Race,psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder

Background/Objectives: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health. Methods/Design: Mediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD. Results: Despite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only. Conclusions: Altogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.     

Two senses of narrative unification

In this paper I seek to clarify the role of narrative in personal unity. Examining the narrative self-constitution view developed by Marya Schechtman, I use a case of radical personal change to identify a tension in the account. The tension arises because a narrative can be regarded either to capture a continuing agent with a loosely coherent, consistent self-conception – or to unify over change and inconsistency. Two possible ways of responding, by distinguishing senses of identity or distinguishing identity and autonomy, are examined, but I argue that neither precisely maps this tension. I then develop a distinction between two ways in which narrative can unify: through “bottom-up” processes related to the connection between agency and self-conception; and “top-down” processes related to self-interpretative activity. The account provides ways to resolve some criticisms of narrative theories of identity, in particular in better accounting for the role of repudiated characteristics in narrative identity.     

Correlates of perceived HIV-related stigma among HIV-positive pregnant women in rural Mpumalanga province,South Africa

The study investigated correlates of perceived HIV-related stigma among 673 HIV-positive women from rural Mpumalanga province, South Africa (mean age 28 years old, SD = 5.73 years). The women completed measures of HIV-related stigma experience and related personal factors. Following multivariable logistic regression, results showed that lack of male involvement during the ante-natal visits was significantly associated with all four perceived HIV-related stigma factors. Lower income, intimate partner violence (IPV), lower education, and experienced HIV-related stigma were associated with a combination of the four components of perceived HIV-related stigma. From these findings, we conclude that higher levels of education, income, and partner involvement are protective factors against perceived HIV-related stigma, at multiple layers. Improving on adult education and income generating activities can help in reducing HIV-related stigma. Male partner involvement in their partner’s pregnancy, the initiation of support groups for both women and men, as well as community-based IPV prevention interventions may help to reduce perceived HIV-related stigma among women living with HIV.     

The Family Cycle: An Activity to Enhance Parents’ Mentalization in Children’s Mental Health Treatment

This article introduces the Family Cycle, a therapeutic activity informed by attachment theory, family systems theory, and current literature on reflective functioning. The Family Cycle helps clinicians and families create a narrative about a child’s psychopathology that considers complex trauma and/or adverse childhood experiences. It reframes observable dysfunctional phenomena as behavioral sequelae of more deeply rooted emotional loss. After the theoretical underpinnings of the Family Cycle are laid out, we describe the implementation of the Family Cycle within the context of an intensive home-based, family-focused intervention created at the Yale Child Study Center, the Intensive In-Home Child and Adolescent Psychiatric Service (IICAPS). The Family Cycle provides a teachable clinical framework to facilitate the treatment of families with complex, multigenerational trauma.     

A Longitudinal Study of Parental Depressive Symptoms and Coparenting in the First 18 Months

Although the negative impact of postpartum depression on parenting behaviors has been well established—albeit separately—for mothers and fathers, the respective and joint impact of both parents' mood on family‐group interactive behaviors, such as coparenting support and conflict behaviors between the parents, have not yet been investigated. The aim of this study was to examine the association between parental depressive symptoms and coparenting behaviors in a low‐risk sample of families with infants, exploring reciprocity between the variables, as well as gender differences between mothers and fathers regarding these links. At 3 (T1), 9 (T2), and 18 months postpartum (T3), we assessed both parents' depressive symptoms with a self‐report questionnaire and observed coparenting support and conflict during triadic mother–father–child interactions. The results revealed that higher maternal depressive symptoms at T1 were associated with lower support at T1 and T2. Conflict at T3 was associated with higher maternal depressive symptoms at T3 and, more surprisingly, with less depressive symptoms in mothers at T2 and fathers at T3. Cross‐lagged associations suggested that parental depressive symptoms were more likely to influence coparenting than the reverse. Moreover, maternal depressive symptoms were more likely to be linked to coparenting behaviors than were paternal depressive symptoms. These results confirm that parental—mostly maternal—depressive symptoms, even of mild intensity, may jeopardize the development of healthy family‐level relations, which previous research has shown to be crucial for child development.     

Self‐affirmation,political value congruence,and support for refugees

This research tested the potential for self‐affirmation on left‐ and right‐wing political values to increase behavioral intentions to provide help and assistance to refugees. We present a pilot study defining left‐ and right‐wing values, and a main study in which participants completed either a self‐affirmation task, a group‐affirmation task, or participated in a control condition on values that were either congruent or incongruent with their own political views. Results show that left‐wing oriented participants showed more supportive intentions in the self‐affirmation condition compared to the group‐affirmation and control conditions, independent of values congruency. In contrast, right‐wing participants showed more supportive intentions in the self‐affirmation condition, but only when they affirmed on values that were congruent with their own political views.     

Social Interactions at Work and Psychological Health: The Role of Leader–Member Exchange and Work Group Integration1

The objectives of this study are to test the effects that the quality of leader–member exchange (LMX) and work group integration (WGI) may have on psychological health, as well as their interaction effect. Psychological health is defined both in terms of subjective well‐being and psychological distress. Data were gathered from a sample of 249 employees working in a prison setting. Results indicated that LMX and WGI are positively related to subjective well‐being and are negatively related to psychological distress. In addition, LMX and WGI exert a synergistic interaction effect on both dimensions of psychological health. Overall, the results show that the quality of the social environment may greatly enhance psychological health in a high‐risk workplace.     

Making choices impairs subsequent self-control: a limited-resource account of decision making, self-regulation, and active initiative

The current research tested the hypothesis that making many choices impairs subsequent self-control. Drawing from a limited-resource model of self-regulation and executive function, the authors hypothesized that decision making depletes the same resource used for self-control and active responding. In 4 laboratory studies, some participants made choices among consumer goods or college course options, whereas others thought about the same options without making choices. Making choices led to reduced self-control (i.e., less physical stamina, reduced persistence in the face of failure, more procrastination, and less quality and quantity of arithmetic calculations). A field study then found that reduced self-control was predicted by shoppers' self-reported degree of previous active decision making. Further studies suggested that choosing is more depleting than merely deliberating and forming preferences about options and more depleting than implementing choices made by someone else and that anticipating the choice task as enjoyable can reduce the depleting effect for the first choices but not for many choices.     

Intuition versus analysis: Strategy and experience in complex everyday problem solving

Research on dual processes in cognition has shown that explicit, analytical thought is more powerful and less vulnerable to heuristics and biases than is implicit, intuitive thought. However, several studies have shown that holistic, intuitive processes can outperform analysis, documenting the disruptive effects of hypothesis testing, think-aloud protocols, and analytical judgments. To examine the effects of intuitive versus analytical strategy and level of experience on problem solving, 1st- through 4th-year undergraduates solved problems dealing with college life. The results of two studies showed that the appropriateness of strategy depends on the problem solver's level of experience. Analysis was found to be an appropriate strategy for more experienced individuals, whereas novices scored best when they took a holistic, intuitive perspective. Similar effects of strategy were found when strategy instruction was manipulated and when participants were compared on the basis of strategy preference. The implications for research on problem solving, expertise, and dual-process models are discussed.