Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

STATED WILLINGNESS TO PAY FOR PUBLIC GOODS:

Abstract— In the contingent valuation method for the valuation of public goods, survey respondents are asked to indicate the amount they are willing to pay (WTP) for the provision of a good. We contrast economic and psychological analyses of WTP and describe a study in which respondents indicated their WTP to prevent or to remedy threats to public health or to the environment, attributed either to human or to natural causes. WTP was significantly higher when the cause of a harm was human, though the effect was not large. The means of WTP for 16 issues were highly correlated with the means of other measures of attitude, including a simple rating of the importance of the threat. The responses are better described as expressions of attitudes than as indications of economic value, contrary to the assumptions of the contingent valuation method.     

Maladjustment in statistical minorities within ethnically unbalanced classrooms

Ascertained if being a member of a statistical minority influences children's adjustment in school, as measured by the AML, a teacher-administered adjustment rating scale. Teachers from a southwest school district evaluated elementary students on aggressive, acting-out behaviors, moody-internalized behaviors, and learning difficulties. Analyses conducted on 376 students revealed significant effects of statistical minority status on certain dimensions of adjustment ratings for both Hispanic and Anglo students. Hispanic students in the statistical minority received poorer ratings on the moodiness dimension of the AML than nonminority Hispanic students. Anglo students in the statistical minority received poorer ratings on the aggression dimension of the AML than nonminority Anglo students. These results were interpreted in terms of cultural differences in coping with statistical minority status. Traits commonly exhibited within a culture may intensify and be perceived as maladaptive when stress resulting from being a minority occurs. Implications of the finding that statistical minority status within the school environment influences adjustment are discussed.     

Are FACES-II ‘family satisfaction’ scores valid?

It has been suggested that family satisfaction can be measured by having a person complete the Family Adaptability and Cohesion Evaluation Scale (FACES-II) twice: once as the person essentially sees the family (actual version), and once as they wish the family to be (ideal version). The discrepancy between the actual and ideal scores is contended to be a measure of satisfaction with family. Though conceptually attractive, this measurement strategy was not verified, as assessed in the present study by correlating the actual-ideal discrepancy scores with family discord (Index of Family Relations) scores. Clinical adoption of the actual-ideal discrepancy-score as a measure of family satisfaction is thus seen as premature, until more supportive evidence is demonstrated.     

A further validation of the bem sex role inventory: A multitrait-multimethod study

The present study used a multitrait-multimethod technique [D.T. Campbell and D. W. Fiske (1959) “Convergent and Discriminant Validation by the Multitrait-Multimethod Matrix,” Psychological Bulletin, 56, 81–105] to examine Bem's [(1974) “The Measurement of Psychological Androgyny,” Journal of Consulting and Clinical Psychology, 42, 152–162] use of an instrumental-expressive dichotomy to conceptualize the Masculinity and Femininity scales of the Bem Sex Role Inventory as statistically orthogonal constructs. Results indicate that while perhaps reliable, masculinity and femininity lack clear convergent and discriminant validity. Therefore, Bem's contention that masculinity and femininity are orthogonal constructs is questioned. Results are discussed in light of trait- vs. method-driven research.     

The Moderating Effects of Children's Fear and Activity Level on Relations Between Parenting Practices and Childhood Symptomatology

Parenting practices have been previously linked to childhood symptomatology. However, little consideration has been given to the potential effect of individual differences within the child on this relation. The current study assessed the moderating effects of children's activity level and fear on relations between parenting practices and childhood aggression and depressive symptoms using a sample of 64 fourth-, and fifth-grade boys. The findings showed that poorly monitored active boys and fearful boys who were exposed to harsh discipline exhibited high levels of aggression. Boys characterized by high fear who were exposed to harsh discipline or whose parents were extremely overinvolved showed elevated levels of depressive symptoms. These findings suggest that integrating children's individual differences with parenting models enhances our understanding of the etiology of childhood symptomatology. The intervention implications of such an integration are discussed.