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.     

Essentialism, Constructionism, and Feminist Psychology

This article attempts to clarify two alternative understandings of gender—the essentialist and the constructionist—and to discuss the implications of each for feminist psychology. Essentialist construals of gender, represented by recent "cultural feminist" positions, are critiqued for the theoretical, empirical, and political concerns they raise. A constructionist position is offered as ameliorative, and lingering questions raised by this analysis are discussed.     

Social class as a correlate of gender identity among lesbian women

Traditionally, researchers have portrayed butch and femme identities among lesbian women as gender roles. To complicate matters, rather than ask lesbian women to define butch and femme within the context of their own culture, researchers defined the terms themselves. This study adds to the literature in two ways: (1) lesbian women are asked to define butch and femme on their own terms and (2) social class is considered as a correlate to the formation of butch and femme gender identities. A snowball sample of 235 women participated in the study. Ninety-three percent of the participants are white, 7% are women of color. Social classes, as measured by income and education, are diverse within the sample. Findings indicate that lesbian women define butch and femme differently than have researchers, and that social class is a significant determinant of whether or not a lesbian woman defines herself as butch or femme.Part of this paper was presented at the American Sociological Association 1995 Annual Meeting in Washington, DC. I thank Dr. Leonard Beeghley and two anonymousSex Roles reviewers for their valuable comments on earlier drafts.     

Childhood peer rejection,aggression, withdrawal,and perceived competence as predictors of self-reported behavior problems in preadolescence

Childhood peer rejection, aggression, withdrawal, and perceived competence were compared as predictors of self-reported behavior problems. Peer sociometric status (Coie, Dodge, and Coppotelli, 1982), teacher ratings of behavior problems (Lorion, Cowen, & Caldwell, 1975), and perceived competence ratings (Harter, 1982) were obtained for 613 second-through fourth-grade children. Two years later, these students completed a modified version of the Youth Self-Report form (Achenbach & Edelbrock, 1987). Rejected children and neglected girls were more likely to have a self-reported nonspecific negative outcome than others. Neglected girls were at heightened risk for depression. A varied set of predictors obtained from different informants emerged for each sex for each of the specific self-reported outcomes of depression, unpopularity, delinquency, aggression, and self-destructive/identity problems. Results are discussed in terms of future directions for longitudinal research on the consequences of poor peer relationships in childhood.This research was supported in part by a grant from the W. Alton Jones Foundation and in part from Cooperative Agreement (G0087C3033) between the U.S. Department of Education, Office of Special Education and Rehabilitative Services, and the University of Virginia. However, the opinions expressed herein do not necessarily represent the opinions of the funding agencies. Portions of this paper were presented at the First Annual Meeting of the Society for Research in Child and Adolescent Psychopathology, Miami, Florida. The authors would like to thank Robert Terry, Ruth Axman, Pamela Griesler, Melissa DeRosier, Nancy Vaden, Charlene Eickholt, Amy Young, Emily Burhans, Eric Johnson, Renee Lorio, and Karen Welke for their assistance in conducting this research project.     

Place information in multidigit number comparison

How do we use place information in a number comparison task involving multidigit numbers? In four experiments, subjects identified stimulus numbers as larger or smaller than the number 5,000 in a choice reaction time task. As the difference between the number of places in the stimulus number and the number of places in the standard decreased, response time and errors significantly increased. When the number of places was held constant, the type of numeric information extracted depended on the value of the standard (5,000 or 5,555). In some cases, irrelevant place information affected choice time.     

Additional study of the Youth-Depression Adjective Check List

Replicated and extended aspects of determinations of reliability and validity for the State version of the Youth-Depression Adjective Check List. Students from Grades 9 through 12 (64 girls and 41 boys) completed the State version and the Adolescent Activities Checklist on each of 12 consecutive days and completed the Trait version, the Reynolds Adolescent Depression Scale, the Multiple Affect Adjective Check List--Revised Grade 6, and the Adolescent Activities Checklist at the beginning and the end of the study. Good reliability and validity of the State version were confirmed and extended, and preliminary information on characteristics of the Trait version of the Youth-Depression Adjective Check List also was presented. The State version seems suitable for use in research with adolescents and preadolescents. More study of the Trait version is recommended.     

Pastoral psychology and preventive psychiatry

Pastoral Psychology -