Cognitive-cultural model of identity and violence prevention for African American youth

The author introduces a cognitive-cultural model of identity development to explain the elevated risk for violence among African American youth. The model is an extension of previous conceptual frameworks that address the dynamic interplay among cognition, culture, and self-systems. Specifically, the self is conceptualized as a cognitive structure known as schemata that contain individual and cultural elements corresponding to those aspects of identity. The model has three major components: the individual self, the cultural self, and social roles. The cognitive-cultural model posits that maladaptative behaviors such as violence are a consequence of underdevelopment or imbalance in some aspect of the self or the adoption of social roles that undermine integration of the individual self-schemata and cultural self-schemata. The implications of this cognitive-cultural model for prevention efforts, particularly Afrocentric socialization interventions targeting African American youth, are discussed.     

The impact of Christian counselling on survivors of sexual abuse

The absence of research and growing involvement of Christians in all areas of counselling gave rise to this study which explores the impact of Christian counselling on adult survivors of sexual abuse. The sample of 44 women and 5 men from an inter-denominational, self-help network, completed a self-report questionnaire of perceived Christian and professional counselling experiences involving issues of trust, power, directive approach, use of prayer and Scripture, responsibility and outcome. Results show that Christian counselling is experienced as qualitatively different from professional counselling: Christian counsellors are perceived as significantly more directive and more powerful than professional counsellors and the overall outcome was perceived more negatively. A number of key factors were identified which influenced the negative experience of some Christian counselling. These included having experience of professional counselling, an emphasis on the use of prayer and Scripture, perceiving the counsellor to have different goals from the client, feeling blamed for continued distress and having prior experience of prayer ministry. Implications for counselling practice and training are discussed.     

A model of short-term counselling in primary care

Counselling in prima y care settings has received much interest throughout Britain. Many surgeries employ counsellors or psychologists as part of the primay health care team. This paper describes a model of primary care counselling using an example of a case encountered in general practice. It emphasizes the advantages of offering on-site counselling services, such as better possibilities of liaison with the referring doctor and coordination of patient care. Progress was made in seven sessions of short-term cognitive-behavioural treatment and a more stigmatizing referral (for example, to psychiatric services) was avoided. The case can be seen as an appropriate referral in the context of primay care counselling and illustrates the benefit of this approach to the treatment of psychological and social problems in general practice. Names and details have been changed to preserve confidentiality.     

A humanistic developmental model of counselling: A psycho-educational approach

A developmental model of counselling, based on humanistic principals of psychological functioning, is proposed. A psycho-educational approach, in which counsellors are seen as helping clients develop skills rather than solve problems, is discussed. The counselling model involves three stages: exploration, intervention and empowering. The intervention stage includes techniques focused on affect, behaviour or cognition, as suggested by the ABC model of personal change described in the paper.     

A counselling group for adolescents

This paper outlines the aims and objectives of a group for young adolescents set up by two counsellors in an area youth counselling service. It examines the contract made between the counsellors and the group members, the methods used, and some current areas of conflict and potential growth.     

Attentional bias to violent images in survivors of dating violence

This study investigated the time-course characteristics of attentional bias, such as vigilance and maintenance, towards violent stimuli in dating violence (DV) survivors. DV survivors with PTSD symptoms (DV-PTSD group; n=14), DV survivors without PTSD symptoms (Trauma Control group; n=14), and individuals who were never exposed to dating violence (NDV group; n=15) viewed slides that presented four categories of images (violent, dysphoric, positive, and neutral) per slide, for ten seconds. Our results revealed that the DV-PTSD group spent more time on violent stimuli than did the Trauma Control or NDV groups. The DV survivors, both with and without PTSD symptoms, spent more time on dysphoric stimuli and less time on happy stimuli than did the NDV group. In addition to the effects of PTSD, researchers should also be considering the effects of simple traumatic exposure.     

Attentional bias to violent images in survivors of dating violence

This study investigated the time-course characteristics of attentional bias, such as vigilance and maintenance, towards violent stimuli in dating violence (DV) survivors. DV survivors with PTSD symptoms (DV-PTSD group; n=14), DV survivors without PTSD symptoms (Trauma Control group; n=14), and individuals who were never exposed to dating violence (NDV group; n=15) viewed slides that presented four categories of images (violent, dysphoric, positive, and neutral) per slide, for ten seconds. Our results revealed that the DV-PTSD group spent more time on violent stimuli than did the Trauma Control or NDV groups. The DV survivors, both with and without PTSD symptoms, spent more time on dysphoric stimuli and less time on happy stimuli than did the NDV group. In addition to the effects of PTSD, researchers should also be considering the effects of simple traumatic exposure.     

Stimulation-induced behavioral inhibition: A new model for understanding physical violence

Physical violence is widely considered to result from action carried out with the intention of causing injury; that is, from aggression. However, the “hypothesis” of aggression is inapplicable in all but a few instances as well as inappropriate for many destructive rage-associated responses directed at inanimate objects. This paper outlines a new perspective on physical violence, reinterpreting many behaviors hitherto labeled aggressive as stimulation-seeking behaviors (SSBs) above an arbitrary level of intensity. It is further proposed that: 1) physical violence is a by-product of SSB, driven, in part by brain catecholaminergic (CA) systems, and the direct result of exchanges of energy that exceed the body's tolerance threshold; 2) allegedly discrete categories of motor-motivational behavior represent overlapping bands of intensity on a continuous spectrum of SSB; and 3) the sensory input derived from SSB is fed back into the central nervous system where it activates, brain serotonergic and/or cholinergic systems, which in turn inhibit CA systems, resulting in a general state of behavioral quiescence. In addition to accounting for a number of previously unexplained observations, the model suggests that physical violence could be prevented by providing groups at high risk with extensive opportunities for therapeutic sensory stimulation to substitute for that derived from excessive SSB. For people at especially high risk, portable devices could be developed that would allow the user to self-administer desired levels of sensory stimulation at moments of intense anger, thereby preventing potentially dangerous outbursts of SSB prior to the onset of the behavior.     

Attentional bias towards emotional facial expressions in survivors of dating violence

This study identified components of attentional bias (e.g. attentional vigilance, attentional avoidance and difficulty with disengagement) that are critical characteristics of survivors of dating violence (DV). Eye movements were recorded to obtain accurate and continuous information regarding attention. DV survivors with high post-traumatic stress symptoms (DV-High PTSS group; n = 20) and low post-traumatic stress symptoms (DV-Low PTSS group; n = 22) and participants who had never experienced DV (NDV group; n = 21) were shown screens displaying emotional (angry, fearful and happy) faces paired with neutral faces and negative (angry and fearful) faces paired with happy faces for 10 s. The results indicate that the DV-High PTSS group spent longer dwelling on angry faces over time compared with the DV-Low PTSS and NDV groups. This result implies that the DV-High PTSS group focused on specific trauma-related stimuli but does not provide evidence of an attentional bias towards threatening stimuli in general.     

Hopelessness as a risk factor for post-traumatic stress disorder symptoms among interpersonal violence survivors

Post-traumatic stress disorder often co-occurs with depression, and they may share common risk factors. One possible common cognitive risk factor is hopelessness. Thus, we examined whether hopelessness was related to symptoms of post-traumatic stress disorder. Participants were 202 female survivors of interpersonal violence. Relationships between self-reported and interviewer-rated measures of hopelessness gathered at 2 weeks post-trauma and self-reported and interviewer-rated symptoms of post-traumatic stress disorder gathered at 2 weeks and 3 months post-trauma were examined. Hierarchical, simultaneous regression analyses that co-varied trauma type revealed that hopelessness was related to self-reported symptoms of post-traumatic stress disorder, both concurrently and prospectively. Follow-up analyses revealed that relationships between hopelessness and symptoms of post-traumatic stress disorder were due almost entirely to shared variance with depression. No relationships were found between hopelessness and interviewer-rated symptoms of post-traumatic stress disorder.     

A qualitative investigation of perceptions of violence risk factors in low-income African American children

Conducted a qualitative investigation to identify the perceptions of risk factors for violence in a sample of inner-city African American youth. Using ethnographic analyses, themes emerging from these data included concerns about the reciprocity between drugs and violence, familial quality of life issues, gender differences in the experience of violence and risk for violence, community safety concerns, and fears about managing peer relationships specific to violence. These data are interpreted relative to the risk factors the violence prevention literature has identified among youth residing in urban environments. Findings are discussed in terms of their potential contribution to generating hypotheses for the development of theory and effective violence prevention practice.     

A short-term group therapy model for treatment of adult female survivors of childhood incest

Childhood incest has been experienced by a minimum of one million American women. Because of the dynamic of secrecy in these families and society's discomfort with the issue, disclosure frequently does not take place until adulthood. A treatment modality for adult women following disclosure of a childhood incest experience has been devised. A short-term semi-structured group model has been chosen which creates an atmosphere of rapid cohesion and helps participants broaden their identity beyond that of victim. This paper reports participants' demographic and historical data as well as thematic content and group evaluative data from the first nine such groups conducted in a major health maintenance organization in the Boston area. Findings suggest that childhood incest has widespread and long-lasting effects on women's functioning, including ability to trust and form relationships, emotional functioning and self-esteem, and the ability to protect self and children from victimization. The group was felt to be extremely valuable by the majority of participants and was experienced by many as the first place they ever found safety, unconditional nurturance, and a sense of belonging. Other findings include the repetition of incest over generations, the nonresponsiveness of adults in cases where disclosure had taken place in childhood, and the importance of an empathic yet well-bounded therapist.     

A counselling service for nurses in training

An account is given of the inception and development of a counselling service for nurses in training at a large London teaching hospital. The aims of the service are described, as are the evolving role of the counsellor and the use made of the service both by student nurses and other members of the hospital organisation. Some recommendations are made concerning the future development of counselling services within National Health Service hospitals.     

Acculturation and peritraumatic dissociation in young adult Latino survivors of community violence

This study examined the relationship between acculturation and peritraumatic dissociation in a sample of 304 physically injured Latino survivors of community violence. Item response theory analyses were conducted to document the measurement equivalence of English- and Spanish-language versions of a scale measuring peritraumatic dissociation. After establishing equivalence, structural equation modeling was used to determine the impact of acculturation on peritraumatic dissociation after controlling for other relevant covariates, including assault characteristics, intoxication before the assault, and trauma exposure history. Acculturation emerged as a significant and negative predictor of dissociation, so that high levels of acculturation were associated with low levels of peritraumatic dissociation. These findings offer a counterinstance to the emerging consensus that retention of Latin American cultural traditions serves to promote mental health.     

A behaviour category instrument for analysing counselling interactions

This is the first of two papers describing work based on the assumptions that skilled behaviour produced by counsellors can be (a) identified, (b) specified in detail, and (c) produced by training. A behaviour category instrument applicable to counselling interactions was developed, using techniques which had already been applied successfully to the analysis of interpersonal skills in an industrial setting. Client-centred, rational-emotive and gestalt approaches to counselling were initially selected for analysis, on the basis that they represented radically different approaches, that they were relatively well-defined, and that there was material available for analysis from skilled practitioners. The analyses show that the different approaches result in characteristically different behaviour profiles. The results are considered in terms of their potential contribution to outcome research and to training procedures.     

Racism as a stressor for African Americans. A biopsychosocial model.

Various authors have noted that interethnic group and intraethnic group racism are significant stressors for many African Americans. As such, intergroup and intragroup racism may play a role in the high rates of morbidity and mortality in this population. Yet, although scientific examinations of the effects of stress have proliferated, few researchers have explored the psychological, social, and physiological effects of perceived racism among African Americans. The purpose of this article was to outline a biopsychosocial model for perceived racism as a guide for future research. The first section of this article provides a brief overview of how racism has been conceptualized in the scientific literature. The second section reviews research exploring the existence of intergroup and intragroup racism. A contextual model for systematic studies of the biopsychosocial effects of perceived racism is then presented, along with recommendations for future research.