Using ethnographic methods for development of culture-specific interventions

Cultural specificity is considered important in developing effective school- and community-based interventions. This article illustrates the use of ethnographic research to enhance understanding of students' cultural experiences and facilitate the development of culturally specific interventions. Ethnographic data were collected during formative and intervention phases of a school-based mental health promotion project. Data were coded using an interactive deductive-inductive process. Culture specificity was defined as the integration of etic (universal) and emic (culture-bound) perspectives. Four culture-specific themes were identified: adult-sanctioned behaviors and practices, adolescents' perspectives about the present and aspirations for the future, and societal factors. These themes encompassed code categories reflecting cultural attitudes, beliefs, customs, expectations, norms, and values; and reflected the ecological framework that guided the research. Future research is needed to address the use of combined etic-emic conceptualizations of culture in the development of culture-specific interventions.     

(Re)producing Buddhist hegemony in Sri Lanka: advancing the discursive formations of self-Orientalism,religious (im)mobility and ‘unethical’ conversion

This paper explores how Buddhist groups in Sri Lanka attempt to suppress conversion to Christianity. Conversion to Christianity can dilute the power and legitimacy of Buddhist groups, which has caused them to promote a discourse of ‘unethical’ conversion. My argument is that such a discourse is self-Orientalising in nature, and is designed to enable the (re)production of Buddhist hegemony in Sri Lanka. By constructing Buddhists as vulnerable and in need of protection, the hegemonic actions of Buddhist groups are validated. These constructions serve to restrict the religious (and socio-cultural) mobility of Buddhists, and to legitimise the persecution of Christians through both legislative and violent means. Sensitivity to the effects of self-Orientalism reveals the need for more critical readings of the effects of religious protectionism on both the Christian other, and the national self as well.     

Eldercare and Support in the Church

ABSTRACT

The major purpose of this study was to determine the current services provided by religious institutions in supporting their oldest members. Individuals representing 34 institutions in one southwestern metropolitan area were surveyed to determine support provided in four categories. Spiritual/counseling programs were more likely to be regularly planned programs than material/financial assistance or physical/health services, which were more likely to be offered on an as-needed basis. Most of the churches reported access for persons with disabilities. Study results were used to develop a model and make recommendations illustrating the religious institution's role in providing eldercare and support.     

The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Center attack

The purpose of this treatment effectiveness study was to evaluate the flexible application of a manualized cognitive behavioral treatment (CBT) for PTSD and related symptoms in survivors of the 9/11 terrorist attack on the World Trade Center. Treatment delivery ranged from 12 to 25 sessions; therapist experience ranged from no prior training to extensive training in CBT; and training and supervision of clinicians in the treatment manual was considerably less than that required in a randomized clinical trial (RCT). Paired t-tests demonstrated significant pre-post reductions in symptoms of PTSD and depression for the flexible application of the treatment. A benchmarking analysis revealed that the moderate-to-large effect sizes found for these variables were similar to those obtained in an RCT of the same treatment. Furthermore, effect sizes on measures of outcomes particularly relevant to this population of mass violence survivors such as functional impairment, use of alcohol and drugs to cope, and use of social support to cope, were also medium to large.     

Stigma Consciousness in the Classroom: A Comparison of Pakistani Women’s Motivation and Well-being in Science and Non-science Fields of Study

Drawing from the Stereotyped Task Engagement Process (Smith, Educational Psychology Review, 16: 177–206, 2004) we compared undergraduate women in Pakistan majoring in science (51%) and non-science (49%) on their self-reported academic experiences. Results showed women in science fields who were gender atypical reported higher levels of stigma consciousness. This stigma consciousness influenced academic motivation and well-being, particularly as a function of field of study and gender typicality. Specifically, performance-avoidance goal adoption was highest and well being was lowest among atypical women who were high in stigma consciousness studying science especially compared to those in non-science fields who were more gender-typical and less stigma conscious. Implications for enhancing the academic experience for all women in the face of stigma are discussed.     

The psychological sting of stigma: The costs of attributing ostracism to racism

Laboratory-based research with university students demonstrates that ostracism is reflexively painful, depletes fundamental needs, and is highly resistant to variations in situational context or individual differences. Employing a representative sample of 614 US White and African American adults, we sought to (1) demonstrate the utility of using Cyberball on a broader non-college sample, and examine (2) whether attributing ostracism to racial prejudice mediates recovery. Participants in an Internet version of Cyberball were either included or ostracized by two other players (both White or both Black), and reported their level of distress before and after making attributions for treatment during the game. Overall, reflexive needs were threatened by ostracism, but more so for Blacks. Whites attributed ostracism to racism when the other players were Black. Blacks attributed ostracism to racism when the other players were White or Black. Within a few minutes, participants reported feeling less distress, but attributing ostracism to racial prejudice impeded their recovery.     

Sensitivity to disgust, stigma, and adjustment to life with a colostomy

We examined whether trait disgust sensitivity predicts well-being in colostomy patients, and whether disgust predicts stigmatizing attitudes about colostomy in non-patients. 195 patients with a colostomy returned a mailed survey including measures of disgust sensitivity, life satisfaction, mood, and feelings of being stigmatized. We also conducted an internet-survey of a non-patient sample (n = 523). In the patient sample, we observed negative correlations between a bowel-specific measure of disgust sensitivity and life satisfaction (r = -.34, p<.01), and colostomy adjustment ( r = -.42, p<.01), and a positive correlation with feeling stigmatized because of the colostomy (r = .54, p<.01). Correlations between a general trait disgust measure and these outcomes were more modest. A structural equation model indicated that colostomy patients who had high disgust sensitivity felt more stigmatized, and this was in turn strongly related to lower life satisfaction. Concordantly, in the non-patient sample we observed that disgust sensitivity was a significant, positive predictor of wanting less contact with colostomy patients (r = .22, p < .01).     

Essentialism and compassion: Predicting preference for noun labels applied to people with mental disorders

Two studies, one correlational and one experimental, examined preference for noun labels applied to people with mental disorders (e.g., John is a schizophrenic) as a function of differences in essentialist thinking and compassion. Study 1 (N = 360) showed that those high in essentialist thinking were more likely than those low in essentialist thinking to endorse noun labels. Study 2 (N = 86) showed that those led to experience state compassion were less likely to endorse noun labels than those in a control condition. This research is discussed with respect to processes underlying these effects, the positive psychology of language, limitations and future research directions, and implications for reducing stigmatizing attitudes towards those with mental disorders.