Weight and health status of inner city African American children: Perceptions of children and their parents

Poor socioeconomic status and African American (AA) ethnicity contribute to an increased risk of obesity for many inner city children. One hundred and forty six AA children and 108 AA parents attending an inner city health fair completed surveys regarding perceptions of their own (or their child's) weight and the impact of weight on health. The children were measured and their body mass indexes were calculated. Thirty-seven percent of the child respondents (n = 52) were at risk of overweight or overweight; of these, 67% perceived themselves as normal weight, and 77% thought their weight was healthy. Weighing more was felt to be healthy by 17% of children and 29% of parents. Of 39 parents whose children were at risk of overweight or overweight, 68% felt their child's weight was normal and 80% thought it was healthy. These results suggest that inner city AA children and their parents often do not recognize being overweight or the health implications of being overweight.     

Toward Holistic,Compassionate, Professional Care: Using a Cultural Lens to Examine the Practice of Contemporary Psychotherapy in the West*

The author describes work undertaken in New Delhi with two young Indian women and their families from 1995 to 1999. Both presented with depression and suicidal ideation. One was severely cerebral palsied, the other was diagnosed with endogenous depression. As an integrative therapist, the author looks at her work from several perspectives. The debates highlighted here focus on the optimal usefulness of each of these perspectives in different situations, both the benefits and the limits and the very limits of contemporary psychotherapy itself. The author uses a cultural lens to explore the use of the self of the therapist and issues around boundaries, continuity, ethics, and compassion in psychotherapy.*Part of this work has been published in N. Hutnik (1999). An unusual intervention: Disability and abuse. Psychological Foundations - The Journa1, 1, 81–84, and is reproduced here with the permission of Psychological Foundations, New Delhi.**My heartfelt thanks are offered to Reenee Singh, friend of many years and very competent family therapist, who offered me her comments on an earlier draft of this paper.     

Schizophrenia: An Update and Review

Schizophrenia is a common complex disorder characterized by psychosis, cognitive dysfunction and negative symptoms, whose etiology involves interactions between both genetic and environmental vulnerability factors. Recently, ongoing research attempting to elucidate the nature of these vulnerability factors has been generating exciting findings. The advances in understanding of environmental risk factors for mental illnesses and in genetic research into mental illnesses will be reviewed. Limitations of the findings and implications of these advances for genetic counseling practice will also be discussed.     

“What's going on?” Racism,COVID-19, and centering the voices of Black youth

This study examined the impact of COVID-19 stress and experiences of racism on COVID-19 adaptability and activism among Black youth. The protective role of perceived peer and adult social support were examined. Data were analyzed from 123 Black youth (M_age = 15.44, 63% girls) from a school district in the Midwest. The findings revealed that more social support from adults increased Black youth adaptability (e.g., “ability to think through possible options to assist in the COVID-19 pandemic”). Perceived lower social support from adults predicted higher engagement in high-risk activism, and higher levels of peer social support were associated with higher levels of high-risk activism. Further, Black youth reporting higher levels of racism and adult social support were more likely to report higher levels of COVID-19 adaptability. Black youth reporting higher racism and peer social support engaged in high-risk activism. Black youth who reported high levels of racism and low perceived adult social support reported higher engagement in high-risk activism. Research and practice implications that support Black youth during the COVID-19 pandemic and the impact of racism and COVID-19 stress on well-being and activism are discussed.     

Functions of the Black Church in a Global Society: A Du Boisian Approach

Globalization's impact on local communities is a topic that religious congregations should address as a means of moral and socioeconomic well-being. This is especially important for the Black Church if it hopes to continue supporting the socioeconomic outcomes of its congregants and community members, as it has in the past. Using Du Boisian assessments of the functions of the Black Church, this study assessed how today's congregations can serve similar functions as the congregations that Du Bois studied, while exploring contemporary concerns. With an explanatory sequential research design, this study surveyed Philadelphia-based congregations (N = 108) to assess their understanding of and engagement with the impact of globalization on future generations, paired with subsequent interviews (N = 15) for deeper analysis. The survey included clergy members and youth leaders of various races and religious traditions. With an eye toward equity and considering Philadelphia's diverse demographics, the in-depth semistructured interviews centered on Black churches in Philadelphia. The core findings highlight that clergy members in Philadelphia recognize the importance of prioritizing global issues as a means of social betterment and that a special lens toward race should be considered when looking to solve socioeconomic global issues.     

"网恋"及其伦理问题辨析

“网恋”可划分为“网恋I”(通过网络恋爱 )和“网恋II”(纯粹的网恋 )两种类型 ,由“网恋”引发的伦理问题可分为“问题I”、“问题II”和“问题III”。这种区分有助于分辨网恋带来的不同性质的伦理问题 ,针对不同类型的网恋及其问题 ,提出不同的应对方法。     

Analyzing the Impact of the Medicare Coverage Gap on Counseling Professionals: Results of a National Study

The authors surveyed 6,550 members of the American Counseling Association regarding the current impact of Medicare policy on counseling professionals. More than half of respondents (54.8%) had been directly affected by Medicare reimbursement barriers, including 70.0% of practicing counselors. Statistical analyses indicated significant associations between years in the profession, direct experience with the Medicare coverage gap, and participation in professional advocacy related to Medicare. Implications for counselors, counselor educators, and counseling scholarship are discussed.     

Developing Black Mental Health Provision: Challenging Inequalities in Partnership

This article describes and comments upon the process of developing the Sanctuary project in London, a project that will provide two community-based crisis support services for African and African-Caribbean women and men in mental crisis and distress. This initiative is informed by the extensive research documenting the ways in which mainstream, mental health services fail Black people, and by evidence suggesting that innovations in service provision for Black people are often vulnerable and limited in their impact. In an effort to avoid replicating these problems, considerable emphasis has been given to developing the project in partnership with the main stakeholders—in this instance statutory and Black voluntary sector agencies as well as Black users, carers and community members. Within this context, issues relating to inequalities can be proactively addressed, thereby reducing the risk that they undermine the effectiveness of service provision at a later stage. However, working in partnership can also hinder or delay service developments if discussions between stakeholders become protracted or conflicts unresolved. The author draws on experience gained from this project to identify the potential as well as the difficulties of using a partnership approach to developing effective Black mental health provision. The author's role in the development of these projects has been as representative of one of the partners, the King's Fund Centre for Development.     

Coming Out, Visibility, and Creating Change: Empowering Lesbian, Gay, and Bisexual People in a Rural University Community

Personal and professional challenges faced in encouraging the development of a gay community in a rural university setting are described. Community psychologists who are lesbian, gay, or bisexual (LGB) must assess their willingness to be open and the roles they can play in developing helping resources. These issues concern how to encourage the empowerment of others while maintaining a collaborative role in a situation of major personal investment. Two specific challenges–developing informal helping resources for local LGB people and fostering institutional and policy changes to make the university a safer place for LGB faculty, staff, and students–are described. Community psychologists must consider personal risk when they become involved in empowerment efforts with this population.A white male community psychologist and a licensed clinical psychologist, I have been on the faculty of the Department of Human Development and Family Studies at Pennsylvania State University since 1972. I served as Faculty Adviser to the Lesbian, Gay, and Bisexual Student Alliance at the University for ten years, and worked extensively with lesbian, gay, and bisexual people in the local town, State College, PA, to develop community resources since the mid 1980’s. I had been granted tenure before the events described in this paper occurred.     

Is There Such a Thing as “Christian” Sex?

It is challenging for Christian pastors and counselors to discuss human sexuality in ways which do not alienate liberals on the left, conservatives on the right, or biologists in the middle. Feminists frequently see males as dominating or insensitive, and conservative Christians sometimes feed into this by emphasizing patriarchal models of marriage as if this were the biblical paradigm for all time. Evolutionary biologists view sexuality primarily as a means of propagating the species. Into this cacophony of strident voices the Christian seeks to inject a calm but clear message: Christian sexuality is primarily a search for intimacy. In a culture obsessed with sexuality as entertainment, the followers of Christ call others to view human sexuality not primarily in terms of eroticism, power, or procreation, but rather in terms of psychological intimacy. From a biblical perspective, becoming one flesh, with one's mate also provides the occasion for becoming a co-creator with the eternal I AM. In addition to the procreational potential and orgasmic excitement provided by sexual intercourse, God intended for these encounters to be loaded with an abundance of psychological intimacy. Intimacy is the raison d'etre of sexual relationships. Intimacy provides sexuality with a quality that can mollify crises in the present life, and imbue sexuality with a splendor worthy of the next life as well.