Psychometric characteristics of the Transgender Identity Survey in an Italian sample: A measure to assess positive and negative feelings towards transgender identity

Transgender people experience systematic oppression due to societal endorsement of binary notions of gender. As a result, they are at risk for self-stigmatization via the internalization of negative attitudes about being transgender. Thus, researchers need instruments to assess the multilayered nature of transgender identity and its role in the experience of mental health and well-being. This study evaluated the psychometric characteristics of the Transgender Identity Survey (TIS) in an Italian sample of 149 transgender people. The TIS assesses levels of pride, shame, alienation, and passing in transgender populations, providing researchers and clinicians with an instrument that can evaluate both positive aspects of transgender identity and internalized transphobia. Confirmatory factor analyses showed that the original four-factor model had adequate fit to the data obtained from the Italian sample, with the exception of one item. Both convergent and predictive validity were assessed and partially confirmed, indicating that the TIS is significantly correlated with some of the enacted stigma and mental health outcome measures (perceived stress, depression, and anxiety). This study provides both clinicians and researchers with a tool to assess positive and negative aspects of identity in transgender populations.     

Does familiarity breed contempt or liking? Comment on Reis, Maniaci, Caprariello, Eastwick, and Finkel (2011)

Reis, Maniaci, Caprariello, Eastwick, and Finkel (see record 2011-04644-001) conducted 2 studies that demonstrate that in certain cases, familiarity can lead to liking--in seeming contrast to the results of our earlier article (see record 2006-23056-008). We believe that Reis et al. (a) utilized paradigms far removed from spontaneous, everyday social interactions that were particularly likely to demonstrate a positive link between familiarity and liking and (b) failed to include and incorporate other sources of data-both academic and real-world-showing that familiarity breeds contempt. We call for further research exploring when and why familiarity is likely to lead to contempt or liking, and we suggest several factors that are likely to inform this debate.     

Distinctiveness Reconsidered: Religiosity,Structural Location,and Understandings of Racial Inequality

Are conservative Protestants distinct in their support for individualistic explanations of racial inequality in America? Past research has generated contradictory findings on this question, along with debates about the best measure of evangelicalism and the factors that moderate religious influences on racial attitudes. Using data from the nationally representative Boundaries in the American Mosaic Project (2014), we examine how structural location interacts with religious commitment to influence understandings of and preferred solutions to African‐American disadvantage. We show that religious beliefs, involvement, and centrality influence adherents differently, depending on their age, gender, education, income, and race. We find that measures do matter, and that denominational affiliation is less predictive than the orthodoxy and centrality of religious belief. We also find that straightforward talk about distinctiveness can mask the strong and pervasive effects of structural location on racial attitudes. We call for more research that makes the interaction between religiosity and structural location a central focus of analysis.     

Delivery of internet treatment for compulsive hoarding (D.I.T.C.H.)

This study tested the effectiveness of an existing private online CBT-based group intervention designed to help people with hoarding. Web-group participants were hypothesized to show more improvement in hoarding symptoms over time compared to those placed on a naturalistic waitlist. This web-based self-help group (N = 106 members, N = 155 waitlisted) includes a formal application process and requires that participants post action steps and progress at least once monthly. Members have access to educational resources on hoarding, cognitive strategies, and a chat-group. Potential research participants were invited to complete an anonymous web-based survey about their hoarding behaviors and clinical improvement on five occasions (3 months apart). The sample was mainly middle-aged, female and White. Regression analyses show that Recent members reported greater improvement and less clutter at 6 months (than Waitlist). Long-term members reported milder hoarding symptoms than Recent ones, suggesting benefits from group participation over time. All members showed reductions in clutter and hoarding symptoms over 15 months. Less posting activity was associated with greater hoarding severity. Online CBT-based self-help for hoarding appears to be a promising intervention strategy that may extend access to treatment. Evaluating the benefits of internet self-help groups is critical given growing popularity of and demand for web-based interventions.     

Directional learning,but no spatial mapping by rats performing a navigational task in an inverted orientation

Previous studies have identified neurons throughout the rat limbic system that fire as a function of the animal’s head direction (HD). This HD signal is particularly robust when rats locomote in the horizontal and vertical planes, but is severely attenuated when locomoting upside-down (Calton & Taube, 2005). Given the hypothesis that the HD signal represents an animal’s sense of directional heading, we evaluated whether rats could accurately navigate in an inverted (upside-down) orientation. The task required the animals to find an escape hole while locomoting inverted on a circular platform suspended from the ceiling. In Experiment 1, Long-Evans rats were trained to navigate to the escape hole by locomoting from either one or four start points. Interestingly, no animals from the 4-start point group reached criterion, even after 29 days of training. Animals in the 1-start point group reached criterion after about six training sessions. In Experiment 2, probe tests revealed that animals navigating from either 1- or 2-start points utilized distal visual landmarks for accurate orientation. However, subsequent probe tests revealed that their performance was markedly attenuated when navigating to the escape hole from a novel start point. This absence of flexibility while navigating upside-down was confirmed in Experiment 3 where we show that the rats do not learn to reach a place, but instead learn separate trajectories to the target hole(s). Based on these results we argue that inverted navigation primarily involves a simple directional strategy based on visual landmarks.     

Creating a Mentally Healthy Community Through the Use of Behavioral Health Indicators

Recent decades have seen the development of robust systems of community health indicators, but those indicator sets tend to have few indicators related to behavioral health. Gauging community behavioral health can be complex, but given the interconnectedness of health and behavioral health and the high social and financial cost of unaddressed behavioral health needs, it is essential to develop meaningful indicators. A community-based participatory research project in Austin, Texas developed behavioral health indicators based on a review of social indicators movements across the globe, existing sets of proposed key indicators of mental health and mental illness, and ongoing community initiatives in Austin relevant to behavioral health. The community behavioral health indicators have been refined through the challenging process of implementing them in the face of competing efforts and imprecise communication about their use. While indicators should always be adapted to suit local conditions, this indicator set should provide a good starting point for researchers and communities to assess and improve the behavioral health of their community.     

Minority Stress,Activism, and Health in the Context of Economic Precarity: Results from a National Participatory Action Survey of Lesbian,Gay, Bisexual,Transgender, Queer,and Gender Non‐Conforming Youth

Lesbian, gay, bisexual, transgender, queer, and gender non‐conforming (LGBTQ & GNC) youth experience more economic hardship and social stress than their heterosexual and cisgender peers. However, the ways that LGBTQ & GNC youth resist these damaging social factors and the corresponding implications for their health have not been addressed. Data were analyzed from a national participatory survey of LGBTQ & GNC youth ages 14–24 (N = 5,860) living in the United States. Structural equation models indicated that economic precarity was associated with experiences of health problems. This association was mediated by the negative influence of minority stress on health as well as by activism, which had a positive association with health. Findings suggest that minority stress explanations of health inequalities among LGBTQ & GNC youth can benefit from including a focus on economic precarity; both in terms of its deleterious impact on health and its potential to provoke resistance to structural oppression in the form of activism.     

Pancreatic Cancer Surveillance Among High-Risk Populations: Knowledge and Intent

Pancreatic cancer is the fourth most common cancer in both men and women in the United States. It has the lowest survival rate of all cancers, largely due to the presence of non-specific symptoms, leading to diagnosis at advanced stages. While the majority of cases of pancreatic cancer are sporadic, up to 10% may be associated with an inherited predisposition. Currently, there is no standard screening protocol for pancreatic cancer, although this will change in the future as technology improves. Additionally, there is little information regarding the perceptions and intent to screen for pancreatic cancer among those with an increased risk due to a hereditary cancer predisposition syndrome, which was the objective of this study. Focus groups and individual telephone interviews were conducted, with questions focused on knowledge about pancreatic cancer and screening, perceived motivators, and perceived barriers related to each of the screening techniques currently available. Participants were recruited from the High Risk Breast Cancer and Pancreatic Cancer Registries at Huntsman Cancer Institute. The findings of this study indicated that individuals from these high-risk groups have low knowledge levels of pancreatic cancer screening, despite their desire for this information. Motivation to undergo a particular screening technique is related to whether the test is recommended by a physician, cost, degree of invasiveness, and comfort level. This information is useful to genetics professionals who counsel at-risk individuals, physicians who formulate patient care plans, and translational researchers who are developing pancreatic screening methods.     

Support groups for medical caregivers of people with HIV diseases

As we enter the second decade of AIDS, medical caregivers are experiencing stress and burnout as a result of their work with people with HIV diseases. There are common themes to the stress, as well as differences in the experience of stress according to the characteristics of the healthcare setting. Caregiver support groups are a means of reducing this stress by helping medical caregivers cope better, manage difficult cases, normalize their feelings, put understanding and context to their experiences, decrease isolation, and instill meaning in their work. The use of support groups across various medical settings is presented.The author wishes to acknowledge the assistance of Nicholas Covino, Ph.D., Peter Kassel, Psy.D., Randall Paulsen, M.D., Veronica Rempusheski, Ph.D., Dan Silverman, M.D., and Susan Burns Tisdale, R.N., in ongoing research regarding caregiver support groups. The author also wishes to express gratitude to Genya Bernstein, Psy.D., for many editorial contributions.     

Group psychotherapy with the aging gay male: Treatment of choice

This article summarizes many issues facing gay men as they age. Aging for gay men is a complex phenomenon involving identity, self-esteem, internalized homophobia, stereotypes about older gay men, and the paucity of positive gay male images or role models to help direct their development. In this article, I will attempt to illuminate some of the complex variables of aging, as well as illustrate through case examples that group psychotherapy is a particularly helpful forum for skills development for middle age and older gay men. The themes covered include: 1) commitment struggles—especially anxiety management and conflict resolution, 2) self-esteem regulation, 3) projections and internalizations, 4) capacity for intimacy, and 5) unresolved grief and loss due to the impact of AIDS: Alone vs. Lonely.