Aging,memory loss,and Alzheimer’s disease: What do refugees from the former Soviet Union think?

ABSTRACT

Since the mid-1970s, approximately 700,000 émigrés from the former Soviet Union (FSU), most of Jewish descent, settled in the United States. Now, 25 or more years post-emigration, they have “aged in place” in the United States, but their values, beliefs, and attitudes about growing old, memory changes, and Alzheimer’s disease remain grounded in their earlier life experiences. Based on findings from a study of the social and cultural factors affecting beliefs about Alzheimer’s disease, aging, and memory loss, this article examines how past life experiences, the immigration experience, and cultural values affect Russian-speaking refugees’ beliefs and views about aging, memory loss, and Alzheimer’s disease.     

Doing Therapy in a Foreign Land: When the Therapist Is “Not From Here”

The psychotherapy field has been paying closer attention to how therapists’ characteristics, history, and styles affect therapeutic encounters and contribute to successful therapy outcomes. Therapists have been encouraged to increase self-awareness of their own socio-cultural dimensions to optimally connect with clients. However, the experience of therapists’ own immigration has received little attention. This article highlights the experience of immigration as important for understanding the self of the therapist, describing core experiences related to immigration for immigrant therapists in the United States. This article additionally describes how these experiences can affect immigrant therapists’ clinical encounters. Finally, recommendations are provided for immigrant therapists, clinical supervisors, and training programs.     

Intimate Partner Violence in African Immigrant Communities in the United States: Reflections from the IDVAAC African Women’s Round Table on Domestic Violence

African women face many challenges when they come to the United States due to the immigration experience, acculturation, and leaving family members in countries of origin. Intimate partner violence (IPV) complicates African women’s experience within their home countries as well as in the United States. There is little literature on IPV in African ethnic groups. This information is even sparser regarding IPV among African immigrant and refugee communities in the United States. To better address the needs of these communities, the Institute on Domestic Violence in the African American Community brought together service providers and survivors representing 16 different African countries to attend a roundtable and explore issues of IPV. This article highlights the unique challenges they identified.     

Intrafamilial Separations in the Immigrant Family: Implications for Cross-Cultural Counseling

A structural family therapy (SFT) approach is combined with the paradigm of acculturation to increase counselors' sensitivity to a subcase of immigrant families, namely those whose members arrive at different times in the United States. The focus is on those families in which parents have preceded children in the immigration experience, which creates the challenging scenario of parents being more adapted to the host culture than their children. Written primarily for family counselors working with immigrant children and their parents, the article provides culturally sensitive counseling strategies based on a structural conceptualization of families, as well as suggestions for future research directions.     

Trainee psychotherapy effectiveness at a psychodynamic training clinic: a practice-based study

The degree to which clinical experience is a significant factor in predicting positive psychotherapeutic outcomes is an open question. Empirical studies comparing experienced and beginning practitioners on differences in client outcomes have yielded mixed results. While multiple sources have indicated that trainees are generally effective therapists, few of these studies have examined the effectiveness of graduate-level therapists in a psychodynamic training program. In this study, conducted in the United States, we use a practice-based research approach to examine the outcomes of clients working with trainees at a community mental health clinic in the northeast United States. The theoretical orientation identified by the clinic and training program is psychodynamic with an interpersonal and/or relational emphasis. Results indicated that clients working with trainees at this clinic demonstrated improvement across several indicators of symptoms and psychosocial functioning over the time they received treatment. Implications for training and service reimbursement are discussed.     

Important Considerations in the Counseling Process of Immigrant Venezuelan Families

Recent increases in the number of Venezuelan immigrant families in the United States and/or Canada have contributed to the need for developing effective assessment and counseling strategies to help this population integrate into their new environment. Assessment of Venezuelan families may be achieved effectively when therapists are able to delineate, without stereotyping, the contribution of culture to the presenting complaint and symptomatology. This article presents therapeutic considerations relating to Venezuelan families. Guidelines for gathering clinical information are discussed.     

The Sexual Orientation Matrix for Supervision

SUMMARY

The Sexual Orientation Matrix for Supervision (SOMS) was created in order to assist supervisors and trainers in preparing supervisees to work with lesbian, gay, and bisexual (LGB) clients. The SOMS was developed around two core concepts: (1) degree of heterosexual bias, and (2) degree of acceptance of LGB orientations and behavior. Supervisors can employ the matrix to explore both their own and their supervisee's levels of comfort, knowledge, and experience in working with LGB clients including same-sex couples. This article describes the development of the matrix, an exploration of the concepts underlying this tool, and an explanation of how to use the matrix, including suggested tasks for supervision of therapists working with same-sex couples.     

What Front-Line CBO Staff Can Tell Us About Culturally Anchored Theories of Behavior Change in HIV Prevention for Asian/Pacific Islanders

Few rigorously tested primary prevention programs have been developed to prevent HIV infection among immigrant communities in the United States. This is in part because of the lack of culturally specific behavioral theories that can inform HIV prevention for immigrant communities in the United States. This article aims to develop such theories for a population—Asian/Pacific Islanders (A/PIs) immigrant communities—who have been overlooked in theory development and program evaluation. Frontline community-based organization (CBO) peer educators, an underutilized source of expertise regarding cultural factors specific to HIV infection among A/PI communities, are the sample of study Asian/Pacific Islander peer educators working at an urban AIDS service organization devoted to health promotion for this population; (N=35). They were interviewed to examine (1) detailed narratives describing instances of behavior change and (2) culturally anchored theories of behavior change which the narratives imply. Theories of the influence of positive cultural symbols on the taboo of HIV/AIDS, moderators of the effectiveness of social network influences on behavior change, and setting- and community-level processes predicting HIV risk behavior were implicit in the peer educators' narratives. Implications for future research, methodology and prevention practice are discussed.     

Illness Perception Differences Between Russian- and Hebrew-Speaking Israeli Oncology Patients

Illness perception influences health and illness behaviors. This study was designed to estimate illness perception differences between Russian-speaking and Hebrew-speaking Israeli oncology patients. Changes in illness perception associated with time spent in Israel among Russian-speaking patients were also evaluated. Additionally, we evaluated differences in illness perception of patients exposed to Chernobyl’s consequences. A total of 144 oncology patients (77 Hebrew-speaking, 67 Russian-speaking) completed personal data questionnaires and The illness perception questionnaire revised, translated into Russian for this study. Significantly more Russian-speaking oncology patients perceived their illness as chronic and having negative consequences on life (p < .01). Russian-speaking oncology patients tend to have a more negative perception of cancer compared to Hebrew-speaking patients. Time spent in Israel may create more positive perceptions of cancer among these patients. No illness perception differences were found concerning Chernobyl consequences.     

Cosplay in the pulpit and ponies at prayer: Christian faith and lived religion in wider fan culture

ABSTRACT

This article examines the way in which Christian fans of popular media franchises have incorporated their fan identity into a lived religious experience, producing religious fan works such as fan fiction, art, and fan-themed church services. Based around a series of interviews with fans in the United States and the UK, both lay and clergy, it suggests the powerful affective connections forged through fandom, and examines the way in which fandom operates as a shared language to engage the wider fan community with theological ideas. Fans viewed their fandom as an arena through which God communicated and developed personal faith, working through fan texts and fan works to encourage and develop their connection to the divine. This article, therefore, challenges academic positions that see fandom as a secular replacement for religion, or as a form of blasphemous excess.     

First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

Content and predictors of the ethnic identity of Russian-speaking immigrant adolescents in Finland

The content and predictors of the ethnic identity of Russian-speaking immigrant adolescents ( N =170) in Finland were investigated. The ethnic identity of immigrants was found to be composed of two dimensions, one reflecting the cognitive, evaluative and emotional components of their Russian identity and the other reflecting those of their Finnish identity. The ethnic and linguistic self-identifications of adolescents were strongly related to the extent of and the value given to the Russian and Finnish identity, but neither to the frequency of using nor to their proficiency in the respective languages. The immigrants' perceptions of the relationships with parents were strongly related to their Russian identity. This association was, however, very different for girls and boys. In addition, the Russian contact orientation and Russian language use were strong predictors of the adolescents' Russian identity, whereas their Finnish contact orientation and Finnish language use strongly predicted their Finnish identity.     

Counseling Thai Americans: An Emerging Need

This article identifies the unique issues of Thai Americans as a cultural minority in the United States. The authors propose ways of understanding and responding to Thai American clients and recommend strategies for working more effectively with these clients.     

Cultural ruptures in short‐term therapy: Working alliance as a mediator between clients' perceptions of microaggressions and therapy outcomes

Aim: To determine whether or not clients' perceptions of microaggressions varied based on their own and the therapist's race/ethnicity and whether or not they would be negatively related to the effectiveness of therapy and if the working alliance would mediate this effect. Method: The study utilised a cross‐sectional, retrospective, methodology. Clients were recruited from a large university counselling centre in the United States (N=232 clients and 29 therapists). Results: Neither clients' race/ethnicity, therapists’ race/ethnicity, nor client‐therapist ethnic matching predicted perceptions of microaggressions. Clients' ratings of microaggressions were negatively associated with their psychological wellbeing; however, this effect was mediated by clients' ratings of the working alliance. Implications: Therapists should take into account the cultural messages they may be conveying to both white and racial/ethnic minority clients. Therapists should develop strategies that are consistent with a general therapeutic approach that promotes discussions about culture with their clients and, most importantly, should attend to the therapeutic relationship.     

Knock,Knock–Who’s Scared?: The Knockout Game as a Short-lived Crime Problem

ABSTRACT

The “knockout game”--youths assaulting strangers at random with the goal of knocking them unconscious with a single blow—attracted intense attention in the United States for a brief period near the end of 2013. This paper examines the history of a set of claims about similar behaviors preceded that knockout game’s eventual celebrity. It demonstrates the difficulty of successfully constructing a new crime problem; it took decades before a combination of elements—location, the characterization of offenders and victims, an emphasis on technology, and a prominent media venue willing to promote the story—brought these claims to prominence.     

Creativity of Small Groups and of Persons Working Alone

Abstract

IN THE PRESENT STUDY, the experimental sample consisted of 79 groups of 3 to 5 students, and the control sample consisted of 20 students working alone. Both samples were assigned the same task. All participants (approximate age range = 18-22 years) in the experiment were affiliated with a large, urban university located on the East Coast of the United States.     

Young widowhood: A life change journey

Abstract

Women between the ages of 35 and 54 experience adjustment to widowhood differently from older widows. There are approximately 1 million new widows in the United States each year; 73,000 are between the ages of 35 and 54. An investigative study of 15 younger widows showed an emerging pattern of life change transition of which mourning is a significant but minor part of the process. This article describes the resulting model of a young widow's transition process.     

Ethics Lessons From Seattle’s Early Experience With COVID-19

Abstract

Ethics consultants and critical care clinicians reflect on Seattle’s early experience as the United States’ first epicenter of COVID-19. We discuss ethically salient issues confronted at UW Medicine’s hospitals and provide lessons for other health care institutions that may soon face what we have faced.     

Economic Assimilation of Asian Indians in the United States: Evidence from the 1990s

Although Asian Indians constitute one of the largest and fastest-growing immigrant groups in the United States, there has been no systematic examination of their economic performance. This paper studies the relative wage convergence of Asian Indians in the United States, using the 5/100 1990 and 2000 US Censuses. Results from cross-sectional and cohort analyses indicate that, although the recent-arrival cohort of Asian Indian males and females face a wage penalty relative to native-born non-Hispanic whites, there is significant growth in their wages over the decade, suggesting strong economic assimilation. However, overall, the group is not able to reach wage parity with comparable native-born whites even after residing in the country for 20 years. These results are in line with the existing evidence on post-1965 immigrants in the United States. Furthermore, results indicate that Asian Indians experience greater wage assimilation compared with Other Asians, and within the Asian Indian group, females experience greater economic assimilation compared with males.