The Conditional Effects of Savoring on the Relationship between Minority Stress and Alcohol Misuse in an LGBTQIA + Sample

Background: Alcohol-related difficulties are a significant public health concern in lesbian, gay, bisexual, transgender, questioning, intersex, asexual, and people with other sexual orientations and forms of gender identity (LGBTQIA+) communities. Considering these concerns, there is a strong push to develop affirming and strength-based prevention efforts. Unfortunately, such efforts are undermined by the lack of protective LGBTQIA + models for alcohol misuse. To this end, the purpose of the current study was to evaluate whether savoring, the ability to create, maintain, and prolong positive emotions, meets basic criteria for a protective factor for alcohol misuse in a sample of LGBTQIA + adults. Methods: The sample was comprised of 226 LGBTQIA + adults who completed an online survey. Results: Results indicated that savoring was inversely related to alcohol misuse. In addition, the relationship between minority stress and alcohol misuse varied as a function of savoring; at high levels of savoring (a score of 136.63 on the Savoring Beliefs Inventory), the relationship between minority stress and alcohol misuse was non-significant. Conclusions: In combination, these findings offer preliminary support for savoring as a protective factor for alcohol misuse among different LGBTQIA + communities. However, longitudinal and experimental research is needed to solidify the role of savoring in minimizing alcohol-related problems in this population.

Building a specialized model of care for youth involved in sex trafficking in child welfare: A systematic review and interviews with experts-by-experience

BACKGROUND

Sex trafficking of youth involved in the child welfare system is a critical global issue; however, there are limited counter-trafficking programs designed to specifically meet the needs of this population.

OBJECTIVE

The present study aimed to identify components essential to building a model of care for youth involved in sex trafficking in child welfare. The specific goals of this investigation were to: 1) systematically review the literature for programs implemented with child-welfare involved youth at risk of or involved in sex trafficking, and 2) examine convergent and divergent evidence through interviews with experts-by-experience (i.e., survivors and child welfare personnel).

PARTICIPANTS AND SETTING

13 child welfare workers and 6 survivors of sex trafficking.

METHODS

Systematic review identified articles that included programs and interventions for youth involved in sex trafficking in child welfare. Interviews with experts-by-experience were analysed through reflexive thematic analysis. Content analysis was used to examine convergent and divergent evidence between the two noted methods of inquiry (systematic review and interviews with experts).

RESULTS

Findings from the systematic review support a model of care comprised of two overarching components: 1) wraparound supports, and 2) trained caregivers and supported foster homes. Thematic analyses also revealed that experts thought that an appropriate model of care would require child welfare agencies to take a preventative stance, such as conducting early coordinated risk assessments on all youth in care. Convergent with the literature, experts noted the need for enhanced wraparound supports and specific training for caregivers and service providers.

CONCLUSIONS

Components essential to building a model of care for youth at risk of or involved in sex trafficking in child welfare were extracted and discussed based on the evidence gathered.

Older immigrant Latino gay men and childhood sexual abuse: Findings from the Palabras Fuertes project

Childhood Sexual Abuse (CSA) and maltreatment have long-term negative impacts on survivors, including older adults. Yet, limited qualitative examinations of how these experiences impact the lives of older adults exists and even fewer among older Latino gay men. We drew data from life-history narratives the first author conducted with five Spanish speaking older Latino gay men in New York City. Our analyses were guided by an Ecological Model, a Suffering lens, and our clinical social work experience with older adults, sexual minorities and people of color. All participants reported sexual experiences prior to the age of 15 and possible emotional and physical maltreatment. Yet, not all participants perceived these experiences as abuse. Our findings indicate how cultural, linguistic and contextual factors may affect disclosure and coping. Despite the fact that CSA and maltreatment occurred decades ago, these early experiences affected long-term psychosocial functioning. Our findings support a need for future research and clinical practice that considers the subjective perceptions of childhood sexual experiences and maltreatment and how these relate to psychosocial functioning in Latino gay men during older adulthood.

From Diagnoses to Ongoing Journey: Parent Experiences Following Congenital Heart Disease Diagnoses

OBJECTIVE

Using qualitative and quantitative methods, the current cross-sectional study examined parents' experiences at the time of their child's diagnosis, what they thought helped their child recover, barriers to support, and identified needs for future models of care.

METHOD

The sample included 26 parents (22 mothers, 3 fathers, and 1 mother/father pair) of children with CHD, ranging in age between 6 months and 4 years with a mean age of 2 years.

RESULTS

Qualitative results were organized around five themes: (a) They (medical team) saved my child's life, (b) My child is going to be okay, (c) Not out of the woods, (d) Optimizing support for my child and myself, and (e) What still gets in the way. Parents uniformly expressed a need for greater mental health support for their children as well as programs to improve parents' skill and confidence, with no difference between age groups (< 2 years and > 2 years of age). Common barriers to service included distance and time off work.

CONCLUSION

Parents' experiences informed both acute and long term implications following CHD diagnoses, and highlight current gaps in mental health care. Direction for clinical care and improved intervention opportunities are discussed.

The Formal Systems Response to Violence Against Women in India: A Cultural Lens

Violence against women (VAW) has become an increasingly salient issue in India, with women at risk for different forms of gendered violence. While there may be universal elements in the international phenomenon of violence against women, it is a complex, multifaceted phenomenon that takes shape in a particular sociocultural context. The current study employs a narrative framework to systematically examine how culture is expressed in the formal systems response and women's help-seeking in two metropolitan cities in India. Specifically, we sought to understand, among formal system responders (a) what characterizes the dominant cultural narratives on violence against women in India; and (b) how these are reflected in community narratives of formal responders. Interviews were conducted with formal responders working in different types of local agencies (e.g., police, health centers, and non-governmental agencies). The paper illustrates the major themes that emerged from participants' narratives describing the multilevel influences that shape the formal system response to violence against women and women's help-seeking efforts. The implications of these findings for effective response and directions for future research are summarized.

An Exploration of Psychosocial Pathways of Parks' Effects on Health: A Qualitative Study

Urban green space has been positively associated with psychological and physical health. However, the linkage between exposure to parks and health outcomes remains unclear. The current study examined the meanings that people assign to city parks, as a way to understand the pathways by which parks exert their effects on health. We conducted qualitative interviews with twenty culturally diverse residents in New York City. Thematic analysis was performed on the qualitative data. Results showed that all themes identified were related to parks fulfilling a basic human need for connection to (1) family, loved ones, and friends; (2) community and neighborhood; (3) self; and (4) nature. Based on these data, we proposed a human-centered framework for future research and interventions aimed at catalyzing parks as a vehicle to improve health and wellbeing. A human-centered approach emphasizes targeting the deep-seated needs and values of those we seek to engage and for whom health promotion and disease prevention efforts are designed. Our study shows that park transformations need to incorporate careful considerations of the human need for connection on multiple levels, so that park usage and its consequent health benefits may be optimized.

Make It Personal: A Qualitative Investigation of White Counselors’ Multicultural Awareness Development

In this qualitative research study, we explored the multicultural awareness development of 12 multiculturally adept non-Latino White counselors. Using a grounded theory approach, we found that early personal experience with diversity was the most important contributing factor in developing understanding and empathy for oppression among White counselors. This factor appeared to lay the foundation for an ongoing personal initiative to develop multicultural awareness. Subsequently, counselors tried to maximize what they could learn from their culturally diverse clients, work environments, coursework, supervision, and mentoring opportunities. Their personal initiative also inspired them to persevere despite the difficult emotions and conflict inherent in this developmental process. Results suggest the need to incorporate personally transformative experiences in counselor training and to prepare counselors for the emotional challenges of multicultural awareness development.

The Influence of Ethnic and Mainstream Cultures on African Americans' Health Behaviors: A Qualitative Study

BACKGROUND

Culture plays an important role in shaping individuals' health behaviors. This qualitative research examines the relationship between African Americans' ethnic and mainstream cultures and their health behaviors (i.e., food intake and physical activity).

METHODS

This study used in-depth semi-structured interview format with a group of 25 African Americans to examine the influence of ethnic and mainstream culture on African Americans' food intake and physical activity. Thematic analysis was used to identify common themes and patterns related to African Americans' health behaviors as well as to report these patterns within data.

RESULTS

The present study found that African Americans position both their ethnic and mainstream culture as important influences on their health behaviors pertaining to food intake and physical activity. Most participants reported taking advantage of "the best of both worlds" by engaging in picking and choosing healthy behaviors from both cultures to which they belong, and they perceived preparing healthy makeovers as a way to optimize their health. They also identified a range of practical considerations that can facilitate or hinder engagement in healthy eating and physical activity (e.g., affordability, social support). Participants discussed a number of other positive (e.g., resilience, spirituality) and negative (e.g., experience of discrimination) influences on health behaviors.

CONCLUSIONS

African Americans consider both their ethnic and mainstream cultures important in shaping their health behaviors. These cultural influences need to be understood in the context of other psycho-socio-environmental factors that affect individuals' health behaviors. The current study has practical implications for designing health promotion programs for African Americans.

The Academic Self-Efficacy of Urban Youth

To inform effective school-to-work programs, this study evaluates the effect of a school-based psychoeducational intervention on the academic self-efficacy of urban youth enrolled in the ninth grade. Using a mixed-methods design, data were collected using a quantitative measure of academic self-efficacy and eight semistructured interviews over the course of an academic school semester. As hypothesized, t tests did not reveal a statistical difference in academic self-efficacy between preintervention (Time 1) and postintervention (Time 2). A consensual qualitative analysis of the interviews, however, indicated enhanced developmental specificity concerning use of academic skills and articulation of goals between Time 1 and Time 2. Limitations of the study and future directions for research are discussed.

Effectively Communicating Qualitative Research

This article is a guide for counseling researchers wishing to communicate the methods and results of their qualitative research to varied audiences. The authors posit that the first step in effectively communicating qualitative research is the development of strong qualitative research skills. To this end, the authors review a process model for developing such competence and emphasize the importance of research paradigm and philosophy-of-science knowledge for the competent researcher. The authors present characteristics of strong qualitative writing and highlight the concept of “thick description.” The article includes a recommended structure for presenting the qualitative study and provides suggestions for targeting writing for different audiences. The authors conclude with suggestions for graduate students considering conducting qualitative dissertations.

Teaching Qualitative Research

Qualitative research has become increasingly perceived as well suited to the advancement of counseling psychology, yet opportunities for formal training in qualitative inquiry remain inconsistently available within and across graduate programs. For the potential contribution of this approach to counseling psychology to be realized, graduate students need routine access to adequate and appropriate coursework. In this article, the author shares a design and rationale for an introductory course in qualitative research, describes typical challenges faced by students, and offers strategies for fostering student learning and success. Limitations of the approach are discussed and recommendations offered based on lessons learned from practice.

Best Practice Guidelines on Prevention Practice, Research, Training, and Social Advocacy for Psychologists

Preventive interventions have been shown to successfully aid the development of children, youths, and adults and avert maladjustment in individuals at risk for negative outcomes. Continued scientific advancement of preventive interventions is crucial to further the health of U.S. children, youths, and families. This article presents 15 best practice guidelines on prevention practice, research, training, and social advocacy for psychology. These guidelines articulate clear standards and a framework for moving the profession toward improving the well-being of a greater number of individuals and communities. The guidelines are intended to assist psychologists in evaluating their preparation for engaging in prevention work and in furthering their understanding through increased knowledge, skills, and experience in prevention.

Race and Ethnicity in Empirical Counseling and Counseling Psychology Research

This article examined 796 empirical studies published in the Journal of Counseling Psychology, the Journal of Counseling and Development, and The Counseling Psychologist from 1990 to 1999 and found that only 457 (57%) reported racial and ethnic characteristics of research participants. From this data, an overall picture was generated of the racial and ethnic compositionof counselingand counseling psychology research participants: 78.2% White, 5.8% Asian American, 6.7% African American, 6.6% Hispanic, 0.9% Native American, and 0.1% multiracial. Compared to the overall U.S. population, Whites and Asian Americans were overrepresented, and African Americans, Hispanics, and Native Americans were underrepresented. There was limited information about how researchers gathered participants’ race and ethnicity information and on factors that might inform participants’experience as racial and ethnic beings (e.g., racial and ethnic identity, generation status, acculturation). Findings are compared and contrasted with previous reviews related to issues of race and ethnicity in counseling research.

An Investigation of European American Therapists’ Approach to Counseling African American Clients

Interviews were conducted with 9 European American psychologists, asking them to recall their first 12 counseling sessions with a current or recent successful case with an African American client. Using consensual qualitative research (CQR) methodology, the psychologists revealed that they generally attended to differences in race between themselves and clients directly and openly within the first two sessions. This was done to acknowledge this difference and convey to the client comfort and trust; psychologists also intended to engender client trust and participation in therapy. The psychologists saw race as a central component to be discussed and continually attended to in establishing and maintaining a trusting and solid working relationship. They typically saw race-related issues as relevant to clients’ concerns. Despite wide variability in theoretical orientations and variety of client presenting problems, they typically reported using Rogerian core skills to engage the client and establish the relationship. However, they also reported using more culture-specific and sensitive interventions to deepen and strengthen the therapy relationship. These interventions included relying on their level of racial identity development to understand the client, being attuned to the client’s racial identity development and worldview, and attending to client reports of racism.

Paradigms, Purpose, and the Role of the Literature

The authors have identified three areas that are central to the rationale for conducting a qualitative research project, yet which produce confusion and uncertainty for some psychologists trained in traditional research methods. In this article, they consider how philosophy of science paradigms relate to the foundational rationale for qualitative inquiry and present suggestions for how researchers can formulate a statement of purpose and research questions that are congruent with an identified paradigm. They examine the role of scholarly literature in two areas: those of developing a rationale and in enhancing the impact of qualitative research. Examples from contemporary counseling psychology research are used to illustrate core concepts.

Qualitative Research in Counseling Psychology

Beginning with calls for methodological diversity in counseling psychology, this article addresses the history and current state of qualitative research in counseling psychology. It identifies the historical and disciplinary origins as well as basic assumptions and underpinnings of qualitative research in general, as well as within counseling psychology. It identifies the foundational elements of qualitative research, including its purposes and goals, paradigmatic bases, and underlying characteristics. Finally, it locates qualitative research in counseling psychology in the research genre and explores the promise that this form of research holds for counseling and psychotherapy research as well as counseling psychology's multicultural and social justice agenda.

Belonging on Campus

With the rise of Asian international students choosing to pursue higher education in the United States, research that identifies ways to promote Asian international students’ sense of belonging on campus is needed. We used consensual qualitative research methodology to examine factors that contribute to university belonging in a sample of Asian international students ( N = 11) from a large university in the Midwestern United States. Through data analysis, we identified 14 categories across five domains (i.e., Interpersonal Interactions, Experiences of Acculturation, Campus Environment, Emphasis on Academic Achievement, and Intrapersonal Factors) that contributed to university belonging. Our findings highlight the importance of within-group social connection, acculturative stress, and academic success on Asian international students’ sense of university belonging. We discuss differences between Asian international and domestic students’ sense of belonging as well as implications for counseling psychologists, including interventions at the individual and institutional levels.

"Having to Shift Everything We've Learned to the Side": Expanding Research Methods Taught in Psychology to Incorporate Qualitative Methods

In Australia the tradition of conducting quantitative psychological research within a positivist framework has been challenged, with calls made for the inclusion of the full range of qualitative and quantitative methodologies within the undergraduate psychology curriculum. Despite this, the undergraduate psychology curriculum in most Australian universities retains a strong focus on teaching quantitative research methods. Limited research has examined attitudes toward qualitative research held by undergraduate psychology students taught within a positivist framework, and whether these attitudes are malleable and can be changed through teaching qualitative methodologies. Previous research has suggested that students from strong quantitative backgrounds experience some cognitive dissonance and greater difficulties in learning qualitative methods. In this article we examine 3rd year undergraduate psychology students' attitudes to qualitative research prior to commencing and upon completion of a qualitative research unit. All students had previously completed two 13 weeks units of study in quantitative research methods. At Time 1, 63 students (84.1% female) completed online surveys comprising attitudinal measures. Key themes to emerge from student comments were that qualitative research was seen as an alternative approach, representing a paradigmatic shift that was construed by some students advantageous for meeting future professional and educative goals. Quantitative measures of attitudes to qualitative research were associated with general attitudes toward research, and psychology-specific epistemological beliefs. Changes in attitudes following completion of the qualitative research methods unit were in the hypothesized direction, but non-significant (small effect sizes). The findings increase our understanding of psychology students' attitudes toward qualitative research and inform our recommendations for teaching research methods within the undergraduate psychology curriculum.

Content Analysis of the Journal of Career Assessment

A review of the content of the Journal of Career Assessment was conducted from the journal’s inception (i.e., 1993) through 2011. A total of 545 articles were analyzed for this content analysis. The content analysis was based on content, characteristics of empirical studies, and authorship. In terms of content, the major areas were career assessment, theoretically based articles, and issues related to special populations. Strengths of empirical studies included large sample sizes and ethnically diverse samples, whereas limitations concerned an over reliance on college student participants and not reporting information regarding race or ethnicity of the sample. The content analysis concludes with a list of the 15 most productive scholars who have published in the journal.

African American Men’s Beliefs About Mental Illness, Perceptions of Stigma, and Help-Seeking Barriers

Little is known about African American men’s beliefs about mental illness. A descriptive qualitative study, using the common sense model (CSM), examined African American men’s beliefs about mental illness, perceptions of stigma associated with mental illness, and barriers to help-seeking. A total of 17 community-dwelling African American men participated in individual interviews. Dimensional analysis guided by the CSM showed most of the men identified mental illness causal factors consistent with the biopsychosocial model of mental disorders. They believed mental illness is a chronic disorder having negative consequences and reported experiencing barriers to help seeking. In contrast with previous studies, most men in the present study did not perceive stigma associated with mental illness and did not identify stigma as a barrier to help seeking. They were open to help seeking, were optimistic about professional treatment, encouraged others to seek treatment, and expressed strong interest in mental health research. Implications for counseling psychology research and practice are discussed.

Culturally Competent Qualitative Research With People of African Descent

Qualitative research studies are underrepresented in psychology journals, and those that are published vary in quality. As such, researchers have called for an improvement in the quantity and quality of qualitative research. This article represents an attempt to guide researchers wishing to conduct culturally competent qualitative research with people of African descent. To do so, the authors review potential areas of confluence between qualitative research and African cultural values (e.g., holism, emphasis on relationships). The authors also review and highlight best practices throughout the qualitative research process (e.g., topic selection, research team development, data analysis) that may facilitate a sense of safety for people of African descent as well as holistically and usefully represent their experiences.

Culturally Competent Qualitative Research With Latino Immigrants

This article provides recommendations for conducting culturally competent qualitative research with Latino immigrants, a historically exploited group that represents more than half of all U.S. immigrants and is continuously growing. Limited research exists on Latino immigrants despite their large presence in the United States. The authors draw upon their qualitative research experiences to help researchers develop culturally competent awareness, knowledge, and skills in studying Latino immigrants. Recommendations are grounded by integrating Latino cultural values in the research process. Issues related to developing a research team, recruiting participants, using incentives, informed consent procedures, and language issues are addressed. Suggestions for developing interview protocols and conducting culturally competent in-person interviews are provided.

Exploring the Educational and Career Plans of Urban Minority Students in a Dual Enrollment Program

This qualitative study examined the educational and career plans of a sample of urban minority high school students who voluntarily participated in a dual enrollment program at a private, technology-based community college in a metropolitan center in the northeastern United States. This program allows students to take college courses in science, technology, and mathematics while still enrolled in high school. Seven female students and five male students in the program were interviewed using consensual qualitative research (CQR) methodology. In response to the interview protocol, the participants tended to discuss the role of career planning, self-knowledge, school engagement, and motivation as key factors in their experience of the dual enrollment program. The success of this program and the personal characteristics of the students interviewed provided valuable insight into avenues for educational and career interventions.

Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior

8.6% suicidal ideation (SI) was found among 349 urban 6-9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70-0.97) and 3.5-5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8-9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6-7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.

White University Students' Responses to Societal Racism

The purpose of this investigation was to extend earlier conceptual and empirical literature on the ways in which White individuals respond to societal racism. To this end, the authors conducted in-depth interviews to examine 11 midwestern, non-Hispanic, White university students' reactions and experiences related to individual and institutional forms of racism perpetrated against people of color. We used the consensual qualitative research method to analyze these data. Results suggested that White students varied in their understanding of and responses to racism. Three topic domains, each consisting of a number of subcategories, reflected participants' varied responses to racism: (a) affective, (b) social, and (c) cognitive. Findings add to the existing literature by identifying in greater depth the multiple ways in which dominant group members respond to societal racism. Limitations and future research directions are discussed.