Counselor Education Students’ Perceptions of Wellness and Mental Health in African American Men: The Effects of Colorism

Colorism is discrimination based on skin tone. Skin color influences clinicians’ diagnostic impressions. The degree to which colorism influences counseling students’ clinical decision making is unknown. This study examined colorism's effect on counselor education master's students’ (N = 154) clinical decisions. Analysis of covariance failed to produce statistically significant results when comparing students’ evaluations of a male African American's mental health and wellness, when controlling for presentation management, across 4 skin tones. Counselors should include colorism in diversity training. El colorismo es la discriminación basada en el tono de la piel. El tono de la piel influye en las impresiones diagnósticas de los profesionales clínicos. Se desconoce hasta qué punto el colorismo influye en las decisiones clínicas de los estudiantes de consejería. Este estudio examinó el efecto del colorismo en las decisiones clínicas de estudiantes de maestría en educación de consejeros (N = 154). El análisis de la covarianza no produjo resultados estadísticamente significativos al comparar las evaluaciones de los estudiantes sobre la salud mental y el bienestar de un cliente afroamericano varón, controlando la gestión de la presentación de 4 tonos de piel diferentes. Los consejeros deberían incluir el colorismo en la capacitación de diversidad.     

Adaptive Coping Reduces the Impact of Community Violence Exposure on Violent Behavior among African American and Latino Male Adolescents

This study examined whether coping moderated the impact of community violence exposure (CVE) on violent behavior among 285 urban African American and Latino adolescent males assessed annually across 5 years. Composites indicating overall CVE (having knowledge of others’ victimization, witnessing violence, direct victimization) and approach to coping with CVE were created by averaging across years 1–3 (Time 1; mean ages 14–16). Adolescents classified as coping effectively tended to respond to CVE in beneficial ways (e.g., developing long-term solutions, engaging in positive reappraisal). Violent behavior was examined across years 1–3 (Time 1) and years 4–5 (Time 2; mean ages 18–19). CVE was longitudinally associated with greater violent behavior, adjusting for Time 1 levels of violent behavior. This association was significant only among adolescents with less effective coping strategies. Interventions targeting the enhancement of coping skills may be an effective method of reducing the impact of CVE on adolescent violent behavior. Sonya S. Brady is now an Assistant Professor in the Division of Epidemiology and Community Health, School of Public Health at the University of Minnesota (1300 South Second Street, Suite 300, Minneapolis, MN 55454-1015, USA; Tel.: +1-612-6241818; Fax: +1-612-6240315.     

African American Pastors on Mental Health,Coping, and Help Seeking

Within the Black Church, there remains much that is unknown about pastoral motivations, beliefs, and attitudes about mental health. The purpose of this study was to investigate pastors' responses to parishioners dealing with mental health issues, including perspectives on counseling services and coping strategies. According to this study's findings, African American pastors often are the first line of support for parishioners' mental health and recognizing adaptive and maladaptive forms of coping.     

Exploring the Relationship Between Gay Affirmative Practice and Empathy Among Mental Health Professionals

During the last several decades, psychologists have placed emphasis on multicultural competence as an essential aspect of training and practice. However, despite this emphasis, empirical data on the effects of multicultural training and practice are generally limited to variables such as race and ethnicity, with very little research on sexual minorities. However, a framework for understanding competent practice with sexual minorities does exist in the form of the concept of gay affirmative practice (GAP), which has been successfully operationalized by Crisp ( 2006b ). Using the GAP measure and scores of empathy, the authors examined students and practitioners in the helping profession to explore the relationship between empathy and level of gay affirmative work. Findings indicated that levels of empathy predicted overall levels of GAP. The authors discuss the clinical implications of these findings and explore how the findings fit within the literature surrounding empathic understanding. Durante las últimas décadas, los psicólogos han puesto un énfasis especial en la competencia multicultural como un aspecto esencial en la formación y la práctica. Sin embargo, a pesar de este énfasis, los datos empíricos sobre los efectos de la formación multicultural y su práctica están generalmente limitados a variables como raza y etnicidad, con escasas investigaciones realizadas sobre minorías sexuales. Aun así, existe un marco teórico para comprender la práctica competente con minorías sexuales denominado terapia afirmativa gay (GAP, por sus siglas en inglés), que fue operacionalizado con éxito por Crisp ( 2006b ). Usando las medidas GAP y puntuaciones de empatía, los autores examinaron a estudiantes y profesionales del campo de la consejería para explorar la relación entre empatía y el nivel de trabajo afirmativo con la comunidad gay. Los resultados indicaron que los niveles de empatía pronosticaron niveles totales de GAP. Los autores discuten las implicaciones clínicas de estos resultados y exploran cómo estos encajan con la literatura sobre comprensión empática.     

Examining Latino Family Participation in Treatment for Childhood ADHD: The Role of Parental Cultural Factors and Perceptions

Attention-deficit/hyperactivity disorder (ADHD) is a common mental health disorder in childhood. Unfortunately, Latino youth and their families are at increased risk of demonstrating poor treatment outcomes. The current study examined the impact of parental cultural factors and perceptions on Latino family participation in a psychosocial intervention for childhood ADHD. Sixty-one Latino youth and at least one of their primary parents and teachers participated in the current study. Results indicated that parental acculturation, attitudes regarding treatment, and baseline severity of child symptomatology and functional impairment were related to treatment participation outcomes. Implications and future directions are discussed.     

Resilience Among Urban African American Male Adolescents: A Study of the Protective Effects of Sociopolitical Control on Their Mental Health

Resilience refers to the notion that some people succeed in the face of adversity. In a risk-protective model of resilience, a protective factor interacts with a risk factor to mitigate the occurrence of a negative outcome. This study tested longitudinally the protective effects of sociopolitical control on the link between helplessness and mental health. The study included 172 urban, male, African American adolescents, who were interviewed twice, 6 months apart. Sociopolitical control was defined as the beliefs about one's capabilities and efficacy in social and political systems. Two mental health outcomes were examined—psychological symptoms and self-esteem. Regression analyses to predict psychological symptoms and self-esteem over time were conducted. High levels of sociopolitical control were found to limit the negative consequences of helplessness on mental health. The results suggest that sociopolitical control may help to protect youths from the negative consequences of feelings of helplessness. Implications for prevention strategies are discussed.     

Exploring Divergent Patterns in Racial Identity Profiles Between Caribbean Black American and African American Adolescents: The Links to Perceived Discrimination and Psychological Concerns

Using cluster analyses, this study explored the relations among racial identity, perceived discrimination, and psychological concerns among 189 Caribbean Black American and African American adolescents. Findings showed that for all participants, less mature racial identity profiles were significantly related to perceived discrimination and psychological concerns. However, nuances in racial identity profiles between Caribbean Black American and African American participants suggest subtle ethnic group differences in racial identity development. Implications for practitioners and research are discussed. Usando análisis cluster, este estudio exploró las relaciones entre identidad racial, discriminación percibida y preocupaciones psicológicas en 189 adolescentes afroamericanos y americanos negros caribeños. Los hallazgos mostraron que, para todos los participantes, los perfiles de identidad racial menos maduros estaban significativamente relacionados con una discriminación percibida y preocupaciones psicológicas. Sin embargo, los matices de los perfiles de identidad racial entre los participantes afroamericanos y americanos negros caribeños sugieren unas diferencias sutiles entre ambos grupos étnicos en el desarrollo de la identidad racial. Se discuten las implicaciones para practicantes e investigadores.     

The Influence of Cultural and Racial Identification on the Psychosocial Adjustment of Inner-City African American Children in School

The purpose of this study was to examine the relationship and combined influence of racial identity and Africentric values on African American children's psychosocial adjustment. Participants were 104 (53 males, 51 females) African American fourth-grade students attending an inner-city public school in a northeastern city. Child and teacher ratings were used to assess the relationship between racial identity, Africentric values, and several indices of child psychosocial adjustment, including child behavior control, school interest, and teacher perceptions of child strengths and problems in the classroom. Child self-esteem and the effects of gender and cohort were used as covariates in several analyses in the study. Overall, findings from the study supported the usefulness of combining racial identity and Africentric values into a single model of ethnic identification for African American children. Implications for risk prevention and enhancement of psychosocial functioning among African American children are discussed.     

The Ecology of Experiences for African American Women in Clinical Doctoral Programs

African American women must navigate higher education, in particular, clinical doctoral programs, as a gendered racial minority. These women often endure multiple levels of discrimination to obtain their degree. Findings of this study highlight these experiences and suggest the importance of increasing supports for African American women in clinical doctoral programs. Practices and supports should be put in place so that students of color are not marginalized because of their race. Las mujeres afroamericanas tienen que pasar por la educación superior, y particularmente en programas de doctorado clínico, como una minoría racial y de sexo. Estas mujeres sufren con frecuencia múltiples niveles de discriminación para poder obtener su titulación. Los hallazgos de este estudio destacan estas experiencias y sugieren la importancia de incrementar los apoyos para mujeres afroamericanas en programas de doctorado clínico. Deberían implementarse prácticas y apoyos para que las estudiantes de color no sean marginadas por su raza.     

A Content Analysis of Research on Disability: American Counseling Association Journals Between 2003 and 2013

This content analysis provides an overview of disability articles published in 10 major American Counseling Association journals between 2003 and 2013. In addition to the number of disability articles published during this time period, other content areas such as authorship and institutional contributors; methodology, location, and application settings; target populations and sample characteristics; type of disabilities; and topics of interest are identified. Recommendations for counseling scholars to increase the scope of research on disability are provided. Este análisis de contenido proporciona una visión general de los artículos sobre discapacidad publicados en 10 revistas principales de la Asociación Americana de Consejería (American Counseling Association) entre 2003 y 2013. Además del número de artículos sobre discapacidad publicados durante este periodo, se identifican otras áreas de contenidos, como la autoría y contribuidores institucionales, la metodología, ubicación y lugares de aplicación, las poblaciones observadas y características de los grupos de muestra, los tipos de discapacidad, y los temas de interés. Se proporcionan recomendaciones para que los expertos académicos en consejería puedan ampliar el alcance de las investigaciones sobre discapacidad.     

Investigating Occupational Stress,Racial Identity,and Mentoring for African American Women in Health Care

This study examined the influence of racial identity and mentoring experiences on occupational stress among African American women in health care (N = 76). The women were surveyed about their occupational stress (role stress, psychological strain, and personal resources), racial identity, demographic information, and mentoring experiences. Results indicated that racial identity was negatively related to role stress and psychological strain, and level of education was closely related to personal resources. Mentoring was not found to have a significant impact on occupational stress as hypothesized. The implications for enhancing occupational satisfaction were discussed in relation to advocacy for career development professionals.     

The Stability of Self-Reported Physical Symptoms in African American Mothers and Their Impact on Children

Self-reported physical symptoms are an important marker of health and well-being, particularly among African American women. The stability of African American women’s physical symptoms or the impact of their symptoms on their children, however, has yet to be examined. This longitudinal study examined the stability of maternal self-reported physical symptoms, as well as their role in shaping child-reported physical symptoms, among 137 low-income African American families. Findings revealed that mothers’ self-reported physical symptoms were stable over 2.5 years. Mothers who reported higher levels of physical symptoms were more likely to have children who concurrently reported higher levels of symptoms. Physical symptoms reported by mothers at the first assessment also predicted child-reported physical symptoms 2.5 years later, but only for boys. Physical symptoms appear to be an important, yet understudied, symptom domain that may have significant implications for the health and well-being of African American families.     

Cultural Mistrust and the Clinical Diagnosis of Paranoid Schizophrenia in African American Patients

This study examined agreement between clinical diagnoses and research diagnoses of schizophrenia for a sample of African American patients recently admitted to a psychiatric hospital. It also examined the association of cultural mistrust with disagreement between clinical diagnoses and research diagnoses of the paranoid subtype of schizophrenia. Complete data was available for 118 (77%) of the 154 cases from the original sample. Agreement among the different sources of diagnoses was poor in 5 out of 6 comparisons. The lack of agreement can be attributed, in part, to the fact there were significantly more cases of schizophrenia using clinical diagnoses than those using SCID or best estimate methods. Contrary to the hypothesis, however, level of cultural mistrust did not predict the excess in clinical diagnoses of paranoid schizophrenia. Cultural mistrust was positively associated with the odds of a diagnosis of paranoid schizophrenia by the best estimate method. The implications of the results for the diagnosis and treatment of African American patients are discussed.     

Low Prospects and High Risk: Structural Determinants of Health Associated with Sexual Risk Among Young African American Women Residing in Resource-Poor Communities in the South

African American women at increased risk of HIV/sexually transmitted infection (STI) may engage in risky sex as a coping mechanism for depressed economic conditions. This study examines the association between high-risk sexual behavior and structural determinants of sexual health among a sample of young African American women. 237 young African American women (16–19 years old) from economically disadvantaged neighborhoods in North Carolina were enrolled into a randomized trial testing the efficacy of an adapted HIV/STI prevention intervention. Logistic regression analyses predicted the likelihood that young women reporting lack of food at home, homelessness and low future prospects would also report sexual risk behaviors. Young women reporting a lack of food at home (22 %), homelessness (27 %), and low perceived education/employment prospects (19 %) had between 2.2 and 4.7 times the odds as those not reporting these risk factors of reporting multiple sex partners, risky sex partners including older men and partners involved in gangs, substance use prior to sex, and exchange sex. Self-reported structural determinants of sexual health were associated with myriad sexual risk behaviors. Diminished economic conditions among these young women may lead to sexual risk due to hopelessness, the need for survival or other factors.     

Effects of Counseling and Ethnic Identity on Perceived Risk and Cancer Worry in African American Women

Improving breast screening behaviors in African American women is an important public health goal. To increase participation in screening, it is necessary to identify factors that contribute to reduced screening, including perceived risk and cancer worry. This paper presents predictors of changes perceived in risk and worry among African American women of differing ethnic identities as they undergo breast cancer risk counseling. Participants (n = 113) were recruited from community sources to a study of counseling for breast cancer risk. They completed a baseline assessment, randomly received breast cancer risk counseling or served as a control group, and completed a follow-up assessment. Counseling produced significant differences in perceived risk and cancer worry. Predictors of risk and worry changes, as a result of counseling, included income and ethnic identity. These data can guide better services for African American women and research into the complexity of the effects of ethnic identity on health.     

What the face and body reveal: in-group emotion effects and stereotyping of emotion in African American and European American children

This study examined whether 3- to 7-year-old African American and European American children’s assessment of emotion in face-only, face + body, and body-only photographic stimuli was affected by in-group emotion recognition effects and racial or gender stereotyping of emotion. Evidence for racial in-group effects was found, with European American children being more accurate when assessing emotion in European American photographs than African American photographs for some emotions. African American children were either equally proficient in recognizing emotion in African American and European American photographs or were more accurate with European American photographs for some emotions. Stereotyping of emotion was also found, with boys being more often labeled with “masculine” emotions (e.g., mad) and at least some girls being more often labeled with “feminine” emotions (e.g., happy). However, stereotyping effects were found only when the face was present in the stimuli and were not found with body-only stimuli. In-group effects, however, were not affected by type of photograph (face-only, body-only, or face + body), with children being unable to recognize at least some emotions from just the body postures alone (mad). These results have important implications for how future studies assess emotion recognition in children, particularly in terms of how emotion stimuli are constructed, the diversity of the stimuli, and who judges the stimuli.     

Sister Friends: A Reflection and Analysis of the Therapeutic Role of Sisterhood in African American Women's Lives

Research with ethnically diverse women has found that friendships can enhance women's health and mental wellbeing (Greif & Sharpe, 2010 Greif , G. L. , & Sharpe , T. L. ( 2010 ). The friendships of women: Are there differences between African Americans and Whites? Journal of Human Behavior In The Social Environment , 20 ( 6 ), 791 – 807 . doi: 10.1080/10911351003751892 [Taylor & Francis Online] , [Google Scholar]). Sister friends can be crucial in assisting African American women and women of ethnically diverse backgrounds to face, address, and overcome, major transitions including stress and traumatic stress. Through a reflection and analysis of the relationship with a sister friend, the author explores the strength and challenges of sister friendship as well as therapeutic value. Recommendations are provided for sisterhood as a clinical intervention as well as for women therapist's self care. A case study of an African American woman in need of mutual sister friends is summarized. This exploration is shared through a womanistic psychology.     

African American Single Mothers and Children in Context: A Review of Studies on Risk and Resilience

This paper presents a comprehensive review of research linking single-parent family structure to parenting processes, maternal well-being, and child developmental outcomes among African Americans. The approaches used to study these families, related methodological and conceptual concerns, and the factors linked to maternal well-being, effective parenting processes, family functioning, and child outcomes are addressed. Much work remains to be done on conceptualizing and assessing parenting processes among African Americans in general and single African American mothers in particular. Researchers must examine more carefully the circumstances that foster or impede successful parenting among these mothers. Studies also are needed to disentangle the interactions between economic stress and parenting behavior and to determine the extent to which the findings can be applied to middle-income single African American parents.     

Using Cognitive Behavior Therapy in Clinical Work With African American Children and Adolescents: A Review of the Literature

A comprehensive review of the literature on clinical work with African American youth with cognitive behavior therapy (CBT) is presented. The strengths and limitations of CBT in relation to this population are outlined. Although CBT shows promise in helping, research on the efficacy and effectiveness of CBT in this group is lacking. Se presenta una reseña exhaustiva de la literatura sobre trabajo clínico con jóvenes Afroamericanos usando terapia cognitiva conductual (TCC). Se perfilan los puntos fuertes y las limitaciones de la TCC en relación a esta población. A pesar de que la TCC muestra signos prometedores para servir de ayuda, no hay suficiente investigación sobre la eficacia y efectividad de la TCC en este grupo.