Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension

African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, M_age = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.     

Effects of family therapy for substance abuse: A systematic review of recent research

One of the most serious psychosocial problems worldwide is substance abuse because of its repercussions not only on the physical and psychological health of the abuser but also on their relational functioning. Among the well-established therapeutic approaches for the treatment of substance abuse is family therapy, which, in addition to influencing personal variables, promotes changes in family dynamics. The main objective of this study is to review the scientific literature published from 2010 to the present on the efficacy and effectiveness shown by family-based treatment approaches for substance use problems both in adolescent and adult samples. In addition, the effect on secondary variables such as family functioning and behavioral problems is evaluated. The empirical evidence accumulated in the last decade and reviewed in the present study indicates that the incorporation of family members in the treatment of substance abuse produces benefits by diminishing consumption and improving family functioning. Limitations of this study and of the research reviewed are discussed and directions for future research are provided.     

Analysis of Religious Bias among Christian Students in Science

Christians are notably underrepresented in science in part due to long-standing public perceptions of science-religion incompatibility and antireligious bias in science. This research explores whether undergraduates at a Christian university perceive and impose anti-Christian cultural stigma in science. Survey results from 126 biology students revealed that though students generally perceived the culture of science to be anti-Christian, they perceived Christians to have equal opportunities for scientific achievement. Results from a quasi-experimental audit study, in which students evaluated one of two profiles for mock prospective Ph.D. applicants (Christian or undisclosed faith) showed that students did not project anti-Christian stereotypes in terms of competence, hireability, or likeability, but showed some evidence of pro-Christian favorability. Together, this study suggests that the affirmational community of a Christian University may alleviate some negative impacts of anti-Christian stereotypes in academic biology, even as students perceive discrimination against Christians in science and atheists as more scientifically competent.     

Trauma,protest, and therapeutic culture in Algeria since the 1980s

This article focuses on the shift in sensitivities that took place between the 1980s and 2019 toward psychological suffering in Algeria. Promoters of psychotherapy showed an increase in receptivity—via the media, public authorities, and the general population—to their practices and discourses during this period. Based on professional literature, interviews with psychologists, psychiatrists, and psychoanalysts, and newspaper articles and essays, this article considers the following aspects: the use of psychotherapy, the authority of psychoanalytic/psychopathological analyses, and the ethics of relation in politics. Taking a social and cultural history of politics approach, it traces the discontinuous politicization of psychotherapy over the course of events (namely the uprising of 1988, the civil war of the 1990s, and the 2019 popular movement) and examines the interactions between the state, popular mobilizations, and the psychotherapists. The civil war of the 1990s coincided with the normalization of “trauma” on a global scale, and procedures for the prevention of posttraumatic stress disorder were put in place in Algeria from 1997 onwards. In this process of legitimizing psychological suffering and its treatment, the promoters of psychotherapy who belonged to the less visible margins gained authority. The year-long protest movement (2019) against the regime performed the ethics of relation, focusing on human relations, reflexivity, and living together. Promoters of psychotherapy identified consistently with the political subjectivities produced within the 2019 popular movement characterized by massive pacifist marches against the regime.     

Diverse middle school students’ future career autobiographies and socioeconomic status factors: A content analysis

The future career autobiography (FCA) is a narrative, discovery-based career intervention designed to assess individuals’ career hopes and dreams. In total, 134 low-income, ethnically and racially diverse middle school students participated in an FCA intervention through a yearlong grant-funded career development initiative. Using content analysis, we analyzed participants’ FCAs for socioeconomic status factors and lifestyle indicators. We found that participants articulated occupational and lifestyle factors more than education and income, and that there were differences based on biological sex, race, and ethnicity. We present pertinent results and discuss implications for counseling practice and future research.     

Playing to their strengths: Can focusing on typical in-group strengths be detrimental to people of colour?

With increasing awareness about racism, portrayals of communities of colour are shifting away from negative representations. Emphasizing their strengths could counter negative stereotypes about who they are and low expectations for who they can be, but could also backfire. In two experiments centring adolescents (n = 198) and adults of colour (n = 321), the effect of reflecting on a typical strength was moderated by perceived misalignments between racial/ethnic and ideal future selves (i.e., ethnic–ideal self-discrepancy). For participants perceiving them as aligned, reflecting on a typical in-group strength reduced actual–ideal self-discrepancy. However, for participants perceiving them as misaligned, reflecting on a typical in-group strength increased actual–ideal self-discrepancy. Reflecting on a typical strength also indirectly influenced engagement, through actual–ideal self-discrepancy. Reflecting on an atypical in-group strength did not yield significant effects. Thus, emphasizing typical aspects of stigmatized communities, even when positive, sometimes impede identity and motivation.     

Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Examining awareness of privilege among midwestern college students: An analysis of race/ethnicity,gender, and religion

Dominant group members often are not aware of the privileges they benefit from due to their dominant group membership. Yet individuals are members of multiple groups and may simultaneously occupy multiple categories of dominance and marginality, raising the question of how different group memberships work in concert to facilitate or inhibit awareness of multiple forms of privilege. Examining awareness of privilege is important as awareness may be linked to action to dismantle systems of privilege that maintain oppression and inequality. Grounded in intersectional scholarship, in this study we examined how occupying intersecting categories of race/ethnicity, gender, and religion corresponded to an awareness of White, male, and Christian privilege. In a sample of 2321 Midwestern college students, we demonstrated that students from marginalized groups broadly reported greater awareness of all forms of privilege than students from dominant groups, and the difference between marginalized and dominant groups was most pronounced when the specific group category (e.g., gender) aligned with the type of privilege (e.g., male privilege). We also tested interactions among race/ethnicity, gender, and religion, only finding an interaction between race/ethnicity and religion for awareness of White and male privilege. These findings helped to clarify that multiple group memberships tended to contribute to awareness as multiple main effects rather than as multiplicative. Finally, we examined mean differences among the eight intersected groups to explore similarities and differences among groups in awareness of all types of privilege. Taken together, these findings quantitatively demonstrate the ways in which group memberships work together to contribute to awareness of multiple forms of privilege. We discuss study limitations and implications for community psychology research and practice.     

Political Ideology Outdoes Personal Experience in Predicting Support for Gender Equality

Indices of gender equality provide an inconsistent picture of current gender inequality in countries with relatively high equality. We examined women's and men's subjectively perceived gender inequality and their support for gender equality in the general population and in politicians, respectively, in three countries with relatively high gender equality: the United States, the United Kingdom, and Germany (total N = 1,612). In both women's and men's perceptions, women were treated more unequally than men. However, the inequality that women perceived was larger than the inequality men perceived. Additionally, women reported they personally experience less inequality than women as a group (person-group discrepancy). Finally, women's and men's left/liberal (vs. right/conservative) political ideology turned out to be a relatively more powerful predictor of support for gender equality than perceived personal and societal inequality. We discuss reasons for why political ideology emerged as the strongest predictor of equality support and sketch out implications for policy efforts toward promoting gender equality.     

Sheldon Smith on Newton’s Derivative: Retrospective Assignation,Externalism and the History of Mathematics

To illustrate the view that a speaker can have a partial understanding of a concept, Burge uses the example of Leibniz’s and Newton’s understanding of the concept of derivative. In a recent article, Sheldon Smith criticizes this example and maintains that Newton’s and Leibniz’s use of their derivative symbols does not univocally determine their references. The present article aims at challenging Smith’s analysis. It first shows that Smith misconstrues Burge’s position. It second suggests that the philosophical lessons one should draw from the practice of the historians of philosophy are more ambivalent than what Smith thinks.