Potential for hostility and dimensions of anger

Recent reviews have linked Potential for Hostility derived from the Structured Interview (SI) to coronary artery disease, independent of the global Type A pattern. The present study examined the construct validity of Potential for Hostility ratings by correlating Potential for Hostility with 21 scales from four widely used anger/hostility measures: 7 scales from the Anger Self-Report, 8 scales from the Buss-Durkee Hostility Inventory, the total score from the Novaco Anger Inventory, and 5 scales from the Multidimensional Anger Inventory. The pattern of correlations revealed that Potential for Hostility was significantly related to scales reflecting awareness and arousal of anger, particularly the verbal expression of anger. To identify underlying anger dimensions, the 21 scales were factor-analyzed. Examination of two and three rotated principal components confirmed previous solutions. The first component, representing anger-arousing and -eliciting situations and anger awareness, was labeled Experience of Anger. The second component, consisting of scales dealing with either physical assault or verbal expression of anger, was labeled Expression of Anger. When a third factor was retained, it contained scales of suspicion, mistrust-suspicion, and guilt: It was therefore labeled Suspicion-Guilt. Potential for Hostility was correlated only with the Expression of Anger factor in the two-factor solution; in the three-factor solution, Potential for Hostility was correlated equally with the Experience of Anger and Expression of Anger factors but was not correlated with the Suspicion-Guilt factor. The implications of these results for the assessment of hostility are discussed.     

Chest pain without coronary artery disease: An exploratory comparison with panic disorder

Recent reports have indicated similarities between patients with persistent chest pain of nonorganic origin and patients with panic disorder. In order to explore this association further, we administered a structured interview and three self-report measures (State-Trait Inventory, Beck Depression Inventory, and SCL90-R) to three subject groups: (1) a sample with persistent chest pain (CP; n=14) who had been screened and found to have normal coronary arteries, (2) a sample of patients with panic disorder (PD; n=14), and (3) a sample of matched normals (n=14). CP patients were considered to be free of coronary artery disease (CAD) following normal cardiac catheterization and/or normal thallium stress tests and were not diagnosed initially with panic disorder. PD patients were diagnosed with a standardized psychiatric interview and were free of organic causes of panic. Using an exploratory data analytic approach, the results indicated that both CP and PD samples reported increased levels of state and trait anxiety (p <.0001), depression (p <.01), and somatization (p <.0001) compared with normals. CP patients differed from PD patients in their less frequent use of anxiolytic medication (p <.01) and lower levels of reported panic anxiety and phobic avoidance (p <.0001). These data suggest that persistent chest pain in the absence of CAD shares some features with panic disorder, yet differs from panic in key ways as well. The results are discussed in light of the role of anxiety in contributing to symptom labeling.This research was supported by Grant 86G-491 from the American Heart Association, Texas Affiliate, to J.G.B. H.T. is the recipient of USPHS Research Career Development Award K04-HL-0122246.     

Introduction to Special Issue. Counselors Be Aware: Clients Come in Every Size,Shape, Color,and Sexual Orientation

In order to guarantee that each individual is free to pursue his/her potential, each member of AACD is charged to (a) engage in ongoing examination of his/her own attitudes, feelings, stereotypic views, perceptions and behaviors that might have prejudicial or limiting impact on women, ethnic, minorities, elderly persons, gay/lesbian persons and persons with handicapping conditions; (b) contribute to an increased sensitivity on the part of other individuals, groups or institutions to the barriers to opportunity imposed by discrimination; (c) advocate equal rights for all individuals through concerted personal, professional and political activity. (Position paper of the Human Rights Committee of the American Association for Counseling and Development, 1987, p.1)     

Gay Identity Issues Among Black Americans: Racism,Homophobia, and the Need for Validation

There is little available literature on gay and lesbian identity among Black Americans. This exploratory study involved interviewing a total of six Black-American gay men and lesbian women regarding gay identity development issues. Data pertaining to the interviewees' experiences of gay identity development were obtained through a questionnaire of six open-ended questions and an interview with each participant lasting 1 to 2 hours. This article presents some of the significant challenges faced by those who were interviewed regarding their sense of self-acceptance, both as Blacks in the predominantly White gay and lesbian community and as gay men and lesbian women in the predominantly heterosexual Black community. The implications of these issues for future research and counseling intervention are discussed. In this article the term gay identity is generally used in reference to both men and women. When women are being discussed exclusively, however, the term lesbian identity is used.     

Lesbian Partner Abuse: Implications for Therapists

Silence surrounds the issue of lesbian battering. Lesbian victims of partner abuse are even less likely than are their heterosexual counterparts to seek help in shelters or from counselors because of the overlay of homophobia that exists both in the battered women's movement and among mental health professionals. In addition, many lesbian and many lesbian-supportive therapists hold an idealized and unrealistic picture of the nature of lesbian relationships, leading them to deny the existence of buttering among lesbian couples. The nature, severity, and prevalence of abuse in lesbian relationships is addressed; current counseling and treatment models dealing with battering relationships are analyzed; and a counselor advocacy model for working with lesbian partner abuse, drawing from the experience of activists in the battered women's movement and our clinical experience, is suggested.     

Incorporating Lesbian and Gay Issues Into Counselor Training: A Resource Guide

In order for counselors to facilitate the growth of their lesbian and gay clients, they must be familiar with and become sensitive to the special needs of this population. However, most counselors and counselor trainees have had little exposure to these needs. One way of increasing their awareness and sensitivity is to incorporate lesbian and gay issues into counselor training programs. The focus of this article is to present a limited list of strategies and resources that can be used to supplement materials in traditional courses in counselor training so as to better prepare counselors for dealing with lesbian and gay clients.     

Combating Homophobia in AIDS Education

Homophobia is a central theme in response to the AIDS epidemic. In this article we review literature explicating the connection between homophobia and AIDS and then call for the integration of antihomophobia elements into AIDS education. We discuss negative messages in portrayals of gay and bisexual men and in discussions of safer sexual practices, as well as materials and educational strategies that explicitly contradict such homophobic messages. We then discuss the emerging trend to exclude lesbian women and gay men in education and programs, suggest guidelines for countering such exclusion, and give examples of creative approaches to inclusion.     

Hans Zacharias Hoxter: Building Counseling Internationally

Counseling is an international phenomenon. This interview presents the lifework of Hans Hoxter and illustrates how the American counseling movement affects and is affected by multinational and multicultural conceptions.