Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment

Members of racial/ethnic minority groups are less likely than Caucasians to access mental health services despite recent evidence of more favorable attitudes regarding treatment effectiveness. The present study explored this discrepancy by examining racial differences in beliefs about how the natural course and seriousness of mental illnesses relate to perceived treatment effectiveness. The analysis is based on a nationally representative sample of 583 Caucasian and 82 African American participants in a vignette experiment about people living with mental illness. While African Americans were more likely than Caucasians to believe that mental health professionals could help individuals with schizophrenia and major depression, they were also more likely to believe mental health problems would improve on their own. This belief was unrelated to beliefs about treatment effectiveness. These findings suggest that a belief in treatment effectiveness may not increase service utilization among African Americans who are more likely to believe treatment is unnecessary.     

Bewitchment, biology, or both: the co-existence of natural and supernatural explanatory frameworks across development

Three studies examined the co-existence of natural and supernatural explanations for illness and disease transmission, from a developmental perspective. The participants (5-, 7-, 11-, and 15-year-olds and adults; N = 366) were drawn from 2 Sesotho-speaking South African communities, where Western biomedical and traditional healing frameworks were both available. Results indicated that, although biological explanations for illness were endorsed at high levels, witchcraft was also often endorsed. More important, bewitchment explanations were neither the result of ignorance nor replaced by biological explanations. Instead, both natural and supernatural explanations were used to explain the same phenomena, and bewitchment explanations were highest among adults. Taken together, these data provide insight into how diverse, culturally constructed belief systems about illness co-exist across development.     

Third party assisted conception: an African perspective

The central importance of reproduction in all human cultures has given rise to many methods and techniques of assisting reproduction or overcoming infertility. Such methods and techniques have achieved spectacular successes in the Western world, where processes like in vitro fertilization (IVF) constitute a remarkable breakthrough. In this paper, the author attempts to reflect critically on assisted reproduction technologies (ART) from the background and perspective of African culture, a culture within which human reproduction is given the highest priority but which also exhibits a highly ambivalent attitude to modern technology-assisted methods of reproduction. The author considers the ethical crux of reproductive technologies to be linked to the issue of the moral status of the human embryo and argues that a morally significant line of demarcation cannot be drawn between embryos and other categories of humans.     

The Obama effect: An experimental test

Past research on stereotype threat and role model effects, as well as a recent quasi-experiment (Marx, Ho, & Freidman, this issue) suggested the possibility of an “Obama effect” on African American’s standardized test performance, whereby the salience of Barack Obama’s stereotype defying success could positively impact performance. We tested this reasoning in a randomized experiment with a broad sample of college students from across the country. Specifically, we tested the hypothesis that students prompted to think about Barack Obama prior to taking a difficult standardized verbal test would improve their performance relative to white students, and to African American students in control conditions that were not prompted to think about Obama. Our results did not support this hypothesis. Test scores were unaffected by prompts to think about Obama and no relationship was found between test performance and positive thoughts about Obama, a disconfirmation of both the findings and conclusions of the Marx, Ho, and Freidman study.     

Factors Influencing Perceptions of Breast Cancer Genetic Counseling among Women in an Urban Health Care System

The study assessed perceptions of breast cancer genetic counseling. Focus groups were conducted with twenty women (ages < = 50 years) in a Midwestern, urban health system identified as at above average risk of developing hereditary breast cancer and referred for breast cancer genetic counseling following mammography. All participants associated the words “breast cancer” with fear. African American women who received breast cancer genetic counseling may have channeled their fear into increased vigilance related to breast health. African American women who did not receive breast cancer genetic counseling were most knowledgeable about it. In contrast, Caucasian women who did not receive it reported uncertainty about the role of genetic counseling and testing in assessing breast cancer risk, mistrust in medical professionals, and lack of trust in the accuracy of genetic tests. The results could be used to help develop interventions to improve informed decision-making regarding breast cancer genetic counseling.     

Class in the Classroom: Engaging Hidden Identities

Using Marcuse's theory of the total mobilization of advanced technology society along the lines of what he calls "the performance principle," I attempt to describe the complex composition of class oppression in the classroom. Students conceive of themselves as economic units, customers pursuing neutral interests in a morally neutral, socio-economic system of capitalist competition. The classic, unreflective conception of the classroom responds to this by implicitly endorsing individualism and ideals of humanist citizenship. While racism and cultural diversity have come to count as elements of liberal intelligence in most college curricula, attempts to theorize these aspects of social and individual identity and place them in a broader content of class appear radical and inconsistent with the humanistic notion that we all have control over who we are and what we achieve. But tags such as "radical" and "unrealistic" mark a society based on the performance principle. Marcuse allows us to recognize a single author behind elements of psychology, metaphysics, and capitalism. The fact that bell hooks hits upon a similar notion suggests that we might use Marcuse's theory of the truly liberatory potential of imagination to transform and reconceive our classrooms so that the insidious effects of class, racism, and individualistic apathy might be subverted. Specifically, I outline and place into this theoretical context three concrete pedagogical practices: (a) the use of the physical space of the classroom; (b) the performance of community through group readings and short full-class ceremonies, and (c) the symbolic modeling represented by interdisciplinary approaches to teaching. All three of these practices engage students in ways that co-curricularly subvert class (and, incidentally, race divisions) and allow students to imagine, and so engage in, political action for justice as they see it.     

Caregiver Expressed Emotion and Psychiatric Symptoms in African‐Americans with Schizophrenia: An Attempt to Understand the Paradoxical Relationship

Expressed emotion (EE) is a family environmental construct that assesses how much criticism, hostility, and/or emotional over‐involvement a family member expresses about a patient (Hooley, Annual Review of Clinical Psychology, 2007, 3, 329). Having high levels of EE within the family environment has generally been associated with poorer patient outcomes for schizophrenia and a range of other disorders. Paradoxically, for African‐American patients, high‐EE may be associated with a better symptom course (Rosenfarb, Bellack, & Aziz, Journal of Abnormal Psychology, 2006, 115, 112). However, this finding is in need of additional support and, if confirmed, clarification. In line with previous research, using a sample of 30 patients with schizophrenia and their primary caregivers, we hypothesized that having a caregiver classified as low‐EE would be associated with greater patient symptom severity. We also aimed to better understand why this pattern may exist by examining the content of interviews taken from the Five‐Minute Speech Sample. Results supported study hypotheses. In line with Rosenfarb et al. (2006), having a low‐EE caregiver was associated with greater symptom severity in African‐American patients. A content analysis uncovered some interesting patterns that may help elucidate this finding. Results of this study suggest that attempts to lower high‐EE in African Americans may, in fact, be counterproductive.     

On some philosophical foundations of the disappointing performances of the African soccer teams in world competitions

For decades, African senior club and national soccer teams, involved in world competitions (FIFA World Cup and FIFA Club World Cup), have failed to perform beyond mere honorable appearances. In this paper, we explore two of the fundamental causes underlying these disappointing performances. First, we examine the dilemma which forces almost all the African federations to overlook the Africa-based players in favor of those based outside the continent. Second, we show that the roots of the poor performances of the African teams go far beyond this crippling dilemma. Indeed, we argue, the persistent underperformances of African teams appear to be rather consistent with the fate of postcolonial Africa itself, a continent marred in an acute identity crisis. In fact, this crisis essentially stems from the relentless brain drain inflicted on the African soccer world which has so far dispersed its best talents all across Europe and beyond through the naturalization of its soccer diaspora. In addition, Africa has shown no ability to offer any type of attractive alternatives to the talented sons and daughters of its diaspora as well as to any other world class players. This ineptitude, coupled with Africa’s inability to leave behind its nostalgic Senghorian soccer essentialism, condemns the continent to perpetual poor performances. Therefore, we suggest that the African national federations and their respective governments move away from their deeply held soccer essentialism in order to begin to move toward some kind of soccer existentialism alongside such European countries as France, Germany, Switzerland, and The Netherlands which appear to acknowledge, perhaps reluctantly, the invaluable contributions made by the African (and other world) diaspora to the success of not only their local and national leagues but also their national teams.     

Political Economy of Conflict and Conflict Resolution Between Islam,the Arab World,and the West

The problem studied in respect to politico-economic turmoil in an uneasy world centers around conflicts in the Arab world and between Islam and the West. In this respect, the Arab political economy is deeply embroiled in a quagmire of complex factors that have deepened and are confounded by Western political, strategic, and economic interests in the region. To study the topic of the politico-economic future of the Arab world is to delve into the study of complex factors. The present scenario of war, dissensions, power conflict, and Western belligerence with elitist self interest in the region is an example of a more permanent representation of the complexity of power, Western belligerence, regional interests, and religious conflicts. With respect to the political economy of conflict and conflict resolution concerning the West there is the uneasy alliance that has been unjustifiably established between the Arab world and the West. The conflict in this case rages around the spectre of political power and governance within which the cultural, religious, and economic forces tie in to generate the global political economic disorder. Conflict resolution in this arena requires an understanding based on acceptance of epistemological perspectives that wrap up the diverse oppositional factors into a discursive and consensual learning global social contract. This article studies this case of Arab political economy as a study of conflict and conflict resolution between contending forces and reconstructive politico-economic possibilities between the Arab world and the West and between Islam, the Arab world, and Occidentalism.