Racial healthcare disparities: A social psychological analysis

Around the world, members of racial/ethnic minority groups typically experience poorer health than members of racial/ethnic majority groups. The core premise of this chapter is that thoughts, feelings, and behaviours related to race and ethnicity play a critical role in healthcare disparities. Social psychological theories of the origins and consequences of these thoughts, feelings, and behaviours offer critical insights into the processes responsible for these disparities and suggest interventions to address them. We present a multilevel model that explains how societal, intrapersonal, and interpersonal factors can influence ethnic/racial health disparities. We focus our literature review, including our own research, and conceptual analysis at the intrapersonal (the race-related thoughts and feelings of minority patients and non-minority physicians) and interpersonal levels (intergroup processes that affect medical interactions between minority patients and non-minority physicians). At both levels of analysis, we use theories of social categorisation, social identity, contemporary forms of racial bias, stereotype activation, stigma, and other social psychological processes to identify and understand potential causes and processes of health and healthcare disparities. In the final section, we identify theory-based interventions that might reduce ethnic/racial disparities in health and healthcare.     

Group Psychotherapy in General Hospitals

This article is an Editor's Introduction to this Special Issue of the Journal on the integration of research and practice in the field of group psychotherapy. The emphasis in this issue is on the clinical application of research instruments to evaluate and to facilitate group experiences. Illustrations are drawn from each of the following six articles to highlight the practical utility of research measures. Moreover, recommendations are offered for how clinicians can incorporate these instruments into their group treatments to structure the therapeutic process.     

Countertransference in the Group Psychotherapist

This report describes a pilot study of a waiting-list group (preliminary process group [PPG]) that provided treatment for applicants to a university affiliated, urban mental health center. All individuals on the treatment waiting list were informed of the PPG. This semistructured group, meeting weekly, began with members presenting their problems, followed by free discussion, and ending with goal setting for the next week. Approximately one seventh (35 out of 262) of the clinic's applicants during a 4½-month period chose to enter the PPG. They differed from those who chose not to particpate (wait list) by being older and less educated. Approximately 80% of both wait-list and PPG participants subsequently entered therapy. Significantly more PPG patients than those on the wait list entered group treatment. The PPG served clinic needs by providing prompt service for self selected individuals and by supporting the group therapy program.     

Translating Recategorization Strategies Into an Antibias Educational Intervention

This experiment explored whether the benefits of a complete recategorization and a dual identity might effectively be translated into an intervention program designed to reduce prejudice among European Portuguese and African Portuguese 9‐ to 11‐year‐old children. Participants interacted for 45 minutes in weekly sessions for a month. One month after the last interaction, measures were administered to the children. Results revealed that only recategorization reduced prejudice over time relative to the control condition. Consistent with a functional perspective regarding which representation would most effectively promote their group's goals, a one‐group representation was more effective for the African Portuguese minority group.     

Immediate Movement History Influences Reach-to-Grasp Action Selection in Children and Adults

The authors review studies of mentally simulated movements. In automatic or cyclical movements, actual and motor imagery (MI) durations are similar. When athletes simulate only dynamic phases of movement or perform MI just before competing, however, environmental and time constraints lead to an underestimation of actual duration. Conversely, complex attention-demanding movements take longer to image. Finally, participants can modify the speed of MI voluntarily when they receive specific instructions. To complete the available data, the authors compared imagined and actual durations in tennis and gymnastics. Results showed systematic and disproportionate overestimation of actual duration. The authors found a relationship between complex motor skills and MI duration. They discuss the factors leading to over- and underestimation and the hypotheses that could be tested.     

A Comparison of Obsessive–Compulsive Personality Disorder Scales

In this study, we utilized a large undergraduate sample (N = 536), oversampled for the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision [DSM–IV–TR]; American Psychiatric Association, 2000) obsessive–compulsive personality disorder (OCPD) pathology, to compare 8 self-report measures of OCPD. No prior study has compared more than 3 measures, and the results indicate that the scales had only moderate convergent validity. We also went beyond the existing literature to compare these scales to 2 external reference points: their relationships with a well-established measure of the five-factor model of personality (FFM) and clinicians' ratings of their coverage of the DSM–IV–TR criterion set. When the FFM was used as a point of comparison, the results suggest important differences among the measures with respect to their divergent representation of conscientiousness, neuroticism, and agreeableness. Additionally, an analysis of the construct coverage indicated that the measures also varied in terms of their representation of particular diagnostic criteria. For example, whereas some scales contained items distributed across the diagnostic criteria, others were concentrated more heavily on particular features of the DSM–IV–TR disorder.     

Suggestions for an Improved M-Limits Technique

Abstract

Bennett, Edward. Personality Assessment and Diagnosis. New York: Ronald Press, 1961 Reviewed by Theodore H. Blau

Honkavaara, Sylvia, The psychology of expression, Cambridge University Press, 1961; British Journal of Psychology, Monograph XXXII, pp. 96. $4.50 Reviewed by Hal M. Wells

Sherman, M. H. (ed.) A Rorschach Reader. New York: International Universities Press, 1960. $7.50. Reviewed by Melvin A. Gravitz, Ph.D.     

Development and Validation of a Dutch Translation of the Big Five Inventory (BFI)

The MMPI profiles of 74 low back pain patients who had previously been classified as "functional," "organic," or "mixed" were sorted into six profile groups. The six profile groups were those used by Pichot, Perse, Lekeous, Dureau, Perez, and Rychewaert (1972); denial, "conversion V" without defensiveness, "conversion V" with defensiveness, depressed/anxious, psychotic and normal. Results indicate that all six profile types are welt represented in the low back pain group. Evidence is also presented which shows that each of the pathological MMPI profile types examined across "functional," "organic," and "mixed" classification is significantly more elevated than a normal profile group on two scales (Lb, DOR) designed to measure functional aspects of pain. Pathological MMPI profile groups did not differ significantly from each other on the "functional," pain scales. The data presented in this study point to the relationship of various forms of psychopathology with "functional pain." The findings of this stud v would not support a homogeneous "pain personality" for low back pain patients. However, combined "conversion V" profiles accounted for 58% of the "functional" group, 45% of the "mixed" group and 35% of the "organic" group.     

Some Relations Between Parental Personality Factors and Childhood Symtomatology

This study hypothesized that parents of children with conduct problems would differ in certain personality factors and in frustration and aggression reactions from parents of children with personality problems. The Rosenzweig Picture-Frustration Study and the 16PF questionnaire, 1962 edition, were used to test the sample of 66 couples, each of whom had a male child (age range, 6 to 13 years). Some significant differences were found on the 16PF and the Rosenzweig which do not support the long history of essentially negative findings reported in the literature on parent-child interactions.