Research. Findings Results showed that awareness, knowledge and skills were identified mostly at a level of blindness (n = 519; 70.5%) and precompetence (n = 172; 23.5%), while only a few units of analysis were categorised as competent (n = 43; 6.0%). Conclusions This study highlights the importance of individual and cultural diversity competence training for clinicians, particularly in Europe, given its current migratory context, and encourages the promotion of diversity‐sensitive approaches in mental health care.

Studies on migration have focused on obstacles and barriers encountered by migrants when they arrive in a new country. Recognizing that there are difficulties, it is also important to know the resources used by migrants to overcome adversity. This study springs from a theoretical perspective of resilience, based on a culturally significant ecological model

Resumo. Os estudos sobre as migrações têm focado as dificuldades, as barreiras e obstáculos na chegada e permanência no país de acolhimento. Reconhecendo a existência destes processos adversos, poucos estudos se têm dedicado ao modo como os migrantes superam as dificuldades com as quais se vão deparando. Mais ainda, poucos estudos dedicam atenção ao processo migratório como um todo, com início ainda no país de origem. Partindo da perspectiva teórica da resiliência, este estudo procurou compreender os contextos de adversidade e de recursos dos migrantes brasileiros em Portugal, ao long o das suas trajetórias de vida, observados na ligação entre o país de origem e o país de acolhimento, por meio de 12 narrativas biográficas. A análise das narrativas revelou a diversidade de processos de resiliência entre os migrantes. Revelou ainda que o contexto de adversidade surgia por meio das relações de desvalorização e rejeição com os portugueses, salientando -se a importância das vinculações afectivas e do sentimento de pertença, bem como o papel da diáspora brasileira em Portugal, como recursos significativos. Neste artigo, são ainda discutidas as implicações clínicas da análise das narrativas, numa perspectiva da resiliência. Palavras-chave: Resiliência, migração humana, narrativas. Resilience Processes in Migrants:Biographical Narratives of Brazilians in Portugal Abstract. Studies on migration have focused on the difficulties, barriers and obstacles upon arrival and stay in the host country. Recognizing the existence of these adverse processes, just a few studies have been turning their attention to the way that migrants overcome the difficulties they encounter. Moreover, a small number of studies have been investigating the migration process as a whole, starting in the country of origin. Based on the resilience theoretical perspective, this study sought to understand the adversity contexts and the resources mobilized by Brazilian migrants in Portugal, throughout their life trajectories, observed on the link between the country of origin and the host country, through 12 biographical narratives. The analysis of the narratives revealed the diversity of resilience processes amongst those migrants. It revealed that the adverse context arose by means of devaluation and rejection relationships with the Portuguese, stressing the importance of affective ties, sense of belonging, as well as the role of the Brazilian diaspora in Portugal, as meaningful resources. The article also discusses the clinical implications of the analysis of the narratives, from a resilience perspective.

Health professionals play an essential role in the protection and promotion of health rights without distinction of sex, sexual orientation, gender identity and expression, ethnicity/race, nationality and migration status, age, functional diversity, or any other individual and/or cultural positions. With the growing diversity of patient populations, health professionals must be able to identify and be responsive to individual and cultural diversity, ensuring equity in access to high-quality individually-centered care. For this, it is fundamental to promote training in cultural competence, understood as responsivity and the ability to work the valorization of multiple and intersectional identities throughout life. The paper aims to describe the experience of the implementation of the program “Health in Equality”, aimed at training the primary healthcare workforce in Portugal, which was based on Sue and Sue’s (2008) three-dimensional model of multicultural skills, which champions cultural best practices in an intersectional perspective. Based on the trainees’ and trainers’ evaluation of four completed editions developed online between March and July 2021, this study discusses ways to improve the impact of the training program and amplify the number of leaders and role models for other health care providers towards culturally competent healthcare systems and organizations.