African American women find themselves at a high risk of experiencing feelings of powerlessness associated with socioeconomic disparities rooted in a history of racism and sexism. The authors present a conceptual model that discusses powerlessness as a significant variable that contributes to the experience of anger and stress in African American women, and consequently to the adverse health consequences of such anger and stress. The authors review the current literature as well as census and health statistics to discern critical historical, social, and cognitive aspects of powerlessness and anger in African American women. Implications for practitioners are addressed.
This case study describes the integration of cultural values into the cognitive-behavioral therapy (CBT) of a Latino with depression to illustrate culture-based modifications in the use of CBT treatment with this client. Cultural values of familismo, personalismo, respeto, and machismo are defined and weaved into the case conceptualization and treatment process, to build a culturally competent treatment approach. The article describes challenges in the treatment of the individual and provides culture-specific strategies to modify the traditional CBT approach and increase the prospects of successful treatment outcomes. It acknowledges the heterogeneity of the Latino population and cautions against broad generalizations. Treatment implications; limitations relative to gender, education, and socioeconomic status; and recommendations for practice and research are also included. The article further provides a discussion on the status of intervention research with racial and ethnic minority groups and Latinos in particular.
Guided by the social-ecological perspective, we examined familial, peer, and school-related predictors of bullying victimization among a large sample of U.S. White, Black, and biracial adolescents. Data were drawn from the Health Behavior in School-aged Children study, drawn from adolescents who self-identified as White, Black, or biracial. Of the total sample, 3211 were White, 1188 were Black, and 175 were biracial. Adolescents completed measures of bullying victimization, perceptions of family relations, peer relationships, and school connectedness. Biracial students reported more bullying victimization than White and Black students. For biracial adolescents, family affluence off, and negative perceptions of other students were both found to be positively associated with victimization. For Whites, age, difficulty in talking with parents, parents sometimes like me to make my own decision, parents almost never like me to make my own decisions were negatively associated with victimization. On the other hand, talking with friends and negative perceptions of other students were positively associated with victimization. Among Blacks, age, and parents who almost never like me to make my own decisions were negatively associated with victimization.
Objectives: This pilot study evaluated the effectiveness of one-session, exposure-based therapy, to treat social anxiety disorder (SAD) with specific fear of public speaking. Methods: A quasi-experimental pre-posttest design with repeated measures-within-subject Analysis of Variance and paired sample t-tests was used to compare pretest, posttest and one month follow-up scores. Individuals (n = 32), from 18 to 51 years old, 75% women, participated in three hours of graduated exposure to group public speaking exercises followed by homework between post and follow-up. Results: Significant changes were found from pre- to posttest and pretest to follow-up for all measures. No differences were found from posttest to follow-up. Conclusions: Advantages of brief treatment for SAD, limitations of the study, and implications for practice and future research are discussed.
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