Entre Nosotros: Exploring Latino Diversity in Family Therapy Literature

The term Latino is often used to describe a largely diverse group of individuals living in the United States. This very broad term minimizes within-group differences due to race, ethnicity, class, country of origin and impact of immigration. We conducted a content analysis of 78 articles from peer reviewed journals in the fields of family therapy and family studies focused on Latinos, published from 2000 to May 2010, to challenge the Theoretical Myth of Sameness. We describe our evaluation and offer a culturally sensitive clinical and research approach with Latinos.     

Social comparison,coping and depression in people with spinal cord injury

The present study among 70 people with spinal cord injury examined the prevalence and correlates of identification (seeing others as a potential future) and contrast (seeing others in competitive terms) in social comparison as related to coping and depression. The most prevalent social comparison strategy was downward contrast (a positive response to seeing others who were worse-off), followed by upward identification (a positive response to perceiving better-off others as a potential future), downward identification (a negative response to perceiving worse-off others as a potential future), and upward contrast (a negative response to seeing others who were better-off). Those with less severe lesions reported the highest levels of upward contrast, coping through blaming others, and depression. Downward contrast was particularly related to constructive coping, and upward identification to wishful thinking. The less adaptive social comparison strategies, i.e., upward contrast and downward identification, were quite strongly related to wishful thinking and blaming others. Particularly upward contrast, i.e., feeling bad as response to seeing that others are better-off, was related to depression.     

Attachment to God,Spiritual Coping,and Alcohol Use

We examined the effect of emotional God attachment on undergraduates' alcohol use generally and for coping purposes and whether spiritual coping styles (collaborative, deferring, and self-directing) drive this effect. As hypothesized, people who feel secure in their emotional relationship with God use significantly more deferring, more collaborative, and less self-directing coping styles than people who feel anxious-ambivalent in their emotional relationship to God. Anxious-ambivalents use significantly more deferring, more collaborative, and less self-directing coping than people who feel disengaged from God (avoidants). Secures use alcohol significantly less than anxious-ambivalents, who use alcohol significantly less than avoidants. The effect of God attachment on general alcohol use was mediated by the use of self-directing (but not deferring or collaborative) spiritual coping style.     

The effects of proactive interference (PI) and release from PI on judgments of learning

In three experiments, we investigated metacognitive monitoring in a variant of an A–B A–C learning paradigm in which the repetition of cues, but not targets, led to increasing proactive interference (PI) across trials. Judgments of learning (JOLs) correctly predicted decreases across trials in this paradigm but incorrectly continued to predict decreases on a final release trial in which new cues were introduced and performance consequently increased. Experience with the paradigm did not ameliorate this metacognitive failure (Experiment 3). In addition, JOLs decreased equally for pairs with repeated and with novel cue terms, even though recall of the latter group of items did not decrease across trials (Experiment 2). These results suggest that metacognizers’ naïve theories of remembering and forgetting include a role for global, but not cue-specific, interference.     

Culturally adapted versus standard exposure treatment for phobic Asian Americans: Treatment efficacy, moderators, and predictors

This study is a 6-month follow-up of a randomized pilot evaluation of standard one-session treatment (OST-S) versus culturally adapted OST (OST-CA) with phobic Asian Americans. OST-CA included seven cultural adaptations drawn from prior research with East Asians and Asian Americans. Results from 1-week and 6-month follow-up show that both OST-S and OST-CA were effective at reducing phobic symptoms compared with self-help control. Moreover, OST-CA was superior to OST-S for several outcomes. For catastrophic thinking and general fear, moderator analyses indicated that low-acculturation Asian Americans benefitted more from OST-CA than OST-S, whereas both treatments were equally effective for high-acculturation participants. Although cultural process factors (e.g., facilitating emotional control, exploiting the vertical therapist-client relationship) and working alliance were predictive of positive outcomes, they did not mediate treatment effects. This study offers a potential model for evaluating cultural adaptation effects, as well as the mechanisms that account for such effects.     

A cross-national comparison of aggressors, victims and defenders in preschools in England, Spain and Italy

There is a small, but growing, body of research investigating peer-victimisation between preschoolers, an age which has been identified as being important both theoretically and practically for the development of interventions. This study compares aggressive and defending behaviour and victim status of preschoolers in three European countries; England, Spain and Italy. The results provide further confirmation that some children behave aggressively towards their peers during preschool in each of the countries studied. There are similarities between preschool children involved in peer-victimisation in the three countries in terms of the roles taken, sex differences and the types of aggressive behaviours used and experienced by the children. There were differences in the profiles of children identified as taking the roles by teachers and peers. Overall, it was found that those children identified by peers or teachers as being aggressive were more likely to be male, rated as physically strong and more likely to be rejected by classmates. Also, in general, the targets of peer-victimisation differed depending on the reporter. Peer-nominated victims were not identifiable in terms of gender, popularity or physical strength. Teacher-nominated victims were more likely to be socially rejected and physically weak. There are several subtle differences between the countries which deserve further investigation. The findings are discussed in relation to furthering our understanding of the development of peer-victimisation in preschools and the need for interventions which address this phenomenon.     

Brief treatment with alprazolam and behavioral guidance in panic disorder

Abstract

Thirty-two patients with panic disorder, with or without agoraphobic limitations, were treated with alprazolam (mean dose 3.5 mg/d) plus brief behavioral guidance in an open study during eight weeks. The sample had a notorious severity in the frequency of panics and phobic avoidance but was only mildly depressed. Before starting treatment the presence of demoralized mood and extensive avoidance were significant indicators of clinical severity, whereas the presence of dizziness as a relevant somatic complaint was not related to higher severity. After eight weeks of treatment a clinical improvement equal to or exceeding 80% of change was obtained in all cases (29) who completed treatment. Ninety-two percent of the patients were panic free at the end of treatment. There were significant reductions in all the scales with comparable declines in the subgroups formed according to the presence or absence of agoraphobic avoidance and demoralization. The data suggested that moderate doses of alprazolam could be a quick and effective treatment for panic-agoraphobic patients in the short term. The behavioral guidance probably helped in reducing agoraphobic avoidance and in obtaining global good effectiveness although this awaits controlled tests. Finally, the similarity in the response to treatment regardless of the presence of extensive avoidance or demoralized mood argues in favor of not considering the different variants of panic-agoraphobic syndrome differently, at least in samples with similar severity to the present one.     

The Question of Higher Education for the Blind

Building on the theory of reasoned action (I. Ajzen & M. Fishbein, 1973, 1980; M. Fishbein & I. Ajzen, 1975) and expectancy theory, the authors examined the mediating role of alcohol expectancies in adolescent drinking behaviors by testing whether alcohol expectancy outcomes and valuations (the extent to which these outcomes are perceived as good or bad) mediate the association between peer influences and lifetime alcohol use. Early adolescents (N = 904) from 2 public middle schools in western Michigan completed a battery of questionnaires. Overall, results showed that alcohol expectancies and valuations partially mediated the relations between peer influences (peer use and peer approval) and lifetime alcohol use. The findings suggest that associating with peers who are perceived as using alcohol and approving of drinking may influence adolescents’ alcohol expectancies. The authors briefly discuss future research directions and implications for prevention.     

Entertainment–Education? A Fotonovela? A New Strategy to Improve Depression Literacy and Help‐Seeking Behaviors in At‐Risk Immigrant Latinas

Research shows high risk for depression among immigrant Latinas known to increase during the acculturation process. Several barriers such as stigma and low health literacy result in an under-utilization of needed treatment among these women. In response, this study replicated the effectiveness of a Spanish language fotonovela, a form of Entertainment–Education (E–E), designed to increase depression literacy, decrease stigma, and increase help-seeking knowledge and behavior in Latinos. Specifically, this study evaluated a fotonovela delivered in a multifaceted approach to health education used by promotoras. A pretest–posttest randomized control group experimental design with 142 immigrant Latinas at risk for depression was employed. Results indicate significant posttest improvements in depression knowledge, self-efficacy to identify the need for treatment, and decreased stigma in experimental as compared to control group participants. Findings support the application of E–E health literacy tools such as fotonovelas, delivered in multifaceted approaches to health education used by promotoras, to Latinas at risk for mental health concerns.     

Depressed mothers' newborns show longer habituation and fail to show face/voice preference

Twenty neonates of depressed and nondepressed mothers failed to show an initial visual preference for their mother's versus a female stranger's face/voice. Subsequently, infants were habituated to their mother's face and voice. Infants of depressed mothers required 1/3 more trials and almost twice as long to habituate. A posthabituation test with their mother and a different female stranger revealed a preference for the stranger's face for 9 out of the 10 newborns of the nondepressed mothers. Again, the infants of depressed mothers displayed no visual preference. These findings reveal differences in depressed mothers newborns' speed of habituation and face/voice preferences. ©2002 Michigan Association for Infant Mental Health.