Relationships Between Treatment Attitudes,Psychological Symptoms,Emotional Competence,and Help‐Seeking Intentions

The authors examined whether emotional competence (i.e., awareness, coping strategies) predicted help‐seeking intentions above and beyond previously identified factors (i.e., attitudes and perceived stigma toward professional help, psychological symptom severity) in an undergraduate sample (N = 531). Emotional awareness predicted help‐seeking intentions for personal/emotional problems and suicidal thoughts. Emotional coping strategies predicted help‐seeking intentions for suicidal thoughts and moderated the relationship between symptom severity and help‐seeking intentions for suicidal thoughts. Efforts to increase help‐seeking should address students' emotional competence.     

归因、自我效能和社会容认度对心理求助行为的影响

在江光荣心理求助行为的“阶段-决策模型”框架下,探查处于第三阶段的被试的求助行为,侧重研究⑴对心理问题的归因、⑵作为心理咨询当事人的自我效能和⑶心理求助行为的社会容认度这三个变量对实际求助行为的影响,同时探讨变量之间的作用机制。结果表明,这三个变量对求助行为均有预测作用。其中心理求助行为的社会容认度除了对求助行为有直接作用外,还以作为心理咨询当事人的自我效能为中介变量间接影响求助行为。整个模型对求助行为解释的变异量达到26％     

Assertiveness, locus of control and coping behaviors used to diminish tension.

To investigate how coping behaviors may be preconditioned by assertiveness and locus of control, a questionnaire was given to 133 undergraduates of whom 87% reported recent tension attributed mainly to academic pressures. From a list of 22 common coping reactions, the students were asked to check those they use to deal with their tensions. The coping responses were also correlated with scores on an assertiveness inventory (AES) and Rotter's Internal-External Locus of Control (I-E) Scale. Reliance on one's own initiatives and turning to significant others were the responses most frequently reported as reactions to tension while seeking professional help was ranked last. Male students more frequently reported using marijuana or seeking sexual comfort than females, while females more frequently reported dysfunctional reactions such as spending endless hours thinking about the problem. The AES correlated significantly with problem-solving approaches. The IE Scale showed internals more inclined to meditate; externals indicated a greater likelihood to seek professional help, fantasize, or drink alcohol.     

Mothers’ and Fathers’ Reluctance to Seek Psychological Help for Their Children

We investigated the gap between parents’ willingness to seek help for their children and their willingness to refer other parents to help, and the relationship of this gap to gender. Two hundred and eleven parent couples with elementary-school children reported their willingness to seek help from professional and informal sources for a hypothetical problem with their child, and their willingness to refer a friend’s child with an identical problem to similar help. Attitudes toward help seeking and parental behaviors were also measured. Findings revealed that parents were more willing to refer a friend’s child to professional help than they were to seek such help for their own child, although no gap was found regarding informal help. No gender differences were found regarding willingness to seek help or to refer another, although gender was related to variables that predicted help seeking.     

Transitional object use,attachment, and help‐seeking behaviour in Taiwanese adolescents

Transitional object use is psychologically beneficial for young children, but research has suggested that maintaining transitional object use into middle childhood may be associated with negative behaviour. Little is known about the continuation of transitional object use into adolescence, and few studies have been conducted with non‐Western populations. To examine differences in attachment and attitudes to help seeking in adolescents who did and did not use a transitional object, 723 adolescents from Taiwan (M age = 14 years) were asked about their current and past use of transitional objects. Measures of attachment were obtained using the Revised Adult Attachment Scale, and attitude toward help was measured using the Attitudes Toward Seeking Professional Psychological Help Scale. In total, 37% of the sample continued transitional object use in adolescence. Current use of a transitional object differentiated the sample on the measures of attachment and help seeking. Transitional object users were less likely to have secure attachments and less likely to express positive attitudes toward seeking help. Transitional object use is prevalent in Taiwanese adolescents, and we suggest that continued use of a transitional object acts as an indicator of potential withdrawal from support offered in schools.     

Student teachers’ competence and career certainty: the effects of career anxiety and perceived control

In comparison to other professional faculties, student teachers are less certain about their career decisions. Consequently, examining the factors that influence their perceptions of career competence and certainty may be beneficial for their professional development. We examined how student teachers’ (n = 194) gender, grade of instruction, practicum, career anxiety, and perceived control affected their career competence and certainty. Anxiety had large and negative effects on competence and certainty. In contrast, primary control enhanced competence whereas secondary control enhanced certainty. High-practicum ratings were also associated with greater competence and certainty; however, these effects were mediated by anxiety and perceived control. These findings help us understand the transition that student teachers make from studentship to becoming professional teachers.     

The effects of sex-role ideology,self-esteem,and expected future interactions with an audience on male help seeking

Male subjects, purportedly being observed by an audience, received failure feedback while working on a task (rating dialogues for neuroticism). Help was readily available, from a male or female assistant, and the primary dependent variable was whether or not subjects requested help. Embarrassment was postulated as the major inhibitor of help seeking in this situation. Self-report measures of embarrassment and perceived accuracy were taken throughout the session. The independent variables were: task centrality (sex-role appropriateness), sex of assistant, expectation of future interaction with the audience, self-esteem, and sex-role ideology (“traditional” vs “feminist” beliefs). The principal results for help seeking were: high esteem traditional subjects sought help less frequently on the central (male) task and more frequently sought help on the peripheral (female) task; feminists did not differ in help seeking according to sex of task. Increased embarrassment was not generally associated with inhibition of help seeking. In fact, there was a trend for high embarrassment to be reported immediately before help was sought. To explain these results, two forms of embarrassment are distinguished — the embarrassment due to continued failure, which should result in seeking help to bring about success, and anticipated embarrassment involved in the act of seeking help, which should inhibit help-seeking behavior.     

Short Communication: Helpers' characteristics and problem intimacy as determinants of emotions associated with help-seeking

Female university students (N = 158) rated their readiness to seek help from a professional helper described to them, as well as the emotions that would accompany their decision. Readiness to seek help was associated with the anticipation of positive emotions. A significant 3-way interaction indicated that helpers' emotional behavior is especially meaningful when either the helper is not perceived as an expert and the help-seeker is bothered by a non-intimate problem, or when the helper is an expert and the help-seeker is bothered by an intimate problem. It is suggested that helper's characteristics may significantly influence the amount of positive, rather than negative, emotions anticipated through help-seeking, as well as the readiness to ask for help.     

Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed.     

Help seeking for alcohol problems in a college population

Despite the availability of effective treatments for problem drinkers, only a minority seek professional assistance. The authors investigated the influences on help seeking for alcohol-related difficulties in two separate studies. In Study 1, 59 men and 74 women completed questionnaires regarding their alcohol use, related problems, readiness to change, and help-seeking interest. The authors also developed a measure of stigma related to alcohol help seeking. Problem recognition, anxiety symptoms, and stigma predicted a global rating of help-seeking. Students (22 men and 60 women) participated in Study 2, which incorporated a multi-item measure of help-seeking intentions as well as attitude and personality measures. Positive attitudes, less perceived stigma, and greater self-efficacy increased help seeking. The findings highlight the importance of both approach and avoidance factors that affect help-seeking decisions, and the authors suggest directions for further research.     

Help-seeking behaviour and attitudes towards counselling: a qualitative study among Hong Kong Chinese university students

This study examined Hong Kong university students’ perception of general help-seeking and seeking of professional help. Thirty-two students, aged from 25 to 46 years were interviewed. A grounded theory approach was adopted. The results indicated four domains to categorise culture-influenced factors: attitudes towards speaking, relational concern, nature of the problem and assumptions about counselling. Hong Kong students are not reluctant to receive help but are reluctant to seek help from outsiders. Help is expected to be received from those within their social network. Passive coping strategies are normally adopted for finding relief and solving problems. These issues may greatly hinder people from consulting professional counsellors, or may limit the counselling process to something superficial and short term. The implications for counsellors are discussed.     

Help‐Seeking Behavior Prior to Nearly Lethal Suicide Attempts

T he association between help‐seeking and nearly lethal suicide attempts was evaluated using data from a population‐based, case‐control study of 153 13‐ to 34‐year‐old suicide attempt case‐patients treated at emergency departments in Houston, Texas, and a random sample of 513 control‐subjects. Measures of help‐seeking included whether the participant sought help for health/emotional problems in the past month, type of consultant contacted, and whether suicide was discussed during the interaction. Overall, friends/family were consulted most frequently (48%). After controlling for potential confounders, case‐patients were less likely than control‐subjects to seek help from any consultant (OR = 0.5, 95% CI = 0.3–0.8) or a professional (e.g., physician, counselor) consultant (OR = 0.5, 95% CI = 0.29–0.8). Among those who sought help, case‐patients were more likely than to discuss suicide (OR = 2.6, 95% CI = 1.2–5.4), particularly with professionals (OR = 11.8, 95% CI = 3.2–43.2). Our findings suggest that efforts to better understand the role of help‐seeking in suicide prevention, including help sought from family and friends, deserves further attention.     

Social Support and Use of Mental Health Services By Mexican Americans and Non-Hispanic Whites

It has been hypothesized that lack of social resources is associated with use of professional mental health services. Social resources may also have different relationships to mental health service use in cultural groups whose attitudes about use differ. This study tested these hypotheses using survey data from 1,149 non-Hispanic Whites and 1,244 Mexican Americans. The unmarried were more likely than the married to seek help from informal sources. People with little social support from their spouse or relatives were more likely to consult professional providers. Associations of social resources with help seeking did not decrease substantially when psychiatric disorder was controlled, suggesting that these relationships are direct, rather than being mediated by effects of soda1 support on mental health status. Social resources had similar associations with help seeking among Mexican Americans and non-Hispanic Whites.     

Attitudes Toward Professional Psychological Help Seeking in South Asian Students: Role of Stigma and Gender

This study examined (a) the roles of perceived and personal stigma on attitudes toward professional psychological help seeking and (b) the effects of these constructs across gender in South Asians. Personal stigma and being male was negatively associated with attitudes toward professional psychological help seeking; no difference in the association between personal and perceived stigma and attitudes across genders was found. These findings have implications for the engagement of South Asians in mental health services in the United States. Este estudio examinó (a) los roles de estigmas percibidos y personales en las actitudes hacia la búsqueda de ayuda psicológica profesional y (b) los efectos de estos constructos en indiviuos sudasiáticos según su sexo. El estigma personal y la identidad masculina se asociaron negativamente con las actitudes hacia la búsqueda de ayuda psicológica profesional; no se halló diferencia en la asociación entre estigmas personales y percibidos y las actitudes de los distintos sexos. Estos hallazgos tienen implicaciones para la participación de los individuos sudasiáticos en los servicios de salud mental en Estados Unidos.     

Being a mother with anorexia: A phenomenological study of seeking and receiving professional support for white heterosexual women in the UK

Mothers are currently under-represented in the literature on anorexia, including research on treatment, with most research focussed on female adolescents. This raises questions about how adult women and particularly those who are mothers, experience eating disorder treatment. This study provides a phenomenological exploration of lived experiences of seeking and receiving professional help and interactions with health professionals for six white heterosexual mothers who experienced anorexia while raising their children. Four themes are reported that capture the women's diverse experiences of seeking and receiving support for anorexia: (1) conflict between mothering and seeking help; (2) experiences of feeling blamed, poorly treated or misunderstood by health professionals; (3) positive experiences of seeking and receiving support; and (4) the importance of ongoing support. The women's experiences suggest that healthcare professionals should adopt a more holistic approach that acknowledges the subjective reality of the client (including their mother status) when working with mothers experiencing anorexia.     

Lay beliefs about the efficacy of self-reliance,seeking help and external control as strategies for overcoming obesity,drug addiction,marital problems,stuttering and insomnia

Abstract

This study was concerned with peoples' beliefs about the importance of twenty-four different contributors towards overcoming five relatively common personal health problems, namely: obesity, drug addiction, marital difficulties, stuttering and insomnia. One hundred and twenty-two subjects completed a five-page questionnaire indicating how effective each of these contributors were to overcoming the problems as specified. Factor analysis revealed an interpretable structure similar to previous studies (Luk and Bond, 1992): the emerging three factors were labelled ^'self-reliance”, “seeking help” and “external control”. Multiple regression showed that few individual difference variables as measured were related to perceived relevance of the different contributors. The results were discussed in terms of subjects' beliefs concerning the value of self-reliance as opposed to seeking help, and in relation to the importance of understanding lay beliefs about the efficacy of different forms of intervention.     

United States and Japanese college students' attitudes toward seeking professional psychological help

The purpose of the study was to find how nationality, sex, and past experience of seeking professional psychological services are related to attitudes toward seeking professional psychological help. Three hundred Japanese college students and 300 US college students responded to the Attitudes Toward Seeking Professional Psychological Help (ATSPPH) questionnaire. The ATSPPH consists of four subscales: Need (recognition of need), Stigma Tolerance (the degree of tolerance against stigma associated with help‐seeking action), Openness (interpersonal openness), and Confidence (confidence in mental health professionals). As predicted, past experience of seeking professional psychological service and sex were important predictor variables of performance on the ATSPPH scales. Those who had past experience of seeking professional psychological help had more favourable attitudes toward seeking professional psychological help than those who never consulted psychological professionals. Similarly, in testing the past experience separately with the two nation groups, past experience with seeking professional psychological services was found to be a predictor of the overall attitudes toward seeking professional psychological help among Japanese and US participants. Furthermore, Japanese participants with past experience also showed greater recognition of need for professional psychological help and confidence in psychological health professions than Japanese without past experience. The degree of stigma tolerance associated with help‐seeking behaviour and the tendency of interpersonal openness, however, did not differ between Japanese participants with and without the past experience of seeking professional psychological services. The same results were also found among the US participants. In terms of sex as a predictor variable, females tended to have more positive attitudes toward seeking professional psychological help than males. There was a significant nationality by sex interaction effect. US females had significantly more favourable attitudes than the other three groups, indicating that there was sex difference in help‐seeking attitudes in the US group, but not in the Japanese group. If the sex variable is ignored, Japanese students have less favourable overall attitudes toward seeking professional psychological services than US students. Other results and limitations of the study are discussed.     

Examining dynamic links between perceived control and health: longitudinal evidence for differential effects in midlife and old age

Perceived control and health are often closely linked in adulthood and old age. Little is known, however, about their time-ordered interplay at various phases of adult life. By applying dynamic models to four waves of data over 15.5 years from the Americans' Changing Lives Study, we examined time-ordered relations between perceived control and health in midlife and old age. Results revealed that levels of perceived control predict subsequent changes in health over time in old age (65+ years of age; n = 1,238) but not in midlife (25-64 years of age; n = 2,364). No evidence was found for predictive effects of health for changes in perceived control in either age group. These age-differential findings were corroborated with nested-model comparisons. Predictive effects of perceived control for health were attenuated to the null in models covarying for sociodemographic and psychosocial factors (physical activity, memory, emotional support, and depressive symptoms), suggesting that these variables play an important role in control-health relations. Our discussion focuses on the importance of perceived control for healthy living in old age and the differential implications of perceived control for health in midlife and old age.     

How high school students view women: The relationship between perceived attractiveness,occupation, and education

The proportion of women seeking advanced degrees in the sciences and engineering was no greater in the 1970s than it was in the 1920s. This study seeks to determine if the stereotype of an unattractive professional woman is a factor in dissuading young women from pursuing careers in these fields. Twenty slides of women were rated by 301 male and female high school students for attractiveness, occupation, and educational background. There was a positive correlation, significant at the .001 level, between women perceived to have taken traditionally masculine courses, those perceived to have careers in professions generally viewed as masculine, and those perceived to be more physically attractive. The formerly held stereotype of the studious, career-oriented girl who is unattractive appears to be changing and should not discourage high school girls from seeking academic excellence.     

Genetic Information,Non-Discrimination,and Privacy Protections in Genetic Counseling Practice

The passage of the Genetic Information Non Discrimination Act (GINA) was hailed as a pivotal achievement that was expected to calm the fears of both patients and research participants about the potential misuse of genetic information. However, 6 years later, patient and provider awareness of legal protections at both the federal and state level remains discouragingly low, thereby, limiting their potential effectiveness. The increasing demand for genetic testing will expand the number of individuals and families who could benefit from obtaining accurate information about the privacy and anti-discriminatory protections that GINA and other laws extend. In this paper we describe legal protections that are applicable to individuals seeking genetic counseling, review the literature on patient and provider fears of genetic discrimination and examine their awareness and understandings of existing laws, and summarize how genetic counselors currently discuss genetic discrimination. We then present three genetic counseling cases to illustrate issues of genetic discrimination and provide relevant information on applicable legal protections. Genetic counselors have an unprecedented opportunity, as well as the professional responsibility, to disseminate accurate knowledge about existing legal protections to their patients. They can strengthen their effectiveness in this role by achieving a greater knowledge of current protections including being able to identify specific steps that can help protect genetic information.