Succeeding in Rural Mental Health Practice: Being Sensitive to Culture by Fitting in and Collaborating

Sustainable solutions to the access to mental health care problems are complex and must address both the availability of mental health care resources and the acceptability of those resources to consumers. The purpose of this study was to determine how to address the acceptability problem by learning from medical and mental health care providers what mental health therapists need to know to be successful in providing care in rural communities. Using a qualitative design, focus groups were conducted in three rural communities (<2,500) with medical and mental health care providers practicing in these communities. Data were analyzed using inductive qualitative methods. Results indicate that in addition to sound clinical skill, mental health therapists should (A) be sensitive to the culture of the rural community in which they are working and (B) practice in a way that accommodates to the care culture of the community. The latter includes spending time with patients commensurate with what is expected by other providers, engaging in generalist practice, and collaborating with local providers in patient care. An important implication of these results is that mental health care must be acceptable to both the residents of the community and the gatekeepers to health care.     

Different sides of the same conversation: Black and White partners differ in perceptions of interaction content

A positive interracial interaction can create a foundation for friendships, improved intergroup attitudes and reduced prejudice. Recent research has demonstrated that what people talk about in important. Here, two studies expand the interaction content model of interracial interactions to reveal that Black and White Americans perceive interaction content in similar and different ways. As expected, Black and White participants evaluated conversation topics along the same three dimensions, but differed in their perceptions of specific conversation topics. These convergences and differences emerged for pre‐generated (Study 1) and self‐generated (Study 2) topics. Factor analyses revealed that conversation attributes similarly distilled to the predicted underlying content dimensions of intimacy, valence, and controversy for Black and White Americans. However, Black individuals found interaction content, in general, to be more controversial, race‐related, enjoyable, and predictable than White individuals. Although both groups found race‐related content more controversial, Black individuals were less bothered by discussing race and found race‐related topics to be more predictable and enjoyable to discuss. These findings supported the interaction content model which may provide a framework for future research on interracial interactions. We conclude with the importance of considering differences in perceptions of interaction content, as well as suggestions for how intergroup interaction research could benefit from systematically incorporating such content.     

Pessimistic Inductions: Four Varieties

The pessimistic induction (PI) plays an important role in the contemporary realism/anti-realism debate in philosophy of science. But there is some disagreement about the structure and aim of the argument. And a number of scholars have noted that there is more than one type of PI in the philosophical literature. I review four different versions of the PI. I aim to show that PIs have been appealed to by philosophers of science for a variety of reasons. Even some realists have appealed to a PI. My goal is to advance our understanding of (1) what the various PIs can teach us about science and (2) the threat posed by PIs to scientific realism.     

An Auto‐Ethnographic Study of “Open Dialogue”: The Illumination of Snow

This auto‐ethnographic study describes the changes in the author's thinking and clinical work connected to her first‐hand experience of Open Dialogue, which is an innovative, psychosocial approach to severe psychiatric crises developed in Tornio, Finland. In charting this trajectory, there is an emphasis on three interrelated themes: the micropolitics of U.S. managed mental health care; the practice of “dialogicality” in Open Dialogue; and the historical, cultural, and scientific shifts that are encouraging the adaptation of Open Dialogue in the United States. The work of Gregory Bateson provides a conceptual framework that makes sense of the author's experience and the larger trends. The study portrays and underscores how family and network practices are essential to responding to psychiatric crises and should not be abandoned in favor of a reductionist, biomedical model.     

Reducing automatically activated racial prejudice through implicit evaluative conditioning

The authors report a set of experiments that use an implicit evaluative conditioning procedure to reduce automatically activated racial prejudice in White participants in a short period and with relatively few trials. Experiment 1 demonstrated that participants were unaware of the repeated conditioned stimulus-unconditioned stimulus (CS-US) pairings of Black-good and White-bad. In Experiment 2, the procedure was found to be effective in reducing prejudice as indicated by an evaluative priming measure of automatically activated racial attitudes. In Experiment 3, this reduction in prejudice was found to persist throughout a 2-day separation between the conditioning procedure and the administration of the dependent measure. The implications of the present findings for the persistence of automatically activated racial prejudice are discussed.     

Attenuating the link between threatened egotism and aggression

Research has found that narcissists behave aggressively when they receive a blow to their ego. The current studies examined whether narcissistic aggression could be reduced by inducing a unit relation between the target of aggression and the aggressor. Experimental participants were told that they shared either a birthday (Study 1) or a fingerprint type (Study 2) with a partner. Control participants were not given any information indicating similarity to their partner. Before aggression was measured, the partners criticized essays written by the participants. Aggression was measured by allowing participants to give their partner loud blasts of noise through a pair of headphones. In the control groups, narcissists were especially aggressive toward their partner. However, narcissistic aggression was completely attenuated, even under ego threat, when participants believed they shared a key similarity with their partner.