Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel

Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.     

Contextualizing Gender and Acculturative Influences on Sexual Initiation of Asian Indian Emerging Adults

Although Asian Indians represent one the fastest growing demographics in the United States, no studies exist on the sexual behavior of Asian Indian youth or its association with acculturation. Previous research has demonstrated a link between earlier sexual initiation and subsequent sexual risk and the role of acculturation and sexual initiation in other Asian groups. The present exploratory study examined gender and acculturation with regard to sexual initiation in Asian Indians (n = 37). Results reveal no significant gender differences in sexual initiation and total acculturation scores. Gender differences did emerge for the association among sexual behaviors and the influence of specific areas of acculturation on sexual initiation. Findings suggest that gender and acculturation may be important variables in understanding sexual behavior but that current acculturation measures may be insufficient to adequately assess acculturation levels of Asian Indian youth. Future research should focus on Asian Indians as an understudied minority group.     

Beyond Consent: Building Trusting Relationships With Diverse Populations in Precision Medicine Research

With the growth of precision medicine research on health data and biospecimens, research institutions will need to build and maintain long-term, trusting relationships with patient-participants. While trust is important for all research relationships, the longitudinal nature of precision medicine research raises particular challenges for facilitating trust when the specifics of future studies are unknown. Based on focus groups with racially and ethnically diverse patients, we describe several factors that influence patient trust and potential institutional approaches to building trustworthiness. Drawing on these findings, we suggest several considerations for research institutions seeking to cultivate long-term, trusting relationships with patients: (1) Address the role of history and experience on trust, (2) engage concerns about potential group harm, (3) address cultural values and communication barriers, and (4) integrate patient values and expectations into oversight and governance structures.     

Early Childhood Teachers' Perspectives on Social-Emotional Competence and Learning in Urban Classrooms

The promotion of social-emotional competence and implementation of social-emotional learning programs have increased substantially in schools; however, little is known about teachers' perceptions of such programs. This qualitative study explored early childhood (3 to 8 years old) teachers' perceptions of classroom-based social-emotional learning programs for young, urban-dwelling children. A focus of the study included learning what teachers believe were the critical components and challenges of such programs. Five themes emerged from the content analysis: responsibility, curricula/program design, contextual relevance, support, and barriers. The findings from this study are discussed with regard to educational policy implications about social-emotional learning curricula and programs, especially those implemented in urban schools.     

Self–Compassion as Self-Care: A Simple and Effective Tool for Counselor Educators and Counseling Students

This article explores teaching self-compassion as a means of self-care for counseling graduate students. Self-care is vital to helping professionals, but few students learn specific self-care skills to integrate into their own self-care practice. Self-compassion is a simple practice used in the immediate moment or as an activity at home. The authors describe Kristen Neff’s model of self-compassion. The authors discuss the benefits of self-compassion as self-care and explain its practice as an effective avenue to increase compassion and relationship building with clients. In addition, they clarify how self-compassion practices strengthen relational connection. The writers describe three examples of self-care practices, and share suggestions for counselor educators to integrate self-care into graduate counselor training.     

Pragmatism and the predictive mind

Predictive processing and its apparent commitment to explaining cognition in terms of Bayesian inference over hierarchical generative models seems to flatly contradict the pragmatist conception of mind and experience. Against this, I argue that this appearance results from philosophical overlays at odd with the science itself, and that the two frameworks are in fact well-poised for mutually beneficial theoretical exchange. Specifically, I argue: first, that predictive processing illuminates pragmatism’s commitment to both the primacy of pragmatic coping in accounts of the mind and the profound organism-relativity of experience; second, that this pragmatic, “narcissistic” character of prediction error minimization undermines its ability to explain the distinctive normativity of intentionality; and third, that predictive processing therefore mandates an extra-neural account of intentional content of exactly the sort that pragmatism’s communitarian vision of human thought can provide.     

Am I ‘Chinese’ or ‘Scottish’? children’s perceptions of the adaptive nature of Chinese Scottish children’s dual identities

Chinese Scottish children (children who are born and live in Scotland with Chinese parents) face challenges in establishing their identity. However, there is lack of research that investigates ethnic minority Chinese children’s identity and associated feelings about the dual social context in which they live. The study introduced a social identity vignettes task to examine Chinese Scottish and White Scottish children’s perceptions of Chinese ethnic identity and Scottish national identity of a Scottish born Chinese character within two contrasting socio-cultural contexts (Scottish vs. Chinese). This study examines whether children’s ethnic and national identity and feelings of positivity are adaptive and sensitive to social context. In addition it explored age-related changes in perceptions of ethnic and national identification in the vignettes. The sample comprised of 161 children (8, 11, and 14 years). The results found Chinese Scottish children and White Scottish children’s judgments of the characters’ ethnic identity changed with the cultural context. Both groups of children had a similar perception of vignette characters’ feeling of positivity. Both Chinese and White Scottish children judged that the character would feel more positive about him/herself in the Chinese context. There was no main effect of age.