Intersectional experiences of discrimination in a low‐resource urban community: An exploratory latent class analysis

There have been increasing calls for the application of an intersectionality framework to understand and address discrimination and health inequities among diverse communities. Yet there have been theoretical debates regarding to whom intersectionality applies and how intersectional experiences of discrimination are associated with health outcomes. The current study aimed to contribute to these theoretical debates and inform practical applications to reduce health inequities. Data were drawn from a community health survey in New Haven, CT (N = 1,293 adults) and analysed using latent class analysis. Results yielded 4 classes. Members of the 4 classes were similar sociodemographically. Three classes of participants reported experiencing discrimination, and members of these classes had greater stress, higher rates of smoking and sleep disruption, and worse overall health than members of the class reporting no discrimination. Members of 2 classes made multiple, or intersectional, attributions for discrimination, and members of these classes reported the most frequent discrimination. Findings suggest that community members who are sociodemographically similar may have diverse discrimination experiences. Multilevel interventions that address multiple forms of discrimination (e.g., racism and sexism) may hold promise for reducing discrimination and, ultimately, health inequities within low‐resource urban community settings.     

On the Modification of Clinical Procedures

All sciences depend for their progress on the modification of existing procedures and the clinical sciences arc no exception. The question is raised whether the restriction of modifications of clinical procedures, even though legally defensible, is socially and scientifically helpful.     

Covert communication in laboratories, classrooms, and the truly real world

Hundreds of research studies have demonstrated that one person's expectations for the behavior of another person can actually affect that other person's behavior. These studies implicate the operation of processes of covert communication, communication that is subtle, largely nonverbal, and ordinarily unintended. The earliest studies of these processes showed that through their expectations, laboratory researchers unwittingly affected the responses of their research participants. Later studies showed that teachers' experimentally induced expectations about their pupils affected the pupils' intellectual performance. Most recently, studies of covert communication processes have extended to diverse contexts, such as the judicial and health care systems. For example, research indicates that judges' beliefs about the guilt of trial defendants can be unwittingly communicated to juries by the judges' nonverbal behavior during jury instruction. In addition, studies of covert communication in medical contexts show that physicians' effectiveness in persuading their patients to enter into treatment can be predicted from their tone of voice in talking to or about their patients. For example, one study showed that surgeons who used a bossy tone of voice when talking to their patients were more likely to be sued by their patients than were surgeons who used a more respectful tone. In sum, then, we have learned a great deal about the importance of subtle processes of nonverbal communication, but a great deal more is yet to be learned about these processes as they occur in the relatively sheltered context of laboratories and classrooms and in the rough-and-tumble of the truly real world beyond.     

Skin conductance,reaction time,and observational ratings in learning-disabled children

Rates of GSR habituation, reactiontime responses, and observational ratings in normal and learningdisabled children were evaluated. Compared to normals, children with learning disabilities demonstrated faster rates of GSR habituation in a task involving active attention, slower reactiontime responses, and more characteristics of “minimal brain dysfunction” on a rating scale. Within the learningdisability group those subjects with a family history of reading problems showed fewer GSR, reactiontime, and rating responses characteristic of “minimal brain dysfunction.”     

Reactivity to sensations in borderline personality disorder: a preliminary study

Individuals with borderline personality disorder (BPD) are widely considered to have problems with emotional reactivity. However, the specific kinds of stimuli that are associated with heightened emotional reactivity in BPD have not been well characterized. Thus, it is unclear whether the emotional dysfunction in BPD occurs in response to any emotionally evocative stimuli, or to specific classes of stimuli. In this study, we used subjective measures (self-report and interview-based) to compare reactivity to sensations (auditory, gustatory, olfactory, tactile, visual) between participants with BPD (n = 30) and healthy controls (n = 50). Controlling for trait negative emotional reactivity, individuals with BPD reported being significantly more reactive across sensory stimuli. However, the difference between controls and BPD was significantly greater for reactivity to auditory stimuli compared to other sensory stimuli. Findings from this study provide preliminary data suggesting individuals with BPD may be characterized by heightened self-reported reactivity to aversive sounds.     

Positive and Negative Expectations of Hopelessness as Longitudinal Predictors of Depression,Suicidal Ideation,and Suicidal Behavior in High‐Risk Adolescents

The relationship between hopelessness and depression in predicting suicide‐related outcomes varies based on the anticipation of positive versus negative events. In this prospective study of adolescents at elevated risk for suicide, we used two Beck Hopelessness Scale subscales to assess the impact of positive and negative expectations in predicting depression, suicidal ideation, and suicidal behavior over a 2‐ to 4‐year period. In multivariate regressions controlling for depression, suicidal ideation, and negative‐expectation hopelessness, positive‐expectation hopelessness was the only significant predictor of depressive symptoms and suicidal behavior. Clinical interventions may benefit from bolstering positive expectations and building optimism.     

Relations of psychological distress with objective individual,family, and neighborhood characteristics of urban adolescents

This paper describes the relations of psychological distress with 11 ecological factors (5 community, 4 family, and 2 individual) among 423 older urban adolescents who are predominantly people of color. Data were obtained by means of self-report via group-administered questionnaires given between 1994 and 1996; most scales are multi-item. There is wide variation in distress. There are very few statistically significant relationships between the ecological factors and distress, and those are negligible. Girls whose parents have less education and live in extended families have higher distress; family and individual domains are correlated .04 and .03 with distress and the community domain .00, so this ecological model accounts for a mere 7%, of the common total variance in distress.