Why is enacted social support associated with increased distress? Using simulation to test two possible sources of spuriousness

Although perceiving that social support is available is often associated with psychological benefits in times of stress, there is evidence that actually receiving support is associated with increased distress. To assess whether this latter association could be spurious, the authors conducted computer simulation studies to examine two theoretical models that could give rise to it. Study 1 examined a process whereby distress leads to provision of support rather than the reverse. Study 2 examined a process whereby an adverse event increases both support and distress. In both cases, substantial spurious associations were produced only when parameter values were markedly unrealistic. It was concluded that these possible sources of spuriousness are insufficient to explain the association between support and distress found in naturalistic studies.     

Ambivalence toward the body: death, neuroticism, and the flight from physical sensation

Based on terror management theory, the authors suggest that ambivalent reactions to the human body are partially rooted in the association of the physical body with inescapable death and that individuals high in neuroticism are particularly vulnerable to such difficulties. Three experiments demonstrated that priming thoughts about one's death leads individuals high in neuroticism to flee from physical sensations, including pleasurable ones. In response to mortality salience, highly neurotic individuals spent less time submerging their arm in ice-cold water and using an electric foot massager but did not avoid stimulation in nontactile modalities (i.e., listening to music). The discussion highlights the role of existentially motivated self-repression in inhibitions surrounding the body.     

Correlates of suicidal behaviors among Asian American outpatient youths

Medical record abstraction was conducted at an ethnic-specific mental health outpatient clinic to identify correlates of suicidal behaviors in a sample of 285 Asian American youths. Some risk factors, such as parent-child conflict and age, which have been associated with suicidality in majority group youths, predicted suicidality in this sample, whereas other risk factors, such as gender, did not generalize to this sample. Acculturation interacted with the risk factor of parent-child conflict to predict suicidality. Less acculturated Asian youths were at proportionally greater risk for suicidality under conditions of high parent-child conflict than were their more acculturated counterparts. This finding underscores the importance of culture as a context for determining the relevance of stressors for potentiating psychopathology.     

Women And Depression: Introduction

Although women's 2 to 1 likelihood of developing a depressive disorder is a well-established fact, research over the last decade has expanded our knowledge of risk factors and issues of treatment and service delivery. The American Psychological Association convened an interdisciplinary Summit in 2000 on Women and Depression to examine these findings and to make recommendations on future research and policy needs, and to highlight treatment implications. This special section contains five articles from the Summit addressing a range of issues, including the relationship between women's depression and their lesser power and status in society (resulting in physical and sexual abuse and poverty), and the menstrual cycle and depression. Additionally, the special section includes articles on the rehabilitation of women with depression and treatment of depressed women in primary care settings.     

Awareness,Perceptions, and Provider Recommendation Related to Genetic Testing for Hereditary Breast Cancer Risk among At-Risk Hispanic Women: Similarities and Variations by Sub-Ethnicity

This study explored awareness of risk factors for hereditary breast and ovarian cancer (HBOC), awareness, knowledge and concerns about genetic testing, and preference for how to have genetic testing recommended by a care provider among at-risk Hispanic women. Differences in these factors among Mexican, Cuban, and Puerto Rican women were also examined. Women with a personal or family history of breast or ovarian cancer from the Tampa Bay Area participated in a qualitative interview (N = 53). Data were analyzed using a combination of open and axial coding with a grounded theory approach. Study participants in all groups reported: being aware that family history was a breast cancer risk factor, limited knowledge of genetic testing, fear of test results, concerns about children’s risks, and no physician referral for genetic testing. Noteworthy sub-ethnic differences included preferences for physician recommendation and information about genetic testing. This study provides important preliminary information about areas related to HBOC that require additional education in the Hispanic community as a whole and by sub-ethnicity.     

AGGRESSIVE ENACTMENTS: CONTAINING THE “NO” IN CLINICAL WORK WITH SURVIVORS OF ABUSE

The American Journal of Psychoanalysis - Identity development depends on the ability to say ‘no.’ Setting limits enables a relationship between two separate individuals to develop....     

Serving Culturally Diverse Children with Serious Emotional Disturbance and Their Families

Over the coming decades, we can expect that cultural diversity will abound within the U.S. population and the imagery of an American melting pot will long be discarded. One significance of this trend will be the imperative to account for cultural diversity in assessing the needs of children with serious emotional disturbance (SED), to ensure that assessments, diagnoses, and treatments are accurate, fair, and meaningful. To achieve that end, however, will first require that all persons in the fields of education, mental health, social services, and juvenile justice become fully prepared to support children with SED and their families, prepared to bring to the process a sophisticated understanding of the interplay between culture and social behaviors. Nothing less than that level of preparedness will enable practitioners to develop unbiased interventions that competently and sensitively weigh cultural influences and target the needs of diverse students with emotional and behavioral difficulties. In this paper, we present the need for culturally competent practitioners in the area of SED, ways in which service providers can increase their cultural knowledge, and strategies for more effective service with this population.     

Gender stereotypes and power: Perceptions of the roles in violent marriages

Men are generally observed to exercise more power than women within the marriage relationship. One way of expressing such power is through the roles in violent marriages, in which the man is usually the more powerful, violent person and the woman is the less powerful, abused person. This research tested the hypothesis that roles differing in power can explain why men are believed to be high in agency and women to be high in communion. Agency involves both positive traits (self-assertiveness) and negative traits (motivated to master and subjugate others); communion involves positive traits (accommodation and concern for others) as well as negative traits (excessive selflessness and vulnerability). College students rated stimulus persons on the gender stereotyped traits. In one condition, the husband was described as violent towards his wife, and in another condition, the traditional power relationship was reversed and the wife was described as violent towards her husband. On both the positive and negative traits, violent women and men were perceived as high in agency and low in communion. Abused men and women were seen as high in positive communion and low in positive agency, although the abused woman was lower in positive agency than her male counterpart. For abused women and men, the hypothesized results were found for negative agency, but not all of the expected findings were obtained for negative communion. The sex differences that were found could be explained by differences in the perceived physical aggression inflicted by violent men and women.Portions of this paper were presented at the 1991 annual meetings of the Eastern Psychological Association, New York, and the Association for Women in Psychology, Hartford, CT. I would like to express my appreciation to Carl F. Wiedemann for his statistical advice.