How religiosity shapes health perceptions and behaviors of Latina immigrants: is it an enabling or prohibitive factor?

The study examines how religiosity shapes the health perceptions and health-related behaviors of 50 Latina immigrants from El Salvador, Guatemala, Mexico and Bolivia. Between May and August 2011, focus groups were conducted with participants representing each country of origin. Qualitative content analysis was the analytic strategy adopted in the study. The meta-theme, Religiosity Contributes to Positive Perceptions of Health and Health-Promoting Behaviors, is associated with six emerging themes: (1) Religiosity promotes a sense of personal responsibility for one’s health; (2) Religiosity promotes a holistic view of health; (3) Religiosity promotes the view that health is a priority; (4) Religiosity promotes the view that health enables one to perform necessary tasks; (5) Religiosity promotes health-seeking behavior; and (6) Religiosity provides intrinsic health benefits. Findings do not follow the clear-cut dichotomy of the health locus of control model and challenge simplified notions that Latinas hold a purely external health locus of control toward their health and health care. Latinas rely on both God and themselves in managing their health and engaging in health-promoting actions, which are prompted in large part by their religiosity. Implications for culturally appropriate health communication and interventions are discussed.     

Are you ‘woman enough’ to control your leading cause of death?: an ethnographic content analysis of women’s cardiovascular disease and identities in media narratives

The Heart Truth^® campaign was implemented in the United States by the National Heart, Lung, and Blood Institute in 2002 to increase women’s awareness of heart disease and encourage risk reduction of cardiovascular disease. The present study explored representations of women’s cardiovascular disease, the meanings generated, and the implications for identity construction within one prominent corporate media partner of the campaign. The inaugural 2003 October issue of Glamour magazine was the focus of an ethnographic content analysis. Women’s cardiovascular disease was constructed within an overarching theme of a culture of consumerism, with meanings of cardiovascular disease emerging within two subthemes: (a) the oblivious, unknowledgeable, dependent woman at risk and (b) attaining a particular version of a healthy, feminine woman. Women’s identities were constructed as dependent on experts, purchasing fashion and fitness merchandise, and heteronormative roles for health management. These findings extend health psychology research that has called for more critical explorations of media to extend understandings of disease meanings and the implications for identity and women’s health.     

Intersectionality of Race/Ethnicity and Gender Among Women of Color and White Women

Theoretical writings on intersectionality have long emphasized the unique ways women of color experience race/ethnicity and gender, particularly compared to White women; however, little empirical evidence exists in support of this claim. This mixed-methods study adds to the empirical base by comparing and contrasting these experiences among women of color and White women. In a sample of 47 women of color and 18 White women, there were significant racial/ethnic differences in terms of (a) the perceived connection of race/ethnicity and gender, (b) the social contexts in which gender becomes salient, and (c) the meaningfulness of the intersection of race/ethnicity and gender. The findings lend empirical support for intersectionality as a useful psychological framework for understanding multiple social identities.     

Unexpected Social Benefits of Alcoholics Anonymous for Older Women

The authors interviewed older women in Alcoholics Anonymous to explore the participants' most beneficial and meaningful experiences in the program. Findings suggested that these women obtained unexpected social benefits from their participation. These benefits are examined through the framework of Carstensen's ( 1993 ) socioemotional selectivity theory.     

Frequency and impact of trauma in older women: A military and nonmilitary sample

Understanding the impact of trauma on late-life functioning in older females is needed in order to provide best care. We explored the impact of trauma on late-life psychological and physical health and functioning among older women (n = 48) who served in the military, or participated in a military lifestyle. Eleven of these women were not veterans, but married to military personnel. Number of traumatic exposures and types of events experienced was associated with increased trauma symptom severity. Trauma symptom severity was associated with decreased physical functioning and increased pain. Increased numbing and avoidance was significantly associated with poorer physical functioning and increased pain. Older women in this study remained at risk of experiencing negative consequences of trauma in terms of increased quantity and severity of trauma symptoms and physical decline and pain. Clinical and research implications are discussed.     

Women's Psychological Experiences in a Narrative Therapy-Based Group: An Analysis of Participants' Writings and Beck Depression Inventory–Second Edition

The purpose of this study was to explore women's experiences in a narrative therapy-based group conducted to help participants re-author their stories. Seven women who were either patients or individuals enrolled in Transition Support for Employment at a psychiatric clinic participated in the meetings, one every fortnight. Each session explored a theme based on narrative therapy techniques such as externalization. The participants wrote their reflections during each session, and completed the Beck Depression Inventory-Second Edition (BDI-II) during the initial and final sessions. An affinity diagram was developed to classify their written reflections into 22 lower categories (e.g., new understanding of self, forward-looking-understanding of life) and 4 upper categories (“Insight,” “Sharing with others,” “Changes with understanding of lives,” “Higher motivation”). The relationship among five lower categories comprising “Insight” was explored, and it became apparent that clarification of participants' own thoughts about social problems functioned as a mediator promoting the process. The largest portion of depressed feelings emerged during the initial session, and four participants had lower scores for BDI-II items such as self-criticism in the final session. The results suggest that the group's purpose was realized. However, future studies should examine participants' feelings more closely, especially during the initial session.     

Power Within the Counselor Identity Development of African American Women in Pastoral Counseling

This study explored experiences of power among 11 African American female pastoral counselors‐in‐training. Limited research exists within the field of pastoral counseling regarding the dynamics of power within the development of minority counselors‐in‐training. Experiences of power such as microaggressions and empowerment were evidenced in the art created by participants during their qualitative interviews. Use of a heuristic arts‐based research design resulted in 6 final essences (major themes): symbolic analysis of the journey of identity development, empowerment, powerlessness, ownership of power, integration, and pervasive spirituality. Practical implications for counselor educators and pastoral counseling programs are provided.     

Female Mexican Immigrants in the United States: Cultural Knowledge and Healing

ABSTRACT

Mexican American immigrant women have faced many adversities historically, resulting in significant injuries to their physical and psychological selves. In attempts to heal from such injuries, these women have long engaged in self-healing through maintenance of their own cultural values, identities, and beliefs and also through working with, or even becoming, traditional healers. Such healing processes can be seen as a form of adjustment to a new culture, as well as a maintenance of native culture (Espin, 1996 Espin, O. M. (1996). Latina healers: Lives of power and tradition. Encino, CA: Floricanto Press. [Google Scholar]) and may take the form of a blending of cultures representing a “new indigeneity.” This article highlights such healing practices, including the role of cultural values and beliefs for healing, as well as current efforts to blend cultural healing practices within a framework of equality and respect.     

The Relationship between Intimate Partner Violence and Suicidal Ideation among Young Chinese,Korean, and Vietnamese American Women

ABSTRACT

High depression and suicide rates are critical problems that have a significant impact on the lives of young Asian American women. Intimate partner violence (IPV) has been identified as a predictor of suicidality in general female samples, but no research study has examined the relationship between IPV and suicidality in a sample of 1.5 and second-generation Chinese, Korean, and Vietnamese American women. We used data collected from 173 women (aged 18-35 years) who were screened for eligibility to participate in the development and efficacy study of Asian American Women’s Action for Resilience and Empowerment (AWARE). We measured the prevalence of (a) IPV, (b) lifetime suicidal ideation/intent, and (c) childhood abuse and tested the association between IPV and lifetime suicidal ideation/intent among study participants who completed the clinical screening assessments. The results indicated that seven out of 10 women in our sample experienced lifetime suicidal ideation/intent, psychological aggression was the most commonly reported form of IPV during the last six months, followed by sexual coercion, and history of physical and/or sexual partner violence had the most robust association with lifetime suicidal ideation/intent after controlling for demographic factors and childhood abuse. Our study suggests that suicide prevention and intervention programs for young 1.5 and second-generation Asian American women should not only address experiences of childhood abuse, but also incorporate culturally adapted behavioral health approaches to identify and target physical and sexual partner violence. Furthermore, any such programs need to integrate a systemic approach in addressing IPV within the context of various marginalized experiences of Asian American women.     

Re-Storying the Trauma Narrative: Fostering Posttraumatic Growth in Cambodian Refugee Women

ABSTRACT

The purpose of this article is to provide clinical recommendations in fostering positive well-being among Cambodian refugee women living in the United States. We first present a brief overview of Cambodian refugee women’s history and cultural background to highlight their experiences of shared and gender-based trauma, as well as their process of recovery. Next, as informed by the posttraumatic growth model and evidence-based practices, we provide clinical recommendations with an emphasis on trauma-informed components and interventions influenced by feminist and narrative perspectives in facilitating the process of surviving trauma and thriving post-migration. Finally, we present a composite case illustration, highlighting cultural considerations to aid mental health providers in fostering posttraumatic growth in Cambodian refugee women.