Family interactions and the course of schizophrenia in African American and White patients

Relatives' critical and intrusive behavior with patients, patients' odd or unusual thinking with relatives, and the course of schizophrenia were examined. Seventy-one African American and White patients (each with 1 relative) completed 2 problem-solving discussions. Relatives' critical and intrusive behavior with patients and patients' odd or unusual thinking with relatives were assessed, and patients were followed for 2 years. For African American patients, high levels of relatives' critical and intrusive behavior were associated with better outcome. For White patients, low levels of both relatives' critical and intrusive behavior and patients' odd or unusual thinking with relatives were associated with better outcome. The results suggest that during family interactions, seemingly negative behaviors may be perceived as a sign of caring and concern by African Americans. For Whites, the combination of patients' odd or unusual thinking with relatives and relatives' critical and intrusive behavior toward patients may be especially predictive of an adverse course.     

Differences in African American and White Women’s Attitudes Toward Lesbians and Gay Men

The aim of the present study was to examine racial differences in women’s attitudes toward lesbians and gay men and to offer an understanding of these differences. Participants were 224 18–30 year old heterosexual African American (64%) and White (36%) female undergraduates from a large urban university in the southeastern United States. Participants completed measures of social demographics, sexual orientation, and sexual prejudice. Results showed that African American, relative to White, women endorsed more negative attitudes toward lesbians and gay men. Also, unlike White women, African American women reported more negative attitudes toward gay men than lesbians. Implications are discussed regarding differences in cultural contexts that exist between African American and White women.     

Race, family interactions, and patient stabilization in schizophrenia

This study examined family interactions associated with a failure to stabilize in schizophrenia. Fifty-eight patient and parent dyads completed a problem-solving task soon after an acute episode. Stabilization was assessed over the following 6 months. African American patients' self-initiated discussions of substance use and increased anxiety during the interaction were associated with a failure to stabilize. Nonstabilization in White patients was associated with high levels of both the patients' odd thinking and the parents' criticism. White patients who were depressed during the interaction were also less likely to stabilize. Findings suggest that family relationships may play in important role in determining whether patients stabilize after an acute episode. Results also point to the importance of cultural factors in predicting patient stabilization.     

Is Expressed Emotion an Index of a Transactional Process? II. Patient's Coping Style

This article examines the extent to which expressed emotion (EE) indexes not only relatives' behavior toward schizophrenic patients but also patients' behavior toward their relatives. The coping styles (CS) of schizophrenic patients were assessed during interactions with their parents and were compared with parental EE attitudes assessed during an acute hospitalization and during the aftercare period. It was found that parental EE attitudes measured during the inpatient period strongly predicted patients' outpatient transactional behavior: patients interacting with low-EE relatives showed significantly fewer critical and more autonomous statements than patients interacting with high-EE relatives. Further, the dominant patient coping style (autonomous, neutral, externalizing, or internalizing) was strongly related to the relatives' interactional affective style (AS) and to their pattern of EE attitudes. Patient coping style was not related to clinical attributes of these patients themselves. This article and its preceding companion (17) together suggest that EE indexes a transactional process so that the quality of both parents' and patients' transactional behaviors may predict subsequent patient functioning.     

Implicit and explicit prejudice and interracial interaction.

The present research examined how implicit racial associations and explicit racial attitudes of Whites relate to behaviors and impressions in interracial interactions. Specifically, the authors examined how response latency and self-report measures predicted bias and perceptions of bias in verbal and nonverbal behavior exhibited by Whites while they interacted with a Black partner. As predicted, Whites' self-reported racial attitudes significantly predicted bias in their verbal behavior to Black relative to White confederates. Furthermore, these explicit attitudes predicted how much friendlier Whites felt that they behaved toward White than Black partners. In contrast, the response latency measure significantly predicted Whites' nonverbal friendliness and the extent to which the confederates and observers perceived bias in the participants' friendliness.     

Difficulty in implementing a family intervention for bipolar disorder: the predictive role of patient and family attributes

Family affect was examined as a predictor of difficulty implementing a 9-month, manual-based, psychoeducational family therapy for recently manic bipolar patients. Prior to therapy, family members were administered measures to assess both their expressed emotion and affective behavior during a family interaction task. Following family treatment, both therapists and independent observers rated the overall difficulty of treating the family, and therapists also rated each participant's problem behaviors during treatment, in the areas of affect, communication, and resistance. Therapists regarded affective problems among relatives and resistance among patients as central in determining the overall difficulty of treating the family. Relatives' critical behavior toward patients during the pretreatment interaction task predicted both independent observers' ratings of overall treatment difficulty and therapists' perceptions of relatives' affective problems during treatment. Moreover, patients' residual symptoms predicted independent observers' ratings of overall difficulty and therapists' perceptions of patients' resistance to the family intervention. Results suggest that difficulties in conducting a manual-based family intervention can be predicted from systematic, pretreatment family and clinical assessment.     

Minority stress and college persistence attitudes among African American, Asian American, and Latino students: perception of university environment as a mediator

We examined whether perception of university environment mediated the association between minority status stress and college persistence attitudes after controlling for perceived general stress. Participants were 160 Asian American, African American, and Latino students who attended a predominantly White university. Results of a path model analysis showed that university environment was a significant mediator for the association between minority status stress and college persistence attitudes. Additionally, minority status stress was distinct from perceived general stress. Finally, the results from a multiple-group comparison indicated that the magnitude of the mediation effect was invariant across Asian American, African American, and Latino college students, thus supporting the generalizability of the mediation model.     

The Influence of Social Consensus Information on Intergroup Helping Behavior

Previous research demonstrates that social consensus information (information about other people's beliefs) has a powerful influence on intergroup attitudes. The present study examined the influence of consensus information on helping behavior. White participants were provided with favorable or no consensus information about African Americans, and then we assessed their racial attitudes and their willingness to help an African American versus a White person. Replicating previous findings, we found that individuals who received favorable, as compared to no, consensus information had more favorable attitudes toward African Americans. More importantly, our results demonstrated that participants who received favorable consensus information were more likely to help an African American individual than those who did not receive consensus information. Consensus information did not influence behavior toward a White person. In understanding when and why consensus information influences stereotypes and prejudice, we hope to create a useful method to reduce negative intergroup attitudes and behaviors.     

Generational Differences in Gender Attitudes Between Parents and Grown Offspring

This study examined generational differences in gender attitudes between parents and grown offspring, including the extent to which these differences vary in families with daughters vs families with sons and in African American vs European American families. Participants included 158 African American and European American men and women (aged 22 to 49 years), their mothers, and their fathers (N?=?474) recruited predominantly through purchased telephone lists. Participants completed a self-report measure of gender attitudes toward marital and childrearing roles. Mixed method ANOVAs revealed offspring were less traditional than parents, although there were greater generational differences in attitudes between mothers and daughters and in European American families. Findings are discussed in terms of implications for family roles and relationships.     

Relations Among Racial Identity Attitudes,Perceived Stressors,and Coping Styles in African American College Students

This study expanded on previous research with African American college students at predominantly White institutions by examining the theoretically relevant but unexplored relations among racial identity attitudes and (a) both general and culture-specific stressors and (b) problem-focused coping styles. Ninety African American college students at a predominantly White university completed the Black Racial Identity Attitudes Scale, Black Student Stress Inventory, Problem Solving Inventory, and Problem-Focused Style of Coping Scale. A series of multivariate regression analyses revealed that specific racial identity attitudes were statistically significant predictors of both general and culture-specific stressors. In addition, one racial identity attitude status (immersion/emersion) was a unique predictor of general perceived stressors and problem solving. Results suggest the importance of racial identity schemata as a critical factor in predicting stress and coping responses of African American students at predominantly White institutions. The findings also underscore the utility in distinguishing between general and culture-specific stressors, which traditionally have been ignored in the psychological literature.     

Separation-Individuation,Family Functioning,and Psychological Adjustment in College Students: A Construct Validity Study of the Separation-Individuation Test of Adolescence

We evaluated the construct validity of the Separation-Individuation Test of Adolescence (SITA; Levine, Green, & Millon, 1986). Based on a review of the theoretical, literature on separation-individuation issues during late adolescence, predictions were made as to how SITA scores would correlate with aspects of family functioning and psychological adjustment. The SITA and a battery of self-report family and adjustment measures were administered to 454 college students (272 females and 182 males; 74% White, 16% African American, and 10% Asian American or Hispanic). Correlational analyses offered partial support for the construct validity of the SITA. Cluster analyses revealed four distinct groups of subjects (anxious deniers, healthy separators, peaceful detachers, and succorance seekers), each with its own coherent set of scores on the SITA and instruments measuring family relations and positive and negative psvchological adjustment. Criticisms concerning the labels and composition of the SITA scales are also discussed.     

Impact of close family members on older adults' early response to depression treatment

This study of 130 depressed older adults and their spouses or adult children examined the impact of caregiver burden specific to patients' depressive symptoms on patients' response to antidepressant treatment. Primary care patients completed medical, psychiatric, and neuropsychological assessments prior to treatment, and interviews were conducted with their identified family member. As hypothesized, caregivers' depression-specific burden predicted greater depression severity for the patient at the 6th week of treatment after accounting for patients' pretreatment characteristics, caregivers' depressive symptoms, and caregivers' relationship satisfaction. Future research may identify family attitudes and behaviors that stem from burden and compromise older adults' ability to recover from depression.     

Neighborhood Risk, Parental Supervision and the Onset of Substance Use among African American Adolescents

The consequences of the early onset of substance use on later outcomes are a public health concern. In the present study, we examined neighborhood risk factors as a possible predictor of the onset of substance use in adolescents. In addition, we assessed the potential buffering effects of parental supervision on the relationship between neighborhood risk and the onset of substance use. The participants included 95, abstinent, African American 6th graders (mean age = 11.5 years) who enrolled in one site of a national, multi-site study of high-risk youth participating in a federally sponsored program. In the 6th and 8th grades, the participants completed self-report measures regarding substance use, perceived negative neighborhood activities and parental supervision. Logistic regression analyses demonstrated that both exposure to negative neighborhood activities and low parental supervision increase the onset of substance use by the 8th grade among African American adolescents. However, the results suggested that parents can protect their adolescents from the impact of exposure to adverse neighborhood factors by providing appropriate supervision.     

Predicting Feminist Identity: Associations Between Gender-Traditional Attitudes, Feminist Stereotyping, and Ethnicity

The connection between holding gender-traditional attitudes and the reluctance to identify as a feminist is well established, yet little is known about factors that might underlie this association. One factor that may serve this function is the tendency to hold negative stereotypes about feminists. Indeed, the constructs of ambivalent sexism (Glick and Fiske 1996) and ambivalence toward men (Glick and Fiske 1999) provide a strong theoretical basis for the prediction that traditional attitudes toward women and men are related to the derogation of women who do not conform to the feminine-stereotyped gender role. Therefore, the present study utilized path analysis to test a mediational model in which traditional attitudes toward women and men predict the tendency to stereotype feminists, which in turn predicts feminist identity. The present study also examined whether the relations between the variables in the model differed for African American, European American, and Latina women. Participants consisted of 544 women from the southern United States who, despite being undergraduates, were in their mid-to-late twenties on average. As expected, participant ethnicity moderated the paths in the model. Among African American and Latina women, hostility toward men and hostile sexism predicted the tendency to stereotype feminists, which then predicted feminist identity. Support for the mediational model was not obtained among European American women; instead, the model for European American women was characterized by direct paths from traditional attitudes toward women and men to feminist identity. Discussion focuses on the importance of considering participants’ ethnic background when assessing predictors of feminist identity.     

African American students' ratings of Caucasian and African American counselors varying in racial consciousness

African American college students (63 female, 30 male) rated vignettes of counselors varying in racial consciousness (high vs. low) and race (African American vs. Caucasian). Participants then completed a counselor rating scale and the Racial Identity Attitude Scale (Short Form; T. A. Parham & J. E. Helms, 1981). African American counselors were rated more favorably than White counselors, and high racially conscious counselors were rated more favorably than low racially conscious counselors. The African American counselor with high racial consciousness was rated the most favorably. Several significant correlations were found between participants' racial identity attitudes and their ratings of counselors. Implications for the training of both African American and White counselors are considered.     

Cultural, contextual, and intrapersonal predictors of risky sexual attitudes among urban African American girls in early adolescence

The role of cultural factors in explaining sexual attitudes among African American urban girls, aged 10-13 years, was investigated in this study. The authors predicted that girls with higher school interest, family cohesion, religiosity, and behavioral self-esteem would endorse less risky sexual attitudes. Also, older girls were expected to have more risky sexual attitudes than younger girls, and girls from 1- rather than 2-parent households were expected to have more risky sexual attitudes. The authors hypothesized that ethnic identity and gender role orientations would contribute to explaining variability in sexual attitudes after controlling for contextual and intrapersonal variables. A questionnaire containing measures of the study constructs was administered to 214 girls who were participants in a substance abuse prevention program. Pretest data were used in analyses. A final regression model accounted for 23% of the variance in sexual attitudes. Age and behavioral self-esteem were significant predictors, with younger teens and teens with higher behavioral self-esteem having less risky sexual attitudes. Cultural variables contributed to explaining variation in sexual attitudes after other variables were controlled for. Higher levels of ethnic identity were associated with less risky sexual attitudes. A masculine gender role orientation was associated with more risky sexual attitudes.     

Exploring the Links Between Racial Identity Attitudes and Psychological Feelings of Closeness in African American College Students

The relationship between racial identity attitudes and psychological closeness to various African American groups was examined in 171 African American college students at a predominantly White southeastern university. The data were collected using the Racial Identity Attitude Scale (Helms & Parham, 1985), and a scale measuring Perceived Psychological Closeness to African Americans. The closeness scale is a 14-item instrument that was found to represent (in this sample) psychological closeness to 4 African American groups. Internalized racial identity attitudes indicated positive feelings toward various groups of African Americans. A hierarchical multiple regression analysis indicated that internalized racial identity attitudes were predictive of psychological closeness to African Americans, although this varied somewhat depending on the subgroup.     

Interethnic Differences (or Similarities?) in the Relative Individuation of Women and Men

What roles do ethnicity, gender, and attitudes play in determining whether a person will be perceived as a unique individual versus a homogenized group member? Attitudes toward women’s roles have been found to predict Whites’ relative individuation of women and men; however, African Americans were found to individuate women and men equally, regardless of attitude (Stewart et al. 2000). Using a name–trait matching paradigm, the present research found that when targets were identified as African American, African American participants’ (18 male and 35 female college students) attitudes toward women’s roles predicted their individuation of men and women. These results suggest that an ethnic out-group homogeneity effect, rather than gender-egalitarian attitudes, contributed to the previous finding of equivalent individuation.     

A Note on Family Acceptance Involving Interracial Friendships and Romantic Relationships

Perceptions of family acceptance concerning interracial friendships and romantic relationships were investigated in a group of 142 undergraduates. The Assessment Scale of Interracial Relationships (ASIR) was constructed by the authors and administered to 68 men and 74 women recruited from introductory psychology courses. Results showed that both men and women held negative attitudes toward interracial relationships, although Black students held more favorable attitudes than did White students. These findings also showed that the women were less accepting of interracial friendships and romantic relationships than the men were. Both Black and White students indicated that family perception of these interracial relationships would be negative.