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This signals a gap between theoretical calls for cultural sensitivity and the practical implementation of culturally responsive care. The current study explores how psychotherapists deal with the dilemma of how to conceptualize, address, and discuss \u2018culture\u2019 in their practice. Drawing on a critical social\u2013psychological framework for discourse analysis, we analyzed 31 semi-structured interviews with psychotherapists in Flanders, Belgium, and present the discursive patterns they articulated on culture and therapeutic conversations interpreted as related to culture. Therapists construct the importance of these conversations and position themselves while perpetuating wider societal discourse on cultural diversity in their clinical practice, drawing from five different repertoires: an action hesitancy repertoire, an experience as expertise repertoire, a paternalistic repertoire, a self-evidence repertoire, and a de-culturalization repertoire. Each repertoire has specific strengths and pitfalls for effective therapy with minoritized clients. As therapists are primary authorities in diagnosis and treatment, their practices greatly impact care quality and have the potential to either uphold or challenge existing disparities in mental healthcare.<\/jats:p>","DOI":"10.1177\/10497323261417533","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T14:03:08Z","timestamp":1771596188000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychotherapists\u2019 Discursive Constructions of Culture and Cultural Conversations in Therapy"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2541-2039","authenticated-orcid":false,"given":"Hilde","family":"Depauw","sequence":"first","affiliation":[{"name":"Ghent University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piet","family":"Bracke","sequence":"additional","affiliation":[{"name":"Ghent University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart","family":"Van de Putte","sequence":"additional","affiliation":[{"name":"Ghent University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1376-9524","authenticated-orcid":false,"given":"Melissa","family":"Ceuterick","sequence":"additional","affiliation":[{"name":"Ghent University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"issue":"9","key":"e_1_3_8_2_1","first-page":"2233","article-title":"Conceptualizing discursive analysis as a culturally contextualized activity","volume":"24","author":"Adjei S. 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