Objective: Simpatía, a term that captures the tendency to prefer and create social interactions characterized by warmth and emotional positivity while also avoiding conflict and/or overt negativity, is a cultural factor relevant to Latinos. The goal of this article was to develop a scale that measures this cultural value. Method: A self-report scale measure of simpatía was developed and administered to a combined sample of Latinos (N ϭ 296) drawn from 3 larger studies. The scale's factor structure was explored, and its internal consistency and validity were tested. Results: Exploratory factor analysis supported an 18-item scale and indicated 2 factors: simpatía-related positivity/warmth and simpatíarelated negativity/conflict avoidance. Cronbach's alphas for the overall scale and subscales showed internal consistency. Validity analyses revealed that across subscales, simpatía was positively associated with positive emotion expressivity and dispositional positive emotion. The simpatía-related positivity/ warmth subscale was also positively associated with an orientation toward Latino culture. Conclusions: The Simpatía Scale, which captures dual aspects of simpatía that emphasize the positive and avoid the negative, provides a new tool for advancing the study of Latino culture. Public Significance StatementEthnicity is still too often used as a proxy for culture and, as such, measures are needed to help researchers avoid this limitation. To address this need, we developed and validated the "Simpatía Scale" to measure simpatía, a Latino cultural value that emphasizes warmth/positive emotion expression and avoiding conflict and negativity.

This qualitative study used a focus group methodology to examine how mothers with ED perceive the impact their eating disorder has on their children and their relationships with them, as well as how their illness is impacted by motherhood. Through 10 session group meetings with 13 mothers, several themes emerged: (a) concerns about not being a "good enough" mother; (b) the child's involvement in his/her mother's eating disorder; and (c) strategies mothers employed to manage these challenges. Participants' discussions illustrated how motherhood could positively affect one's illness by acting as a normalizing experience and inspiring motivation to recover. Being aware of the distinct challenges and possible benefits of ED motherhood can help guide treatment plans that consider one's illness and parenting role.

Shortly afterward, an expanding 18 × 15-cm erythematous rash appeared below his left shoulder. The rash resolved but malaise and fatigue recurred. Two additional doxycycline courses provided only transient improvement. Five months after his initial diagnosis, the patient was referred to an infectious disease specialist for presumed chronic Lyme disease. The results of the physical examination and laboratory evaluation were normal except for a slightly elevated white blood cell count. Results of serologic testing for Lyme disease were consistent with previous infection (Table). The patient had a remote 18 pack-year history of smoking. The chest radiograph revealed a 1.1-cm nodular mass in the right upper lobe confirmed by computed tomographic scan (Figure). Further evaluation demonstrated stage I non-small cell adenocarcinoma, which was successfully resected. Discussion | Patients 1 and 2 had no evidence of ever having Lyme disease. Patient 3 likely had true Borrelia burgdorferi infection for which antibiotic therapy was appropriate; however, subsequent symptoms were incorrectly attributed to persistent infection. Chronic Lyme disease is a misleading term that should be avoided. 2 Posttreatment Lyme disease syndrome is the proper term for patients with a verified previous B burgdorferi infection who experience fatigue, arthralgias, or other symptoms 6 months or more after antibiotic treatment when all other conditions have been ruled out. 1,2,5 We are not suggesting that every patient with nonspecific symptoms, such as fatigue, joint pain, or abdominal pain, should be aggressively evaluated for cancer. Rather, we present these cases to demonstrate delays in diagnosis that come from assuming that patients have chronic Lyme disease.

Romantic relationships are situated within broader cultural and family contexts, and this may be particularly salient to those in intergroup relationships. This study examined variations in young adults' experiences with intercultural romantic relationships by ethnicity and immigrant generation. A sample of ethnically diverse young adults (N ¼ 628; Asian, Latino, and European background) reported on self and parent attitudes toward dating outside of one's own culture, own current dating status, and disapproval and conflict with parents over current and past dating status. Analyses revealed three key findings. First, intercultural relationships were evenly distributed across ethnic and immigrant generation groups. Second, participants of Asian background perceived greater attitudinal discrepancies with their parents toward intercultural dating than did participants of Latino and European background and were more likely to report intercultural dating conflict with their parents than Latino participants. Third, first-generation and secondgeneration participants were more likely to report intercultural dating conflict with parents than third-generation participants. Altogether, the findings show the importance of (a) incorporating culture into the conceptualization of intergroup relationships, particularly for ethnic minority and recent immigrant groups, and (b) considering the family context of