Facilitating Mental Health Support for LGBT Forced Migrants: A Qualitative Inquiry

Evidence suggests that lesbian, gay, bisexual, and transgender (LGBT) individuals who flee their countries of origin may arrive in host countries with persecution‐related mental health problems. This qualitative study explored facilitators and barriers to mental health care in Canada for forced migrants who are LGBT through the perspectives of 22 service providers and 7 migrants. Using thematic analysis, the authors identified 4 themes: recognizing stigma and shame, accessing competent mental health providers, managing distress/manifesting resilience, and healing through community connections. The authors discuss implications for counseling.     

Overt and covert aggression in work settings in relation to the subjective well‐being of employees

Aggressive behavior was studied in workplaces having (1) predominantly male, (2) predominantly female, or (3) both male and female employees in equal or near equal frequencies. In addition to examining the occurrence of different types of aggression in these workplaces, the question of whether being a target of aggression is related to employees’ subjective well‐being was addressed. One hundred sixty‐nine participants (mainly 30–50 years of age) employed in a wide range of organizations in the public sector completed a questionnaire measuring four types of observed and experienced aggression: direct overt, indirect manipulative, covert insinuative, and rational‐appearing aggression. Indirect manipulative and rational‐appearing aggression were perceived to be the most widely used aggression styles in the work context. In the predominantly male workplaces, the men were perceived to use more of all types of aggression than in the predominantly female workplaces. The women’s aggression was not related to the relative number of females and males with whom they worked. Participants were divided into two groups on the basis of the extent to which they estimated themselves to be targets of workplace aggression. Those who considered themselves to be victims of workplace aggression suffered significantly more from psychosocial problems and physical symptoms than those who had been victimized to a lesser extent or not at all. The victimized group also considered the aggression they had suffered to be the reason for their psychosocial and health problems. Aggr. Behav. 27:360–371, 2001. © 2001 Wiley‐Liss, Inc.     

Women’s sex-toy parties: Technology, orgasm, and commodification

This article presents participant-observation research from five female-only sex-toy parties. We situate the sale of sex toys in the context of in-home marketing to women, the explosion of a sex industry, and the emergence of lifestyle and body politics. We explore the significance of sex toys for women as marketed in female-only contexts, paying particular attention to the similarities and differences with Tupperware’s marketing of plastic that promises happiness to women. We argue that sex-toy sales follow the exact patterns of Tupperware sales but, since the artifacts sold are for the bedroom rather than the kitchen, foster an even greater sense of intimacy between the women—which has both positve and negative consequences for thinking critically about the commodification of sexuality, bodies, and lifestyles in our capitalist culture. Vibrators and other sex toys constitute the technological route to a self-reflexive body project of female orgasm. We ask to what extent such a body project, achieved primarily through an individualistic, capitalistic consumption model, can offer a critique of normative discourses of heterosexual sex and identity. Is this new plastic purchased at parties liberatory or just another form of containment? In other words, how much Tupperware does a woman really need to buy, before she’s been bought?     

The color-vision approach to emotional space: Cortical evoked potential data

A framework for accounting for emotional phenomena proposed by Sokolov and Boucsein (2000) employs conceptual dimensions that parallel those of hue, brightness, and saturation in color vision. The approach that employs the concepts of emotional quality, intensity, and saturation has been supported by psychophysical emotional scaling data gathered from a few trained observers. We report cortical evoked potential data obtained during the change between different emotions expressed in schematic faces. Twenty-five subjects (13 male, 12 female) were presented with a positive, a negative, and a neutral computer-generated face with random interstimulus intervals in a within-subjects design, together with four meaningful and four meaningless control stimuli made up from the same elements. Frontal, central, parietal, and temporal ERPs were recorded from each hemisphere. Statistically significant outcomes in the P300 and N200 range support the potential fruitfulness of the proposed color-vision-model-based approach to human emotional space.     

Young Australian Women’s Aspirations for Work and Family: Individual and Sociocultural Differences

The arguments underlying Hakim’s Lifestyle Preference Theory have initiated debate over the importance of individual preferences, versus social and structural constraints, in women’s work and family patterns. This paper investigates the role of sociocultural factors in lifestyle preferences. A total of 6,929 Australian women, aged 25–30 years, from the Australian Longitudinal Study on Women’s Health (ALSWH), were categorised into Hakim’s Lifestyle Preference Groups, based on their aspirations for work and family. Rather than cutting across social groups, membership into Lifestyle Preference Groups was significantly related to sociodemographic variables. Further, the findings suggested that Hakim’s definition of ‘adaptive’ women may be too limited to capture the variability of the large number of young Australian women aspiring to combine paid work and family.     

Parental Exposure to Mass Violence and Child Mental Health: The First Responder and WTC Evacuee Study

Children’s reactions after being exposed to mass violence may be influenced by a spectrum of factors. Relatively unexplored is the extent to which family exposure to mass violence may affect child mental health, even when these children have not been directly exposed. In a representative sample of NYC public school children assessed 6 months after the September 11, 2001 attack on the World Trade Center (WTC), seemingly elevated rates of psychopathology were recorded among children of WTC evacuees. Children of NYC First Responders (police officers, EMTs, and fire fighters) displayed a complex pattern of response to the WTC attack. Overall, the findings from this previous study support putative transmission of trauma to children whose parents were exposed to the WTC attack. The “Children of First Responder and WTC Evacuee Study”—a two-site longitudinal study—is currently underway in the United States (New York City) and in Israel (Tel Aviv area) in an effort to understand the impact of different patterns of mass violence. The NYC sample permits us to examine the impact of a rare instance of mass violence (e.g., WTC attack), while the Israeli sample provides information about repeated and frequent exposure to mass violence brought about by acts of terrorism. In addition, children’s exposure to mass violence is considered in the context of their exposure to other potentially traumatic events. This study aims to improve our general understanding of the impact of mass violence on children, especially the psychological effects on children whose parents’ work experiences are by nature stressful. Knowledge generated by this study has implications for guiding efforts to meet the needs of children who have, directly or through a family member, been subjected to rare or infrequent mass violent event as well as to children whose exposure to mass violence is part of daily life.     

Resilience to Interpersonal Trauma and Decreased Risk for Psychopathology in an Epidemiologic Sample

Quantitative measures of psychological resilience related to discrete stressors, such as interpersonal (IP) trauma, are lacking. The current study examined whether a novel, quantitative measure of resilience was related to decreased risk for a broad range of lifetime DSM-IV axis I disorders in an epidemiologic sample. Resilience was defined as the residual resulting from the difference between the individual’s predicted and observed PTSD symptom count, based on their cumulative exposure to IP traumatic events. Participants were 6288 adults (59.5% women; M _age  = 46.9, SD = 14.5) from the National Epidemiologic Study on Alcohol and Related Conditions endorsing at least one lifetime IP traumatic event. Logistic regressions were conducted to examine the relationship between resilience and axis I diagnoses, covarying for age, sex, education level, social support, and recent stressful life events. Greater resilience scores were associated with decreased likelihood of major depression (OR = .64, p < .001), generalized anxiety disorder (OR = .65, p < .001), social anxiety disorder (OR = .74, p < .001), panic disorder (OR = .65, p <. 001), and alcohol dependence (OR = .85, p < .001). Discrepancy between expected and observed PTSD symptom severity based on IP trauma load may represent a useful, quantitative measure of resilience.     

Observer Influences on Fathers and Mothers: An Experimental Manipulation of the Structure and Function of Parent – Infant Conversation

From studies over the past 20 years four contrasting hypotheses can be made about the nature of parent–infant communication: (1) mothers and fathers display similar skills to their infants and do not exert a differential influence on their development; (2) fathers are less sympathetic to their infants' level of development and therefore inadvertently stretch the child's development more than mothers; (3) both parents differentially socialize their sons' and daughters' early communicative skills; (4) any apparent differences between parents reflect their expectations about being observed. To examine these hypotheses together, this experiment records the communication of 10 mother–infant and 10 father–infant dyads in two conditions: when an observer was present or absent. The analysis revealed two patterns. Firstly, in keeping with most research on parent–child communication, mothers and fathers both simplified their speech to their infants in similar ways. Secondly, both the structure and function of parental communication showed differences between the two conditions and many of these differences were moderated by interactions between condition and sex of parent or child. The data thus provide more support for the first and fourth hypotheses cited above. It is suggested that analyses of parent–infant interaction should move away from simple assumptions about parental ‘influences’ upon children's development to consider the subtleties of different parental styles in different settings.     

Mental health measurement among women veterans receiving co-located,collaborative care services

Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration’s electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.