I wrote my big MSW paper on the difference between competence, humility, and comfort in clinical settings (regarding sex therapy, but the concepts are relevant here). For me, competence requires extensive training and experience with the population. But…there can still be lingering biases, and certainly there can be issues with authority and hierarchy.
Humility requires the clinician to recognize that they don’t and can’t know everything even with lived experience, and it places the client as the expert in their own lives. Humility requires training and experience, but it also includes that extra piece of self-work. But…you can be culturally humble and still be uncomfortable, and new research shows that even with all the things, discomfort can still alienate the client.

Comfort includes all the things AND comes after the therapist is truly at ease with clients and themselves on the topic. They view the client as expert in their own experience AND is comfortable about their privileged position AND is confident in their training AND recognizes that they are going to learn new things and that’s ok. The research shows that the more comfort the clinician has, even with some shortcomings, the more likely the therapeutic relationship will work.