Long-acting reversible contraception: A route to reproductive justice or injustice

This article presents information on unintended pregnancies and the ongoing efforts of policy makers to promote long-acting reversible contraception (LARC) to reduce the numbers of such pregnancies. Also discussed is the tension between the encouragement of LARC to promote the public's interests in achieving that goal versus the need to assure that all women can decide about their bodies and reproductive needs. Our discussion includes information, primarily from the United States, on (a) risks associated with unintended pregnancies, (b) LARC devices approved in the United States (copper intrauterine devices (IUDs), hormone IUDs, and implants), (c) public and social benefits of increasing the use of LARC, (d) disadvantages and barriers to using LARC, (e) dangers of promoting LARC in unjust ways, and (f) the meaning of reproductive justice and its connection to social justice. By sharing the information with the audience of this journal, we hope that it will be integrated into clinical work and research on mental health and development. We also hope that experts in those fields will become discussants in the conversation regarding women's reproductive health and social justice that is taking place in the United States and elsewhere.     

DNA methylation of NR3c1 in infancy: Associations between maternal caregiving and infant sex

Caregivers play a critical role in scaffolding infant stress reactivity and regulation, but the mechanisms by which this scaffolding occurs is unclear. Animal models strongly suggest that epigenetic processes, such as DNA methylation, are sensitive to caregiving behaviors and, in turn, offspring stress reactivity. We examined the direct effects of caregiving behaviors on DNA methylation in infants and infant stress reactivity. Infants and mothers (N = 128) were assessed during a free play when infants were 5 months old. Maternal responsiveness and appropriate touch were coded. and infant buccal epithelial cells were sampled to assess for DNA methylation of the glucocorticoid receptor gene, NR3c1 exon 1F. Infant cortisol reactivity was assessed in response to the still-face paradigm. Greater levels of maternal responsiveness and appropriate touch were related to less DNA methylation of specific regions in NR3c1 exon 1F, but only for females. There was no association with maternal responsiveness and appropriate touch or DNA methylation of NR3c1 exon 1F on prestress cortisol or cortisol reactivity. Our results are discussed in relation to programming models that implicate maternal care as an important factor in programing infant stress reactivity.     

Stress and coping among early childhood intervention professionals receiving reflective supervision: A qualitative analysis

Reflective supervision/consultation (RS/C) is an important component of infant mental health training and practice. Given high levels of job stress reported by a variety of early childhood professionals, the present study offers a qualitative examination of early childhood intervention professionals’ perceptions of stress and coping before and after receiving regular RS/C. Thirty-one professionals received 9 months of RS/C and completed semistructured interview questionnaires at the pre-/postassessments. Questionnaires focused on job-related experiences, including what participants found stressful and how they coped with job-related stress. Inductive analysis techniques were used to identify themes that arose from the data. Relationships between themes were discovered through axial coding. Three key themes of individual, relational, and organizational stress were identified across the pre-/postassessments. Similar themes were evident in reports of coping. Following 9 months of RS/C, analysis revealed greater detail and reflection among the majority of participants. These results contribute to the literature through identification of multiple levels of stress and coping as well as areas of continuity and change among participants receiving RS/C. Future research should consider how professionals’ reports of stress and coping relate to reported self-efficacy and observed competence with young children and families.     

Exploring and Promoting the College Attendance and Success of Racial/Ethnic Minority Students

Using consensual qualitative research methodology and being mindful of both challenges and successes, the authors explored diverse students’ experiences with higher education. The authors used semistructured interviews with 7 students with racial/ethnic minority backgrounds to investigate the circumstances under which these students decided to attend college and experienced success. Multiple factors that were reported to contribute to students’ college attendance and success emerged, including individual factors, psychological factors, social factors, and cultural/environmental factors. Utilizando una metodología de investigación cualitativa consensuada y teniendo en cuenta tanto los desafíos como los éxitos, los autores exploraron las experiencias de estudiantes diversos en la educación superior. Los autores usaron entrevistas semiestructuradas con 7 estudiantes de minorías raciales/étnicas para investigar las circunstancias en las que estos estudiantes decidieron cursar estudios universitarios y tuvieron éxito. Surgieron múltiples factores reportados que contribuyeron a la asistencia y al éxito de los estudiantes en la universidad, incluyendo factores individuales, factores psicológicos, factores sociales y factores culturales/del entorno.     

Counseling Canadian Indigenous Peoples: The Therapeutic Alliance and Outcome

The aim of this study was to determine whether client therapeutic alliance ratings and client symptom severity were predictors of counseling outcomes among Canadian Indigenous clients. Participants included 179 Canadian Indigenous clients who completed an outcome measure at the 1st and last sessions and an alliance measure at both the 2nd and 3rd sessions. Results indicated that higher client alliance ratings at Sessions 2 and 3 and baseline client symptom severity were significant predictors of outcome. El objetivo de este estudio fue determinar si las valoraciones del cliente de la alianza terapéutica y la severidad de los síntomas del cliente fueron indicadores de los resultados de la consejería entre clientes indígenas canadienses. Los participantes incluyeron 179 clientes indígenas canadienses que completaron una medida de resultados en la primera y última sesión, además de una medida de la alianza en la segunda y tercera sesión. Los resultados indicaron que unas valoraciones del cliente más altas de la alianza en las sesiones 2 y 3 y la severidad preliminar de los síntomas del cliente fueron indicadores significativos del resultado.     

Microaggressions and Sexual Risk Behaviors in Black College Women: A Moderated Mediation Analysis

The study examined the association between microaggressions and sexual risk behaviors, the mediating role of anxiety, and the moderation of this mediation by bicultural self‐efficacy. One hundred twenty‐six Black college women (mean age = 20.63) completed a survey. A moderated mediation analysis showed that anxiety partially mediated the relationship between microaggressions and sexual risk behaviors and that bicultural self‐efficacy did not significantly moderate the indirect relationship. Findings indicate the importance of microaggressions in psychological and physical health. El estudio examinó la asociación entre microagresiones y comportamientos sexuales de riesgo, el papel mediador de la ansiedad y la moderación de esta mediación la autoeficacia bicultural. Ciento veintiséis mujeres negras universitarias (media de edad = 20.63) completaron una encuesta. Un análisis de mediación moderada mostró que la ansiedad medió parcialmente la relación entre microagresiones y comportamientos sexuales de riesgo, y que la autoeficacia bicultural no moderó la relación indirecta de forma significativa. Los hallazgos indican la importancia de las microagresiones en la salud física y psicológica.