Cognitions and depressive symptoms among ethnic minority adolescents

Cognitive models have guided effective intervention strategies in the treatment of depression. However, little is known about the cognitive model's relevance in different cultural ethnic groups in the United States. This study examines the cross-sectional and longitudinal associations among cognitive variables and depressive symptoms among African American, Caucasian, and Hispanic adolescents in the United States. Community adolescents (N = 450) ages 14-18 years (African American n = 79; Caucasian n = 273; Hispanic n = 98) provided information regarding their depressive symptoms and cognitions at two surveys, 6 months apart. Self-efficacy, cognitive errors, and hopelessness were associated with concurrent depressive symptoms at baseline. In addition, cognitive errors at baseline, controlling for baseline depressive symptoms and the occurrence of stressful events, predicted depressive symptoms at follow-up. Ethnic differences disappeared when parent education level was controlled. Our findings demonstrate support for the cognitive model of depression across ethnic groups. The importance of controlling for social class when examining ethnic differences in psychological variables is highlighted by our findings.     

Therapist perspectives on using silence in therapy: A qualitative study

Twelve experienced therapists were interviewed about their perceptions of why they used silence in therapy. Qualitative analyses revealed that these therapists typically perceived themselves as using silence to convey empathy, facilitate reflection, challenge the client to take responsibility, facilitate expression of feelings, or take time for themselves to think of what to say. Therapists generally indicated that a sound therapeutic alliance was a prerequisite for using silence, and they typically educated their clients about how they used silence in therapy. Therapists typically believed they did not use silence with clients who were psychotic, highly anxious, or angry. They typically thought they now used silence more flexibly, comfortably, and confidently than when they began doing therapy. Therapists typically believed they learned how to use silence from their own experience as a client and from supervision.     

Psychological disidentification with the academic domain among ethnic minority adolescents in The Netherlands

Background: Among ethnic minority group adolescents, experiences with discrimination and prejudice in school settings are thought to lead to a defensive detachment of the self from the school domain. That is, these adolescents may disengage their self‐feelings from their academic performances causing the academic self to become a less important part of global self‐worth. However, there is limited empirical evidence for this assumption and the existing research is on African American students. Aims: To examine among ethnic minority adolescents in the Netherlands the hypothesis that under conditions of perceived discrimination minority group members tend to psychologically disengage their self‐feelings from educational performance. Samples. Study 1 was conducted among 161 Turkish students between 13 and 16 years of age. The sample in Study 2 consisted of 112 Turkish participants of 11 and 12 years of age. Methods: Two questionnaire studies were conducted and participants responded to questions on perceived academic performance, academic self‐esteem, global self‐worth and perceived discrimination in school. Results: In both studies, academic self‐esteem mediated the relationship between perceived educational performance and feelings of global self‐worth. More importantly, perceived discrimination in school moderated the relationship between academic self‐esteem and global self‐worth. Discrimination did not moderate the relationship between academic performance and academic self‐esteem. Conclusion: The results indicate that for ethnic minorities perceived discrimination in school can lead to psychological disidentification from the academic domain whereby global self‐worth is less based on performances and competencies in the academic domain.     

少数民族青少年民族认同发展理论模型及其功能

青少年民族认同发展的三阶段理论模型和黑人民族认同发展模型的提出,为研究少数民族青少年的民族认同发展提供了一定的依据。少数民族青少年民族认同的发展与应付能力,自我效能感等因素有积极的相关,在一定程度上可以提高自尊,比如消极民族刻板印象的影响,增加心理归属感等。而且可以促发少数民族青少年亲社会态度的形成。     

Perceptions of ethnic discrimination by minority and majority early adolescents in the Netherlands

This research investigates perceptions of discrimination among ethnic majority and minority group early adolescents (aged between 10 and 12 years) living in the multi‐ethnic context of the Netherlands. In two studies (N = 679 and N = 2630), personal and group discrimination was examined in terms of name‐calling and social exclusion, and in relation to ethnic identity and family allocentrism. All early adolescents reported more group than personal discrimination. The personal‐group discrimination discrepancy (PGDD) was found independently of ethnic group, gender, allocentrism, and ethnic identity. Hence, the PGDD seems a more general phenomenon that already exists among early adolescents and across different domains. However, minority group participants perceived far more discrimination overall than majority group early adolescents, and the Turkish participants reported more discrimination than the Moroccan and Surinamese early adolescents. Furthermore, family allocentrism was positively related to perceived discrimination among all ethnic groups in Study 2 and among the Dutch in Study 1. In agreement with ethnic identity development models, strength of ethnic identity was not related to perceived discrimination. Ethnic identity was, however, positively related to allocentrism. In both studies, ethnic minority group participants had higher scores for allocentrism and for ethnic identity than majority group participants. In addition, boys had stronger ethnic identity than girls and ethnic identity was negatively associated with perceived discrimination for the boys but not for the girls. It is concluded that in order to understand early adolescents' perception of discrimination it is necessary to pay attention to basic (cognitive) tendencies that cross ethnic lines, to cultural and status differences between the majority group and ethnic minorities as a category and between ethnic minority groups, and to within‐group differences or individual level variables.     

贵州少数民族儿童青少年SNARC效应的发展

采用奇偶判断任务,考察二年级至大学阶段贵州民族儿童青少年SNARC效应的发展状况。结果显示：三年级开始出现SNARC效应（包括正确率SNARC效应）;各阶段SNARC效应无显著差异;高、低年级正确率存在显著差异,六年级以后各阶段正确率无显著差异。结论：民族儿童三年级开始形成数字的空间表征。SNARC效应的大小不因年龄而发生变化;被试对奇偶知识的掌握存在发展过程,三年级可能基本理解奇偶信息,六年级后熟练掌握奇偶信息。     

Therapist perspectives on working with fears,blocks and resistances to compassion in compassion focused therapy

Objective

A core aspect of compassion focused therapy (CFT) is addressing fears, blocks, and resistances (FBRs) to compassion. How CFT therapists do this with clients remains unclear. This study aims to explore the perspectives of well-trained, experienced CFT therapists regarding how they work with FBRs in the context of CFT.

Methods

A qualitative study was conducted. Participants were asked five open-ended questions regarding (a) their experiences of working with FBRs to compassion, (b) how they understand and formulate FBRs, (c) specific ways they address FBRs, (d) how other therapists might learn about working with FBRs, and (e) their top recommendations. A total of 64 participants completed the online questionnaire, and the qualitative data were analysed using thematic analysis.

Results

The analysis produced four interrelated superordinate themes: (a) Getting “alongside” and “behind”: The central role of formulation, (b) “It's not your fault”: Psychoeducation, (c) “Get experiential”: An emphasis on experiential interventions, and (d) “Respect the wisdom”: The importance of therapeutic process.

Conclusions

Working with FBRs to compassion is critical in CFT. Understanding the wisdom in the client's FBRs, and validating and de-shaming the client's FBRs are crucial. We provide clinical recommendations regarding working with FBRs as part of CFT.     

The psychological effects of Hurricane Andrew on ethnic minority and Caucasian children and adolescents: a case study

The impact of Hurricane Andrew on 212 African American, Caucasian, and Hispanic elementary and middle school children was examined at 6 months postdisaster. Using self-report instruments, this case study examined the predictive utility of several hypothesized mediators of children's reactions to disaster. Results showed higher levels of intrusive symptomatology for girls and for elementary school children as compared with their middle school counterparts. No differences were found with reference to race. The lack of findings concerning race is addressed, as well as implications for future studies.     

Cognitive-behavioral therapy and decision science

In recent decades cognitive-behavioral therapy (CBT) and decision science (DS) have emerged within the field of psychological science. Though these are two vastly different areas of study, they are similar in that they address human information processing, cognition, behavior, and the link between them. In this article, we provide brief summaries of CBT and decision science, discuss their similarities and differences, and discuss how future research can identify ways in which these fields can inform each other. Several CBT techniques that might be of use to the efforts of the decision science field to prevent cognitive biases are suggested. Research that integrates these two fields may lead to the improvement of both.     

Cognitive-behavioral therapy for women with lifelong vaginismus: process and prognostic factors

Cognitive-behavioral therapy (CBT) seems an effective treatment of lifelong vaginismus, but mechanisms of action have not yet been established. The present study explored whether the effect of CBT for lifelong vaginismus is mediated by changes in fear of penetration and avoidance behavior, which CBT explicitly aims to alter. A second aim of this study was to predict treatment outcome on the basis of pre-treatment variables. Participants with lifelong vaginismus were allocated at random to a 3-months CBT (n=81) or a waiting-list control condition (n=36). Full vaginal penetration with the penis of the partner constituted the primary outcome measure. Change scores in successful 'non-coital penetrative-behavior' and 'fear of coitus' were used to measure the mediating variables. Treatment resulted in an increase of intercourse (outcome), a decrease in fear of coitus, and an enhancement of successful non-coital penetration behavior, compared with no treatment. Outcome (intercourse) was partly mediated by changes in fear of coitus and changes in avoidance behavior. No treatment predictors could be detected in this study sample. It is concluded that techniques such as gradual exposure, aimed at decreasing avoidance behavior and penetration fear, constitute an important avenue of change in the treatment of lifelong vaginismus.     

Counseling utilization by ethnic minority college students

Although multicultural awareness in counseling has risen substantially in the last decade, little research has examined counseling utilization and outcomes for ethnic minorities on university campuses. A sample of 1,166 African American, Asian American, Caucasian, and Latino help-seeking university students from over 40 universities nationwide filled out the Outcome Questionnaire 45 (OQ45) at the first and last therapy sessions. Caucasian students attended significantly more sessions than all other groups. Greatest distress was found at intake in Asian American students, followed by Latino, African American, and Caucasian students. All groups appeared to benefit from therapy, as noted by a decrease in symptomatology, but none of the groups met the criteria for clinically significant change for the OQ45. Implications for therapists working with minority clients are discussed.     

Cognitive-behavioral therapy for geriatric compulsive hoarding

This investigation examined response to a manualized cognitive-behavioral therapy (CBT) protocol for compulsive hoarding (Steketee & Frost, 2007) in a sample of 12 adults over age 65. All participants were cognitively intact, not engaging in any other psychotherapy, and had compulsive hoarding as their primary problem. All received 26 sessions of individual CBT over the course of 17 weeks. The primary outcome measures were the Savings Inventory-Revised and UCLA Hoarding Severity Scale, which were administered at baseline, mid-treatment, post-treatment, and 6-month follow-up. Other outcomes included Clinical Global Impression (CGI) scores, depression, anxiety, disability, and clutter image ratings. Results demonstrated statistically significant changes on hoarding severity and depression. However, only three of the twelve participants were classified as treatment responders at post-treatment, and their gains were not maintained at 6-month follow-up. CGI, anxiety, disability, and clutter ratings were unchanged at post-treatment and follow-up. No participants dropped out, but homework compliance was variable and correlated with decreases in hoarding severity. Findings suggest that older adults with compulsive hoarding may require an enhanced or alternative treatment.     

Psychosocial treatment research with ethnic minority populations: ethical considerations in conducting clinical trials

Because of historical mistreatment of ethnic minorities by research and medical institutions, it is particularly important for researchers to be mindful of ethical issues that arise when conducting research with ethnic minority populations. In this article, we focus on the ethical issues related to the inclusion of ethnic minorities in clinical trials of psychosocial treatments. We highlight 2 factors, skepticism and mistrust by ethnic minorities about research and current inequities in the mental health care system, that researchers should consider when developing psychosocial interventions studies that include ethnic minorities.     

Are ethnic minority adolescents at risk for problem behaviour? Acculturation and intergenerational acculturation discrepancies in early adolescence

The present study investigated the adjustment of Indian adolescents living in Britain as well as the links between parents' and adolescents' acculturation styles and the adolescents' problem behaviours. The sample consisted of 68 young adolescents (31 Indian and 37 English) between the ages of 10 and 13, and their mothers and fathers. Mothers, fathers and adolescents reported about their own acculturation style, and parents also reported on their adolescents' problem behaviour. Overall Indian adolescents exhibited more internalizing problems than did their English peers. Furthermore, within the Indian group, the more Westernized mothers were in their acculturation style, the higher the level of externalizing problem behaviour their adolescents exhibited. In addition, the more traditional adolescents were the more internalizing problems they displayed. Finally, Indian adolescents experienced more internalizing problems when their parents were more Western or less traditional than the adolescents themselves. These findings highlight the importance of examining not only parental acculturation style, but also the parent–child acculturation discrepancy as a risk factor for problem behaviour.