Constructing New Realities: Integrating Womanist Traditions in Pastoral Counseling with African-American Women

Womanist cultural and spiritual themes are rich resources for pastoral counseling with African-American women. The authors describe womanist cultural themes, present a case example of an African-American woman struggling with identity issues, and provide specific strategies for incorporating womanist cultural and spiritual patterns in counseling African-American women. Counseling Psychology and Counselor Education atCounseling Psychology and Counselor Education at     

The bad taste of social ostracism: The effects of exclusion on the eating behaviors of African-American women

African-American women experience disproportionately higher rates of obesity than do Caucasian women. The stress African-American women encounter from experiences of discrimination may influence their eating behaviours, which could contribute to weight gain. Emotional eating theory suggests some people increase their intake of high-calorie foods to cope with stressful experiences. We investigated the effects of social exclusion by other African-American women or by Caucasian women for African-American women’s distress and food consumption using a laboratory paradigm. As hypothesised, there were main effects of ostracism and interactions between ostracism and race, although not all of the interactions took the expected form. As hypothesised, African-American women ate more potato crisps after being excluded by Caucasians than by African-Americans. Unexpectedly, African-American women who were excluded by other African-American women self-reported more emotional distress than did African-American women excluded by Caucasian women. These findings suggest that ostracism by both in-group and out-group members are disturbing, although people may respond to in-group and out-group exclusion in different ways. Directions for future research are suggested that could elucidate the circumstances under which different emotional and behavioural coping responses are employed.     

Religion and the Recovery of Addicted Women

Personal interviews were conducted with 102 African-American and Anglo-American women in Texas coastal communities to determine the involvement of religious organizations in women's initiation and maintenance of recovery from drug addiction, the extent of women's help-seeking for recovery, and women's spiritual needs. Means, frequencies, chi squares, Pearson's correlations, and one-way ANOVAs were used to describe the data. Religious organizations helped about one-third of the women to begin or stay in recovery, primarily through counseling or ministering to spiritual needs. Only one-fourth of the women had sought help from churches. The predominant spiritual needs were forgiveness, love, and understanding. Implications for research and outreach are given.     

“Born Black and Male”: Counseling leaders’ self-discovery of strengths

Africentric/Afrocentric psychology frames the interview findings on five African-American male leaders in a racial, ethnic, and culturally diverse counseling association. The consensual qualitative research method was used to extrapolate themes from the five interviews. Africentric cultural strengths suggested in the themes are (a) autogeny, (b) primacy of the person in the context of community, (c) consubstantiality of primordial substance, (d) perpetual evolution, and (e) living forever. Two themes related to counseling practice are (f) social justice and (g) cultural empathy. Common trends in statements across interviews are illustrated with rich quotations and summaries. Although the framework of continental African world view facilitated understanding a few African-American male counseling leaders, the study evidences a larger universal human dimension of individuals’ pain, resilience, self-discovery of strengths, and leadership bound to a collective self-concept by which leadership can take place both individually and collectively.     

Psychology and African-American women: Findings from applied research

The current applied research on African-American women is characterized by a limited focus on primarily poor and single mothers and comparative studies with white women. The resulting research ignores the diversity within African-American women generalizing from noncomparative or restrictive samples to all African-American women and provides narrowly focused and/or inappropriate research models in which to study the development of these women across the life span. This review focuses on some of this research as it relates to social context factors in African-American women's lives: social supports and parenting, work and self-esteem, gender role attitudes and marital life, and mental health. An examination of methodological problems and suggestions for future research is discussed.     

TOWARD A STRESS SCALE FOR AFRICAN-AMERICAN WOMEN

The current study seeks to understand the nature of stress among African-American women and to develop a preliminary stress measure for this population. The African-American Women's Stress Scale (AWSS) was derived by eliciting stressors from 47 African-American women. AWSS stressors reflect economic, role and relationship, work-related, and ethnic issues, and nearly half are ongoing situations rather than change events. The ability of the AWSS to relate to depression was examined in a second, nonoverlapping sample ( n = 68). Correlational analysis indicated correlations of .58-.70 between depression scores and scores on the AWSS. Findings provide support for the utility of the AWSS and underscore the inadequacy of stress models that are based on change or undesirable change.     

Religiosity and Cancer Screening

Churches have been suggested as avenues to reach African-American populations with messages about health because of their strong participation in church activities. Membership in several religious denominations has been associated with healthy lifestyle practices that are associated with lower cancer-incidence rates and better coping strategies among cancer patients. Among African-American women, however, belief in God as their doctor might preempt seeking treatment for cancer. The goal of the present study was to examine the influence of church participation and religious beliefs on the utilization of breast and cervical cancer screening among low-income, predominantly African-American women. A cohort consisting of 290 women was surveyed at baseline and one year later to determine the association between screening rates in the past year and measures of religiosity. The majority of women were members of a church (88%), with fairly regular church attendance (51% reported weekly attendance), and strong beliefs regarding God's influence on their health (e.g. 88% agreed that God was their doctor). Church attendance was the only religious variable related to screening frequency in univariate analyses, with those reporting attending church 1–3 times per month more likely to receive mammography screening (p = .013). Churches can provide avenues to reach African-American women about cancer screening; strong religious beliefs do not, however, appear to keep women from receiving regular screening exams.     

Early puberty in African-American girls: nutrition past and present

This study focused on nutrition and the changes in food intake over time to explain the onset of early pubertal signs in African-American girls. The daily nutritional intake of two diametrically opposite generations of African-American females was compared. The first group included 20 girls between the ages of 5 and 7 and the second group included 28 women between the ages of 70 and 85. The older African-American women were asked to remember the meals they had when they were young. Results revealed significant differences in terms of both quantity and quality of food consumed. Specifically, the women reported eating two meals a day when they were young while the girls reported eating at least three meals. Also, for breakfast, the girls consumed significantly more milk and fruits than did the women. For lunch, the girls consumed significantly more bread and grains, vegetables, meat, and milk than did the women. For dinner, the women consumed significantly more bread and grains. Thus, significant differences between the nutrition of African-American girls about 60 to 70 years ago and those of today were revealed. Implications of these findings are discussed.     

African-American Students' Expectations About Counseling: A Comparative Investigation

This study examines African-American college students' expectations about counseling and compares these variables across two universities with different racial majorities.     

Mother Mary Ann Wright

The role of African-American women in community service and social activism is well known. In this paper, the researcher provides a case study of a present-day African-American social activist and makes comparisons with the community service experiences of other African-American women in the past. Mother Mary Ann Wright describes herself as a servant of God. As with other African-American women, it is God who provides her identity and sense of purpose. Likewise, because she serves God, she has status in her community. Mother Wright is an exceptional woman-born in abject poverty, having pulled herself up by her bootstraps-all the while listening to the voice of God, she has founded missions throughout the world and is best known for her work in feeding the hungry in the parks of Oakland, California. She gives all credit for her accomplishments to God. However unique and outstanding, Mother Wright also epitomizes a long tradition of African-American women whose spirituality directed their service to their fellow human beings. The list is long and the variety of these women is great-the well educated leaders as well as the ordinary-Pauli Murray, Mary McLeod Bethune, Sojourner Truth, Harriet Tubman, and thousands of other African-American women have dedicated their lives to uplifting the race and improving the human condition. The story of Mother Wright, a special and exceptional women in her own right, nevertheless confirms the continuation of the tradition of spirituality and public service among African-American women.     

A Preliminary Analysis of Counseling Students' Attitudes Toward Counseling Women and Women of Color: Implications for Cultural Competency Training

In this study, 56 counseling students responded to peer‐generated presentations on counseling women and counseling women of color. Qualitative methodology was used to identify students' racial, ethnic, and gender attitudes in counseling contexts. Implications for cultural competency training are provided.     

Psychosocial Conditions of Women Awaiting Genetic Counseling: A Population-based Study

The decision whether to undergo genetic counseling for hereditary breast and ovarian cancer is complex. Knowledge about the psychosocial conditions of women who are awaiting counseling is sparse. We aimed to compare the psychosocial conditions of women awaiting genetic counseling with those of women in two reference groups. We included 567 women referred to genetic counseling for hereditary risk of breast or ovarian cancer (Genetic Group), 689 women referred to mammography (Mammography Group) and a random sample of 2,000 women from the general population (Population Group). One to 4 weeks before the first counseling session or mammography, data were collected by questionnaires. Both women affected with cancer and unaffected women in the Genetic Group appeared to have a somewhat higher prevalence of cancer-specific-distress than the corresponding reference groups. Further research on the effect of pre- counseling interventions appear warranted in addition with exploring a potential association between waiting time and cancer-specific distress.     

Fear of a black (and working-class) planet: young women and the racialization of reproductive politics

Racialized and class specific as well as gendered heterosexuality is compulsory for young women. Substantial academic literature addressed the incidence of premarital adolescent heterosexual intercourse paying particular attention to young working-class women and (especially in the US) to young women of color. During the 1980s, journals and academic texts in the US debated the so-called black underclass disregarding the effects of Reaganomics: increasing poverty, homelessness, ill health, and unemployment, which affected young African-American women. From a traditional (hetero)patriarchal standpoint, any teenage pregnancy is a problem. Hence pregnancy avoidance and planned parenthood focus on young working-class women and young women of color presumed to constitute the problem of the (hetero)sexually active teenager. The ideology of fetal rights as used in anti-abortion and pro-life arguments represents the life of a pregnant woman as in direct opposition to that of her fetus. The ideology of adolescence constructs all young people as inherently prone to irresponsibility, especially if they are female, working-class, and black. In the Third World, young women considered as irresponsible mothers more likely face enforced sterilization than access to abortion in the guise of genetic counseling for disabilities or without explicit consent during other gynecological operations. Feminists point out that under current legislation in England and Wales, fetuses defined as seriously handicapped can be aborted up to the moment of birth. The legacy of eugenicist ideas lives on in assumptions about the inherent deficiencies of young working-class women, young women of color, and young women with disabilities as potential mothers. Yet despite the institutional, cultural, and ideological force of appropriate heterosexual and reproductive activity, young women continue to challenge common sense definitions of normality and deviance.     

‘Use what God has given me’: Difference and disparity in breast reconstruction

African-American women are significantly less likely to undergo postmastectomy breast reconstruction compared to white women in the USA. These observed differences have been interpreted as evidence of a healthcare disparity. The current study examines breast reconstruction decision-making among African-American women, locating reconstruction decisions in a context of culture, racial inequality and biomedicalisation. Semi-structured interviews were conducted with 27 African-American women who underwent mastectomy for breast cancer to add patient-centred perspectives to existing conceptualisations of racial/ethnic differences in reconstruction. Participants were socio-demographically diverse, and resided in the New York metropolitan area. Data analysis was informed by grounded theory. Spiritually and culturally informed body ethics often guided surgery decisions. Participants expressed reservations about breast implants, preferring autologous procedures that use ‘what God has given’. For some, breast reconstruction restored a sense of normalcy after cancer; others challenged an imperative to reconstruct. Several participants redirected our focus on access to reconstruction toward access to alternatives, noting the low reimbursement for prostheses, or their unavailability in patients’ skin tones. We suggest that a framework of ‘stratified biomedicalization’ better addresses the complexities of race, class and gender that inform preference, access and recommendations for breast reconstruction, and focuses attention on access to high and low-tech interventions.     

The impact of client race on clinician detection of eating disorders

Eating disorders are thought to occur less among African-American women than among women of other ethnic groups. Ninety-one clinicians read 1 of 3 passages (differing only with regards to the girl’s race: African-American, Caucasian, or Hispanic) describing disturbed eating patterns of a fictional character named Mary. Participants were then asked to indicate if they thought Mary had a problem and to rate her anxiety, depression, and eating disorder symptoms based upon the passage they had read. The results suggest that clinicians may have race-based stereotypes about eating disorders that could impede their detection of symptoms in African-American girls.     

A Feminist Approach to Treating Alcohol and Drug-Addicted African-American Women

Abstract

African-American women remain a population that is both unlikely to receive adequate treatment and more likely to be punished for behavior associated with alcohol and drug use. These societal responses originate, in part, in the failure of traditional addiction models to take into account the environmental context of addiction. Guided by the medical model in particular, the treatment community continues to identify addiction as a unitary experience and to deny the realities of sexism and racism in the recovery efforts of African-American women. Recommendations for the practice of feminist therapy with these women are explored.     

Gender and Infertility: A Relational Approach to Counseling Women

Much of the research on infertility reinforces differing effects for women and men, with women reporting more serious repercussions medically, psychologically, and socially. However, the unique counseling needs of infertile women have not been addressed through traditional counseling theory. The Relational Model (J. V. Jordan, 1995) of women's development is a theory that explains women's development in a context of relationships, specifically relationships that promote growth for self and others. This model is applied to counseling women who are experiencing infertility, and a case presentation is provided to illustrate the approach.     

Representing Father–Son Relationships among African-American Muslim Men in Film and Television

African-American Muslims are well-known for their prison reform ministries and initiatives aimed at assisting disenfranchised men and women in inner city communities. In media discourse, the redemption narratives of young African-American Muslim men in these environments have often been stimulated by African-American Muslim leaders who function as highly influential fatherly figures that usually stress an importance of fatherhood in ameliorating juvenile delinquency and hopelessness. While fatherhood is a cherished institution among Muslim families, this analysis focuses on depictions of father-son relationships among African-American Muslim men in film and television. This study examines relationships between Muslim sons and non-Muslim fathers, Muslim fathers and non-Muslim sons, and fathers and sons who both embrace Islam throughout these visual narratives. In exploring these relationships, the article examines the impact of African-American Muslim fathers on their sons’ faith and spiritual development, negotiation of masculinity, management of racism, confrontation of Islamophobia, and maintenance of discipline, social mobility, and life skills.