Relating ethnic identity, acculturation, and attitudes toward treating minority clients

This study assessed the relationship among the ethnic identity, acculturation, and self-concepts of minority health care professionals and their attitudes toward treating minority clients and using alternative therapies. The sample consisted of 150 medical students of Indian descent. Strong ethnic identity and acculturation related to high self-esteem, self-clarity, the likelihood of treating more minority patients, and the use of alternative therapies. The more "Westernized" participants expressed less of a preference for serving minority patients and believed themselves to be less effective in serving minorities. Gender differences in some aspects of ethnic identity and attitudes were found. The results imply that a focus on acculturation and ethnicity in all client-clinician psychological research is critical, and especially in cases of cultural matching.     

Psycho-Social Functioning in an Individual with Gender Identity Disorder

An adult transsexual male with presenting complaints of substance dependence was taken up for the study at the All India Institute of Medical Sciences. Past history covering substance use and transsexualism was followed by psychological assessment comprising of Verbal Adult Intelligence Scale, Draw-A-Person Test, Sentence Completion Test, The Adjustment Inventory and Rorschach Psychodiagnostics. The patient presented with interpersonal difficulties and distress owing to substance use. He reported being personally comfortable with his transsexual status and sought help for sex reassignment surgery. The study directs attention towards the fact that individuals with GID are at a risk for healthy adjustment with respect to their socio- cultural set up and in coping with situations. Hence, detailed assessment of distress related to GID, the social milieu leading to acceptance/isolation of the person and co-morbid conditions (if any) is productive.     

Fabry disease in genetic counseling practice: recommendations of the National Society of Genetic Counselors

The objective of this document is to provide health care professionals with recommendations for genetic counseling and testing of individuals with a suspected or confirmed diagnosis of Fabry disease, with a family history of Fabry disease, and those identified as female carriers of Fabry disease. These recommendations are the opinions of a multicenter working group of genetic counselors, medical geneticists, and other health professionals with expertise in Fabry disease counseling, as well as an individual with Fabry disease who is a founder of a Fabry disease patient advocacy group in the United States. The recommendations are U.S. Preventive Task Force Class III, and they are based on clinical experience, a review of pertinent English-language articles, and reports of expert committees. This document reviews the genetics of Fabry disease, the indications for genetic testing and interpretation of results, psychosocial considerations, and references for professional and patient resources. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. The professional judgment of a healthcare provider, familiar with the facts and circumstances of a specific case, will always supersede these recommendations.     

Generalized expectancies for negative mood regulation predict change in anxiety and depression among college students

Negative mood regulation (NMR) expectancies, or the beliefs held by individuals that, when faced with various manifestations of stress and negative affect, they can successfully cope with such mood states, have proven to be a most useful construct in the context of better understanding self-regulatory processes. In the present prospective study, we examined the predictive utility of NMR expectancies with respect to its ability to predict residual change in both depressive and anxiety symptoms over an 8-week timeframe in a sample of 322 college students. Initial correlational analyses revealed that, as anticipated, NMR expectancies were negatively correlated with depressive and anxiety symptomatology, as well as with maladaptive coping style. Conversely, NMR expectancies were positively associated with self-reported adaptive coping. A series of hierarchical regression analyses revealed that, even when controlling for age, sex, baseline levels of affective distress (depression or anxiety), and coping styles, NMR expectancies predicted change in both depressive and anxiety symptomatology. Implications of the findings pertinent to theory building and testing are discussed.     

Are Residential and Workplace Concentration Correlated for Immigrants? Evidence for Sweden

In immigrant-receiving countries, immigrants are often concentrated in residential neighbourhoods with high concentrations of immigrants. In addition, they are concentrated in workplaces with high concentrations of immigrants. Many researchers have assumed that these are two sides of the same coin, so that policy affecting residential segregation could be expected to influence workplace segregation. Using Swedish register data for 2007, we directly assess whether immigrants who live in residential neighbourhoods concentrated with immigrants also work in firms concentrated with immigrants. We find that there is very little correlation between residential and workplace segregation, suggesting that policy could profitably target both types of segregation separately.     

An Exploration of the Relationship Between Spirituality and State and Trait Anger Among Medical Students

There is a dearth of studies exploring spiritual attitudes of medical students from developing countries and its relationship to anger. This study was conducted to assess spiritual attitudes and their relationship with anger in a set of medical students in southern India. In this cross-sectional observational study, medical students who were undergoing clinical rotations were offered participation. Selected demographic data were obtained. The participants were rated using the Spiritual Attitudes Inventory [SAI, which comprises of Duke Religiosity Index, Existential Well-Being Scale (EWBS), Negative Religious Coping and Multidimensional Health Locus of Control scale] and State and Trait Anger Expression Inventory 2. Out of 98 students approached, 82 participated (response rate 83.6 %). The mean age of sample was 20.7 years (±0.9 years) with a slight preponderance of females (54.9 %). SAI scores correlated well significantly with subscale scores. Gender had no difference on the SAI or subscale score. Differences were found between self-reported religion and EWBS scores (Kruskal–Wallis χ ² = 8.891, p = 0.012). Total SAI score had a significant negative correlation with state anger, trait anger and anger expression. High levels of spirituality may be correlated with lower levels of state anger, trait anger and anger expression in medical students.     

Citizenship, Co-ethnic Populations, and Employment Probabilities of Immigrants in Sweden

Over the last decades, Sweden has liberalized its citizenship policy by reducing the required number of years of residency to 5?years for foreign citizens and only 2?years for Nordic citizens. Dual citizenship has been allowed since 2001. During the same period, immigration patterns by country of birth changed substantially, with an increasing number of immigrants arriving from non-western countries. Furthermore, immigrants were settling in larger cities as opposed to smaller towns as was the case before. Interestingly, the employment integration of immigrants has declined gradually, and in 2006, the employment rate for foreign-born individuals is substantially lower compared with the native-born. The aim of this paper is to explore the link between citizenship and employment probabilities for immigrants in Sweden, controlling for a range of demographic, human capital, and municipal characteristics such as city and co-ethnic population size. The information we employ for this analysis consists of register data on the whole population of Sweden held by Statistics Sweden for the year 2006. The basic register, STATIV, includes demographic, socio-economic, and immigrant specific information. In this paper, we used instrumental variable regression to examine the ??clean?? impact of citizenship acquisition and the size of the co-immigrant population on the probability of being employed. In contrast to Scott (2008), we find that citizenship acquisition has a positive impact for a number of immigrant groups. This is particularly the case for non-EU/non-North American immigrants. In terms of intake class, refugees appear to experience substantial gains from citizenship acquisition (this is not, however, the case for immigrants entering as family class). We find that the impact of the co-immigrant population is particularly important for immigrants from Asia and Africa. These are also the countries that have the lowest employment rate.