Cultural and Telehealth Considerations for Trauma‐Focused Treatment Among Latinx Youth: Case Reports and Clinical Recommendations to Enhance Treatment Engagement

Given that trauma exposure among youth, particularly those from communities of color, is high, there is a dire need to improve trauma-focused treatment for young people of color. Growing research has documented that integrating cultural and telehealth considerations into trauma-focused treatment can enhance treatment engagement and lead to positive treatment outcomes. Therefore, the purpose of this paper is to demonstrate how to incorporate cultural and telehealth considerations concurrently to enhance treatment engagement for Latinx youth and their caregivers. Specifically, we describe the process of delivering Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to three trauma-exposed Latinx youths through the use of telehealth technology. Clinical recommendations are discussed to improve treatment engagement of Latinx youth and other young people of color.     

Why people fail to bike the talk: Car dependence as a barrier to cycling

Antecedent conditions of cycling have been extensively studied, yet barriers that prevent individuals from choosing bicycle transportation are less known. The present study, conducted on a sample of individuals who were both cyclists and drivers (N = 280), investigated whether dependence on car transportation significantly reduces cycling frequency. It also assessed the predictive validity of a larger set of cycling determinants that included moral, objective environmental, demographic and car-related variables. Responses were analyzed using a structural equation modeling approach. Results show that moral considerations do little to predict cycling frequency and that car-related factors such as perceived behavioral control to reduce car use (β = 0.28) and car use habits (β = -0.27) have the strongest predictive power. Objective environmental factors such as temperature (β = -0.13) and altitude (β = -0.15) or demographic factors such as gender (β = 0.19) were also significant predictors of cycling frequency. The present study highlights a new perspective of understanding cycling behavior and pleads for the inclusion of car-related factors in its future conceptualizations and interventions to encourage it.     

A social relational critique of the biomedical definition and treatment of ADHD; ethical practical and political implications

Attention deficit hyperactivity disorder (ADHD), its existence and treatment, is a contentious matter. The dominant view in medicine considers that ADHD is a psychiatric disorder. My position is to challenge this from a social relational orientation. I explore here a critique of the psychiatric disease model of causation and treatment, particularly the use of medication. A series of prejudices based on a political and social constructionist orientation are offered to address the ethics, politics and practice implications of the practitioner critical of the biomedical model of diagnosis and treatment especially the use of medication. This device is employed in order to invite critical reflection and further debate in a field dominated by the medical and genetic arguments in support of ADHD as a psychiatric disease. The implications of more open debate are explored, together with directions for more politically and ethically informed practice with children and their families.