Aboriginal Practitioners Offer Culturally Safe and Responsive CBT: Response to Commentaries

We appreciate the valuable commentaries that have been provided for our paper “Can CBT be effective for Aboriginal Australians? Perspectives of Aboriginal practitioners trained in CBT.” The international authors identify how CBT, with adaptations by culturally responsive practitioners can be of value for non‐Western and Indigenous peoples. The commentary by Australian psychologists Dudgeon and Kelly questions the value of CBT for Indigenous Australians, terming it a “Western therapy” that is “culturally unresponsive” and “culturally blind.” They also critique the methodology of the study. We argue that CBT can be adapted by culturally competent practitioners to be culturally safe in Australia, as elsewhere. Cultural safety is mostly a function of the therapist, not the therapy. In the Bennett‐Levy et al. (2014) study, CBT was delivered in a culturally responsive way by Aboriginal counsellors within their own communities. CBT is a particularly adaptable and versatile therapy, and embodies principles of empowerment and self‐determination that are central to Indigenous social and emotional well‐being. We are concerned that CBT, which has strong empirical support and has been adapted elsewhere for a range of cultures, including Indigenous cultures, may be being denied to Indigenous Australian clients. There is considerable opportunity to evaluate the effectiveness and versatility of CBT, and variations of its mode of delivery, for all Australians.     

Emotional scenes elicit more pronounced self-reported emotional experience and greater EPN and LPP modulation when compared to emotional faces

Emotional faces and scenes carry a wealth of overlapping and distinct perceptual information. Despite widespread use in the investigation of emotional perception, expressive face and evocative scene stimuli are rarely assessed in the same experiment. Here, we evaluated self-reports of arousal and pleasantness, as well as early and late event-related potentials (e.g., N170, early posterior negativity [EPN], late positive potential [LPP]) as subjects viewed neutral and emotional faces and scenes, including contents representing anger, fear, and joy. Results demonstrate that emotional scenes were rated as more evocative than emotional faces, as only scenes produced elevated self-reports of arousal. In addition, viewing scenes resulted in more extreme ratings of pleasantness (and unpleasantness) than did faces. EEG results indicate that both expressive faces and emotional scenes evoke enhanced negativity in the N170 component, while the EPN and LPP components show significantly enhanced modulation only by scene, relative to face stimuli. These data suggest that viewing emotional scenes results in a more pronounced emotional experience that is associated with reliable modulation of visual event-related potentials that are implicated in emotional circuits in the brain.     

Newborn Screening: Education,Consent, and the Residual Blood Spot. The Position of the National Society of Genetic Counselors

Newborn screening (NBS) is a minimally invasive lifesaving test. There is currently no federal mandate for NBS, thus states determine their own screening panel based on the recommendations of the Secretary’s Advisory Committee on Heritable Disorders in Newborn and Children (SACHDNC), which was recently re-chartered as the Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). After NBS is completed, a couple of residual blood spots remain. While some states allow these spots to be used for public health and scientific research purposes, parents are not always informed about these additional uses. This paper addresses the National Society of Genetic Counselors’ (NSGC’s) position about NBS and blood spot storage/use and the rationale for these positions. The National Society of Genetic Counselors strongly supports newborn screening for the uniform screening panel of conditions recommended by the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children. NSGC also supports storage and use of blood spot samples by newborn screening laboratories and transparent policies that govern these activities.     

Preliminary Validity of the Eyberg Child Behavior Inventory With Filipino Immigrant Parents

Filipinos are an understudied minority affected by significant behavioral health disparities. We evaluate evidence for the reliability, construct validity, and convergent validity of the Eyberg Child Behavior Inventory (ECBI) in 6- to 12-year-old Filipino children (N = 23). ECBI scores demonstrated high internal consistency, supporting a single-factor model (preintervention α = .91; postintervention α = .95). Results document convergent validity with the Child Behavior Checklist Externalizing scale at pretest (r = .54, p < .01) and posttest (r = .71, p < .001). We conclude that the ECBI is a promising tool to measure behavior problems in Filipino children.     

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

Cognitive and social factors are essential considerations in inflammatory bowel disease (IBD) patient management, but existing research is limited. This study aims to expand the IBD literature by examining the relationship between social supports and QoL, while examining mechanisms in these relationships. Consenting patients attending an IBD outpatient clinic were provided a survey package (N = 164). Regressions evaluated predictors of IBD-QoL, and catastrophizing and optimism were examined as mediators between social support and IBD-QoL. Diminished IBD-QoL was predicted by younger age, greater negative spousal responses, and less perceived spousal support. Mediation models showed helplessness catastrophizing to be the lone mediator, acting as a mechanism between both negative spousal responses and perceived spousal support with IBD-QoL. Social interaction variables are associated with IBD-QoL, but patients’ experience of helplessness acts to reduce their ability to benefit from social support. Patient care should consider supportive social and cognitive factors to improve IBD-QoL.     

Economic Integration of Pre-WWI Immigrants from the British Isles in the Canadian Labour Market

This article provides new evidence on the economic assimilation of immigrants from the British Isles in Canada during the late nineteenth and early twentieth centuries. Using data from the 1901 and 1911 censuses and a pseudo-cohort methodology, we estimate both entry and assimilation effects. We find a non-negligible decline in entry earnings among successive cohorts of British and Irish immigrants, previously overlooked in the literature. Our estimates also reveal that the economic performance for Irish and older British arrival cohorts was better than previously reported. Overall, slow economic assimilation and sparse occupational mobility of immigrants have been a long-standing issue in the Canadian labour market.     

Essentialist beliefs affect children's outgroup empathy,attitudes and prosocial behaviours in a setting of intergroup conflict

Empathy for salient outgroups can promote positive intergroup attitudes and prosocial behaviours. Less is known about which factors may promote empathy, particularly among children, in contexts of intergroup conflict. Empathy may depend on underlying cognitions, such as social essentialist beliefs, that is, believing that certain social categories have an underlying essence that causes members to share observable and non-observable properties. This study explored the influence of essentialist beliefs about ethno-religious categories on outgroup-directed empathy, attitudes and prosocial behaviours of children living in Northern Ireland (N = 88; M = 7.09, SD = 1.47 years old). Bootstrapped chain mediation found that lower essentialist beliefs predicted greater outgroup-directed empathy, which was positively related to outgroup attitudes, which in turn, predicted more outgroup prosocial behaviours. The findings highlight the importance of essentialist beliefs as an underlying factor promoting empathy, with links to prosocial behaviours in settings of intergroup conflict. The intervention implications are discussed.     

A Systematic Review of the Posttraumatic Stress Disorder Checklist (PCL)

In this systematic review, the authors analyzed 336 published articles and dissertations that used the Posttraumatic Stress Disorder Checklist (PCL) to determine the reliability and validity of scores on 3 different versions: PCL–Specific, PCL–Military, and PCL–Civilian. Results confirmed Weathers, Litz, Herman, Huska, and Keane's ( 1993 ) claim that the PCL has adequate psychometric properties and appears to support the construction of a new version, the PCL‐5, as a population‐nonspecific instrument.     

Knowing what we do not know about sexual orientation change efforts

Comments on the original article, "Guidelines for psychological practice with lesbian, gay, and bisexual clients," by the American Psychological Association (see record 2011-19419-001). The present authors notes that the APA has provided a very helpful document for those who do clinical work with individuals experiencing same-sex attractions. Psychologists no doubt need to be familiar with the literature described in these guidelines as a part of ethical practice. However, the present authors register concern regarding how the guidelines address sexual orientation change efforts (SOCE). They focus their critique on how the guidelines portray two issues pertaining to SOCE-effectiveness and harm-and conclude with a proposal to move the discussion forward via science. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

An Experimental Investigation of Cognitive Defusion

The current study compared cognitive defusion with other strategies in reducing the impact of experimentally induced negative emotional states. Sixty-seven undergraduates were assigned to one of three conditions (cognitive defusion, thought suppression, or control) and instructed in standardized approaches relevant to each condition before viewing film clips intended to elicit fear, sadness, and disgust. Participants then rated their experience of each emotion and completed a Stroop task intended to indirectly measure emotional arousal. While participants did not show any differences in their experience of emotions through self-report, significant differences on the Stroop task provided evidence of varying degrees of arousal between participants using defusion, suppression, and control strategies, with thought suppression and defusion showing the greatest reduction in arousal. These findings were retained after controlling for individual differences in negative affect and suggest that defusion is an effective strategy for reducing emotional distress but raise questions about the specific mechanisms involved in the process.