Choice of Therapeutic Approaches as a Function of Sex of Subject, Type of Problem, and Sex and Title of Helper

A study was carried out using 96 subjects to discover how their preferences for four therapeutic approaches varied as a function of their sex, the type of problem they were asked to imagine they had (intimate or work/academic), and sex and title (counsellor or psychotherapist) of the professional from whom they would seek help. The four approaches used were: psychoanalytic therapy, cognitive-behavioural therapy, humanistic therapy, and a 'common-sense' approach consisting of responses typically given by non-professional helpers (e.g. friends and relatives). The results showed that the cognitive-behavioural approach was preferred overall, closely followed by the humanistic approach; the common-sense approach and psychoanalytic therapy were given the lowest ratings. However, interactions showed the picture to be more complex than this: women preferred female helpers, with men having no particular preferences; and the type of approach subjects preferred depended to some extent on the type of problem they had and the title of the helper consulted. The results suggest that counselling centres should be staffed with helpers of both sexes and differing theoretical backgrounds, so as to give clients as wide a choice of therapeutic help as possible.     

Help Seeking: Effects of Visibility of Task Performance and Seeking Help

This study manipulated independently whether help seeking and task performance were public or private, since in public settings persons may lose esteem by seeking help or by demonstrating unsuccessful performance. Subjects were given false feedback that they were doing poorly on a task involving judging levels of neuroticism in others, and were given all opportunity to seek help by consulting a set of guidelines. The main result was an interaction with help seeking most likely when task performance was public and help seeking was private.     

Self-Disclosure and Spiritual Well-Being in Pastors Seeking Professional Psychological Help

Pastoral mental health is a topic that has only rarely been researched empirically in the psychological literature, yet a pastor’s mental health can have a significant impact on churches, communities, and even nations (Royal and Thompson, Journal of Psychology and Christianity, 31(3), 195–204, 2012). One of the thoughts prompting this research is that evangelical pastors might be expected to resist the findings of psychological research and lack understanding of specific mental illnesses they are potentially facing. Combined with historical and cultural dynamics that could influence resistance to professional psychological help, evangelical pastors have personal, internal factors that could also strengthen resistance, including the researched issues of self-disclosure flexibility and spiritual well-being. A correlational research design with multivariate regression was used to determine potentially significant or predictive relationships between the relevant factors. Among evangelical seminary students (N = 251) preparing for parish-based pastoral ministry, this research determined that no significant relationship, predictive or otherwise, existed between self-disclosure flexibility, spiritual well-being, and attitudes toward seeking professional psychological help. Implications include a shift in focus toward external factors influencing pastors’ help-seeking attitudes, such as the need for the mental health community to develop connections with evangelical pastors and the development of more support for Christian mental health professionals in the larger evangelical community.     

Attitudes Toward Seeking Professional Help for an Eating Disorder: The Role of Stigma and Anticipated Outcomes

This study examined the relationship between self‐stigma, anticipated risks and benefits associated with seeking counseling, and attitudes toward seeking counseling among college students with disordered eating attitudes and behaviors. The results of hierarchical regression analyses demonstrated that self‐stigma and the anticipated risks and benefits significantly predicted attitudes toward counseling for people with disordered eating. In addition, self‐stigma had a stronger relationship with men's attitudes toward counseling than with women's, and anticipated benefits had a stronger relationship with women's attitudes toward counseling than with men's.     

Additional validation of the attitudes toward Seeking Professional Psychological Help Scale

To provide information on the construct validity of the Attitudes Toward Seeking Professional Psychological Help scale, relationships between prior treatment experiences and scores on the scale were evaluated. Participants were 270 students recruited from undergraduate psychology courses at a medium-sized university in the midwestern USA. 79% were women: their ages ranged from 18 to 53 years (M= 19.0, SD=4.4). In addition to completing the scale, the subset of 76 participants who reported prior mental health care treatment also evaluated these experiences using a rating scale anchored by 0: very dissatisfied and 4: very satisfied. For the total sample, prior experience with the mental health care delivery system was associated with higher scores on the scale, denoting more positive attitudes. In the subgroup with prior treatment experience, evaluation ratings were also associated with treatment attitudes, accounting for 17% of the variance in their scale score. These results provide additional support for the construct validity of this scale.     

Attitudes Toward Professional Psychological Help Seeking in South Asian Students: Role of Stigma and Gender

This study examined (a) the roles of perceived and personal stigma on attitudes toward professional psychological help seeking and (b) the effects of these constructs across gender in South Asians. Personal stigma and being male was negatively associated with attitudes toward professional psychological help seeking; no difference in the association between personal and perceived stigma and attitudes across genders was found. These findings have implications for the engagement of South Asians in mental health services in the United States. Este estudio examinó (a) los roles de estigmas percibidos y personales en las actitudes hacia la búsqueda de ayuda psicológica profesional y (b) los efectos de estos constructos en indiviuos sudasiáticos según su sexo. El estigma personal y la identidad masculina se asociaron negativamente con las actitudes hacia la búsqueda de ayuda psicológica profesional; no se halló diferencia en la asociación entre estigmas personales y percibidos y las actitudes de los distintos sexos. Estos hallazgos tienen implicaciones para la participación de los individuos sudasiáticos en los servicios de salud mental en Estados Unidos.     

An Adaptation and Extension of the Attitudes Toward Seeking Professional Psychological Help Scale1

Despite its utility, several conceptual and methodological concerns are raised regarding Fischer and Turner's (1970) Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPHS). These concerns were addressed in an adaptation and extension of the ATSPPHS using 208 adult volunteers. The new Inventory of Attitudes Toward Seeking Mental Health Services (IASMHS) consists of 24 items and 3 internally consistent factors: psychological openness, help‐seeking propensity, and indifference to stigma. We replicated this 3‐factor model with 293 university undergraduates, and established test‐retest reliability with 23 student volunteers. Validity was demonstrated by the ability of the IASMHS to distinguish between those who had and had not used mental health services in the past, and those who would and would not use these services in the future. It also discriminated between participants’ intentions to use professional and nonprofessional help. Finally, expected gender differences in help‐seeking attitudes were demonstrated.     

The Effect of the Physical Attractiveness and Role of the Helper on Help Seeking

The effects of a helper's physical attractiveness and role on help-seeking behavior were investigated here. Eighty randomly selected Smith College students were the subjects; the helpers were two confederates selected on the basis of a separately conducted photograph evaluation. The confederate was designated either as an experimenter (Role condition) or as a fellow subject (Nonrole condition). Subjects were reluctant to ask the attractive confederate for help when she was in the Nonrole condition; rather, most in this condition asked for information instead of assistance. When the confederate was unattractive, more subjects asked for help when she was in role than when she was not. Although there was a significant main effect, most of this effect appears to be accounted for by the low rate of seeking help in the Attractive, nonrole condition. Subjects took longer to communicate with the attractive confederate than with the unattractive one; further, they reported feeling more uncomfortable in the presence of the attractive helper regardless of role.     

Cuban Mothers' Schemas of ADHD: Development, Characteristics, and Help Seeking Behavior

Parents play a crucial role in the diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD), one of the most prevalent developmental disorders of young children We report the findings of a qualitative study of Cuban-American mothers of 7 to 10 year old children with ADHD. Results suggest that mothers lacked a cultural model for ADHD and held a cultural model of normal child development which hampered their development of a schema of ADHD. Development of ADHD schemas were motivated by perplexity at their children's behavior and by the high value mothers ascribed to academic achievement. Although the schemas developed by the mothers were labeled as ADHD, their behavioral characterizations of their children, their attributions for the condition and for its causes, and their management strategies were not always in agreement with those of the biomedical model for the condition. However, once mothers classified their children's behavior as atypical, they actively sought assistance from the professional sector.     

Asian and European American Cultural Values,Bicultural Competence,and Attitudes Toward Seeking Professional Psychological Help Among Asian American Adolescents

The authors examined the extent to which Asian American adolescents who were living in Hawaii adhered to Asian and European American cultural values in relation to mental health variables including collective self‐esteem (membership, private, public, importance to identity), cognitive flexibility, general self‐efficacy, and attitudes toward seeking professional psychological help. Results and implications for counselors are discussed. Los autores examinaron hasta qué medida los adolescentes Asiaticoamericanos residentes en Hawai se adhieren a los valores culturales Asiáticos y Euroamericanos en relación a ciertas variables de salud mental que incluyen la autoestima colectiva (pertenencia, privada, pública, su importancia para la identidad), flexibilidad cognitiva, autoeficacia general y actitudes hacia la búsqueda de ayuda psicológica profesional. Se discuten los resultados y las implicaciones para los consejeros.     

The Effect of Normative and Behavioral Persuasion on Help Seeking in Thai and American College Students

On the basis of previous research on self‐construals, the theory of reasoned action, and persuasive communication, the authors hypothesized that individual, behavioral‐focused information would be more effective in increasing help‐seeking intention among college students in the United States, whereas relational, normative‐focused information would be more effective among college students in Thailand. Results partially supported these predictions, suggesting that different information can enhance help‐seeking intention across cultures. En la investigación previa en el auto‐construals, la teoría de la acción razonada, y de comunicación persuasiva, los autores formaron una hipótesis que el individuo, la información enfocado‐conductista sería más efectiva en aumentar la intención de buscar ayuda entre estudiantes colegiales en los Estados Unidos, mientras que la información relacional y enfocado‐normativo sería más efectiva entre estudiantes colegiales en Tailandia. Los resultados sostuvieron parcialmente estas predicciones, sugiriendo que la información diferente puede aumentar la intención de la busca de ayuda a través de culturas.     

African American Pastors on Mental Health,Coping, and Help Seeking

Within the Black Church, there remains much that is unknown about pastoral motivations, beliefs, and attitudes about mental health. The purpose of this study was to investigate pastors' responses to parishioners dealing with mental health issues, including perspectives on counseling services and coping strategies. According to this study's findings, African American pastors often are the first line of support for parishioners' mental health and recognizing adaptive and maladaptive forms of coping.     

The Intimate Partner Violence Stigmatization Model and Barriers to Help Seeking

The intimate partner violence (IPV) stigmatization model identifies how three stigma components hinder IPV help-seeking behaviors: cultural stigma, stigma internalization, and anticipated stigma. Cultural stigma highlights societal beliefs that delegitimize people experiencing abuse. Stigma internalization involves the extent to which people come to believe that the negative stereotypes about those who experience IPV may be true of themselves. Anticipated stigma emphasizes concern about what will happen once others know about the partner abuse (e.g., rejection). We provide an integrative literature review that supports the IPV stigmatization model and its role in reducing help-seeking behaviors.     

Demographics,Stigma, and Religious Coping and Christian African Americans' Help Seeking

This study investigated the relationship between demographic characteristics, mental health treatment stigma, religious coping, and help seeking among a sample of 488 Christian African Americans. The results indicated that religious coping, both negative and positive, accounted for a significant portion of variance and explained trends in lifetime counseling attendance above and beyond that explained by demographic characteristics and mental health treatment stigma variables.     

Avoidance of Counseling: Psychological Factors That Inhibit Seeking Help

How do counselors reach out to individuals who are reluctant to seek counseling services? To answer this question, the authors examined the research on the psychological help‐seeking barriers from counseling, clinical and social psychology, as well as social work and psychiatry. Specific avoidance factors that have been identified in the mental health literature; important variations in the setting, problem type, demographics, and cultural characteristics that can influence the degree to which avoidance factors affect professional help‐seeking decisions; and suggestions for overcoming these avoidance factors are discussed.     

The Effects of Sex of Subject and Sex of Partner on Interruptions

Sex differences in interruption behavior were examined using the Kraemer-Jacklin (1979) procedure to isolate and test the effects of sex of subject, sex of partner, and their interaction while controlling for between partner correlation. The results of the study were three. First, men did not interrupt more than women and women did not get interrupted more than men. Instead, there were more opposite-sex interruptions, both male-female and female-male, than same-sex interruptions, both female-female and male-male. Second, interruptions were asymmetrically distributed in both same-sex and opposite-sex dyads. However, in opposite-sex dyads males did not interrupt females more than females interrupted males. Third, women did not have less assertive behaviors interrupted; they did not interrupt less assertively, nor did they respond less assertively to interruptions.     

The Origins of Fears of Compassion: Shame and Lack of Safeness Memories,Fears of Compassion and Psychopathology

Empirical and clinical research suggests that some individuals find self-generating compassion and receiving compassion from others difficult and aversive. However, it is unclear how these fears of compassion are linked to early experiences and to psychopathological symptoms. This study explores the relationship between shame traumatic memories, centrality of shame memories, early memories of warmth and safeness, fears of compassion, and depression, anxiety and paranoid symptoms. Participants were 302 individuals from the general community population, who completed self-report measures of fears of compassion, shame memories, early affiliative memories, and psychopathology. Shame traumatic and central memories were positively associated with fears of compassion for self, for others and from others, whereas early memories of warmth and safeness were negatively related to such fears. Path analyses revealed that fears of compassion for self and of receiving compassion from others mediated the effects of shame traumatic memory, centrality of shame memory and early memories of warmth and safeness on depressive, anxious and paranoid symptoms. These findings have implications for therapeutic interventions as these fears, as well as the negative shame-based emotional memories fuelling them, may need to be addressed in therapy to assist patients in self-generating and receiving compassion.     

Effects of Offered and Requested Help on Help Seeking and Reactions to Being Helped1

Subjects could receive assistance on a difficult logic problem either by requesting help or by accepting an offer of aid from a helper. Normativeness of help seeking and presence of an incentive for correct completion of the task were also varied. Results of the study indicated that more help was obtained in the offer condition and that subjects liked the helper more when help was offered than when it was requested. The normativeness and incentive variables did not produce the expected effects. Negative consequences of requesting help were interpreted in terms of attribution theory, and the implications of these findings for help-delivery systems were discussed.