Historicizing the Role of Psychologists in the U.S. Military: Introduction to Issue on Coercive Interrogations and the Mental Health Profession

This special issue addresses the disturbing events that emerged in the aftermath of 9/11 in the United States with regard to the role of mental health professionals in coercive interrogations of detainees held in detention centers and military “black sites.” While other professional associations condemned such practices, the American Psychological Association maintained a position of collaboration, despite activist members' protests.

These events will be examined in an effort to reconstitute our history as a profession through the actions of what Freud called “nachtraeglichkeit’, (deferred action) in which the unassimilated experiences of the past relationship between psychology and the military will be used to transform our perceptions and future directions. This introduction also summarizes the papers in this issue. These include a history of the interrogation practices and the controversy within the APA; a history of the long-standing relationship between the profession of psychology and government, military, and intelligence organizations; analyses of the psychology of torture and evidence of how this psychology is manifested in the consulting room; a comparison of psychological structures within the population and mental health professions in the United States today and Argentina during recent totalitarian regimes; and an interview with Robert Lifton, eminent psychohistorian, psychiatrist and political activist.     

The Need for Justification

Some series can go on indefinitely, others cannot, and epistemologists want to know in which class to place epistemic chains. Is it sensible or nonsensical to speak of a proposition or belief that is justified by another proposition or belief, ad infinitum? In large part the answer depends on what we mean by “justification.” Epistemologists have failed to find a definition on which everybody agrees, and some have even advised us to stop looking altogether. In spite of this, the present essay submits a few candidate definitions. It argues that, although not giving the final word, these candidates tell us something about the possibility of infinite epistemic chains. And it shows that they can short‐circuit a debate about doxastic justification.     

Stakeholders’ Perspectives on Community-Based Participatory Research to Enhance Mental Health Services

Historically, consumers of mental health services have not been given meaningful roles in research and change efforts related to the services they use. This is quickly changing as scholars and a growing number of funding bodies now call for greater consumer involvement in mental health services research and improvement. Amidst these calls, community‐based participatory research (CBPR) has emerged as an approach which holds unique promise for capitalizing on consumer involvement in mental health services research and change. Yet, there have been few discussions of the value added by this approach above and beyond that of traditional means of inquiry and enhancement in adult mental health services. The purpose of this paper is to add to this discussion an understanding of potential multilevel and multifaceted benefits associated with consumer‐involved CBPR. This is accomplished through presenting the first‐person accounts of four stakeholder groups who were part of a consumer‐involved CBPR project purposed to improve the services of a local community mental health center. We present these accounts with the hope that by illustrating the unique outcomes associated with CBPR, there will be invigorated interest in CBPR as a vehicle for consumer involvement in adult mental health services research and enhancement.     

Spirituality and the Successful Aging of Older Latinos

Using face‐to‐face interviews and a self‐report questionnaire, the authors investigated the contributions of spirituality and religiosity to the well‐being and levels of depression of 60 Latino adults ages 50 to 84 after controlling for age, health, education, and economic strain. Religiosity and spirituality predicted well‐being; however, increases in well‐being were associated with lower levels of externalizing religiosity and higher levels of spirituality. Economic strain overshadowed all other variables in predicting depression. Thus, 2 factors predicted the psychological health of Latino elders: Economic strain predicted depression, and spiritual health predicted well‐being. Several suggestions for implementing the findings are presented.     

The effectiveness of a joint mother–daughter sexual health program for Latina early adolescents

A culturally and cognitively adapted joint mother–daughter sexual health and HIV transmission curriculum was implemented for 96 Latina early adolescents and their mothers (48 mother–daughter dyads). Pretest and posttest surveys, interviews, and observations of participants' conversations about AIDS were used to assess program effectiveness in increasing knowledge and communication about sexuality and HIV transmission, and fostering daughters' positive attitudes toward using condoms in the future. At posttest, mothers and daughters reported an increase in the frequency of home communication about sexual topics and openness in general communication. Systematic observational analysis of videotaped mother–daughter conversations about AIDS revealed that, compared to the pretest, daughters were more engaged in posttest conversations as evidenced by an increase in their spontaneous sharing of information about HIV transmission and their offering of opinions. In addition, the posttest conversations focused on a broader discussion of HIV transmission risk behavior including condom use as a protective measure. Mothers who knew more about HIV transmission at posttest, and who reported more openness in general communication with daughters at posttest, asked their daughters more questions in the conversations about what they had learned in the program. Daughters who contributed more information and opinions to the posttest conversations, who were more knowledgeable about HIV transmission at posttest, and who reported more home communication about sexual topics in the posttest, also reported more positive attitudes toward using condoms in the future.     

Evaluation of a lag schedule of reinforcement in a group contingency to promote varied naming of categories items with children

We compared the effects of Lag 0 and Lag 1 schedules of reinforcement on children's responses naming category items in a group context and subsequent responses emitted during individual testing in which the schedule of reinforcement remained Lag 0. Specifically, we measured response variability and novel responses to categories for 3 children who demonstrated the lowest level of variability during an initial individual Lag 0 testing session. An additional 3 children who emitted a high level of variability during initial individual Lag 0 testing sessions served as peers during group sessions. Results showed that participants conformed to the Lag 1 schedule and were more likely to repeat peer responses in the group and during individual testing in the Lag 1 condition. Furthermore, the reinforcement schedule in effect during group sessions affected participants’ varied responses during individual testing, during which the reinforcement schedule remained unchanged.     

Flow Experiences Across Adulthood: Preliminary Findings on the Continuity Hypothesis

Flow experience is a psychological state characterized by simultaneous absorption, concentration, and enjoyment. Examining the change and continuity of the flow experience––an optimal state that contributes to well-being––is critical to the understanding of the lifelong trajectory of human flourishing. Nevertheless, to date there has been no systematic investigation of the relationship between age and flow experiences across adulthood. Developmental models of flow experiences suggest the continuity hypothesis that people are motivated to sustain a high level of flow experiences as long as conditions permit. We conducted two studies to investigate flow experiences among adults of different ages. Study 1 (N?=?1,162; age range 30–80) used longitudinal data from the Midlife in the United States (MIDUS) project, investigating the changes in flow experiences at work over a 10-year span. Study 2 (N?=?393; age range 20–82) was an online survey that examined age-related differences in flow experiences. Both studies revealed minimal relationships between age and flow experiences. Post-hoc analyses revealed no significant moderating effect of common demographics including gender, race, and education on the age–flow relationship. Taken together, these studies elucidate the “flow profile” in adulthood that is consistent with the continuity hypothesis. We discuss relations of the findings to the literature on flow experiences and well-being.

     

Acceptability of Prenatal Diagnosis by a Sample of Parents of Sickle Cell Anemia Patients in Cameroon (Sub-Saharan Africa)

Little is known about attitudes of parents of Sickle Cell Anemia patients in sub-Saharan Africa regarding prenatal genetic diagnosis and termination of an affected pregnancy. In this study, structured face-to-face interviews were conducted with a sample of 130 parents in Cameroon that had at least one living child with Sickle Cell Anemia. The majority of participants lived in urban areas (89%), were female (80%), Christian (93%), married (60.2%) in monogamous households (81.1%), were employed (61.7%), and had at least a secondary or tertiary education (82%). The majority of parents accepted the principle of prenatal genetic diagnosis for Sickle Cell Anemia (89.8%) and termination of pregnancy (62.5%). Acceptance of the principle of pregnancy termination increased with unemployment (p < .01) and single marital status (p < .05). The results of this study suggest Cameroonian parents with children affected with Sickle Cell Anemia generally accept the principles of prenatal diagnosis and in some cases termination of a pregnancy affected with Sickle Cell Anemia. Additional findings, policy and practice implications, and research recommendations are presented.