Understanding and Treating Pain in Ethnically Diverse Patients

A revolution has taken place during the past 25 years in the understanding and treatment of chronic pain. Psychologists have contributed tremendously to this revolution. However, the primary psychological models of pain treatment have failed to adequately integrate the empirical findings and theoretical understanding of the role of ethnic factors. The goal of this paper is to address this problem by demonstrating the importance of understanding ethnic factors in treating pain, providing an overview of ethnic factors in pain, and proposing guidelines for Clinical Psychologists who treat pain patients from ethnically diverse backgrounds.     

“I Was a Muslim,But Now I Am a Christian”: Preaching,Legitimation, and Identity Management in a Southern Evangelical Church

Established in 2005, “Life” is a suburban, nondenominational, evangelical church in Charlotte, North Carolina, with an almost entirely white membership, yet the lead pastor is an immigrant from the Middle East. As an ex‐Muslim ethnic Pakistani who was born and raised in Kuwait, Pastor Sameer Khalid does not “fit” into southern culture, and he did not convert to Christianity until he was enrolled in college in the United States. Ethnographic data from 14 months of fieldwork reveal how Pastor Sameer uses weekly sermons to negotiate racialized stigmas, emphasize his common religious identity with the congregation, and make his immigrant background a distinctive religious resource for the church. More specifically, while all pastors require legitimation of their charismatic authority, this research focuses on the dynamics of performance through preaching within the Sunday morning services of this congregation, a performance that negotiates this lead pastor's ethnic and religious identities and accentuates his strategic use of institutionalized evangelical narratives to subvert Islamophobic threats and buttress legitimation of his pastoral identity.     

Assessing the Impact of a Media‐based Intervention to Prevent Intergroup Violence and Promote Positive Intergroup Relations in Burundi

The present study (N = 1074) examined the impact of a theory‐driven media intervention aimed at violence prevention and intergroup reconciliation in Burundi. We used a novel methodology utilizing audio‐based surveys to assess attitudes related to intergroup conflict and reconciliation among community members. We conducted a propensity score analysis to estimate the causal effects of the intervention by examining differences between listeners and non‐listeners of the radio dramas. The results indicated a positive effect of the intervention on several social psychological outcomes (tolerance, in‐group superiority, social distance, intergroup trust, responsibility attributions, trauma disclosure and competitive victimhood). However, listeners and non‐listeners did not differ in obedience toward leaders or historical perspective taking; and the results for active bystandership, one of the main foci of the intervention, were mixed. Furthermore, the results show that the impact of the intervention sometimes depends on listeners' personal experiences of victimization. Copyright © 2015 John Wiley & Sons, Ltd.     

Emotional Reactions and Moral Judgment: The Effects of Morally Challenging Interactions in Military Operations

This study explores the association between different types of morally challenging interactions during military deployment and response strategies (e.g., moral justification), as well as the mediating role of moral emotions. Interviews with Dutch servicemen who participated in military operations (e.g., in Afghanistan, Angola; N = 45) were content coded. We found a relationship between local-cultural and team-related interactions and moral justification; these effects were mediated by other-condemning emotions. Similarly, other-condemning emotions mediated the relationship between local-cultural interactions and relativism. This study points at the importance of other-condemning emotions in shaping military reactions to frequently occurring morally challenging interactions.     

Associations of ethnic discrimination with symptoms of anxiety and depression among Hispanic emerging adults: a moderated mediation model

Background and Objectives: Emerging adulthood is often marked with elevated symptoms of anxiety and depression. Hispanic emerging adults may face cultural stressors such as ethnic discrimination that further increase levels of anxiety and depression symptoms. The study aims were to examine if (a) self-esteem mediated effects of ethnic discrimination on symptoms of anxiety and depression, and (b) if gender moderated the indirect effects of discrimination. Design: The study design was cross-sectional self-report. Method: Two moderated mediation models were tested, with 1084 Hispanic emerging adults (ages 18–25) enrolled in institutions of post-secondary in the United States. Results: Results indicated that (a) higher ethnic discrimination was associated with higher anxiety symptoms (β?=?.05, p?=?.04), higher depression symptoms (β?=?.06, p?=?.02), and lower self-esteem (β?=??.30, p?Conclusions: Findings suggest that the mediating effects of self-esteem linking ethnic discrimination with symptoms of anxiety and depression vary between genders.     

The denial of moral dilemmas as a regulative ideal

The traditional debate about moral dilemmas concerns whether there are circumstances in which an agent is subject to two obligations that cannot both be fulfilled. Realists maintain there are. Irrealists deny this. Here I defend an alternative, methodologically-oriented position wherein the denial of genuine moral dilemmas functions as a regulative ideal for moral deliberation and practice. That is, moral inquiry and deliberation operate on the implicit assumption that there are no genuine moral dilemmas. This view is superior to both realism and irrealism in accounting for moral residue and other crucial phenomenological dimensions of our experience of moral dilemmas.     

Reducing ethnic prejudice by public campaigns: an evaluation of a present and a new campaign

Most Western governments consider it their responsibility to counteract ethnic prejudice and discrimination, and they sometimes instigate persuasive communication programmes to achieve this aim. Generally, these campaigns do not have the desired effects possibly because designers of such persuasive communication programs have ignored relevant social‐psychological theoretical insights concerning prejudice. In this experiment, a present campaign (launched by the British Commission for Racial Equality) and a new campaign (developed by us) were evaluated. We hypothesized that our campaign would lead to lower levels of prejudice than the present campaign, because when designing our campaign relevant theoretical insights were more sufficiently taken into account. White participants (n=190) were randomly assigned to one of two experimental conditions or to the control condition. Those in the experimental conditions were exposed to either the present campaign or the new campaign before completing a questionnaire about ethnic minorities. Participants in the control condition were not exposed to a campaign. Results supported the hypothesis and some implications for designing campaigns are discussed. Copyright © 1999 John Wiley & Sons, Ltd.     

Ethnoracial comparisons in anxiety and depression outcomes among Native Hawaiian and Pacific Islander college students

We explored differences in distress scores at intake as well as the change in anxiety and depression scores over the course of 12 therapy sessions for Native Hawaiian and Pacific Islander (NHPI) college students. Data were collected from the Center for Collegiate Mental Health (N = 256,242). Results support the notion that NHPI college students experience anxiety and depression in therapy differently from other ethnic groups with moderate-to-large magnitudes of effect.     

Response: How Do We Know What We Know About the Amish and Other Minorities?

The appraisal by Cory Anderson, Joseph Donnermeyer, Jeffrey Longhofer, and Steven Reschly (hereafter, appraisers) highlights a methodological divide that is important to the study of the Amish and other ethnic or religious minorities. In my reply, I discuss how my work is rooted in a cultural analytic paradigm that differs from the appraisers’ methodological orientation. My reply includes a deconstruction of the appraisal and a discussion of its “shortcomings.” I conclude by showing how the discourse surrounding this appraisal raises important epistemological questions of how we understand human societies.