Counselors' Attitudes Toward Domestic Violence in Same‐Sex Versus Opposite‐Sex Relationships

Domestic violence is often perceived to occur only in heterosexual relationships. However, domestic violence is also prevalent in same‐sex relationships. The majority of the research indicates that counselors perceive same‐sex domestic violence differently than heterosexual domestic violence. This literature review synthesizes the research investigating attitudes toward same‐sex domestic violence. La violencia doméstica se suele percibir como un evento que ocurre solamente en las relaciones heterosexuales. Sin embargo, la violencia doméstica también es prevalente en relaciones del mismo sexo. La mayor parte de las investigaciones indican que los consejeros perciben la violencia doméstica entre personas del mismo sexo de forma diferente a como perciben la violencia doméstica heterosexual. Esta reseña de la literatura sintetiza las investigaciones que tratan sobre las actitudes hacia la violencia doméstica entre personas del mismo sexo.     

Consideration of Genetic Counseling as a Career: Implications for Diversifying the Genetic Counseling Field

Under-representation of racial/ethnic minority counselors has been an ongoing issue in the genetic counseling field. A better understanding of genetic counseling awareness and career consideration may help to increase the number of applicants to genetic counseling training programs from racial/ethnic minorities. This study sampled high school and college students (n = 233) to examine their awareness and perceptions of genetic counseling. Ethnicity, gender, parental level of education, and interest in biology were significant predictors of a subjects genetic counseling awareness; previous awareness of genetic counseling, interest in psychology, and level of education were significant predictors of whether a subject would consider genetic counseling as a career. The findings suggest that knowledge of genetic counseling is lower among racial/ethnic minorities, but that racial/ethnic minorities are just as likely to consider genetic counseling as a career. Awareness of genetic counseling prior to university education may increase racial/ethnic minority representation among potential applicants to genetic counseling training programs.     

Evaluating a novel intervention to reduce trauma symptoms and sexual risk taking: qualitative exit interviews with sexual minority men with childhood sexual abuse

Childhood sexual abuse (CSA) continues to affect sexual minority men (SMM) at disproportionate levels and contributes to multiple negative health outcomes, including sexual-risk taking and HIV acquisition. This paper presents qualitative evaluative feedback from SMM (N = 9) who participated in a 10-session Cognitive Behavioral Therapy-Trauma and Sexual Health (CBT-TSH) intervention to reduce CSA-related posttraumatic stress reaction and distress. The treatment was designed to increase accurate sexual risk appraisals and to improve self-care health behaviors related to HIV/STI acquisition. The researchers identified four emerging themes: (1) motivation to participate, (2) response to cognitive therapy, (3) process of change, and (4) considerations for intervention improvement. These qualitative findings provide useful feedback on the acceptability of an innovative program that integrates CBT for trauma related to CSA with sexual risk-reduction counseling.     

Terrorism's Toll on Civil Liberties

Summary

The toll that terrorism takes on civil liberties has become clear in the United States in the aftermath of the 9/11 attacks. Horrendous as those attacks were, they were hardly unique in the fear that they spurred on the part of the politicians and the public, resulting in a counterattack on civil liberties in the name of preventing terrorism. The cost to civil liberties is thus imposed not directly by terrorism itself, but rather by unjustified policies that are labeled “counter-terrorist.” In that sense, this chapter would more aptly be entitled, “Counter-Terrorism's Toll on Civil Liberties.”     

文化智力对少数民族预科生主观幸福感的影响:双文化认同整合和文化适应压力的链式中介作用

为考察双文化认同整合、文化适应压力在文化智力与主观幸福感关系中的链式中介作用。采用文化智力量表、双文化认同整合量表、文化适应压力量表和幸福感指数量表对799名少数民族预科生进行调查。研究显示:(1)双文化认同整合是文化智力与少数民族预科生主观幸福感之间的中介变量;(2)文化适应压力是双文化认同整合与少数民族预科生主观幸福感之间的中介变量。因此,双文化认同整合和文化适应压力在文化智力与少数民族预科生主观幸福感之间起链式中介作用,这表明双文化认同整合和文化适应压力是影响文化智力与少数民族预科生主观幸福感之间关系的重要内因,研究结论对提高少数民族预科生主观幸福感具有重要的价值。     

Cultural phenomena and the research enterprise: Toward a culturally anchored methodology

Highlights the points at which culture intersects major phases of the research enterprise — problem formulation, population definition, concept and measurement development, research design, methodology, and data analysis — and influences and constrains what researchers deem worthy of investigation and how they interpret what they observe. These ethnocentric biases inhibit the development of a knowledge base for understanding diverse cultural communities. At each step of the research process, the need to carefully examine and expose the underlying cultural assumptions and to generate and develop alternative choices is emphasized. Guidelines are provided to encourage researchers to be aware of and deliberately make choices toward the development of a culturally anchored methodology that balances the demands for rigor and sensitivity.     

Providing Relationship Interventions to Same-Sex Couples: Clinical Considerations,Program Adaptations,and Continuing Education

Despite remarkable similarities to different-sex couples in terms of core relationship processes and outcomes, same-sex couples differ from different-sex couples in important ways, including relational strengths (e.g., more egalitarian) and challenges associated with their sexual minority identity (e.g., discrimination). Given that most cognitive-behavioral relationship interventions have been designed for and tested on different-sex couples, clinicians wishing to serve same-sex couples will need to make appropriate adaptations to these interventions in order to remove heterosexist bias and sensitively meet the unique needs of same-sex couples. Further, clinicians should strive to be culturally competent in serving this population by developing knowledge of same-sex couple dynamics and issues, and by building a sense of comfort working with these families, which may involve addressing personal biases. The current paper seeks to provide an introduction to same-sex couple relational processes, and offers clinical recommendations and intervention adaptations to better serve this population. Some examples will refer to the development of the Strengthening Same-Sex Relationships programs, culturally sensitive relationship education programs specifically designed for and successfully piloted with male and female same-sex couples.     

Excel: An intensive and structured program of advising and academic support to assist minority freshmen to succeed at a large state university

It is a consistent observation that minority students graduate at much lower rates than majority students at our large state colleges and universities. The Excel program was designed to assist ethnic minority students adjust to the demands of university life and succeed both academically and personally. The program has three major components: a two semester two credit core seminar, weekly instructional support groups, and peer led tutorial/discussion groups. The results of the first two years of the program were evaluated in a number of studies comparing the performance of the Excel students to other minority and majority freshmen at the university. In all comparisons the Excel students were found to have performed significantly better than other minority groups and equal to or better than majority students. The results are discussed in terms of the variables that appear to affect minority student success at large universities.     

急性呼吸窘迫综合征肺泡塌陷与肺复张的意义

大量肺泡塌陷是急性呼吸窘迫综合征(ARDS)病理生理改变的基础,可导致顽固性低氧血症、肺泡表面活性物质丢失、呼气气流受限、去复张性肺损伤、肺部感染和生物性肺损伤。积极的实施肺开放策略,实现塌陷肺泡的复张具有重要的临床意义。肺复张导致肺泡过度膨胀、循环干扰,以及肺泡难以复张因素的存在,使肺泡完全复张可能并不必要。在避免肺泡塌陷危害与肺复张的局限性之间寻求平衡,才能使肺复张确立其在ARDS治疗中的恰当地位。