First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

“I think you did it!”: Examining the effect of presuming guilt on the verbal output of innocent suspects during brief interviews

Innocent suspects interviewed by a guilt‐presumptive versus innocence‐presumptive or neutral interviewer may tend more to display non‐verbal behaviours which neutral judges consider indicative of guilt. We examined the effects of interviewer's presumption of guilt on innocent mock suspects' alibis. Participants (N = 90) provided an alibi to convince an interviewer of their innocence of a theft after she implied that she believed that they were guilty or innocent or that she had no belief about their veracity. On the basis of existing conflicting findings for suspects' verbal behaviour during accusatory interviews, we predicted that alibis in the guilt‐belief condition would contain the highest or lowest number of correct details with overall higher or poorer accuracy rates, respectively. Although participants perceived the interviewer's presumptive approach, the number of correct details provided and accuracy rates of alibis did not differ significantly between conditions. We propose explanations to these findings and future research paths.     

Patterns of critical consciousness and associations with sociocultural factors in black adolescents

Critical consciousness includes an understanding of structural oppression, agency to act and actions to redress oppression. Questions remain regarding how youth's experiences with oppression and their social identities might relate to their critical consciousness. In this study, we explored associations between critical consciousness (critical reflection, critical agency, and action) and sociocultural factors (racial identity, racial socialization, and racial stress) among Black adolescents (n = 604; M_age = 15.44, SD = 1.24). We used latent profile analysis and identified four profiles of critical consciousness: Precritical Bystander (62.7%), Liberated Actor (19.9%), Precritical Actor (10.8%), and Acritical Bystander (6.6%). These profiles were distinct in critical reflection, critical agency, and critical action. Next, we examined associations between critical consciousness profiles and sociocultural factors. We found that profile membership was differentially associated with some aspects of racial identity, racial socialization, and racial stress. These findings suggest that there are specific patterns of critical consciousness among Black youth which are differentially associated with racial identity, racial socialization that emphasizes cultural pride, and experiences of cultural racism. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement .     

On the persuadability of memory: Is changing people's memories no more than changing their minds?

The observation of parallels between the memory distortion and persuasion literatures leads, quite logically, to the appealing notion that people can be ‘persuaded’ to change their memories. Indeed, numerous studies show that memory can be influenced and distorted by a variety of persuasive tactics, and the theoretical accounts commonly used by researchers to explain episodic and autobiographical memory distortion phenomena can generally predict and explain these persuasion effects. Yet, despite these empirical and theoretical overlaps, explicit reference to persuasion and attitude‐change research in the memory distortion literature is surprisingly rare. In this paper, we argue that stronger theoretical foundations are needed to draw the memory distortion and persuasion literatures together in a productive direction. We reason that theoretical approaches to remembering that distinguish (false) beliefs in the occurrence of events from (false) memories of those events – compatible with a source monitoring approach – would be beneficial to this end. Such approaches, we argue, would provide a stronger platform to use persuasion findings to enhance the psychological understanding of memory distortion.     

The effects of co-witness discussion on confidence and precision in eyewitness memory reports

We examined the influence of co-witness discussion on the metacognitive regulation of memory reports. Participants (N?=?92) watched a crime video. Later, a confederate confidently agreed with (gave confirming feedback), disagreed with (gave disconfirming feedback), or gave no feedback (control) regarding participants’ answers to questions about the video. Participants who received disconfirming feedback reported fewer fine-grain details than participants in the confirming and control conditions on a subsequent, individual recall test for a different question set. Unexpectedly, this decrease in fine-grain reporting was not accompanied by a decrease in participants’ confidence in the accuracy of their fine-grain responses. These results indicate that receiving social comparative feedback about one’s memory performance can affect rememberers’ metamemorial control decisions, and potentially decrease the level of detail they volunteer in later memory reports. Further research is needed to assess whether these results replicate under different experimental conditions, and to explore the effects of social influences on metamemory.     

Facilitating memory‐based lie detection in immediate and delayed interviewing: The role of mnemonics

We experimentally investigated how different mnemonic techniques employed in an interview conducted immediately after an event affected truth tellers' and liars' responses when they were interviewed again after a 2‐week delay. We also compared how verbal accounts changed over time within truth tellers and liars, and how consistent both groups were. Participants (n = 143) were shown a mock intelligence operation video and instructed either to tell the truth or lie about its contents in two interviews, one of which was immediately after watching the video and the other after a 2‐week delay. In the immediate interview, they were asked to provide a free recall and then asked to provide further information via one of three mnemonics: context reinstatement, sketch, or event‐line. In the delayed interview, they were asked to provide only a free recall. Truth tellers reported more visual, spatial, temporal, and action details than did liars both immediately and after a delay. Truth tellers experienced more of a decline in reporting details after a delay than did liars, and this decline was affected by the mnemonic used. Truth tellers thus showed, more than liars, patterns of reporting indicative of genuine memory decay. Liars produced patterns of a “stability bias” instead. Truth tellers and liars were equally consistent between their immediate and delayed statements.     

Gender differences in social support for socially anxious individuals

Given that social anxiety disorder is a common, chronic, debilitating disorder and socially anxious women appear to have different experiences related to social development and social support than men, it is essential that the gender differences in social anxiety and social support be understood. The present study examined perceived social support quantity and satisfaction in 23 women and 28 men seeking treatment for social anxiety disorder. Contrary to expectations, men and women did not differ on measures of social support. However, younger, unmarried women reported having smaller social support networks and less satisfaction with their social support networks than older, married women. Analyses of socially anxious men did not reveal such a pattern. The current study provides preliminary evidence that younger, single women have social support networks that are less satisfying than the social support networks of older, married women. Inclusion of social support modules within a cognitive behavioral treatment approach for social anxiety disorder may be warranted, particularly for young, unmarried women.     

Toward an Understanding of (Em)Power(Ment) for HIV/AIDS Prevention with Adolescent Women

Adolescent females, particularly urban and low-income youth of color, are at particular risk for HIV infection. This article uses an empowerment perspective to consider the degree to which intrapersonal and interpersonal power dynamics in heterosexual relations have an impact on condom use among high-risk youth. Participants in this study were 333 African American and European American urban youth, ages 14–19 years, who were heterosexually active. Measures focused on interpersonal and intrapersonal factors thought to be associated with condom use. This model was most useful in predicting condom use among women and least useful in predicting condom use among male participants. Implications for empowerment theory and future research are discussed.     

Ethics and endings in group psychotherapy: saying good-bye and saying it well

Endings in group psychotherapy are suffused with complexity and potential conflict, some of which entail ethical quandaries. Ethical issues attending endings in group therapy are explored through a discussion of informed consent, time and role boundaries, privacy and confidentiality, unplanned endings, therapist-initiated termination, and competence. Findings from an exploratory survey of members of the American Group Psychotherapy Association and clinical-ethical vignettes are presented to highlight these issues. Clinicians need to develop and maintain ethical fitness and awareness, including attunement to personal responses, to endings and loss.