Psychosocial correlates of emotional distress and risk behavior in african-american women at risk for hiv infection

We examined a model of stress and coping in 749 African-American women at risk for HIV infection. Women in the sample were either homeless, intravenous drug users (IVDUs) sexual partners of IVDUs, or prostitutes. A model was hypothesized based on stress and coping theory and research. Antecedents studied were personal resources, specifically self-esteem and available support. Mediators were threat appraisal and coping efforts. Outcomes studied were emotional distress and HIV risk behaviors. Structural equation modeling techniques were used to test hypothesized pathways between these variables. Forty-five percent of the variance in emotional distress in these women was explained by the model with self-esteem and avoidant coping the strongest predictors. Ten percent of the variance in risk behavior was explained by the model with emotional distress the strongest predictor. Direct and indirect pathways predicting risk behavior and distress are discussed. Implications of results for intervention and theory building are considered.     

Eyes wide open: Facilitating student therapists’ experiences with the unfamiliar

Psychotherapists and counsellors work increasingly with culturally different or unfamiliar clients in the context of global migration and relocation. This paper explores the learning processes of trainee therapists within a South African community clinic context which confronts trainees with cultural diversity and a range of complex and traumatic presenting problems. Learning within this context entails interfacing with the ‘unfamiliar’, a process which challenges students both culturally and personally. Drawing upon the ideas of Wilfred Bion we suggest the importance of supervisory reverie in helping students convert raw sensory data into reflective practice. We suggest that working within community clinic contexts prompts personal anxieties as well as context-related anxieties of persecution or annihilation, of narcissistic injury and of contamination. It is hoped that a psychodynamic understanding may prompt further debate regarding the training of therapists working with diverse populations and problems.     

Holistic Psychology: A Brief Primer

This article explicates the foundations, essential themes and healing principles of holistic psychology; an approach which provides a corrective for such trends in modern scientific psychology as disciplinary perspectives, the overemphasis on the economics and politics of professionalism. Holistic psychology emphasizes spiritual healing, multi-cultural counseling, community and ecological interventions. Its core pillars of practice and care stem from the spiritual and wisdom traditions widely applicable to combating illness, injustice, violence, materialism, and technocratic influences so prevalent in contemporary society. As a breath and/or spirit based healing practice, holistic psychology provides a foundational exercise for personal, social and cosmic transformation.     

Les déterminants de la charge de travail perçue dans deux services d’urgence hospitaliers en France

This article gives an account of research carried out the workload of healthcare providers in hospital emergency wards, by focusing on several factors that are both related to the patients and to their activity. Based on 121 observations conducted in two hospitals, coupled with the NASA-TLX scale and an ad hoc questionnaire, this research indicates that the elements which contribute the most to perceived workload are the agitated behavior of patients and communication difficulties linked to handicap. However, variations in the number of tasks do not seem to have an influence on the workload perceived by health care providers which tends to highlight that the relations to patients contribute more to the perception of workload than the number of tasks. In the situation observed, the regulation of workload is made possible by the management of relational factors (physical demand, frustration and effort) which determine, in part, workload perception. In order to reduce or adapt this load, this article suggests basing interventions on the way to deal with difficult patients and not on the regulation of the number of tasks.     

Failure to replicate the deleterious effects of safety behaviors in exposure therapy

The current study attempted to replicate the finding obtained by Powers, Smits, and Telch (2004; Journal of Consulting and Clinical Psychology, 72, 448–545) that both the availability and utilization of safety behaviors interfere with the efficacy of exposure therapy. An additional goal of the study was to evaluate which explanatory theories about the detrimental effects of safety behaviors best account for this phenomenon. Undergraduate students (N = 58) with high claustrophobic fear were assigned to one of three treatment conditions: (a) exposure only, (b) exposure with safety behavior availability, and (c) exposure with safety behavior utilization. Participants in each condition improved substantially, and there were no significant between-group differences in fear reduction. Unexpectedly, exposure with safety behavior utilization led to significantly greater improvement in self-efficacy and claustrophobic cognitions than exposure only. The extent to which participants inferred danger from the presence of safety aids during treatment was associated with significantly less improvement on all outcome measures. The findings call into question the hypothesized deleterious effects of safety behaviors on the outcome of exposure therapy and highlight a possible mechanism through which the mere presence of safety cues during exposure trials might affect treatment outcomes depending on participants’ perceptions of the dangerousness of exposure stimuli.     

Developmental associations between externalizing behaviors, peer delinquency, drug use, perceived neighborhood crime, and violent behavior in urban communities

This study examines the precursors of violent behavior among urban, racial/ethnic minority adults. Data are from an on-going study of male and female African Americans and Puerto Ricans, interviewed at four time waves, Time 1-Time 4 (T1-T4), from adolescence to adulthood. Structural Equation Modeling was used to analyze the developmental pathways, beginning in mid-adolescence (T1; age = 14.0 years), to violent behavior in adulthood (T4; age = 29.2 years). The variables assessed were: components of externalizing behaviors (i.e., rebelliousness, delinquency; T1, T3); illicit drug use (T2); peer delinquency (T2); perceived neighborhood crime (T4); and violent behavior (T3, T4). Results showed that the participants' externalizing behaviors (rebelliousness and delinquency) were relatively stable from mid-adolescence (T1; age = 14.0 years) to early adulthood (T3; age = 24.4 years). The participants' externalizing behaviors in mid-adolescence also had a direct pathway to peer delinquency in late adolescence (T2; age = 19.1 years). Peer delinquency, in turn, had a direct pathway to the participants' illicit drug use in late adolescence (T2), and to externalizing behaviors in early adulthood (T3). The participants' illicit drug use (T2; age = 19.1 years) had both direct and indirect paths to violent behavior in adulthood (T4). The participants' externalizing behaviors in early adulthood (T3) were linked with violent behavior at T3, and perceived neighborhood crime (T4), both of which had direct pathways to violent behavior in adulthood (T4). The findings suggest developmental periods during which externalizing behaviors, exposure to delinquent peers, illegal drug use, and neighborhood crime could be targeted by prevention and intervention programs in order to reduce violent behavior.     

Homophily in stable and unstable adolescent friendships: Similarity breeds constancy

This study examines homophily among adolescent friends. Participants were drawn from a community-based sample of Swedish youth who ranged from 11 to 18 years old. A total of 436 girls and 338 boys identified their closest friends and described their own delinquent activities, intoxication frequency, achievement motivation, and self-worth. Correlations and difference scores describe similarity between reciprocally nominated friends on each dimension. Adolescents who remained friends from one year to the next tended to be more similar than those who did not, during the friendship and, to a lesser extent, before the friendship. Comparisons with random pairs of same-age peers revealed that age-group homophily accounts for most of the similarity between unstable friends but only a fraction of the similarity between stable friends.     

Investigating the Role of Religion‐Supported Secular Programs for Explaining Initiation into First Sex

Research finds that religious youth, compared to less religious youth, are more likely to delay their sexual debut (sometimes until marriage). This study is one of the first to examine the influence of involvement in religion‐supported secular activities for shaping initiation into vaginal sex. Does involvement in religion‐sponsored secular programs produce any health‐related benefits for youth? Using two waves of data from the National Study of Youth and Religion this study finds that among teens who have engaged in some of the precursors to first sex, namely, sexual touching, involvement in religion‐sponsored secular activities is associated with lower odds of having first sex between W1 and W2. Conservative attitudes about sex outside of marriage explain, in part, the relationship. Conversely, network overlap, the number of friends who belong to a youth group, and pressure from friends and partners to have sex do not significantly mediate the relationship.     

Adaptive Self-Regulation: Meeting Others' Expectations of Leadership and Performance

Abstract

The authors used longitudinal multisource field data to examine core aspects of the adaptive self-regulation model (A. S. Tsui & S. J. Ashford, 1994) in terms of linkages between self-monitoring, discrepancy in manager match-to-position, 5 measures of leadership, and manager performance. At Time 1,64 superiors of focal managers rated the managers' matches to their positions within the organization; at Time 3, they rated the managers' performance. At Time 2, the 64 focal managers completed a measure of self-monitoring, and 192 subordinates rated the focal managers' leadership behaviors. Results of partial least squares analysis revealed that discrepancy in manager match-to-position was associated with reductions in laissez faire and passive management-by-exception behaviors and increases in transformational leadership behavior. Self-monitoring was positively associated with all 5 leadership behaviors. Performance was related positively to transformational leadership behavior and negatively to passive management-by-exception and contingent-reward behaviors     

Integrating social exchange and affective explanations for the receipt of help and harm: A social network approach

We integrated theories of social exchange and emotion to explain the receipt of interpersonal citizenship (help) and counterproductive behaviors (harm). Using social network methodology, data on a total of 534 relationships were obtained from three samples of employees working for a food services organization. Results were consistent across all three samples. Employees received help and harm from coworkers toward whom they engaged in those behaviors, as well as from coworkers in whom they elicited positive and negative affective states, respectively. Additionally, affective states predicted the receipt of help and harm controlling for engagement, suggesting a means by which social exchanges may become imbalanced. Overall, findings demonstrate the validity of social exchange and affective explanations for the receipt of help and harm in the workplace.