An Examination of Race Differences in Patients' Psychological Adjustment to Cancer

Although African Americans are at increased risk of cancer morbidity and mortality, very little is known about their psychological adjustment. African American males may be at especially high psychological risk, considering their disproportionately higher cancer mortality. Subjects were 42 African American and 56 White adults similar in age, cancer stage, marital status, and socioeconomic status. Analyses revealed no significant race or gender effects on global indices of psychological adjustment, depression, or anxiety. However, African Americans were more likely than Whites (a) to use avoidant coping strategies in dealing with the exigencies of their illness, (b) to report more cancer-related disruption in family relations, and (c) to identify fewer individuals in their social support network. No significant race differences were found on a measure of health care satisfaction. These findings highlight the need to provide a more comprehensive examination of individual, family, and socioecological variables and their relationship to psychological adaptation among minorities with cancer.     

Race,Ethnicity, and Gender of Faculty Members in APA‐ and CACREP‐Accredited Programs: Changes Over Five Decades

This study examined changes in race, ethnicity, and gender of faculty members in APA‐ and CACREP‐accredited counseling programs over 5 decades based on the year of their degree. Of those faculty members working in accredited programs who graduated in the 1960s/1970s, 26.7% were female, 5.6% were racially diverse, and 1.7% were Latina/o. Of those who graduated 5 decades later, 63% were female, 18% were racially diverse, and 4.9% were Latina/o. Implications are discussed. Este estudio examinó los cambios en raza, etnicidad y sexo de los miembros del profesorado en programas de consejería acreditados por la APA y CACREP a lo largo de 5 décadas basados en el año de graduación del profesor. De aquellos miembros del profesorado trabajando en programas acreditados que se graduaron en las décadas de los 60 y 70, el 26.7% fueron mujeres, el 5.6% racialmente diversos y el 1.7% latinos. De aquellos que se graduaron 5 décadas después, el 63% fueron mujeres, el 18% racialmente diversos y el 4.9% latinos. Se discuten las implicaciones.     

Ethnicity, Culture, and Group Psychotherapy

Ethnicity and culture have great therapeutic import in the practice of group psychotherapy, especially given the increasing diversity of the population of North America, and this issue has not received appropriate recognition in the literature. In this paper these terms are defined, and the literature is reviewed. Ethnicity, culture, and psychopathology are discussed, focusing on treatment issues including transference, countertransference, resistance, group cohesion, group process, and multi-ethnic groups. The group therapist must be knowledgeable about ethnic and cultural issues in the lives of the group members in order to promote group cohesion and therapeutic effectiveness. The recognition and exploration of ethnic/cultural differences enhances the work of the group. Recommendations for treatment are discussed.     

The Integrated Acculturation Model: Expanding Acculturation to Cultural Identities in Addition to Race and Ethnicity

This article is an attempt to integrate existing conceptual knowledge on acculturation as well as to expand the use of the construct, which has traditionally had race and ethnicity as its focus, to also include cultural identities such as sexual orientation, gender identity, nationality, and disability. The article begins with a review of existing theoretical contributions from both the United States and Europe. We then propose a model to update and expand the use of acculturation. Finally, we provide an assessment framework. Este artículo es un intento de integrar los conocimientos conceptuales existentes sobre la aculturación además de expandir el uso de este constructo, que tradicionalmente se ha enfocado hacia la raza y la etnicidad, para incluir también identidades culturales tales como la orientación sexual, la identidad de sexo, la nacionalidad y la discapacidad. El artículo comienza con una revisión de las contribuciones teóricas existentes tanto de Estados Unidos como de Europa. A continuación, proponemos un modelo para actualizar y expandir el uso de la aculturación. Por último, proporcionamos un marco de evaluación.     

Race in the Space: Clinical Considerations for Addressing Race in Treatment

During a period of intense racial unrest in the nation, we were working as clinicians delivering a manualized protocol to LGBTQ adults of varying racial and ethnic backgrounds. Intrigued by the differences in our modes of engagement with clients, we, a Black, cis female therapist and White, cis male therapist, set out to further explore how our positionalities informed our communications with, and expectations of, White and non-White clients during this time. In this paper, we reflect on these differences when delivering therapy in cross-racial and same-race dyads. We highlight where our experiences overlap as clinicians trained in the same program and where they diverge due to our respective worldviews. We conclude with considerations for practitioners to engage with race in psychotherapeutic treatment.     

Self‐Stigma,Mental Health Literacy,and Attitudes Toward Seeking Psychological Help

This study examined self‐stigma of seeking psychological help and mental health literacy as predictors of college students’ (N = 1,535) help‐seeking attitudes, with additional attention to psychological and demographic correlates. Results indicated that mental health literacy predicted help‐seeking attitudes above and beyond self‐stigma. Asian American race/ethnicity, male gender, current psychological distress, and help‐seeking history were also significant predictors. Implications for addressing mental health literacy and self‐stigma while attending to demographic and psychological variations in help seeking are discussed.     

Clinical Geropsychology: Implications for Practice in Medical Settings

Older adults are a rapidly growing segment of the population, who have high rates of chronic illness and who utilize health care resources heavily. Psychologists must become better prepared to work with older patients in geriatric settings, including geriatric assessment units, memory disorders clinics, and nursing homes. In addition, all psychologists will increasingly encounter older patients in environments such as primary care clinics, rehabilitation settings, and disease management programs focusing on problems that are prevalent in older patients (e.g., cancer, diabetes). Suggestions are offered for adaptation of usual clinical practice to address the special needs of older patients and their families, and recommendations made for advancing and expanding the practice of clinical geropsychology.     

Peer Aggression by Secondary School Learners in a South African School Setting: Effects of Race,Ethnicity, and Gender

This study reports the experience of aggression by secondary school learners attending a South African school. There were 14 participants ranging in age from 16 to 19 years (Gender: 6 young women and 8 young men; Ethnicity: 7 Black; 3 Coloured; 2 Indian and 2 White). Data were collected using open ended interviews and analysed using Tesch's (1990) thematic panning method. The findings suggest these learners have little understanding or appreciation of diversity in their multicultural schools. Consequently, they experience negative interpersonal relationships with peers and teachers. The accompanying aggression they experience and display has racial and gender overtones that are shaped by the violence in their communities.     

Psychology Internships in the Treatment of Severe Mental Illness: Implications for Training in Academic Medical Centers

Despite an increasing focus over the past 2 decades by federal and state governments on the care of persons with severe mental illness, psychologists remain underrepresented among behavioral health professionals working with this population. Within the discipline there is growing concern about the need to adequately train, recruit, and retain psychologists in this specialty. This is a particular concern in academic medical settings where the overall severity of illness among those receiving psychiatric services continues to increase. The purpose of this qualitative research study was to intensively examine the experience of predoctoral interns engaged in treating individuals with severe mental illness in an academic medical center in order to identify the professional developmental experiences and training needs of those learning to care for this population. This analysis, conducted with semistructured interviews at four points during the internship year, yielded a series of recommendations for improving internship training and recruiting psychologists to this specialty.     

Race,Caste, and Christianity

Race and caste are two important historical and social categories that had a significant role during the European colonial period and in the colonies. Christian missionary activities during the colonial period often colluded with the colonial institutions in perpetuating certain accepted worldviews that benefited the colonial authorities. The central argument of this paper is to highlight the impact of a racialized worldview that was prevalent among European colonial powers, its transmission to the colonial context, and its continuing social legacy within Christianity. This paper, through a post-colonial analysis of British mission history and its work in a South Asian context, raises some pertinent questions regarding the tacit role of race and caste in the Christianizing mission. It also argues the need for careful post-colonial analysis of mission practices to challenge reactivation of entrenched structures of discrimination and prejudice.     

Race, Culture, and Ethnicity: Implications for a Community Intervention

We present an overview of research on African American families and emphasize in this discussion limitations of approaches used in the past to study African American families. We also discuss and identify challenges for designing and implementing community, family-based programs targeting competence-promoting behaviors in African American families. In addition, we attempt to accomplish the following objectives: (1) identify themes in studies of African American families, including bias in prior research; (2) discuss ways in which prior approaches and conceptual models guiding studies of African Americans have created challenges for the development and implementation of community-based intervention and research programs; and (3) present the Parents Matter! Program as an example of a community-based prevention effort that attempted to overcome many of the challenges created by prior research efforts.     

Intersectionality of Race/Ethnicity and Gender Among Women of Color and White Women

Theoretical writings on intersectionality have long emphasized the unique ways women of color experience race/ethnicity and gender, particularly compared to White women; however, little empirical evidence exists in support of this claim. This mixed-methods study adds to the empirical base by comparing and contrasting these experiences among women of color and White women. In a sample of 47 women of color and 18 White women, there were significant racial/ethnic differences in terms of (a) the perceived connection of race/ethnicity and gender, (b) the social contexts in which gender becomes salient, and (c) the meaningfulness of the intersection of race/ethnicity and gender. The findings lend empirical support for intersectionality as a useful psychological framework for understanding multiple social identities.     

Race,Religion, and Anti‐Poverty Policy Attitudes

Using the 2008 National Politics Study, the present study indicates that while African Americans are more likely than whites to hear sermons about poverty and other political issues, hearing such sermons more consistently associates with support for anti‐poverty government programs among non‐Hispanic whites than among both African Americans and Hispanics. The racially/ethnically marginalized status of blacks and Hispanics may contribute to these groups being more receptive than whites to religious messages emphasizing social inequality. The contrasting racial experiences of dominance and marginalization may also help explain why hearing politicized sermons is more meaningful to the progressive social welfare attitudes of whites than to African Americans and Hispanics. This expectation is rooted in the heightened variability of perspectives among whites and their religious organizations regarding the government's role in aiding the economically disadvantaged. Conversely, the vast majority of blacks and Hispanics support the government helping individuals who fallen upon hard times. The greater variability in opinion among whites may also allow for greater differences in opinion to emerge between whites who attend relative to those outside of religious congregations led by clergy emphasizing spiritual and political solidarity with the poor than is the case for African Americans and Hispanics.     

Family mental health during the COVID-19 pandemic: Changes in parent-adolescent internalizing symptoms in the United States

The current paper examined the temporal linkage of internalizing symptoms among parent-adolescent dyads during the beginning of the COVID-19 pandemic, and whether COVID-19-related concerns were associated with parent-adolescent linkage of symptoms. Using a 5-week survey-based study, parent-adolescent dyads filled out weekly surveys measuring COVID-19 concerns and internalizing symptoms. Parent and adolescent depressive symptoms did not change over time; however, adolescents experienced decreases in anxiety. Parent-adolescent dyads exhibited linkage in depressive symptoms but not anxiety symptoms. However, linkage in anxiety symptoms varied by parent's COVID-related stress. Study findings provide insight into how COVID-19 disruptions impacted family well-being during adolescence.     

Gender, Race, and Class in Organizational Contexts

Creating settings that support diversity has been a long-standing concern of community psychology. In this paper, I propose two qualities as important aspects of organizational contexts that support the meaningful participation of diverse groups:(a) a culture of connection and (b) recognition of multiple realities. For each theme, I first examine countervailing values that can undermine meaningful participation of nondominant groups. I suggest that organizational values for independence and a press for sameness can contribute to settings where members of traditionally oppressed groups will be prevented from meaningful participation. I also suggest that fostering a culture of connectedness that actively legitimizes multiple realities is a constructive alternative. To illustrate these points, I share observations based on experiences in manufacturing, educational, and community-based settings. Then, I explore two dynamics that are important when confronting the countervailing values and building more inclusive contexts: (a) accountability for impact and (b) privilege dynamics. Last, I turn to some possibilities for change through a stance of connected disruption.     

Diversity and Dance: Exploring the Therapeutic Implications of World Dance

This phenomenological study examined the potential power of world dance as a therapeutic tool. The lived experiences of adult females (N = 16) were explored to understand the purposive essence of dance and subsequent benefits to mental health. Findings revealed 15 themes in total: 11 themes highlighted potential benefits of world dance, such as social support and stress relief, and four themes noted potential obstacles to using world dance as a therapeutic tool, such as access or finances. Implications for using world dance within creative counseling practice are provided.     

Medical Psychology in Australia

Medical psychology in Australia is heavily influenced by British and American thought. The dominant model for clinical training and practice is the scientist–practitioner model, yet a gulf exists between academic and practice settings. Membership of the professional society requires 6 years of university study in psychology. However, registration requires only 4 years training in psychology. Medical psychologists provide a broad range of services in hospital and community settings, often within multidisciplinary teams. Challenges for the future include bridging the divide between university and health settings, increasing qualifications required for registration, making psychology culturally relevant, and demonstrating to funding managers that psychological interventions are both clinically effective and cost effective.