Ethical Considerations for Psychologists Providing Treatment to Arab Americans

Given the recent increase in hate crimes against Arab Americans, there are growing concerns over the mental health needs of Arab Americans and a pressing need for psychologists’ competence in treating this group. Although there are several clinical guidelines for other health care professions, there remains a paucity of information on the ethical issues that may arise for psychologists treating this Arab Americans. This article briefly provides background information on Arab Americans, highlights elements of Arab culture that might influence psychological treatment, discusses ethical issues that might arise when psychologists provide services to Arab Americans, and provides recommendations to address these issues.     

Simplistic Stereotyping and Complex Reality of Arab-American Immigrant Identity: Consequences and future strategies in policing wife battery

The interplay between the actual diversity in a group's internal identity and the imposition of external simplistic stereotypes is often not discussed in relation to policing domestic violence among Arab Americans. Four reported case examples of domestic violence among Arab Americans in a mid-western city form the basis of the discussion. The arguments underscore the challenges faced in this process in terms of the unity and disunity of Arab identity, the varying norms and values relating to violence against women in the Arab culture. The challenges are even more compounded due to the invisibility of Arab Americans in the diversity training curriculum of law enforcement agents and the influence of the overall negative images on the practice of policing within this community. These challenges have dire consequences for victims of domestic violence and the effectiveness of policing such a crime. It is thus essential that Arab Americans are included and understood in the diverse portrait of American society to aid law enforcement officers to do their job effectively.     

Explaining Muslim Americans’ Opinions on Salient Issues

Despite numerous individual success stories of living the American dream, the Muslim American community still remains one of the most misunderstood and underrepresented minorities in the United States. This study investigates the views of this community by mapping and explaining members' investigates on a number of issues of social and political import. It shows that the issue attitudes of Muslim Americans are rather uniform on some social and non-social issues but very diverse on others. Moreover, it also shows that the differences of opinion that were uncovered can be explained by a variety of factors including a respondent's ethnic or national origin and how committed a respondent is to the practice of Islam, defined by the frequency of mosque attendance. While these results are temporally limited, they do show that this is a very diverse community and set a strong foundation for further quantitative and qualitative investigations of how Muslim Americans' religious practices, ethnic backgrounds, and socio-economic characteristics affect their essential social and political beliefs.     

Somatization in Chinese American clients: Implications for psychotherapeutic services

Chinese Americans have a tendency to somatize, or complain of physical discomforts, when they experience psychological or emotional problems. Differentiating whether these clients have a mental health problem or a physical ailment is a critical diagnostic and treatment issue. In addition, psychogenic somatic complaints need to be addressed in a culturally congruent manner in the context of psychotherapy. This paper examines the somatic symptoms commonly reported by Chinese American clients. Ways to address these issues in differential diagnosis and in treatment will be discussed along with case examples.Portions of this paper were presented at the 100th Annual Convention of the American Psychological Association, Washington, D.C., August, 1992.     

Mental health disparities impacting Christian Korean Americans: a qualitative examination of pastors’ perspectives

Mental health disparities impacting Korean Americans are multifaceted. Although encouraging developments have been made in the knowledge of mental health prevalence and professional help-seeking behaviours of Asian Americans, Korean Americans continue to experience many challenges and unique needs that require more ethnic- and culture-specific knowledge. Given the prominent role that religion, particularly Christianity, plays in the Korean American context, we conducted exploratory interviews with 10 Korean American pastors regarding their perspectives on mental health issues impacting the Korean American community. Using consensual qualitative research, we found four salient domains: (a) Barriers to seeking mental health services, (b) Challenges that pastors experience, (c) Pastor’s assessment of church’s current climate in approaches to mental health issues, and (d) What is needed. Implications for research and practice in addressing mental health disparities are discussed.     

Facets of Right‐Wing Authoritarianism Mediate the Relationship Between Religious Fundamentalism and Attitudes Toward Arabs and African Americans

Since the September 11 terrorist attacks, hate crimes against Arabs have increased in the United States. Despite recent increases in anti‐Arab attitudes, little psychological research has been conducted to understand this prejudice. Across two studies, we tested a theoretical model of Arab and African‐American prejudice. We found the aggression facet of right‐wing authoritarianism mediated the relationship between religious fundamentalism (RF) and prejudice toward Arabs and African Americans. Results are interpreted in light of previous research on cognitive rigidity, RF, and prejudice, and implications are made for political leaders conversing about Arab nations and peoples.     

Mass Trauma in the African American Community: Using Multiculturalism to Build Resilient Systems

Within the last 4 years, there has been an increasing awareness of traumatic shootings of Black Americans in our society, more specifically Black American males who are likely descendants of slaves and or low socioeconomic status. This increase in media coverage of these shootings has highlighted not only the plight of Black Americans in America but also the real threat of death Black American’s live with. Americans in general have expressed outrage against these fatal shootings, which has been traumatic for many people, especially Black Americans and their community. These shootings severely impact Black American families and communities causing them to become trauma organized; losing basic sense of physical and psychological safety as well as family and community functionality. Understanding the effects these shootings have on the Black American community can help clinicians work more effectively work with this population. This article presents the Multi-Phase Model of Psychotherapy, Counseling, Human Rights and Social Justice (MPM) as a vital and necessary perspective in the treatment of traumatized Black Americans, specifically those effected by mass traumatic events, as well as a case study that applies the MPM using the fatal shooting of Philando Castile.     

A Family Strengths Model of Adjustment to Disability for African American Clients

Sociocultural factors germane to African American families need to be recognized and incorporated into the counseling process of African Americans with disabilities. It is imperative that counseling professionals develop a thorough understanding of the family, community, and cultural ecologies of African Americans who are disabled. This article includes an analysis of the African American family system and its inherent strengths. A family strengths model of adjustment to disability for African American clients is presented, and potential applications of the model to the adjustment process are provided.     

As I See It: A Study of African American Pastors’ Views on Health and Health Education in the Black Church

The Black Church is the only institution that has consistently served the interest of African Americans, and there is no other institution in the African American community that rivals its influence (Camara, 2004). The spiritual well-fare, social support, health, and well-being of its people have been one of its main goals. With health disparities of African Americans still at an alarming rate, the Black Church has used informal education as a means to impart knowledge on health, as well as other non-religious and religious topics. One of the avenues least researched within the Black Church is the pastor’s perception of its educational role in health and wellness and its efforts to reduce health discrimination and health disparities between African American and European Americans in the U.S. Since social justice appears as a theme and concern in the traditions of many churches, it is only appropriate that, among other things, the Black Church should address the issue of health education and interventions. The purpose of this study was to explore African American pastors’ perceptions of the role of the Black Church in providing health care, health education, and wellness opportunities to African Americans. Many pastors reported their church provided some form of health education and/or health screenings. Their perceptions about the important issues facing their congregants versus African Americans in general were quite similar.     

African American Couples in the 21st Century: Using Integrative Systemic Therapy (IST) to Translate Science into Practice

The complexity of the African American community in the United States continues to evolve. The growing number of professional African Americans who grew up in the postcivil rights era combined with the persistent reminders of inequity paints a complex backdrop for understanding African American relationships. The majority of our knowledge about African American couples disproportionately comes from nonclinical social science fields such as sociology and demography. Unfortunately, the scholarly literature on how to work with African American couples is relatively scant. This paper seeks to add to this limited literature by providing clinicians and scholars with a proposed set of issues to consider when conceptualizing and treating African American couples. In particular, the complexity and nuance needed to work with African American couples are best done by using an integrative model. Thus, this paper will discuss how the Integrative Systemic Therapy (IST) model is particularly well suited for working with African American couples. This paper will summarize the science on African American marriages with a focus on salient factors such as gender, SES, and trust, which will then be translated into clinical practice by utilizing a case example. The case example will be of a middle‐class couple in order to delineate the challenges and the growing heterogeneity of African Americans. The article will conclude with a commentary on the evolving heterogeneity of African Americans, which sheds light on how an integrative perspective is important for disentangling and embracing the growing complexity of African American couples.     

Race differences in psychopathology and disparities in treatment seeking: Community and jail-based treatment seeking patterns

Whites in community samples utilize mental health services at a much higher rate than African Americans (Kessler, et al., 2005). Is this also the case among those in jails? In this study of jail inmates (229 African American, 185 White) there were no race difference in the overall need for mental health treatment (63% of participants had significant symptoms on the Personality Assessment Inventory) but race differences in the level and types of symptoms were evident. Additionally, while Whites were more likely to report pre-incarceration treatment there were no differences in treatment seeking or access to mental health programs while in jail, implying that if barriers to treatment in the community were removed (cost/insurance, location/transportation, time) racial disparities in treatment utilization may be reduced.     

Sociodemographic Differences in Humility: The Role of Social Relations

This study examines whether humility is associated with gender, education, and racial/ethnic group. We also investigate how social relations mediate these links across the life course. Data are from the Detroit Community Study, which focused on three prominent groups in the area: Arab Americans, African Americans, and White Americans (N=907). Findings indicate that Arab Americans and African Americans report greater humility than Whites. Further, social relations partially mediate this association, but only among older Arab Americans. Findings are discussed within a developmental science perspective to consider the relational aspects of the individual and context over the life course.     

Knowledge, Attitudes, and Beliefs of Arab-American Women Regarding Inherited Cancer Risk

The increasing incidence of breast cancer in the Arab world, coupled with a relatively early age of onset, raises concern for the presence of hereditary risk factors in this population. However, due to potential structural and cultural barriers, Arab Americans make up the smallest percentage of individuals tested for Hereditary Breast and Ovarian Cancer Syndrome in the United States. The objectives of this qualitative pilot focus group of 13 Arab-American women were to explore attitudes, knowledge and beliefs regarding hereditary breast cancer in the Arab-American community in metropolitan Detroit, identify barriers that would prevent women from seeking hereditary cancer screening/testing and determine who women would talk to about inherited cancer. Results indicated that cultural beliefs and personal experiences with cancer influenced the women’s perspectives on hereditary cancer risk. A high level of secrecy about cancer within Arab-American families was present, which may prevent accurate risk assessment and referral for genetic services. Other identified barriers that may influence hereditary risk assessment included stigma, fears and misconceptions of cancer. While these barriers were present, participants also expressed a strong need for education and tailored cancer risk information for their community.     

Community and Christianity in the Black Church

The authors explore the experience of Christian religion for many African Americans. In response to racial discrimination and prejudice within churches, African Americans developed a Christian tradition with distinct meanings, beliefs and practices. This tradition provides a foundation for social activism within the church, community and American society, as well as community among church members. The recent Black church burnings are discussed with respect to the more traditional Christian African American view of religion. Implications for incorporating the religious traditions of Christian African Americans into counseling practice are explored. (The authors use the term Black church or African American church as a surrogate for Christian African American church throughout the article. The terms Black and African American will also be used interchangeably).     

Whose ideology? A rejoinder to M. Plon

M. Plon commits the same offense that he finds so odious in American social psychology: A confounding of political axioms and scientific reasoning. His desire to demonstrate ideological blindness in Americans leads him to misinterpret some published works on the Prisoner's Dilemma paradigm in bargaining research and to ignore the issue of the most useful balance in emphasis between conflict maintenance and conflict resolution when these topics are studied experimentally. Thus, M. Plon's angry attack is not a clarification of the deep issues that he essays but, rather, another data point that will itself need to be understood.     

Anxiety disorders research with African Americans: current status

Anxiety disorders are the most common psychiatric disorders in the general population of the United States. Recent findings indicate that the prevalence of certain anxiety disorders may be higher in African Americans. In addition, anxiety disorders in African Americans may be manifested differently. Despite the high prevalence and the suggestion of different patterns of manifestation, a paucity of research exists on anxiety disorders in this population. This may be due in part to the pattern of help-seeking behavior among African Americans, a negative perception of research by members of this community, the small number of African American researchers, and perhaps to some extent a general disinterest on the part of researchers. The available research on anxiety disorders in African Americans is critically reviewed, the need for research in the area is highlighted, and ways to facilitate such research are discussed.     

Racial reckoning,resistance, and the revolution: A call to community psychology to move forward

This article introduces a special issue of the American Journal of Community Psychology that features racial reckoning, resistance and the revolution in the context of a syndemic, the historical subjugation of communities of Color (COC) to racial hierarchies and the coronavirus (COVID-19). More specifically, this special issue underscores the need for community psychology and other allied disciplines to address this syndemic facing COC. The special issue delivers on the stories of the lived experiences from researchers and community members as it relates to COVID-19 and COC. Twelve articles are illuminated to challenge the field to create social change.     

Adapting Manualized Treatments: Treating Anxiety Disorders Among Native Americans

Although there is a small but growing body of literature examining the psychopathology of anxiety among Native Americans, no data are available regarding the efficacy of empirically supported treatments for anxiety disorders among Native Americans. Moreover, exceptional challenges arise in adapting mainstream approaches to Native Americans, such as language barriers, contrasting beliefs about the cause and treatment of emotional illness between mainstream and traditional Native American culture, problems with homework compliance, allowing extra time for rapport building, and the need for a spiritual component in the treatment of anxiety disorders. Native Americans also confront the challenges of rural living and low socioeconomic status. The focus of this article is largely conceptual in nature, informed by the limited psychopathology data and the first author’s experience with cognitive behavioral treatment protocols for anxiety disorders and the provision of mental health services to Native Americans. In this article we highlight the unique challenges of adapting manualized anxiety treatments for Native American clients.     

Realities and Myths of Safety Issues for Community Researchers Working in a Marginalized African American Community

Community psychologists often conduct research in collaboration with marginalized communities in which safety is an issue. However, we rarely talk about what specific safety issues we experience and how we deal with them. Our story describes the realities and myths of neighborhood safety that were experienced in a low-income African American neighborhood of Chicago, while collaborating on a project designed to increase access to the Internet to obtain health information. We examine both the challenges experienced and our responses in the context of a community intervention planned, implemented, and evaluated by a partnership team composed of various stakeholders. Critical lessons such as the importance of building on community strengths and the need to be aware of our own biases are discussed.     

Social Networks and Forgiveness: The Role of Trust and Efficacy

We examine the link between social network size and forgiveness, as well as mediating effects of self-efficacy and trust. Data are from the Detroit Community Study, which include three racial/ethnic groups: African Americans, Arab Americans, and White Americans (N=907). Results indicated that larger network size is associated with more forgiveness, but is mediated by trust. Patterns varied within racial/ethnic group: among Arab Americans self-efficacy mediated the effect of network size on forgiveness; among African Americans there were no direct or mediating effects; among White Americans an indirect effect of trust on forgiveness was identified. Findings suggest complex associations with forgiveness.