Expanding the study of U.S. religion: Reflections on the state of a subfield

The study of U.S. religion, which dates from the 19th century, expanded its sources, methods, and scope during the last quarter of the 20th century, as specialists offered more inclusive historical narratives. That methodological expansion never went far enough, however, and the impulse toward narrative inclusiveness has been restrained in recent years. The subfield, I argue, now faces a number of challenges that also confront other specializations in the study of religiondcontraction, overspecialization, fragmentation, and parochialism. After a focused overview of the subfield's history, I discuss those challenges. Proposing a tentative response, I suggest that specialists celebrate methodological diversity and theoretical sophistication, encourage comparative and translocative studies, and increase collaboration across disciplinary boundaries and national borders. Finally, I suggest that we expand the subfield's temporal span and geographical scope and reframe the study of U.S. religion in terms of the Atlantic World, the Pacific World, and the Western Hemisphere     

Religious Representation and Animal Welfare in the U.S. Senate

Does religion affect legislative behavior among U.S. senators? Scholars have established this relationship on issues closely associated with evangelical Christianity, but it is unclear how far the relationship extends. Focusing on animal welfare, this article tests the theory of personal representation and provides an expansion of the religion and legislative behavior literature. Humane Society scores (2005–2014) are regressed on senator religion, party, sex, and several constituency factors. The analysis demonstrates that religion shapes animal welfare activity. Relative to mainline Protestant senators, Mormon senators are less supportive of animal welfare, while Catholics, Jews, and black Protestants are more supportive. Some of this is due to senator religion, but it is also a reflection of state‐level factors, including state ideology and religious constituencies.     

Association of Depressive Symptomatology and Elder Mistreatment in a U.S. Chinese Population: Findings From a Community-Based Participatory Research Study

Elder mistreatment (EM) is associated with increased morbidity and mortality. The objective of this study is to examine the association between depressive symptoms and EM in a U.S. Chinese population. A community-based participatory research approach was implemented to partner with the Chicago Chinatown population. Self-reported EM was assessed using a modified Vulnerability to Abuse Screening Scale instrument. Depressive symptomatology was assessed using the short form Geriatric Depression Scale. Exact logistic regression was used to assess these associations. Of the 78 participants, mean age was 74.8 (SD = 7.8) years and 52.6% were women. EM was reported in 20.5% of participants. After adjusting for potential confounding factors, higher numbers of depressive symptoms were independently associated with increased risk of EM (Exact OR, 1.99, 95% CI [1.23, 3.41]). Interaction terms analyses suggest that higher educational levels might buffer the risk of EM associated with depressive symptoms. Longitudinal studies are needed to confirm these findings in this U.S. Chinese population.     

Rates of Subthreshold PTSD Among U.S. Military Veterans and Service Members: A Literature Review

The current study’s goal was to provide a comprehensive review of current subthreshold posttraumatic stress disorder (PTSD) rates among U.S. military veterans and service members. PubMed, PsycInfo, ProQuest, Web of Knowledge, Google Scholar, and any relevant articles’ reference lists identified studies of subthreshold PTSD in the U.S. military. Search terms included PTSD in combination with partial, subthreshold or sub-threshold, subsyndromal or sub-syndromal, subclinical or sub-clinical, and military or veteran. Sixteen articles met criteria for review. Current subthreshold PTSD rates ranged from 2.3% to 22.3%, with a weighted mean rate of 7.6%. Definitional variation within and across the “below threshold” terms produced some variability in rates reported. Few studies consistently reported on impairment and comorbidity in the subthreshold PTSD population. Variability of current subthreshold PTSD rates may be due to methodological issues such as sampling methods, sample sizes, and how below threshold PTSD was assessed and defined. Based on our findings, we provide a number of recommendations that can be used to inform future research of subthreshold PTSD among U.S. military veterans and service members. These recommendations include having a standardized term and definition, determining how to more properly assess subthreshold PTSD symptomatology, clarifying subthreshold PTSD diagnostic stability, and identifying appropriate sampling methods.     

The Psychodynamic Assumptions of the U.S. Constitution

The U.S. Constitution is a blueprint for the design of a government which reflects the consistent application of an understanding of the emotions and interests driving the political activity of individuals and groups. This understanding is articulated in the writings of key proponents of the Constitution, and clarified by its historical and philosophical context. Their theories are congruent with psychoanalytic perspectives on narcissism, leadership, group dynamics, and the role of transitional space in cultural life. The concept of interests, reformulated in psychoanalytic terms, is a useful addition to our understanding of political behavior.     

Limits to Confidentiality in U.S. Army Treatment Settings

A number of reports detail ethical concerns of behavioral health providers in the U.S. Military regarding limited confidentiality. This article provides a review of limits to confidentiality in behavioral health settings as outlined by U.S. Army regulations and Department of Defense directives. Specific limits are discussed under seven categories, including: medical treatment and oversight, command notification, threats to safety, public health purposes, judicial or administrative proceedings, law enforcement investigation, and specialized personnel programs. Specific attention is given to war crimes reporting, special duty, and command involvement. Lessons learned for best practice across service branches are provided as a collaborative model for resolving perceived conflict between the APA Ethics Code and military regulations.     

Implementing Firearms Restriction for Preventing U.S. Army Suicide

Suicide among U.S. Army soldiers remains a significant concern for both population health and personnel readiness, with firearms constituting the majority of soldier suicides. Means restriction, or removing an at-risk soldier’s access to lethal means, is a well-established procedure for reducing suicides. Nonetheless, various cultural, legal, and practical concerns may encumber firearms restriction implementation in the U.S. Army. This article reviews policy relevant to firearms restriction, including federal laws, Department of Defense directives, and U.S. Army regulations. Recommendations are provided for providers and commanders that balance the rights of soldiers with the need to ensure safety. In particular, installation restriction, field settings, enlisting supportive others, unit engagement, and off-installation storage are discussed. These approaches span the public health intervention model, providing numerous potential avenues to a balanced approach for firearms restriction in preventing suicide.     

Common barriers to healthcare for transgender people in the U.S. Southeast

Abstract

Background: Transgender and non-binary people are more likely to face barriers to healthcare than their cisgender counterparts. The majority of work in this area centers on the experiences of transgender people in northern cities and urban enclaves, yet over 500,000 transgender people live in the U.S. Southeast.

Aims: The purpose of this study is to explore barriers to healthcare among transgender people in the U.S. Southeast.

Methods: The research team conducted four 120-minute focus groups (eligibility criteria: 18?years or older, self-identify as transgender, live in the U.S. Southeast). Participants completed a demographic questionnaire prior to the start of the focus group. Each focus group explored access to and experiences of receiving basic healthcare as a transgender person in the U.S. Southeast. Established qualitative methods were used to conduct the focus groups and data analysis.

Results: Participants (n?=?48) ranged in age from 19 to 65, with the majority identifying as trans women (43.8%) and non-binary (33.3%). The sample was racially diverse: White (50%), Black (37.5%), and Latinx or Multiracial (12.5%). Multiple barriers to care were identified: (1) fear and mistrust of providers; (2) inconsistency in access to healthcare; (3) disrespect from providers; and, (4) mistreatment due to intersecting experiences of gender, race, class, and location.

Discussion: Transgender Southerners face barriers to care at the structural, cultural, and interpersonal levels. The study results have implications for researchers, as well as providers, practices, and health care systems throughout the region.     

U.S. Patriotism and Ideologies of Group Dominance: A Tale of Asymmetry

Abstract

Using a random sample (N = 405) of White and Latino Americans from Los Angeles County, the authors explored whether there is an asymmetrical relationship between U.S. patriotism and two different dimensions of social dominance orientation: group antiegalitarianism and group dominance. Although there was no evidence of asymmetry in the relationship between U.S. patriotism and group antiegalitarianism, there was evidence of consistent asymmetry in the relationship between U.S. patriotism and group dominance. Among Whites (the dominant North American ethnic group) and depending on demographic variables such as age, education, income, and gender, the greater the respondents' tendency to subordinate “inferior groups,” the greater their level of U.S. patriotism. In contrast, among Latino Americans (the major subordinate group in Southern California), the opposite trend was found. Here, higher levels of group dominance orientation were associated with lower levels of U.S. patriotism. The theoretical implications of these findings are discussed.     

Parental Psychological Abuse and Control in the Personal and the Social Domains: Comparison of U.S. and Japanese Samples

The study cross-nationally examined to what degree parental psychological abuse (rejection, isolation, and emotional neglect) would be associated with control of adolescents' personal domain as opposed to prudential-conventional domain. Participants (ages 14–18) included 170 Americans, 125 Japanese from Akita Prefecture, and 320 from Tokyo. With all samples, abuse was linked to overcontrol. However, the link was domain specific, pertaining only to the personal domain (e.g., hairstyle) and not prudential (e.g., use of alcohol) or conventional (e.g., table manners) domains. Psychological abuse also predicted adolescents' desire of parental authority in different domains among cultures. U.S. adolescents, linked to abuse, desired more freedom within the overlap issues, whereas Akita adolescents desired greater parental authority for the personal. Tokyo adolescents' autonomous expression was in the middle between the U.S. and Akita samples. This study suggests control of the personal is a component of psychological abuse. Cultural effect on autonomous expression linked to abuse is discussed.     

The gap between law and ethics in human embryonic stem cell research: Overcoming the effect of U.S. Federal policy on research advances and public benefit

Key ethical issues arise in association with the conduct of stem cell research by research institutions in the United States. These ethical issues, summarized in detail, receive no adequate translation into federal laws or regulations, also described in this article. U.S. Federal policy takes a passive approach to these ethical issues, translating them simply into limitations on taxpayer funding, and foregoes scientific and ethical leadership while protecting intellectual property interests through a laissez faire approach to stem cell patents and licenses. Those patents and licenses, far from being scientifically and ethically neutral in effect, virtually prohibit commercially sponsored research that could otherwise be a realistic alternative to the federal funding gap. The lack of federal funding and related data-sharing principles, combined with the effect of U.S. patent policy, the lack of key agency guidance, and the proliferation of divergent state laws arising from the lack of Federal leadership, significantly impede ethical stem cell research in the United States, without coherently supporting any consensus ethical vision. Research institutions must themselves implement steps, described in the article, to integrate addressing ethical review with the many legal compliance issues U.S. federal and state laws create. The opinions expressed in this article are the author’s own, and are not necessarily the opinions of others, including Children’s Hospital Boston. Portions of earlier versions of this article were previously published by the American Bar Association and the New York State Bar Association.     

Online Telehealth Delivery of Group Mental Health Treatment Is Safe,Feasible, and Increases Enrollment and Attendance in Post-9/11 U.S. Veterans

Post-9/11 U.S. veterans are clinically complex with multiple co-occurring health conditions that lead to increased morbidity and mortality, risk for suicide, and decreased quality of life, but underutilization and resistance to treatment remain significant problems. Increased isolation and decreased community and social support due to coronavirus disease (COVID-19) have exacerbated mental health risk. This study evaluated the safety and feasibility of home-based telemental health group workshops to improve reintegration and social connection in post-9/11 U.S. military personnel. Seventy-four (61 males/13 females) post-9/11 U.S. military veterans were randomized to receive 12 sessions of STEP-Home cognitive-behavioral group workshop or present-centered group therapy. Treatment was delivered either in person (traditional medical center setting, treatment as usual [TAU]), or via home-based synchronous videoconferencing (VC). The change to VC occurred due to social distancing guidelines during COVID-19. Mean age was 41.0 years (SD = 11.5, range 24–65). Forty-five (36 males/9 females) participated in VC and 29 (25 males/4 females) in TAU. Demographics were similar across treatment milieu. There were no differences in therapist treatment adherence for TAU versus VC. Therapist satisfaction was higher for TAU groups (q value < .05). Veterans showed higher enrollment, attendance, group cohesion, and veteran-to-veteran support for VC compared to TAU (q values < .05). Safety procedures were successfully implemented via VC. Results demonstrate the safety, feasibility, and high satisfaction of group telemental health in U.S. veterans. Higher enrollment and treatment adherence for telemental health delivery resulted in a greater likelihood of receiving an effective treatment dose than TAU. Strong group cohesion and veteran-to-veteran support were achievable via telehealth. Telemental health offers convenient, efficient, and cost-effective care options for veterans and may be particularly helpful for patients with high psychiatric burden.     

The study of American religion: looming through the glim

The study of American religion has been expanding to include new perspectives, previously neglected characters, and new geographic insights, driven by critical reflection on the assumptions and ideologies that historically have shaped the field, such as its focus on institutions, doctrines, and texts, its nationalistic westward-expansion historical narrative, and its Protestant biases. The past two decades have seen illuminating work emerge on race and gender, popular culture, class, and the marketplace. But we need to push beyond filling in gaps in the historical record to engage methodological and theoretical concerns in the academic study of religion. Exploring the development of theories of religion in the context of global networks of exchange shaped by 19^th-century seafarers is one example of how Tom Tweed's recent call in this journal for a geographic and temporal expansion of the study of religion in America might raise new questions and perspectives for the field.     

Group interpersonal skills training in a natural setting: an experimental study.

This study assessed effectiveness of group interpersonal skills training conducted in a natural setting with nonanalogue clients. Subjects (Ss) in a behavioral-training condition received 4 hr of instruction consisting of modeling, behavioral rehearsal, coaching, feedback and reinforcement. Training focused on positive and negative social responses and on initiating interactions, as well as reacting to interactions initiated by others. Subjects in a discussion-control condition engaged in focused discussion of interpersonal concerns but received no experiential practice. Within a pre-test-post-test control group design, subjective and objective measures were used to assess training effects. When compared to Ss involved in group discussion. Ss participating in group behavioral training revealed greater pre- to post-test changes on selfreported probability of engaging in selected interpersonal responses and on objective measures of eye contact, speech duration, positive affective responses, use of no-statements, compliance, refusals and requests for new behavior. Support for generalization of training is presented and methodological issues are discussed.     

Multi-component behavioral treatment of trichotillomania: a case study.

A 21-year-old female with a 13-year history of compulsive hair pulling was treated via a multi-component behavioral intervention strategy. Dependent variables included both quasi-direct behavioral frequency counts (i.e., number of hairs pulled) and physical trace, natural erosion measures (i.e. size of bald areas). Results indicated dramatic decrease in number of hairs pulled from treatment through 40 weeks post-initiation of baseline. These findings were discussed with regard to situational-specificity of trichotillomania and reliance upon experimenter-derived rather than subject-controlled data collection sources.     

The face of the state on the U.S.-Mexico border

In recent years, feminist geopolitics and the turns toward emotional and affective geography have resulted in new perspectives on theories of power, embodiment and subjectivity. Other recent trends have considered non-human objects as important for state theory, insofar as state practice often relies upon the force of objects in everyday life. This article works to bring together object-oriented and emotional geographies for a new perspective on the state. It does so by drawing on another theoretical tradition that has been less familiar for political geography: psychoanalytic theory. Findings from ethnographic research with residents living near the U.S.-Mexico border in Arizona help illuminate the presence and spectral circulation of what we call the “face of the state” as a psycho-emotional entity in everyday life for these residents. Surveillance objects enter the psyche through the face of the state, insofar as they are imagined and felt as a visual and embodied experience. The force of the object, then, extends beyond its own materiality and into the psycho-social dimensions of life through which state power operates, thereby empowering the border to gaze at the subject population in powerful new ways.     

Initial Validation of the U.S. Army Global Assessment Tool

The U.S. Army developed the Global Assessment Tool (GAT) to monitor psychosocial fitness and well-being among soldiers and provide a means to objectively gauge the success of newly implemented resilience training programs. Despite its widespread use (taken over 5.2 million times) and stated utility for program evaluation, there is relatively little published evidence regarding the GAT’s reliability and validity. We used exploratory structural equation modeling (ESEM) with 4 random samples of soldiers (n = 10,000 each) to examine the factorial validity and reliability of the GAT. An 11-factor solution (Self-Management, Positive Affect, Meaning, Work Engagement, Organizational Trust, Loneliness, Negative Cognitions, Hostility, Negative Emotions, Depressive Symptoms, and Emotion-Focused Coping), with 4 additional factors assessing character strengths (Intellect, Warmth, Civic Strengths, and Temperance), fit well and replicated in a second random sample. A higher order, 2-factor model using composites scores and positing positive and negative psychosocial competencies also fit well. Tests of measurement invariance using a third random sample reinforced consistent measurement properties across gender, age, and rank, with the exception of character strengths, which produced different factor structures for males and females. Further validity tests using a fourth random sample underscored a modicum of divergence among the resilience factors and convergence among the character strengths factors. We conclude with recommendations for enhancing and refining the GAT and discuss the GAT’s utility as a reliable, multidimensional psychosocial assessment that can be used to evaluate the efficacy of military resilience training programs.     

The protestant secular in the study of American religion: reappraisal and suggestions

This article provides a theoretical and historiographical overview of secularism in the study of American religion. It focuses on how scholars have used the concept of the ‘Protestant secular’ in works on law, politics, and culture. Although it has been useful, we argue that this concept has lost some of its analytical utility in the effort to explain secularism predominantly in terms of its Protestant nature. In turn, this article looks to literature on secularism globally in order to suggest ways forward. Refocusing on secularism as a strategy of state governance ought to bring precision to both ‘Protestantism’ and ‘the secular,’ as well as shift attention toward state power and the high stakes of classification. An analysis of this strategy requires investigation into how states produce and police the category ‘religion’ and its neighboring concepts – for example, the ‘secular’ and the ‘superstitious’ – in order to render, manage, and colonize various populations.     

A Peaceful Clash: The U.S. And China: Which Model Holds Out Promise For The Future?

This article analyzes some prospects for the economic and political development of the United States and China. The first part of the article is devoted to the consideration of strengths and weaknesses of the U.S. model and of the Chinese one. The second part of the article considers the most probable scenarios of the future struggle for world leadership. The first scenario suggests that China will continue developing at a faster rate in the several coming decades and will be gradually catching up with the United States in terms of Gross Domestic Product (GDP) production. However, after several crises in 2008–2020 the United States will likely regain a number of advantages over China as a result of assimilation of the newest technologies. The second scenario suggests that the United States will come across a whole range of internal social and political problems related to internal political splits. In this case, the United States will have to share its global leadership with China. The article attempts to answer the following questions: What scenario is more probable? Will the old world order change? What are the main conclusions for the European Union and for Russia?