Pushing the frontiers of multicultural training in community psychology

Suarez-Balcazar, Durlak, and Smith (1994) have provided the field with important baseline information regarding multicultural training practices in community psychology. This report can serve as a catalyst in our quest to place an understanding of human diversity, in particular, ethnic-cultural diversity, at the heart of community psychology. To do so, we need to move beyond the teaching of culturally sensitive research and practice to a reconceptualization of the knowledge base and methods of community psychology, to an examination of the conflicts engendered by the inclusion of multiple voices, and to the implementation of institutional arrangements that can support such a challenging task in constructive ways.     

The development of adolescent sexual intimacy: implications for counseling

This paper proposes a perspective for understanding the development of adolescent sexual intimacy. A "transitional stage" is described in which adolescents, driven by a variety of developmental needs influenced by external forces such as peers and family, experiment with sexual behaviors. The completion of the transitional stage results in the adolescent's ability to achieve "relational" sexual intimacy, which is also described. The problems and implications for counseling associated with the biophysiological and family dynamic influences on the development of adolescent sexual intimacy are discussed.     

Training Genetic Counsellors to Deliver an Innovative Therapeutic Intervention: their Views and Experience of Facilitating Multi-Family Discussion Groups

Innovations in clinical genetics have increased diagnosis, treatment and prognosis of inherited genetic conditions (IGCs). This has led to an increased number of families seeking genetic testing and / or genetic counselling and increased the clinical load for genetic counsellors (GCs). Keeping pace with biomedical discoveries, interventions are required to support families to understand, communicate and cope with their Inherited Genetic Condition. The Socio-Psychological Research in Genomics (SPRinG) collaborative have developed a new intervention, based on multi-family discussion groups (MFDGs), to support families affected by IGCs and train GCs in its delivery. A potential challenge to implementing the intervention was whether GCs were willing and able to undergo the training to deliver the MFDG. In analysing three multi-perspective interviews with GCs, this paper evaluates the training received. Findings suggests that MFDGs are a potential valuable resource in supporting families to communicate genetic risk information and can enhance family function and emotional well-being. Furthermore, we demonstrate that it is feasible to train GCs in the delivery of the intervention and that it has the potential to be integrated into clinical practice. Its longer term implementation into routine clinical practice however relies on changes in both organisation of clinical genetics services and genetic counsellors’ professional development.     

Modeling the Role of Child Ethnicity and Gender in Children's Differential Response to Teacher Expectations1

This study examined the relationship between fall teacher expectations and year‐end achievement among 561 children in 1st, 3rd, and 5th grades. Specifically, we hypothesized that children from academically stigmatized groups (African Americans generally and girls in mathematics) are more likely to be responsive to negative teacher expectancies than are children from nonstigmatized groups. Controlling for prior achievement and class membership, moderator effects were tested with hierarchical linear models in the whole sample and with loglinear models in a subsample of children who were targets of extreme teacher over‐ and underestimates of ability. Among targets of extreme teacher over‐ and underestimates, in 3rd and 5th grade, ethnicity moderated expectancy effects in reading; and in 5th grade, gender moderated expectancy effects in math but not reading. Members of stigmatized groups were more susceptible to teacher underestimates of ability. Implications are discussed in terms of differential response to teacher expectations and in terms of how susceptibility to teacher expectations is conceptualized and inferred.     

Poor readers’ use of orthographic information in learning to read new words: A visual bias or a phonological deficit?

In this study, we examined the ability of 11-year-old poor readers and reading age controls to learn new print vocabulary. It was found that the poor readers were slower than the controls to learn to read a set of nonwords accurately but that, when asked to pick out the nonwords in a visual recognition memory task, they reached criterion much more quickly than did the controls. However, when the groups were compared on auditory recall of the items being learned, the poor readers were at a disadvantage. Thus, the poor readers developed a visual store for the nonwords more quickly than did the controls but were slower to establish phonological representations for the nonwords. It was concluded that the poor readers were slower to establish a form of sight word reading that was well underpinned in memory by connections between the letters in the spelling and the phonemes in the pronunciation, suggesting that they had a greater reliance on an orthographic-semantic pathway in word recognition than did the controls.     

Improving Service Evaluation in Clinical Genetics: Identifying Effects of Genetic Diseases on Individuals and Families

Outcome measurement in clinical genetics is challenging. Outcome attributes used currently have been developed by service providers or adapted from measures used in other areas of healthcare. Many of the ‘patients’ in clinical genetics are healthy but at risk of developing or transmitting a condition. Usually no pharmacological or surgical treatment is offered, although information-giving is an objective of most consultations. We argue that services should be evaluated on the basis of how well they alleviate the effects of disease, from a patient perspective. This paper describes a qualitative study using seven focus groups with health professionals, patients and patient representatives. Social and emotional effects of genetics diseases were identified. Some differences emerged between the effects identified by health professionals and those identified by patients. These findings will be used to inform the evaluation of existing outcome measures and develop robust measures of outcome for clinical genetics services.     

Culture at work: Family therapy and the culture concept in post-World War II America

During the 1950s and 1960s, the concept of culture had currency beyond the disciplinary boundaries of anthropology and sociology. This article takes up a clinical example of the invocation of the culture concept by examining how early family therapists such as Nathan Ackerman, Murray Bowen, and Don Jackson used culture as a category of analysis during the formative years of their new field. The culture concept played an integral role in the processes by which family therapists simultaneously defined the object of their research and treatment, the family, and built their new field. Their varied uses of culture also contained tensions and contradictions, most notably between universal and relativist views of family and psychopathology and between views of family therapy as a conservative force for maintaining the nuclear family or a progressive force for overcoming social inequality.     

Word length,phonemic, and visual similarity effects in poor and normal readers

Serial order recall for visually and auditorily presented stimuli was examined in a group of 12-year-old poor readers and 7-year-old reading-age controls. With pictorial presentation, the poor readers showed a visual similarity effect, no word length effect, and a smaller phonemic similarity effect than that of controls. However, with visual presentation of printed words and with auditory presentation, poor readers showed word length and phonemic similarity effects of similar magnitude to that of controls. It is concluded that poor readers rely on visual information in tasks where the presented images are highly codable, and where verbal recoding is not obligatory, but that they will make use of phonological coding when the stimuli are not as easily codable visually in memory.