Understanding families in their own context: schizophrenia and structural family therapy in Beijing

Evidence from a number of family intervention strategies demonstrates a beneficial impact on the course of schizophrenia. It appears that different family interventions have generic features that aid the patient to avoid relapse and improve functioning. A significant challenge for researchers is to modify these generic strategies to be sensitive to different cultural groups in order to ensure their effectiveness. Chinese culture, with its distinct cultural norms governing family interaction and intense stigma towards the mentally ill, would seem to raise a particular challenge.
This paper offers an account of an eclectic model of structural family therapy that incorporates psychoeducation and behavioural treatments for schizophrenia as a theoretical guide to working in a cross–cultural context. A Beijing family, consisting of parents and their daughter with schizophrenia, were seen for sixteen months during a trial of family intervention in China. Through structural family concepts, China's sociocultural context of treatment resource constraints, population policy and stigma are examined and the impact of the illness on family organization is explored.     

Predictors of Satisfaction Among College-Educated African American Women in Midlife

There has been little theorizing or empirical research on satisfaction among African American women at midlife. This study addresses this gap by examining predictors of satisfaction in 3 cohorts (N = 202) of midlife college-educated African American women. Specifically, 3 domains of satisfaction were examined: overall life satisfaction, personal satisfaction, and work satisfaction. Results revealed that the women were highly satisfied with their work situation, their personal life, and generally with how their life had turned out so far. Overall life satisfaction was predicted by the women's perceptions of personal control, role quality, household burden, and their cohort status. Work satisfaction was best predicted by the women's sense of personal control and role quality. Lastly, household burden and physical well-being emerged as significant predictors of personal satisfaction. Implications of the findings and recommendations for future research are offered.     

Altered Cortico-Limbic Functional Connectivity During an Empathy Task in Subjects with Post-Traumatic Stress Disorder

Empathy is a multidimensional construct consisting of cognitive (inferring mental states) and emotional (empathic concern) components. Emotional empathy is severely impaired in individuals affected by Post-Traumatic Stress Disorder (PTSD). Here, we investigated the neural correlates of such an emotional empathy dysfunction to shed light on the neural circuitry responsible for the social and emotional dysfunction in PTSD. We asked a group of PTSD and a group of healthy controls to solve a Multifaceted Empathy Test, measuring both cognitive and emotional empathy, and investigated the functional connectivity of the cortical areas involved in solving the test. The results revealed that, in healthy individuals, increased neural activity in the frontal cortex modulates activity in the insula while subjects perform the emotional empathy task; whereas, in individuals affected by PTSD, increased activity in limbic regions such the insula and the amygdala modulates activity in the frontal cortex while performing the emotional empathy task. These findings suggest that the lack of cortical top-down control of the frontal cortex on the limbic system in PTSD during empathic processing may explain the emotional and social difficulties experienced by individuals suffering from PTSD.     

I Can't Get You Out of My Head: The Influence of Secrecy on Consumers’ Self‐Brand Connections

Although research provides anecdotal evidence of consumers keeping their brand consumption a secret, there is little empirical corroboration to justify its study or illuminate the resulting consequences. The goals of this research are to provide evidence for the prevalence of keeping brand consumption a secret and to understand the resulting cognitive processing and consequences. Specifically, we first explore the occurrence of secrecy in the context of brand consumption, its types, and its motivations, underscoring the need for further investigation. Then, through a series of three subsequent studies, we demonstrate that keeping brand consumption a secret can lead to enhanced self‐brand connections through the underlying processes of thought suppression and thought intrusion. We rule out alternative explanations and enhance generalizability through the examination of passive (e.g., avoiding) versus active (e.g., lying) secrecy and variations in agency (i.e., instructed vs. voluntary secrecy).     

We Are All Much More Simply Unsettled Than Otherwise: Reply to Commentaries by González,Rozmarin, and Tummala-Narra

In this paper I respond to the commentaries by González, Rozmarin, and Tummala-Narra and address some of the issues they raise. These are the themes of unsettledness, the anxiety of the immigrant as well as of the “native,” the experience of marginalization, and the topic of secrecy and privacy. I appreciate that I am included in this inspiring dialogue and have the opportunity to rethink my paper in the context of the current social and political frame.     

Maintaining Men's Dominance: Negotiating Identity and Power When She Earns More

This article examines the power dynamics in marriages where wives earn substantially more than their husbands based on in-depth interviews with husbands and wives in 30 couples. The results demonstrate how normative gender expectations constrain interactions between spouses and how spouses in these unconventional marriages struggle to construct appropriate gender identities that are more or less consistent with the conventional expectations that men should be breadwinners and women should be homemakers. These data represent an important counterpoint to the growing body of quantitative work that demonstrates that a woman's power diminishes as her income exceeds her husband's by illuminating how men's power is preserved within marriage, even in the absence of their traditional economic dominance.     

Associations between Maternal Attention-Deficit/Hyperactivity Disorder Symptoms and Parenting

Mothers of children with attention-deficit/hyperactivity disorder (ADHD) are at increased risk for an ADHD diagnosis themselves, which is likely associated with impairments in parenting. The present study utilized a multi-method assessment of maternal ADHD and parenting to examine the extent to which maternal ADHD symptoms are associated with maladaptive parenting. Participants included 70 6–10 year old children with DSM-IV ADHD and their biological mothers. Results suggested that mothers with higher levels of ADHD symptoms reported lower levels of involvement and positive parenting and higher levels of inconsistent discipline. During observed parent–child interactions, maternal ADHD symptoms were negatively associated with positive parenting, and positively associated with negative parenting and repeated commands before giving the child an opportunity to comply. Given prior research suggesting that maladaptive parenting behaviors are risk factors for the later development of conduct problems among children with ADHD, these findings have important clinical implications for family-based assessment and treatment of ADHD.