美国家庭的衰弱:对卫生保健制度的一些启示

传统社会的人并不孤单,当他们生病、衰老时会得到家庭成员的照料.在美国,越来越多的孩子出生在婚姻之外,家庭正在逐步消失.在那些经济和社会资源来源极少的人群中,传统家庭消失得最为迅速,预示着日益增加的社会反常状态.即使对于卫生保健极为重要的非正式支持网络没有丧失,传统家庭也一样正在衰弱.因此,医疗改革必需重视家庭医疗保健储蓄账户,以阻止家庭完整性的剧烈衰弱.     

Child Maltreatment and Emergent Personality Organization: Perspectives from the Five-Factor Model

The Five-Factor Model was used to examine personality organization in 211 six-year-old children (135 maltreated and 76 nonmaltreated). Longitudinal assessments were conducted at ages 7, 8, and 9. Six-year-old maltreated children exhibited lower agreeableness, conscientiousness, and openness to experience and higher neuroticism than did nonmaltreated children. Maltreated children also were more frequently represented in less adaptive personality clusters than were their nonmaltreated counterparts. A particularly vulnerable profile occurred predominantly among maltreated children and was related to experiencing both abuse and neglect. Child maltreatment and personality clusters were related to individual differences perceived by peers. Longitudinal stability of the personality dimensions also was assessed. At age nine, evidence was found for maintenance of the organization of the personality clusters obtained at age six and for continuity of maltreated children's personality liabilities.     

High School Graduation Rates in the United States: Implications for the Counseling Profession

This article reviews a troubling report of a nationwide study of U.S. public high school graduation rates conducted by J. P. Greene (2001) of the Manhattan Institute for Policy Research. The statistics revealed that fewer students were graduating from high school in the United States than is being reported by school districts, states, and the National Center for Education Statistics. They also revealed that graduation rates were much lower for African American and Latino students than for White students. The author summarizes the research on the consequences of dropping out of school and discusses the implications of these findings for counselors and the counseling profession.     

Provider Perspectives about Latino Patients: Determinants of Care and Implications for Treatment

Primary care settings are the gateway through which the majority of Latinos access care for their physical and mental health concerns. This study explored the perspectives of primary care providers regarding their Latino patients, particularly, issues impacting their patients' access to and utilization of services. Interviews were conducted with eight primary care providers-and analyzed using consensual qualitative research methods. In addition, observations were conducted of the primary care setting to contextualize providers' perspectives. Providers indicated that care for Latinos was impacted by several domains: (a) practical/instrumental factors that influence access to care; (b) cultural and personal factors that shape patients' presentations and views about physical and mental health and treatment practices; (c) provider cultural competence; and (d) institutional factors which highlight the context of care. In addition to recommendations for research and practice, the need for interdisciplinary collaboration between psychology and medicine in reducing ethnic minority disparities was proposed.     

Assessment Use by Counselors in the United States: Implications for Policy and Practice

Although assessment use is a professional activity recognized by every major counseling organization, little is known about which assessments are used in counseling. In this study, 926 respondents from a random national sample of counselors reported their use of personality, projective, career, intelligence/cognitive, educational/achievement, clinical/behavioral, and environmental/interpersonal tests. Test rankings by frequency of use and comparisons by type of counselor and type of test are reported. Implications for policy and practice are discussed.     

The Importance of Social Context in Cross-Cultural Comparisons: First Graders in Colombia and the United States

The authors explored the cultural constructs of individualism and collectivism by investigating the prosocial behavior of 1st graders (N = 202; 110 girls, 92 boys) in countries typically classified as collectivist (Colombia, South America) and individualist (United States). Contrary to expectations. U.S. children shared more than Colombian children did. However, U.S. children were more likely to take candy from another child without permission (demonstrating individualism). Results indicated that in both countries sharing was greater with friends than with other fellow classmates, and children frequently reported friendship as the reason they shared. Findings support the importance of the social context, such as the relationship between participants, in cross-cultural research and suggest that simple dichotomies of culture often overlook complex associations between culture and behavioral differences.     

Traditional Healing in Africa: Implications for Cross-Cultural Counseling

Even though the change in Africa from traditional societies to modern ones is evident in many institutions throughout the continent, the transition is uneven. One institution that seems to have changed little over the years is the healing establishment. In general, traditional healers still treat their patients as their forebears did in the distant past. This article indicates who the indigenous doctors are, the role the family plays in health maintenance, the nature of the healing relationship, what diagnostic techniques are used, the specific healing methods used, how music is used as a therapeutic accompaniment, how healers are selected and prepared, and the implications of traditional healing for cross-cultural counseling. Aunque el cambio en Africa desde sociedades tradicionales a sociedades modernas es evidente en muchas instituciones por todo el continente, la transición es desigual. Una de las instituciones que parece haber cambiado poco a través de los años es la del curandero. En general, los curanderos tradicionales todavía tratan a sus clientes de la misma manera que sus antepasados. Este artículo indica quienes son los doctores indígenas, el papel de la familia en el mantamiento de la salud, el cáracter de la relación de curación, las ténicas de diagnóstico que se usan, los métodos específicos de curación, cómo se usa la música como acompañamiento terapeútico, cómo se escogen y preparan los curanderos, y las implicaciones de la curación traditional en la consejería intercultural.     

Intrafamilial Separations in the Immigrant Family: Implications for Cross-Cultural Counseling

A structural family therapy (SFT) approach is combined with the paradigm of acculturation to increase counselors' sensitivity to a subcase of immigrant families, namely those whose members arrive at different times in the United States. The focus is on those families in which parents have preceded children in the immigration experience, which creates the challenging scenario of parents being more adapted to the host culture than their children. Written primarily for family counselors working with immigrant children and their parents, the article provides culturally sensitive counseling strategies based on a structural conceptualization of families, as well as suggestions for future research directions.     

Working Hours and Life Satisfaction: A Cross-Cultural Comparison of Latin America and the United States

This paper compares the life satisfaction and working hours of Latin Americans and U.S. Americans using the AmericasBarometer and General Social Survey. While there are many common determinants of happiness, hours worked is not among them. Differences in cultural values, especially the distinction between collectivism (familism) and individualism that has long been a foundation of social development theory, may be why married Latin American males are less happy than married U.S. American males when working longer hours. The distinction is not apparent among females or the unmarried.     

Mindfulness in Iran and the United States: Cross-Cultural Structural Complexity and Parallel Relationships with Psychological Adjustment

In theory, mindfulness has a role to play in resolving intercultural conflicts. This suggestion rests upon the relatively untested presumption that mindfulness operates similarly across cultures. In a test of this presumption, university students from two countries that are often in conflict at the governmental level, Iran (N = 723) and the United States (N = 900), responded to the Mindful Attention Awareness Scale (Brown and Ryan Journal of Personality and Social Psychology 84(4):822–848, 2003), along with an array of other psychological measures. This Mindfulness Scale displayed structural complexities in both societies, but a measurement invariant subscale was nevertheless identified. Similar cross-cultural evidence of concurrent validity was obtained in relationships with wide-ranging measures of adjustment. Nonsignificant linkages with Public Self-Consciousness and Self-Monitoring demonstrated discriminant validity in both societies. These data identified mindfulness as a cross-culturally similar psychological process that could plausibly have a role in resolving intercultural conflicts.     

Ethical Beliefs Toward Academic Dishonesty: A Cross-Cultural Comparison of Undergraduate Students in Ukraine and the United States

Little work has been done on beliefs toward academic misconduct in Ukraine. This study explored the beliefs of Ukrainian students toward various forms of academic misconduct and compared the results to the U.S. undergraduate students (N?=?270). Twenty-two forms of cheating, plagiarism, and questionable academic behaviors were grouped in five categories: unilateral cheating, collective cheating, falsification gaining favoritism, and performing extra work to receive better grades. Cross-cultural comparisons of beliefs were pivotal in this study. Results indicated that, in general, Ukrainian students are less likely to believe that academic misconduct is wrong compared to their U.S. counterparts, as well as seem to have different beliefs on what is and isn’t academic misconduct. Recommendations are proposed to help students change their beliefs and to reduce academic dishonesty. These recommendations also have application purposes outside of Ukraine.     

Suicide and Suicidal Attempts in the United States: Costs and Policy Implications

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients.     

An Ecological Understanding of Kinship Foster Care in the United States

We review empirical studies on kinship foster care in the United States. We conceptualize kinship foster care within the context of Urie Bronfenbrenner’s (1994) most recent ecological systems theory. Because there are multiple levels of influences on the developmental outcomes of children placed in kinship foster home, understanding the interrelations between the individual (child) and his or her surrounding environments (e.g., biological families, social-support network) is important. We argue that Bronfenbrenner’s most recent ecological systems theory is an appropriate theoretical framework for policy and practice implications in addressing complex issues surrounding kinship foster care system in the United States. This review integrates the empirical findings collectively on the factors associated with kinship foster care within and between five systems levels of the ecological systems theory: micro- (caregiver-child relationship, attachment, and kinship family environment), meso- (biological families), exo- (social-support network outside the family), macro- (race/ethnicity and policies), and chrono- (welfare reform) systems levels. Theories that are relevant to the ecological factors (e.g., attachment theory) are also discussed. Finally, we draw policy and practice implications from the ecological systems analysis.     

Child Maltreatment in Vietnam: Prevalence and Cross-Cultural Comparison

This Vietnam prevalence study on child maltreatment (VPM-2014) was designed to examine the prevalence of child maltreatment in Vietnam and to compare it with the child maltreatment prevalence in the Netherlands using the same measures and procedure. Questionnaires were filled out by 1,851 students aged 12 to 17 years (47.3% were boys). Results indicated that half of the students (49.9%) reported at least 1 event of child maltreatment in the past year. Emotional abuse was most frequently reported (31.8%), followed by physical abuse, neglect, and witnessing parental conflict. Sexual abuse was the least prevalent (2.6%). Compared with the Netherlands, the prevalence rates of most types of child maltreatment were higher in Vietnam: The largest difference was with emotional abuse, followed by neglect, physical abuse, and witnessing parental conflict. Only the past-year sexual abuse prevalence in Vietnam was lower. These findings highlight the alarming problem of child maltreatment in Vietnam.     

Muslim-Christian Religious Orientation Scales: Distinctions,Correlations, and Cross-Cultural Analysis in Iran and the United States

Allport and Ross (1967) Religious Orientation Scales were administered along with nine new Muslim-Christian Religious Orientation Scales (MCROS) to students in Iran and the United States. Religious extrinsicness was associated with self-reported symptoms of psychological disturbance; with the Iranians, intrinsicness predicted adjustment. Most relations among the religious variables were positive with the two samples displaying similar, though not identical, patterns of correlations. Factor analysis of all religious scales in each sample separately yielded two components suggesting Allport's differentiation between the intrinsic and extrinsic motivations. In both samples, partial correlations and multiple regressions were used to remove variance associated with the Allport and Ross scales, and at least some evidence testified to the incremental validity of each MCROS measure in predicting psychological symptoms and the other MCROS variables. Most important, this first systematic, empirical study of the psychology of religion in Iran confirmed the relevance of Allport's thought for understanding Muslim religion and established an empirical foundation for further explorations of the MCROS.