Relationship among gender-related stress,resilience factors,and mental health in a Midwestern U.S. transgender and gender-nonconforming population

Background: Transgender and gender-nonconforming individuals experience more discrimination than their cisgender peers, and this discrimination can be associated with poorer mental health. This study used the gender minority stress model as a framework to examine the relationship among gender-related stressors and resilience factors and mental health outcomes. The study particularly aimed to increase knowledge of the gender-nonconforming population.

Methods: A community sample of 83 individuals that identify as a gender different than the sex assigned to them at birth completed an online survey. Depression and anxiety were assessed using the Center for Epidemiological Studies Depression Scale (CES-D) and Beck Anxiety Inventory (BAI), respectively. The Gender Minority Stress and Resilience measure was used to assess distal and proximal stressors and resilience factors.

Results: The median CES-D and BAI scores were 16 and 13, respectively. Forty percent had a history of non-suicidal self-injury (NSSI), 75% had experienced suicidal ideation, and 45% had attempted suicide. Proximal stress was found to be a positive predictor of depressive symptoms. Resilience was a weak negative predictor of anxiety symptoms. Distal stress was a positive predictor of suicide attempts, and resilience factors and hormone use were marginal negative predictors of suicide attempt. Trans women were significantly less likely to have engaged in NSSI, but had a significantly higher proximal stress score than trans men and gender-nonconforming individuals.

Conclusion: Our study found high rates of mental health problems in the trans and gender-nonconforming sample. Our findings in part support the gender minority stress model, with gender-related stress predicting certain mental health problems and resilience being a negative predictor. Overall, gender-nonconforming individuals have had similar experiences and mental health findings as transgender individuals.     

“Hammered down on every side” versus “just being positive”: A critical discursive approach to health inequality

Socio‐economic and health inequality are strongly linked and are increasingly perpetuated by discourses of individual responsibility. However, little research from a critical discursive perspective has addressed how people affected themselves may account for this relationship. This research examined the ways in which people who are in debt, unemployed, or in insecure, minimum‐wage employment construct health and negotiate identities around it. Data from semistructured interviews with 6 participants were analysed and 3 main interpretative repertoires were identified: a medical repertoire of health as a lack of illness; health as adopting the “right” behaviours and attitudes; and health as being heavily influenced by external factors, such as income and life circumstances. The analysis focuses on how participants managed the tension between these latter 2 repertoires by adopting various subject positions around health: that it is “slipping” away from them; that it requires motivation; and that it is unattainable. Underpinning this is a “common‐sense” idea of health as something that is worked towards through culturally approved actions and attitudes.     

Losing hope: mental health and religious service non-attendance in Australia

Religious beliefs and practices are related to mental health. Many individuals report a religious affiliation, but do not have specific religious beliefs or practices such as attending religious services. These non-attendees are often assumed to resemble the non-religious, but are poorly studied. This study explored the demographic characteristics and mental health outcomes associated with being a non-attendee using data from a nationally representative Australian sample. Non-attendees were more likely to be non-Christian than attendees at religious services. They had worse mental health than both non-religious individuals and attendees, especially compared to the non-religious. Whether non-attendance is a result of or cause of poor mental health outcomes is not clear and deserves further investigation. Non-attendees clearly differed in our sample from both non-religious individuals and attendees. Our results do not support the hypothesis that individuals who report a religious affiliation, but are not actively religious, are similar to non-religious individuals.     

Untangling the mechanisms underlying the links between religiousness,spirituality, and better health

Religion and spirituality are major forces in the lives of Americans. A large and growing body of research indicates that specific aspects of religiousness and spirituality are associated with better physical and mental health. In this article, we differentiate some hypothesized mechanisms involving social, behavioral, psychological, and biological processes, and summarize some of the evidence pertaining to these pathways. This endeavor generates testable hypotheses for future research. Interdisciplinary research is especially well suited to examining these potential pathways, and social psychology can play a pivotal role in this future research agenda.     

From chaos and insecurity to understanding and coping: experienced benefits of a group-based education programme for people with chronic fatigue syndrome

The aim of this study was to elicit participants' experiences with a multidisciplinary patient education programme and their views regarding the usefulness of the programme. Focus group interviews were conducted with 10 participants immediately and nine months following participation in the programme and analysed using thematic analysis. Initially, the participants experienced confusion and insecurity regarding coping with the illness. Participation in the programme appeared to promote understanding, acceptance and coping through gaining greater knowledge, learning coping strategies and exchanging experiences, as well as receiving understanding and acceptance. Thus, the programme was experienced to be a beneficial intervention. However, the participants expressed a need for more guidance or follow-up to maintain the practice of coping strategies for better coping with their illness.     

Expressive writing promotes self‐reported physical,social and psychological health among Chinese undergraduates

The present study examines the efficacy of expressive writing among Chinese undergraduates. The sample comprised of 74 undergraduates enrolled in a 9‐week intervention (35 in experimental class vs. 39 in control class). The writing exercises were well‐embedded in an elective course for the two classes. The 46‐item simplified Chinese Self‐Rated Health Measurement Scale, which assesses psychological, physical and social health, was adopted to measure the outcome of this study. Baseline (second week) and post‐test (ninth week) scores were obtained during the classes. After the intervention on the eighth week, the self‐reported psychological, social and physical health of the experimental class improved. Psychological health obtained the maximum degree of improvement, followed by social and physical health. Furthermore, female participants gained more psychological improvement than males. These results demonstrated that the expressive writing approach could improve the physical, social and psychological health of Chinese undergraduates, and the method can be applied in university psychological consulting settings in Mainland China.     

墨西哥医疗保障体系改革及其对我国的借鉴

墨西哥近年的医疗卫生改革取得了巨大的成就。通过简要地描述墨西哥人群健康状况、医疗卫生资源现状、卫生系统绩效以及与中国的比较,分析了墨西哥三轮卫生改革的特点、存在的问题以及面临的挑战,旨在提出墨西哥卫生系统与医疗保障体系改革对我国医疗卫生改革的启示和借鉴。     

Contrast,inference and scientific realism

The thesis of underdetermination presents a major obstacle to the epistemological claims of scientific realism. That thesis is regularly assumed in the philosophy of science, but is puzzlingly at odds with the actual history of science, in which empirically adequate theories are thin on the ground. We propose to advance a case for scientific realism which concentrates on the process of scientific reasoning rather than its theoretical products. Developing an account of causal–explanatory inference will make it easier to resist the thesis of underdetermination. For, if we are not restricted to inference to the best explanation only at the level of major theories, we will be able to acknowledge that there is a structure in data sets which imposes serious constraints on possible theoretical alternatives. We describe how Differential Inference, a form of inference based on contrastive explanation, can be used in order to generate causal hypotheses. We then go on to consider how experimental manipulation of differences can be used to achieve Difference Closure, thereby confirming claims of causal efficacy and also eliminating possible confounds. The model of Differential Inference outlined here shows at least one way in which it is possible to ‘reason from the phenomena’.     

Narcissism,identification, and longitudinal change in psychological health: Dynamic predictions

The narcissist has been described as “dependent on others to provide confirmation of the grandiose ego ideal” (American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.). The present study shows how the combination of dependent identification and unhealthy narcissism leads to decreasing psychological health across 42 years of adulthood. Change in psychological health is studied in 156 participants of the Intergenerational Studies, Institute of Human Development, University of California, Berkeley. We predicted that longitudinal decline in psychological health, as assessed by longitudinal hierarchical linear modeling analyses of the California Personality Inventory v3 scale [Gough, H. G., & Bradley, P. (1996). California Psychological Inventory. Palo Alto, CA: Consulting Psychologists Press], would be predicted by the joint presence in early adulthood of maladaptive narcissism [Wink, P. (1992). Three narcissism scales for the California Q-set. Journal of Personality Assessment, 58, 51–66] and defensive identification [Cramer, P. (1991a). The development of defense mechanisms: Theory, research and assessment. New York: Springer-Verlag]. In contrast, we predicted healthy narcissism would be positively related to psychological health throughout adulthood. Predictions were confirmed via regression analyses including interaction terms, and are explained by the insoluble conflict that occurs when narcissistic gratification is dependent on the admiration of others, but the tie to others interferes with independent growth and accomplishment.