Addressing Diversity in the Decade of Behavior: Focus on Women of Color

The Decade of Behavior provides an opportunity to reflect on the need for psychologists to develop a "diversity mindfulness" in their education, training, and research activities, a need that has never been more urgent. In this article, we focus on the lives of women of color to illustrate diversity-mindful feminist principles that may inform research and program development related to other aspects of diversity. We discuss perspectives and priorities of women of color in psychology. We consider why implementing feminist psychology's inclusive vision for research is a continuing struggle, particularly with regard to research on poor women, and identify some contributions and priorities of feminist research on women of color that relate to Decade goals of achieving a "safer, better educated, healthier, more democratic and more prosperous nation" (White, Travis, & Russo, 2001, p. x). Understanding and incorporating perspectives of women of color in Decade activities is essential if researchers are to generate new knowledge "to prepare the world for facing emerging problems in the 21st century" (Decade of Behavior website: http://www.decadeofbehavior.org).     

Feminism and the Decade of Behavior

This Psychology of Women Quarterly special issue argues that the goals of the Decade of Behavior to foster a healthier, safer, better educated, more prosperous, and more democratic nation cannot be achieved without contributions from feminist psychology. Its individual articles reflect feminist perspectives and provide examples of how feminist perspectives can inform behavioral and social research within Decade domains. In this overview, we outline the challenges that gender poses to achieving Decade goals, and discuss four cross-cutting feminist principles for research to address those challenges: Inclusiveness and Diversity, Context, Power and Privilege, and Activism. We discuss specific limitations of traditional research, and emphasize the need for new models that view the world in more complex, context-based ways. We underscore the importance of generating new, diversity-mindful research questions and of developing and accepting new methods to answer them. We discuss policy implications, stressing the need for activism. We hope this work will encourage the expansion of feminist scholarship in the new millennium and be helpful to researchers, educators, and policymakers in working to achieve the goals of the Decade of Behavior.     

Women's Sexual Health: The Need for Feminist Analyses in Public Health in the Decade of Behavior

Women's sexual health is directly affected by women's low status in society. This low status, and subsequent lack of sexual autonomy, not only increases risk for sexual health problems, it also decreases ability to obtain treatment and support when a sexual health concern arises. This has clearly been demonstrated in the HIV epidemic within the U.S.. Earlier in the epidemic, women were simply ignored by public health research and practice. Once they could no longer be ignored, they were blamed and viewed as vectors. Current seroprevalence rates among men reveal that women are not significant vectors. In contrast, rates among women indicate that infection from men is the primary mechanism by which women are contracting HIV, and male-controlled sexual decision-making, male partner violence against women, and histories of sexual assault all contribute to increased HIV risk for women. Once infected, women are not given the support and resources they need as mothers and caretakers of HIV-positive partners and/or children. These findings are especially true for marginalized women such as women of color, poor women, women addicted to alcohol or drugs, and women who exchange sex for drugs or money. Findings from this review demonstrate the need for feminist approaches in understanding and addressing this issue in the Decade of Behavior. Such approaches must include an understanding of the needs of diverse women. An empowerment approach is needed to better contend with the sexual health needs of women; this must include the goal of ensuring women's control of their own bodies.     

SAFER, BETTER SEX THROUGH FEMINISM: THE ROLE OF FEMINIST IDEOLOGY IN WOMEN'S SEXUAL WELL-BEING

Feminists have argued that traditional gender norms can obstruct women's sexual well-being ( Amaro, 1995 ; Morokoff, 2000 ; Tolman, 2006 ; Walker, 1997 ). Therefore, we expected feminist ideology, by virtue of this critique, to be associated with women's sexual subjectivity and sexual well-being. To test this model, we analyzed data from a survey of college-age women ( N = 424) using structural equation modeling. As hypothesized, feminist ideology was indirectly related to condom-use self-efficacy and sexual satisfaction via sexual subjectivity, and sexual motivation was directly related to sexual satisfaction. In an alternative model, feminist ideology was directly related to sexual motivation. This research indicates that feminist ideology may play a role in the promotion of women's sexual well-being.     

PRESIDENTIAL ADDRESS

This article reviews policy issues involved in maternity leave or parental leave. Findings from the Wisconsin Maternity Leave and Health Project, a longitudinal interview study of 570 women and 550 of their husbands/partners, are discussed, focusing especially on the issues of maternity leave and women's mental health, and fathers' patterns of taking parental leave. I stress the importance of empirical research if feminist psychologists are to have an impact on public policy.     

Feminist Approaches to Social Science: Epistemological and Methodological Tenets

This paper is a primer for community psychologists on feminist research. Much like the field of community psychology, feminist scholarship is defined by its values and process. Informed by the political ideologies of the 1970s women's movement (liberal, radical, socialist feminism, and womanism), feminist scholars reinterpreted classic concepts in philosophy of science to create feminist epistemologies and methodologies. Feminist epistemologies, such as feminist empiricism, standpoint theory, and postmodernism, recognize women's lived experiences as legitimate sources of knowledge. Feminist methodologies attempt to eradicate sexist bias in research and find ways to capture women's voices that are consistent with feminist ideals. Practically, the process of feminist research is characterized by four primary features: (1) expanding methodologies to include both quantitative and qualitative methods, (2) connecting women for group-level data collection, (3) reducing the hierarchical relationship between researchers and their participants to facilitate trust and disclosure, and (4) recognizing and reflecting upon the emotionality of women's lives. Recommendations for how community psychologists can integrate feminist scholarship into their practice are discussed.     

Behavior-based safety in industry: Realizing the large-scale potential of psychology to promote human welfare

In the spirit of giving psychology away in this “Decade of Behavior,” this article reviews the behavioral science approach to preventing workplace injuries, which is currently being applied successfully in numerous companies worldwide. Unlike the traditional command-and-control approach to occupational safety, behavior-based safety (BBS) provides tools and methods employees can use to take control of their own safety performance. The author offers strategies he and his colleagues have been using for more than a decade to teach BBS to safety leaders and line workers. In addition, two conceptual models are explained. One model suggests ways to match the awareness and behavior of an individual with a particular BBS intervention technique. The second model proposes that five psychological states or “establishing conditions” increase the probability a person will use the BBS tools and procedures to actively care for the safety and health of others.     

Meaningful Engagement in Research: Community Residents as Co-creators of Knowledge

Community psychologists have contributed significantly to the body of literature on community-based participatory research (CBPR) and its application in understanding and addressing health and community participation disparities. At the core of CBPR are mutually beneficial partnerships with communities, whereby community members’ voices are heard and they become co-researchers, helping guide the research process. In this article, I argue that for community psychologists to change the landscape of community participation, health, and well-being disparities experienced by many vulnerable populations who often face multiple forms of oppression, CBPR needs to be transformative and emancipatory. Stakeholders must be meaningfully involved as co-creators of knowledge and promoters of social justice embracing a human rights agenda. Drawing from work conducted with Latinx immigrant families with youth who have disabilities, I propose the following strategies moving forward: promoting meaningful participation of community members as co-creators of knowledge; promoting meaningful conversations that matter to communities; promoting civic engagement, activism, and advocacy; promoting an assets- and strengths-based approach to research; and promoting culturally relevant interventions. Community psychologists have the opportunity to make significant contributions to addressing disparities when community residents’ knowledge is valued and recognized.     

Women and Paid Work

A productive workforce is a prime goal of the Decade of Behavior initiative. Thanks to the women's movement that started in the 1960s, the majority of adult women today are a part of that productive workforce, demonstrating their knowledge, skills and abilities, and earning a livelihood through paid employment. Nevertheless, real equal opportunity in paid work remains an elusive goal. In this paper, two major reviews of the literature on women and paid work written 20 years apart (Cleveland, Stockdale, & Murphy, 2000; Nieva & Gutek, 1981) serve to structure a discussion of what we know about women's experiences in paid work. Selective areas of research are reviewed under four kinds of topics: (1) topics that have disappeared over the past 20 years, (2) important topics that were not studied or could not be studied 20 years ago but are now (women as leaders), (3) previously neglected topics (stereotyping), and (4) rapidly emerging topics (mentoring, effects of preferential selection, sexual harassment). It is largely from feminist scholarship on women and paid work that we have been able to separate myth from reality through the accumulation of a sizable research-based literature. Unfortunately the body of research on women and paid work is still insufficiently integrated into the body of research on the psychology of work.     

Feminist Bioethics: Where We've Been, Where We's Going

The primary contribution of feminism to bioethics is to note how imbalances of power in the sex-gender system play themselves out in medical practice and in the theory surrounding that practice. I trace the ten-year history of feminist approaches to bioethics, arguing that while feminists have usefully critiqued medicine's biases in favor of men, they have unmasked sexism primarily in the arena of women's reproductive health, leaving other areas of health care sorely in need of feminist scrutiny. I note as well that feminist bioethicists have contributed very little to bioethical theory. In the second part of the paper I suggest two future directions for feminist bioethics. The first is to expand its critique of gender bias beyond reproductive medicine, devoting attention to the same issues raised by advances in biomedical technology as are taken up by mainstream bioethicists. The second is to develop bioethical theory that is more responsive than are mainstream moral theories to the social practices that subordinate women and minority groups.     

Feminist and Community Psychology Ethics in Research with Homeless Women

This paper presents a feminist and community psychology analysis of ethical concerns that can arise throughout the process of doing research with women who are homeless. The unique contexts of the lives of women who are homeless demand that researchers redefine traditional ethical constructs such as consent, privacy, harm, and bias. Research that fails to do this may perpetuate the stereotyping, marginalization, stigmatization, and victimization homeless women face. Feminist and community research ethics must go beyond the avoidance of harm to an active investment in the well-being of marginalized individuals and communities. Using feminist and community psychology ethics, this paper addresses some common problems in research with women who are homeless, and argues for the transformation of research from a tool for the advancement of science into a strategy for the empowerment of homeless women and their communities.     

虚拟健康社区医生贡献行为的形成机制

虚拟健康社区医生贡献行为(Doctor Contribution Behavior in Virtual Health Communities, V-DCB)在社会福祉创造中发挥着重要作用。从价值共创理论视角, 结合群体卷入模型和积极心理学研究, 提出在线服务交往中医生贡献行为前因后果的理论模型。首先从资源投入视角对V-DCB的概念和内涵进行分析, 并探讨测量工具的维度。接着分析社会交换和社会认同双重动机下的V-DCB行为卷入过程, 以及服务生态系统资源补充的激励作用。最后探讨V-DCB对医患双方幸福感共创的影响, 以及资源匹配因素对行为者幸福感产生的调节效应。     

Injecting a Woman's Voice: Conservative Women's Organizations,Gender Consciousness,and the Expression of Women's Policy Preferences

Scholars have argued that gender consciousness may be the important link between gender identity and the expression of political interests. Ultimately, however, these studies explain feminist political behavior and leave the impression that only feminist women articulate a woman's perspective on policy issues. In this article I demonstrate the coherence between gender identity and policy preferences for two national conservative women's organizations, the Concerned Women for America and the Independent Women's Forum. I show that conservative women are also gender conscious public-policy advocates. Using data gathered from organizational literature, participant observation, and in-depth interviews with organizational leaders, I show how conservative women have collectively organized as women and framed their policy goals in terms of women's interests. As such, I demonstrate a clear and profound link between gender identity and politicization among conservative women activists, suggesting the need to reconsider how we understand and define gender consciousness and women's policy activism.     

Mandated Interventions with Drug-Dependent, Pregnant Women

Increased concern about the influence of pregnant women's substance use on fetal health has prompted a variety of actions, including calls for legal interventions against some pregnant women with chronic substance abuse problems. In this paper I examine the legal and social science arguments used to support and oppose these interventions. Several assumptions about the behaviors of pregnant women that are used to support the arguments are described. The types of social science research that could inform the ongoing debate about interventions with pregnant women are explored.     

Poverty, Inequality, And Discrimination As Sources Of Depression Among U.S. Women

Poverty, inequality, and discrimination endanger women's well-being. Poverty is one of the most consistent predictors of depression in women, probably because it imposes considerable stress while attacking many potential sources of social support. Economic inequalities within societies are associated with reduced life expectancy and a variety of negative physical health outcomes. Parallel research on economic inequalities and depression has just begun. Discrimination maintains inequalities, condemns women to lives of lessened economic security, and exposes them to unmerited contempt. Although the mental health impact of poverty is documented and largely understood, the implications of inequality and discrimination are less well known. Much important work remains to be done, particularly research that connects individuals' mental health to ecological characteristics of the communities and societies in which they live.     

MEASURING FEMINIST ATTITUDES

Henley and colleagues' results, obtained in the process of developing a scale to measure the diversity of feminist attitudes, highlight a dilemma for feminist researchers in psychology. On the one hand, we advocate research based on feminist theory. On the other, we believe that research should begin with the lived experiences of women, from which theory should be generated, rather than forcing women's responses into a predetermined theoretical mold. Several aspects of Henley and colleagues' results contradict feminist theory. I argue that researchers should use empirical data to refine feminist theories.     

Love's labor in the health care system: working toward gender equity

In this commentary on Eva Feder Kittay's Love's Labor: Essays on Women, Equality, and Dependency, I focus on Kittay's dependency theory. I apply this theory to an analysis of women's inadequate access to high-quality, cost-effective healthcare. I conclude that while quandaries remain unresolved, including getting men to do their share of dependency work, Kittay's book is an important and original contribution to feminist healthcare ethics and the development of a normative feminist ethic of care.     

Feminism and Health in the Decade of Behavior

National health data are presented to demonstrate that important issues of women's health are linked to inequality and to the generalized oppression of women. Health issues of violence, reproductive health, coronary health, and mental health are reviewed as they relate to women of color and diverse ethnicity as well as to women in general. Feminist principles are applied to these issues, pointing out inequalities in assessment, treatment and access to care, bias in research and lack of research on topics particularly relevant to women and minorities, and limitations in the education and training of health care providers. It is imperative that these problems, which are not solely biological, be addressed in light of systems-level analysis that includes a feminist lens. Guided by feminist principles and sensibilities, the relevance of behavioral and social science is outlined for research, training, assessment, intervention, evaluation, and overall social change.     

Positive Psychology Interventions for Chronic Physical Illnesses: A Systematic Review

Positive health focuses on enhancing health along with curing illness to bring about well-being. Treatment for physical illness generally involves drug therapy, while the psycho-social aspects, specifically the positive psychology perspectives, are largely ignored; nevertheless, a growing number of investigations are now studying the effects of positive psychology interventions on health outcomes. The objective of this paper is to systematically review positive psychology interventions in chronic physical illness. A literature search through the databases of EBSCO, PubMed and PsycINFO, reference lists of significant papers and grey literature was conducted following four criteria set for this review. The number of studies selected finally that acceded to the criteria was 14. These studies were analysed by focusing on the study characteristics, kinds of intervention and outcomes of positive psychology interventions. Overall findings reveal that different intervention programmes have been devised by combining various exercises, writing is the most commonly used method for administration and positive psychology interventions are considered feasible and acceptable by patients, but findings about their usefulness are inconclusive. Suggestions for future research, clinical practice and application in communities have been provided which may be useful for clinicians, practitioners and caregivers.     

Feminist Consciousness Among Russians and Americans

Most empirical research on feminist consciousness has been conducted with North American women. In this study we examined feminist consciousness and attitudes toward women's issues among Russian and American women and men. Survey data from undergraduate students provide evidence of both cross-cultural and gender-related differences. Women scored higher than men on 4 of the 5 aspects of feminist consciousness measured in this study. American students scored higher on three aspects of feminist consciousness; however, Russian students were higher on sensitivity to sexism. Data concerning attitudes toward specific women's issues are also presented. Findings suggest that judgments about feminist consciousness based solely on these attitudes could lead to misconceptions about levels of feminist consciousness across cultures.