Eating Disorders Among Urban and Rural African American and European American Women

Abstract

It is alleged that eating disorders are nonexistent in African American women and that eating disorder symptomatology occurs predominantly among White middle class women (Kumanyika, Wilson, & Guilford-Davenport, 1993; Smolak & Striegel-Moore, 2001). This research attempted to identify differences in eating disorder symptomatology in African American and White American women. An eating disorder is a disability because it can damage the person physically, emotionally and socially. It can be undetected for years and society may reinforce the hidden disorder by being complimentary regarding the thin appearance of the person. The Eating Disorder Inventory (EDI) was used to measure psychological traits and symptom clusters associated with the understanding and treatment of eating disorders (Garner, 1990). Measures of self-esteem, depression and coping were also examined. Findings indicated differences between African American and White women on the Ineffectiveness scale of the EDI, differences between the urban/rural women on Ineffectiveness and Perfectionism, and differences in coping strategies and education among this sample group of women. Successful treatment usually involves psychotherapy and/or medication for depression.     

Competent Counseling for Middle Eastern American Clients: Implications for Trainees

The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees’ group differences on measures of multicultural competence, empathy, and multicultural counseling self‐efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty‐six trainees responded to 3 different clinical vignettes that gave information on clients who had varying degrees of MEA characteristics. MANOVA results revealed a significant main effect for trainee race. Follow‐up analyses demonstrated that trainees of color reported higher multicultural competence and multicultural CSE than White trainees. Los autores usaron an análisis factorial multivariante de la varianza (MANOVA, por sus siglas en inglés) para determinar si las diferencias en grupos de consejeros en formación respecto a competencia multicultural, empatía y autoeficacia en consejería (CSE) multicultural al trabajar con clientes americanos con ascendencia de Oriente Medio (MEA) estaban moderadas por la raza del consejero. Doscientos cincuenta y seis consejeros en formación respondieron a 3 viñetas clínicas que ofrecían información sobre clientes que tenían diversos grados de características de MEA. Los resultados del MANOVA revelaron un efecto principal significativo para la raza del consejero. Análisis de seguimiento demostraron que los consejeros de color en formación comunicaron un mayor nivel de competencia multicultural y CSE multicultural que los consejeros blancos.     

Psychosocial Symptoms and Poor Insight as Predictors of Homicidality Among Clients With Psychosis: Implications for Counseling Practice and Research

The purpose of this study was to evaluate whether psychological symptoms, negative social events, treatment‐related information, and degree of insight into one's illness predicted current homidicality in a population of clients with psychosis (N = 170). Multiple regression analyses revealed that homicidality can be reliably predicted when clients manifest more severe symptoms of mania and less awareness of their need for treatment. Clinical and research implications are discussed as they relate to the counseling profession.     

Critical Race Theory as a Decisional Framework for the Ethical Counseling of African American Clients

The authors introduce critical race theory as a decisional framework for ethical counseling, with a focus on racial disparities when working particularly with African American clients. The authors provide a fictional case example that explains how this framework can be implemented when conducting cross‐cultural counseling with African American clients. Implications for counselors are provided.     

Attachment Theory and Religiosity: A Summary of Empirical Research With Implications for Counseling Christian Clients

The authors summarize the growing body of empirical research literature in the area of psychology of religion that has been guided by attachment theory and indicate implications for counseling, including practical suggestions for case conceptualization, possible spiritual interventions, and ethical guidelines for practice. Attachment theory provides a fertile framework whereby counselors may conceptualize the religious experiences of Christian clients whose spirituality involves the belief in and relationship with a personal God.     

Eating Disorders in African American Girls: Implications for Counselors

Given the recent focus on eating disorders in children, it is imperative that counselors consider eating concerns that affect children of all racial and ethnic groups and hence are effective in working with this population. The author discusses risk factors that potentially contribute to eating disorders in African American girls given their unique socialization experiences as racial and ethnic minorities. Also, the author provides strategies for developing effective and culturally responsive counseling interventions to work with this population.     

The Impact of Racial Microaggressions on Mental Health: Counseling Implications for Clients of Color

This study examined the relationship between racial microaggressions (subtle and unintentional forms of racial discrimination) and mental health. Results from a large sample (N = 506) indicated that higher frequencies of racial microaggressions negatively predicted participants' mental health and that racial microaggressions were significantly correlated with depressive symptoms and negative affect. Differences in the types of microaggressions experienced by various racial groups (Asian, Latina/o, Black, White, and multiracial) and counseling implications are discussed.     

Historical Hostility in the African American Client: Implications for Counseling

“Historical hostility” may function as a psychological factor in the lives of African Americans in the United States. Historical hostility is a pattern of responses that many African Americans exhibit, which may stem from their prolonged subjection to inferior treatment in American society. Strategies for addressing historical hostility in African Americans are provided.     

Predictors of Mental Health Among College Students in Guam: Implications for Counseling

The authors investigated sociodemographic predictors of the mental health status of college students (N = 308) in Guam. Results indicated prevalence rates of 17.8%, 40.2%, and 25.6% for moderate or more severe levels of depression, anxiety, and stress, respectively. Psychological distress was found to be predicted by gender, ethnicity, living arrangement, and academic level. Comparisons with college students in the U.S. mainland and Hong Kong were also examined. Implications for counseling services and strategies are discussed.     

Use of Ifá as a Means of Addressing Mental Health Concerns Among African American Clients

African Americans underuse counseling services because of factors such as cultural mistrust, stigma, and culturally incongruent treatment interventions. As a result, this population relies on informal healing networks. The foundations of these networks have been outlined within the professional literature. However, limited attention has been given to the indigenous healing methods used by African Americans in lieu of counseling. This article explores the conceptual, diagnostic, and treatment strategies of the indigenous healing system, Yorùbá‐based Ifá.     

The Tricultural Experience of Older,African American,Gay Men: Counseling Implications

The authors argue that unlike their younger counterparts, who experience their young adult development within a dual‐identity or bicultural framework, older, African American, gay men experience their development through 3 distinct cultural perspectives. Using a constructivist framework, the authors explore this tricultural development and make recommendations regarding counseling services for this population.     

Mental Disorders,Personality Traits,and Grievance-Fueled Targeted Violence: The Evidence Base and Implications for Research and Practice

This article aims to move away from intuitive appeals that link mental disorder with violence such as terrorism, mass murder, and other targeted violence. The article synthesizes the existing evidence base regarding the relationship between mental disorders and personality traits and (a) attitudinal affinities with violent causes, and (b) a number of violent behaviors (including mass murder and terrorism). The evidence base is mixed and the research focus changed across time: from simple and unempirical assertions of causation to an almost complete rejection of their presence to a finer grained and disaggregated understanding. Empirical research examining mental disorder in crime and violence highlights that the commission of such events is a complex synthesis of psychopathology, personal circumstance, and environment. The article concludes with several suggestions regarding future research and practice.     

Kitchener's Principle Ethics: Implications for Counseling Practice and Research

This extensive literature review examining the influence of K. S. Kitchener's (1984) introduction of principle ethics on counseling and psychology ethics notes the ultimate practicality of principle ethics. The authors maintain that although a strong influence of principle ethics in the area of counselor education emerges through the review, there is little clear evidence of influence in the areas of counseling research or practice. A primary reliance in the counseling professional literature on K. S. Kitchener's original work has likely resulted in a static understanding of the concepts and a concomitant theory–to–application knowledge gap. Implications include a more thorough and ongoing bridging between counseling ethics, philosophical ethics and practice, and a more overt presence of principle ethics.     

A Review of Counseling for Wellness: Theory,Research, and Practice

Book reviewed in this article: Jane E. Meyers and Thomas J. Sweeney, Eds. (2005). Counseling for Wellness: Theory, Research, and Practice.     

Spiritual Maturity and Mental Health: Implications for Counseling

Evidence was found to support the validity of Genia's (1997) spiritual maturity typology. Participants (N = 256) were categorized as spiritually growth-oriented, transitional, dogmatic, or underdeveloped. Those in the underdeveloped and dogmatic groups seemed to be more emotionally distressed than those in the growth oriented group. The authors also formed a group, based on scores above the mean on both the Dissociation Scale and the Sexual Abuse Trauma Index (SATI) of the Trauma Symptom Checklist-40 (TSC-40; Elliott & Briere, 1992), that they hypothesized were traumatized in childhood. They found that those individuals, compared to the nontraumatized persons, experienced lower levels of spiritual support and were more symptomatic on mental health measures. The traumatized women, especially, experienced psychological distress, particularly in areas of depression, anxiety, and sexual problems. Although trauma generally was associated negatively with spiritual development, some traumatized persons also scored among the spiritually growth oriented, suggesting that such trauma is not associated in all cases with a detrimental effect in the process of spiritual development.     

A Study of Religiosity and Psychological Well-being Among African Americans: Implications for Counseling and Psychotherapeutic Processes

This study examined whether a relationship exists between religious orientation as a therapy intervention and the degree of depression, coping behavior and self-esteem among African American adults. In addition, the relationship and predictive power of selected religious and socio-demographic variables and religious orientation as a therapy intervention were studied. African American adults were randomly selected to participate in this empirical study. Age had a significant independent effect on intrinsic religiosity and extrinsic religiosity and a linear relationship was found between extrinsic religiosity and the seven demographic predictor variables at the .05 level of significance.     

Separation Versus Connection,The Gender Controversy: Implications for Counseling Women

Traditional developmental theories hold that separation is the primary goal of human emotional development. Numerous current theorists question this notion. They propose that a girl's development of self is dependent on mutually empathic relationships with primary caretakers. This revision of developmental theory has implications for counseling. The counseling relationship with a woman should provide validation for her relational skill and opportunity to practice relational competence within the counseling relationship. Boys and men may also have the need to develop relational competence to secure a strong sense of self. If so, a relational model of counseling would apply to them as well.     

A Review of School Counseling Outcome Research: Implications for Practice

In this review, the authors summarize school counseling outcome research published between 1988 and 1995. Gysbers and Henderson's (1994) comprehensive developmental guidance model served as the organizing model through which the status of empirical literature regarding school counseling is examined. Results indicated that research focused more on remediation activities as compared to preventive interventions. This review found tentative support for career planning, group counseling, social skill training activities, and peer counseling. Practical implications and future research direction are drawn from these conclusions.     

Sex-Related HIV/AIDS Prevention Among African American College Students: Issues for Preventive Counseling

This study examined condom use during oral and anal sex among 1,593 African American male and female college undergraduates. Findings suggest a high level of concordance between men and women on several measures. However, female participants were more likely to use condoms during oral and anal sex than were male participants.     

Psychosocial Development and Black Male Masculinity: Implications for Counseling Economically Disadvantaged African American Male Adolescents

Few articles exist on issues related to counseling African American male adolescents. This article examines developmental and sex role factors and their importance for counseling interventions and the counselor-client relationship. Implications are drawn for counselors desiring to improve their abilities to assist this population.