Risk Reduction Behaviors and Provider Communication Following Genetic Counseling and BRCA1 Mutation Testing in an African American Kindred

Little is known about the impact of cancer genetic counseling and testing on health behaviors in racial and ethnic subgroups. This prospective observational study examined use of risk reduction strategies following BRCA1 counseling and testing. Participants were female members of an African American kindred who received genetic education, counseling and testing (n = 40) and completed a 1-year follow-up interview. Mutation carriers were more likely to opt for breast (100%, 7/7) and ovarian (25%; 1 of 4) cancer surveillance than prophylactic surgery. Following genetic counseling, 71% (5/7) of the BRCA1 carriers who opted for surveillance reported having a mammogram within the year following receipt of their genetic test results. Ovarian cancer screening among mutation carriers increased from 0% at baseline to 25% (one of four) at 1 year. Compared to noncarriers (23%, 7/30), carriers (70%, 7/10) were more likely to discuss their BRCA1 test results with their primary health care providers. Surveillance for breast cancer was preferred to prophylactic surgery and chemoprevention as a way to reduce risk for these cancers. Our data indicate that patient-provider communication about BRCA1 test results is suboptimal.     

Bridging Uncharted Waters in Georgia: Down Syndrome Association of Atlanta Outreach to Latino/a Families

Receiving the news that your newborn child has Down syndrome is difficult for most parents; difficulties which are compounded by language and cultural barriers for immigrant Latino/a families. The metro Atlanta area has shown a large increase in this population in the last 10 years, and increasing numbers of Latino/a parents with children with Down syndrome are coming in contact with the health care system. Experiences and observations regarding the formation of a Latino/a support group for parents of children with Down syndrome in Atlanta are described. In addition, efforts to integrate these Latino/a parents into a parent education conference sponsored by the Down Syndrome Association of Atlanta are also recounted. Finally, reflections upon the lessons learned and individual and organizational changes that occurred as a result of the process are discussed.     

Sociopolitical development

This paper examines theories and concepts relevant to sociopolitical development (SPD). As an emerging theory, SPD expands on empowerment and similar ideas related to social change and activism in community psychology—oppression, liberation, critical consciousness, and culture among them. SPD is the process by which individuals acquire the knowledge, analytical skills, emotional faculties, and the capacity for action in political and social systems necessary to interpret and resist oppression. Equally as important is a vision of liberation that is an alternative to oppressive conditions. All of these concepts have been underemphasized in the social change literature of U.S. community psychology. In our view, sociopolitical development is vital to human development and the creation of a just society. As part of identifying and illustrating concepts and processes relevant to SPD theory, we will draw from the words of young African American activists who were interviewed as part of a research study.     

Partner Influences and Gender-Related Factors Associated with Noncondom Use Among Young Adult African American Women

We examined the partner influences and gender-related correlates of noncondom use among African American women. The prevalence of noncondom use was 45.3%. Women whose sexual partners were noncondom users were four times more likely to believe that asking their partner to use a condom implied he was unfaithful, three times as likely to have a partner who resisted using condoms, three times more likely to receive AFDC, twice as likely to be sexually nonassertive, three times more likely to believe that it was not difficult to find an eligible African American man, and three times as likely to have had one sexual partner. HIV prevention tailored towards African American women should address these partner influences and gender-related factors.     

Bereaved African American Adults: The Role of Social Support,Religious Coping,and Continuing Bonds

The present study identified relationships between social support, religious coping, continuing bonds, prolonged grief disorder (PGD) symptoms, and the quality of life among bereaved African American adults (N = 154). Perceived social support and less use of negative religious coping strategies predicted a higher quality of life and fewer PGD symptoms. Also, greater perceived social support, less use of negative religious coping strategies, and less use of continuing bonds significantly predicted fewer PGD symptoms. Implications suggest that the conceptualization of grief and loss for African Americans might include social support, religious coping, and continuing bonds.     

Dating Violence and African Immigrant Youth

Research documents a high prevalence of dating violence among U.S. youth. This violence is linked to a host of negative mental and physical health consequences and high-risk behaviors. African immigrants comprise about 3.9% of all immigrants in the United States and recent trends suggest this population is rapidly increasing. Despite this, limited research exists on dating violence among African immigrant youth. This article summarizes the literature on dating violence in Africa, then highlights the dearth of research on African immigrant youth. The literature suggests that African immigrant girls are in a uniquely vulnerable position that increases their risk for dating violence and other abuses, warranting our attention to the issue. Future research directions and service implications with this population are presented.     

Racial Differences in Posttraumatic Stress Disorder in Military Personnel: Intergenerational Transmission of Trauma as a Theoretical Lens

Various theorists have explored how intergenerational transmission of trauma impacts minority groups. Intergenerational trauma theories suggest that trauma(s) endured by a community have long-standing effects that can be passed on through generations. However, much of the research has focused on indigenous populations or Holocaust survivors despite the historical experiences of the African American community. The minority stress model adds support to intergenerational trauma theories, in that racial minority groups might suffer worse health due to a variety of stressors. Racial minorities are also at greater risk of developing posttraumatic stress disorder (PTSD). Within military populations, PTSD is one of many mental health issues and has been labeled one of the signature injuries of the recent wars in Iraq and Afghanistan. However, the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) criteria for PTSD do not take into account the effects of intergenerational trauma, discrimination, or racism. This article proposes that intergenerational trauma theories and the minority stress model provide explanations for why many studies have found that African American military personnel have higher rates of PTSD compared to their White peers. Indeed, African American military personnel with PTSD might be better understood through more culturally inclusive frameworks (e.g., complex trauma, race-based traumatic stress), because the stressors they experience as racial minorities might exacerbate or lead to symptoms of PTSD.     

“I find peace there”: how faith,church, and spirituality help mothers of colour cope with postpartum depression

This article reports the findings of 30 semi-structured, qualitative interviews with new African American and Latina mothers who have histories of postpartum depression (PPD) to learn how their faith, church participation, and spiritual practices helped them cope with PPD. Six themes emerged: relief from stress, feeling valued and less alone, experiencing gratitude, developing perspective and accepting God’s guidance, changing and developing relationships, and preventing self-harm. Specifically, mothers who adhered to their faith beliefs and engaged in spiritual practices described shifts in their perspectives on various life stressors known to contribute to PPD such as negative thoughts and feelings, and strained family relationships, which in turn led them to make positive changes in their lives.     

Strengthening doctoral supervision in a Doctor of Psychology (DPsych) Specialisation in Child and Adolescent Psychology

Supervision differs in PhD and DPsych contexts. PhD supervision focuses on students' pursuit of a career in academia, with the emphasis on research. In a DPsych framework, the focus of supervision is to assist students, who are experienced practitioners in a professional field, to complete a structured course and a research component. The aim of the article is to reflect on the application of supervision principles, models, metaphors and supervisory styles within a DPsych context. This article presents a case illustration of supervision in a DPsych programme (with specialisation in child and adolescence, or DPsych Child) presented at the University of the Free State in South Africa. Supervision focuses on developing the DPsych students' doctoral identity so that they, as scientist-practitioners, could contribute ultimately to the professional context of child psychology and apply theoretical knowledge to complex challenges. The article proposes that research on supervision processes and practices within a DPsych Child context could complement explorations into the value of the implementation of the scientist-practitioner model and thus augment quality assurance of the DPsych programme.     

Factors leading to orphans and vulnerable children living in community-based homes

This study explored the influences on living arrangements of orphans and vulnerable children (OVC) housed at a community-based home in Johannesburg, South Africa. A total of 50 OVC (males = 36%, females = 64%; age range 11 to 18 years) completed an open-ended questionnaire, while some of them also participated in individual interviews and focus group discussions on how they became residents of the community-based home. The data were thematically analysed. Findings suggest their choice to live in a community-based care setting to have been influenced by homelessness with accompanying poverty, health issues, experiences of child abuse and neglect, discrimination, and domestic violence. School psychologists working with OVC from community-based homes should consider pathways by which the children could be provided with needed support for resilient health and wellness.