Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders: Qualitative Findings

We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city.

Findings from therapy session videotapes, focus groups, and clinician memos indicate high acceptability and fit of 3-S therapy for Puerto Rican women. However, lack of fit in several areas indicates the need for modification of specific aspects of 3-S for Latinas.     

Counseling the Hispanic Client: Cuban Americans,Mexican Americans,and Puerto Ricans

This article describes a general framework that may be used when counseling Cuban American, Mexican American, and Puerto Rican clients. The psychological and sociocultural characteristics of these populations are described. Both differences and similarities among the 3 groups are reviewed. The identification of the client's worldview, cultural values, and family values provides a specific framework for counseling these clients. Specific and general guidelines are provided for the psychological assessment of Cuban American, Mexican American, and Puerto Rican clients.     

Crossing Borders: Multicultural Counseling With Puerto Rican Migrant Women

Puerto Rican migrant women require cultural‐specific counseling. The intersection of ethnicity, gender, culture, and sociopolitical contexts affects Puerto Rican migrant women's psychological coping and identity development. A psychology of place lens is used to discuss how numerous Puerto Rican migrant women nurture their identity development from borderlands (transfronterizas ) to transboricuas (trans–Puerto Rican). A case vignette illustrates the use of a multicultural counseling approach to address Puerto Rican migrant women's psychological needs. Las mujeres puertorriqueñas emigrantes requieren servicios de consejería culturalmente específicos. La intersección de etnicidad, sexo, cultura y contextos sociopolíticos afecta a la capacidad de afrontamiento y el desarrollo de la identidad de las mujeres puertorriqueñas emigrantes. Se usa el enfoque de la psicología de lugar para discutir cómo muchas mujeres puertorriqueñas emigrantes cultivan el desarrollo de su identidad de transfronterizas a transboricuas. Se usa la viñeta de un caso para ilustrar el uso de una aproximación multicultural a la consejería para tratar las necesidades psicológicas de las mujeres puertorriqueñas emigrantes.     

Listening to the Sound of Silence: Gender Roles and Communication about Sex in Puerto Rico

Puerto Rican women are at high risk for the heterosexual transmission of HIV. I examined social and interpersonal aspects of communication about sex in regard to safer sex practices within a specific cultural context. Participants in this study were 42 heterosexual Puerto Rican adults living in Puerto Rico, who ranged in age from 18 to 56 years. Participants were interviewed regarding their sexual communication, sexual practices, and their perceptions regarding the roles of culture and gender in the practice of safer sex. Inductive qualitative analysis showed that three factors limit meaningful communication about sex in Puerto Rico: (1) machismo, (2) the changing role of virginity, and (3) the silencing of both men and women. Implications for theory-based inventions informed by an interpersonal communication perspective are discussed.This research was supported by the Northeastern University Provost’s Research and Development Fund.     

African American Women in Therapy:

Theoretical and cultural issues related to the treatment of African-American women are explored, with particular emphasis on the utility of two psychological models for use with this group. The Afrocentric and feminist orientations of psychology are examined as they address the unique condition of African American women. A synthesis of these models is proposed to more accurately describe the experiences of African American women, and examples of cultural issues that may emerge in therapy are considered within the context of this integrated model.     

Asthma in children of Caribbean descent living in the inner-city: comparing Puerto Rican and Afro-Caribbean children

Ethnic minority children bear a disproportionate amount of the US asthma burden. We compared asthma morbidity and pulmonary function (%FEV₁) in two Caribbean groups living in the Bronx, NY: Puerto Rican and Afro-Caribbean children. Caregiver-child dyads (Puerto Rican: n = 113, M age = 9.89 ± 2.05; Afro-Caribbean: n = 47, Mage = 10.35 ± 2.08) responded to sociodemographic and asthma-related questions, and children’s %FEV₁ was measured. Puerto Rican children had significantly greater (past year) asthma morbidity, yet there were no significant differences in %FEV₁. This discrepancy between objective pulmonary function and asthma morbidity suggests the importance of considering sociocultural factors in pediatric asthma care.     

Adaptation of parent-child interaction therapy for Puerto Rican families: a preliminary study

This study examines how parent-child interaction therapy (PCIT) was adapted for Puerto Rican parents of children aged 4-6 with hyperactivity and other significant behavior problems. Four steps were followed: (1) translation and preliminary adaptation of the treatment manual, (2) application of the treatment to 9 families as part of an exploratory study using repeated measures, (3) treatment revision and refinement, and (4) in-depth interviews with parents (n=15) and clinical psychologists (n=5) from Puerto Rico who provided feedback on treatment process and components. Throughout this process, cultural elements and modifications were recommended to be incorporated into the treatment protocol. Both quantitative and qualitative results suggest that PCIT seems to be an acceptable intervention for this population, with some minor changes. Parents reported a high level of satisfaction, a significant reduction in children's externalizing behavior problems, and reduction of parenting stress and improvement in their parenting practices. Psychologists also evaluated positively the treatment protocol and recommended its use. Results from this study may inform clinicians and researchers who work with Latino families about relevant issues to be considered to promote their participation in behavioral family interventions and to enhance their acceptability and effectiveness.     

"But you don't look Puerto Rican": the moderating effect of ethnic identity on the relation between skin color and self-esteem among Puerto Rican women

This exploratory study investigated whether ethnic identity, as assessed by Phinney's (1992) Multigroup Ethnic Identity Measure, functioned as a moderator in the relation between skin color (as measured by masked interviewer evaluation, participant self-report, and skin reflectance data) and self-esteem (as measured by Rosenberg's 1989 Self-Esteem Scale). In a sample of 53 English-speaking Puerto Rican women, a hierarchical multiple regression indicated that among lighter skinned women, those who felt less attached to their culture had less self-esteem than those who were more culturally embedded. Similarly, among darker skinned women, greater attachment to Puerto Rican culture was associated with greater self-esteem than a less defined ethnic identity. Findings are discussed in light of the beneficial effects of ethnic identity.     

SEX DIFFERENCES AND DEPRESSION IN PUERTO RICO

Sex differences in rates of depressive disorders and depressive symptomatology, as measured by the Diagnostic Interview Schedule, are examined for an island-wide probability sample of Puerto Rico. Consistent with previous research, depression is significantly more prevalent in Puerto Rican women than men. Risk factors associated with depressive symptomatology are examined from a sex-role perspective. The results of multiple regression analyses show that even after demographic, health and marital and employment status variables are controlled, women continue to be at higher risk of depressive symptomatology than men. These results are interpreted within a cultural and sex-role perspective.     

The Application of Biological, Evolutionary, and Sociocultural Frameworks to Issues of Gender in Introductory Psychology Textbooks

The purpose of this paper is to explore the application of biological, evolutionary, and sociocultural frameworks to issues of gender in the 10 most popular introductory psychology textbooks in the U.S. The use of these metatheories is of interest to feminist scholars because they have implications for the extent to which students learn that gender and gender differences are fixed and innate or socially constructed. If gender and gender differences are seen as malleable, then efforts at social change to improve women’s status or men’s and women’s abilities or opportunities can be understood as promising endeavors. The relative use of these three frameworks differed dramatically across books, affording all scholars the opportunity to actively select those texts whose prominent frameworks best align with their course goals. The paper concludes with suggestions for which books offer the most thorough coverage of sociocultural frameworks.     

Mediational models of spirituality and depressive symptomatology among HIV-positive Puerto Rican women

A survey of 142 Puerto Rican women living with HIV/AIDS in New York City revealed high Centers for Epidemiological Studies Depression (CES-D) scores, with 66% of the sample scoring above the conventional threshold of possible clinical depression. Most respondents (71%) were Catholic, 29% considered themselves members of a church or other place of worship, and 30% reported attending religious services 1-3 times a month. As predicted, spirituality was high and negatively associated with CES-D scores. A series of simultaneous multiple regression analyses controlling for all potentially confounding medical and sociodemographic variables demonstrated that both mastery and self-esteem scores mediated this relationship. Implications for future research and the provision of services to HIV-positive Puerto Rican women are discussed.     

The Puerto Rican Prison Experience: A Multicultural Understanding of Values,Beliefs, and Attitudes

This article presents the perspective that Puerto Rican men who are or who have been incarcerated are in multicultural variance with the dominant, middle class beliefs of American society. The authors also provide suggestions for counseling interventions with this population.     

THE CULTURAL CONTEXT: A FACTOR IN ASSERTIVENESS TRAINING WITH MAINLAND PUERTO RICAN WOMEN

This study examined the inclusion of a cultural component in an assertiveness training program. Participants ( n = 40) were low income Puerto Rican women. There were four training groups divided up according to educational level. In addition, there was a no-training group consisting of Puerto Rican women who did not receive assertiveness training. Ten sessions of an hour and a half each were conducted over a period of 10 weeks. The training program was evaluated using a translation of the Adult Self-Expression Scale (Gay, Hollandsworth, & Galassi, 1975) as a pre/post program measure of assertiveness; evaluation forms completed by recipients at the close of each session were also used for evaluation purposes. Assertiveness scores of the training group were significantly higher than those of the no-training group. In addition, this effect was true regardless of level of education. Session-by-session evaluation forms suggested that cultural context may be an important mediator of assertive behavior. Limitations of the study are discussed, and it is recommended that future research examine the role of cultural factors in assertiveness training.     

Subverting Culture: Promoting HIV/AIDS Prevention Among Puerto Rican and Dominican Women

This article discusses the challenges faced by researchers and interventionists when attempting to promote change in social norms and normative beliefs that promote HIV/AIDS risk-related behaviors among Puerto Rican and Dominican women. The article focuses on the role of culture in HIV/AIDS prevention with women by analyzing the sociohistorical context of some cultural beliefs and by illustrating the tension between risk-related and protective cultural beliefs in research conducted by the authors with women in both New York and Puerto Rico. The authors propose that promoting changes in sex-related social norms and normative beliefs might be constructed as a subversive act and present the challenge this analysis poses for community psychology. They conclude that this conceptualization might be construed as subversive because rather than idealizing culture, it promotes changes that respect diversity within the culture and foster participation in the development of new cultural values, beliefs and norms.     

Re-Membering Spirituality

Ritual has been used as a therapeutic tool within family therapy for nearly two decades. Our understanding of ritual has been drawn from studies of cultures in which all life was viewed as sacred. However, common use of ritual in therapy lifts ritual out of its sacred context and secularizes it. Blending some of the key thinking in feminist theology with feminist psychology can help women reconnect with a perspective on the sacred that is empowering. Reimbuing ritual with the sacred and expanding its use in therapy make it a powerful healing process for women.     

Feminist Identity Development: Implications for Feminist Therapy With Women

This article discusses the implications of the Downing and Roush (1985) model of feminist identity development for feminist therapy with women. Following a summary of the model, the potential pitfalls of feminist therapy with the passive-acceptant client are described, as well as potential issues at subsequent stages of the client's identity development. Suggestions are made regarding how to facilitate clients' movement to higher levels of development. Finally, a research agenda is proposed that suggests hypotheses to be tested that arise from applying this model to conducting therapy with women.     

Counseling puerto ri cans: some cultural considerations

Puerto Ricans comprise a significant percentage of potential clients for many counselors. The migration of Puerto Ricans to the mainland over the years has created cultural differences between Puerto Ricans raised in Puerto Rico and those raised in the U.S., but both groups are at a disadvantage in the dominant American culture. Migration back to the island in recent years is creating some problems for Puerto Rico, so Puerto Ricans often find prejudice both here and there. In this article the author, who married into a Puerto Rican family, discusses some values and traits that characterize Puerto Ricans and the behaviors that emerge from these traits. He offers practical suggestions for those counselors who have Puerto Rican clients.