On the experience of shame in multicultural counselling: implications for white counsellors-in-training

During the process of developing multicultural competencies, counsellors-in-training experience a wide array of emotional reactions. Through extensive instruction, observation, personal communications and training exercises, the authors have noted the commonality of shame among many white trainees participating in multicultural coursework.The experience of shame in white counsellorsin-training tends to increase as their white identity development evolves and as an awareness of racial differences, stereotypes, and prejudices becomes evident.The emotion of shame can then lead to defensive responses that can hinder empathic understanding and thus forestall the development of true multicultural competencies. Therefore, it is vital that white counsellors-in-training increase selfawareness of, monitor, and actively work through shame related to multicultural issues while undergoing the training process. This article differentiates shame from guilt, describes the link between shame and white identity development, and outlines how experiences of shame in white counselling trainees may limit their professional growth if not addressed by trainers. Steps for assessing, actively processing and following up with these experiences during training situations are summarised.     

Life insurance, living benefits, and physician-assisted death

One of the most significant concerns about the legalization of physician-assisted death in the United States relates to the possibility that a chronically or terminally ill person would choose to end her or his life for financial reasons. Because we believe that the life insurance industry is uniquely poised to help minimize any such incentive, we submit that it has a moral obligation to do so. In particular, we propose that the industry encourage greater flexibility in the payout of policy benefits in the event an insured should be diagnosed with a terminal illness or suffer from intractable pain.     

Predicting anxious response to a social challenge: the predictive utility of the social interaction anxiety scale and the social phobia scale in a college population

Trait anxiety is believed to be a hierarchical construct composed of several lower-order factors (Adv. Behav. Res. Therapy, 15 (1993) 147; J. Anxiety Disorders, 9 (1995) 163). Assessment devices such as the Social Interaction Anxiety Scale, the Social Phobia Scale (SIAS and SPS; Behav. Res. Therapy, 36 (4) (1998) 455), and the Anxiety Sensitivity Index (ASI; Behav. Res. Therapy, 24 (1986) 1) are good measures of the presumably separate lower-order factors. This study compared the effectiveness of the SIAS, SPS, ASI-physical scale and STAI-T (State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press (1970)) as predictors of anxious response to a social challenge (asking an aloof confederate out on a date). Consistent with the hierarchical model of anxiety, the measures of trait anxiety were moderately correlated with each other and each was a significant predictor of anxious response. The specific measures of trait social anxiety were slightly better predictors of anxious response to the social challenge than was either the ASI-physical scale or the STAI-T. The results provide evidence of the predictive validity of these social trait measures and some support for their specificity in the prediction of anxious response to a social challenge.     

Variables associated with adolescent alcohol use: a multiethnic comparison

The authors examined the influence of sociodemographic variables on the frequency and intensity of alcohol use among a nationally representative sample of Black, Hispanic, and White adolescents who had participated in the 1991 National Household Survey on Drug Abuse (U.S. Department of Health and Human Services, 1993). The sample consisted of 8,756 U.S. adolescents aged 12 to 18 years. The authors found that (a) approximately 19% of the respondents had used alcohol in the last 30 days: (b) among the respondents who had used alcohol, 21% had consumed 1 or more drinks per drinking episode; and (c) there were important similarities as well as important differences in variables that promoted alcohol use among Black. Hispanic, and White adolescents.     

Solution-focused family therapy with three aggressive and oppositional-acting children: an N = 1 empirical study

The efficacy of Solution-Focused Family Therapy (SFFT) for helping three families with aggressive and oppositional-acting children (aged 8-9) was examined. The N = 1 multiple-baseline design with three replications used validated measures, a treatment manual, and a treatment integrity measure. The interventions lasted from four to five sessions. SFFT appeared to be effective with the families at post-treatment and 3-month follow up.     

Effects of posttraining ethanol on an appetitive task

The present study examined the effects of posttraining ethanol administration upon retention of an appetitive task using a variety of retention behaviors associated with the task. Male C57BL/6J mice were individually trained to find a cheese pellet placed in the corner of an open field. Five behavioral measures were used including locomotor activity counts, rearings, grooming episodes, approaches to the cheese pellet, and latency to consume the cheese pellet. Immediately after training, mice were injected intraperitoneally with saline or 2.0 g/kg of ethanol and then returned to their home cage in which four "intruder" mice were added for 2 h after training. On subsequent testing days (1, 6, 14, and 51 days posttraining), mice were returned to the original training environment and the five behaviors were measured. Both saline- and ethanol-treated mice habituated to the initially novel test environment at similar rates as indicated by decreased exploratory behavior (locomotor activity and rearings). In contrast, a divergence in the latency to consume the cheese pellet was observed: Saline-treated mice behaved as though the cheese was rewarding (decreased latency to eat the pellet), while the ethanol group behaved as though the cheese was aversive (increased latency to eat the pellet). Taken with previous studies, these results demonstrate that posttraining ethanol can have strikingly different effects on retention depending on the task, the measure of retention used, and the underlying neural structures involved.     

Building Leadership,Capacity, and Power to Advance Health Equity and Justice through Community‐Engaged Research in the Midwest

The Health Equity Advancement Lab (HEAL) at the University of Iowa College of Public Health began in 2012 to support students, researchers, and community members interested in tackling persistent health inequities through a community‐based participatory research (CBPR) approach. Using concepts from critical consciousness theory, we developed an approach to building students’, faculty members’, and community partners’ capacity to engage in CBPR to promote health equity that involved immersion in developing CBPR projects. Our paper describes the evolution of HEAL as a facilitating structure that provides a support network and engages diverse stakeholders in critical reflection as they participate in research to advance health equity, and resulting political efficacy and social action. We describe one HEAL‐affiliated research project that employs a CBPR approach and has a strong focus on providing transformative learning experiences for students, faculty, and community members. We highlight challenges, successes, and lessons learned in the application of critical consciousness as a framework that engages diverse academic and community partners seeking to promote health equity. We argue that critical consciousness is a relevant theoretical framework to promote transformative learning among students, faculty, and community partners to promote health equity research in diverse communities.     

The paradox of happiness: Why are we not doing what we know makes us happy?

Achieving and maintaining happiness can be difficult, especially when people are not engaging in the activities they know facilitate it. ‘Flow’ activities require clear rules, challenge, a high investment of energy, and have been shown to promote long-term happiness better than low investment, passive activities. Do people know this? In two studies, we found that, despite recognizing that flow activities are more likely to facilitate happiness, people nevertheless participated in passive leisure significantly more often in a typical week. Participants rated passive activities as being significantly more enjoyable, requiring less effort, and being less daunting to get started than flow activities. Participants’ engagement in flow activities was significantly predicted by how enjoyable the activities were perceived to be, whereas how daunting those activities were rated predicted non-engagement. Passive activity engagement was only significantly predicted by enjoyment. Suggestions for enabling people to rise above the barriers to flow activities are offered.