Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Working through a group's fantasy of the deceased leader's wish for the group's continuation

This paper reflects the working through of a group's fantasy that the deceased group leader wished the group to continue. As in any defense, the fantasy protected members from the pain of the finality of the leader's death. This article reveals the subjective experience concerning the effect of the leader's death on the group and members' intrapsychic struggle to separate and individuate from the deceased leader, while attending to and striving toward the group's continuation. The group's painful and growing individuation enabled the group to follow its own tasks without the spector of the deceased leader.     

Fostering Well‐being through Social Support: The Role of Evangelical Communities in the Lives of Dominican Women of Haitian Descent

Women of Haitian descent living in the Dominican Republic experience oppression due to their gender, ethnicity, and economic status. They also exhibit high rates of participation in evangelical Christian communities, a paradoxical finding given the restricted roles women have traditionally played in these settings. The goals of this study were to explore the perceived benefits of participation in evangelical communities and the setting characteristics that lead to these benefits. The research team interviewed 19 current and former church participants aged 18–59. Thematic analysis revealed three perceived benefits of congregational life. Participants viewed their participation as: (a) an opportunity for personal growth and development; (b) protective against negative social influences; and (c) providing social support in the face of life challenges. In addition, dependable, expected, and reciprocal relational support was a key characteristic of evangelical communities. Findings extend the current understanding of how religious communities enhance well‐being for marginalized women through social support networks. Findings also explore the dialectical nature of settings as both empowering and disempowering. Implications for future interventions are discussed.     

Integrated learning communities as a peer support initiative for first year university students

Peer Mentoring schemes tend to be developed as retention strategies, however, they can also serve other purposes (psychosocial or career-related). However, evidence of the effectiveness of these presents mixed results and less is known about the horizontal peer support schemes which may help students capitalize on existing peer relationships. We developed an integrated learning communities (ILC) peer support scheme, building on the theoretical principles of social identity theory, which we embedded within our existing teaching framework and designed functional activities. Collective activities were undertaken to promote the processes of social identity with the intention that these may foster social and academic integration experiences. This intervention was undertaken with an entire cohort of first year undergraduate psychology students. We conducted semi-structured interviews with a self-selected sample of these students (N = 17). Thematic analysis revealed two main themes, each with two sub-themes. These were: “Divergent Experiences” with the sub-themes of “dependent on people” and “types of support”, and “Good idea in principle” with the sub-themes of “Theory ≠ Practice” and “Dependent on student engagement”. Although identifying with a peer group was not transparent in the interviews, the existence of a peer support scheme was perceived positively by students which might explain the success of the newly developed student-led Psychology Society. Indeed, this Psychology Society can provide a lasting framework for further amplification of the student voice. We conclude that our embedded ILC was both feasible and potentially valuable, but it is crucial for the peer support approach to have transactional significance.     

Up and down in middle age: monotonic and nonmonotonic changes in roles, status, and personality

It is proposed that personality (conceptualized in terms of motives and psychological resources) changes normatively not only from young adulthood to middle age but also within middle age and that these changes take place in relation to social and biosocial change over the same period. Data from 123 women studied at ages 27, 43, 52, and 61 largely supported hypotheses about change in social roles, status, health, motives, personality characteristics, emotion regulation, and relationships. Noteworthy aspects of the findings were substantial curvilinear change within middle age and associations of work involvement and physical health with personality change during late middle age.     

Bitter reproach or sweet revenge: cultural differences in response to racism

Culture has been shown to influence response styles. The authors conducted two studies to test the notion that African Americans would be more likely to respond to racism directly, whereas Asian Americans would be more likely to respond indirectly and therefore more subtly. Study 1 showed that Black women subjected to a racist comment from a confederate during an online interaction were more likely than Asian women to verbally reproach the perpetrator. These group differences were not present when the outcome measure was indirect responding--administration of good/bad jellybeans. Study 2 used an online format to demonstrate that Asian women were more likely than Black women to say they would not respond directly to a racist comment. This group difference in unwillingness to confront was significantly mediated by a goal of maintaining peace with their interaction partner. Implications of these findings for the study of discrimination, coping, and well-being are discussed.     

Emotion in the neutral face: a mechanism for impression formation?

The current work examined contributions of emotion-resembling facial cues to impression formation. There exist common facial cues that make people look emotional, male or female, and from which we derive personality inferences. We first conducted a Pilot Study to assess these effects. We found that neutral female versus neutral male faces were rated as more submissive, affiliative, na?ve, honest, cooperative, babyish, fearful, happy, and less angry than neutral male faces. In our Primary Study, we then "warped" these same neutral faces over their corresponding anger and fear displays so the resultant facial appearance cues now structurally resembled emotion while retaining a neutral visage (e.g., no wrinkles, furrows, creases, etc.). The gender effects found in the Pilot Study were replicated in the Primary Study, suggesting clear stereotype-driven impressions. Critically, ratings of the neutral-over-fear warps versus neutral-over-anger warps also revealed a profile similar to the gender-based ratings, revealing perceptually driven impressions directly attributable to emotion overgeneralisation.     

Internal attribution of outcome moderates the cortisol response to a cooperative task in women

Several ethological reports have indicated that cooperative behaviors play an adaptive role. However, research has focused on competition in men, and there have been few studies on cooperation. This study aims to analyze the cortisol and psychological responses in women to a cooperative situation compared with a competitive situation in a laboratory context. The sample was distributed into four groups depending on the task and the outcome obtained: Positive cooperation, negative cooperation, competition with victory, and competition with defeat. Our results show that, in comparison with competition, cooperation produces different effects in cortisol, but not in psychological states. Nevertheless, these effects occur only when the task outcome and its appraisal are considered. Only the participants who cooperated and obtained a positive outcome and those who competed and lost showed significant decrements of cortisol. Internal attribution was higher in groups with more stable cortisol levels, suggesting a possible modulator effect of controllability in the way the situation was experienced. These results could be generalized to situations in which negotiation, mediation, and cooperative strategies are relevant for making decisions and/or solving problems.