Body awareness and reactivity dysfunction are characteristic of a range of psychiatric disorders. Although the neural pathways communicating between the body and brain that contribute to these experiences involve the autonomic nervous system, few research tools for studying subjective bodily experiences have been informed by these neural circuits. This paper describes the factor structure, reliability, and convergent validity of the Body Awareness and Autonomic Reactivity subscales of the Body Perception Questionnaire-Short Form (BPQ-SF). Exploratory and confirmatory factor analyses were applied to data from three samples collected via the internet in Spain and the US and a college population in the US (combined n = 1320). Body awareness was described by a single factor. Autonomic reactivity reflected unique factors for organs above and below the diaphragm. Subscales showed strong reliability; converged with validation measures; and differed by age, sex, medication use, and self-reported psychiatric disorder. Post hoc analyses were used to create the 12-item Body Awareness Very Short Form. Results are discussed in relation to the distinct functions of supra- and sub-diaphragmatic autonomic pathways as proposed by the Polyvagal Theory and their potential dysfunction in psychiatric disorders.
This article describes how the perceived increase in Latino/a immigration, the present economic conditions, and the tendency to ascribe negative attributes and behaviors to the immigrant are resulting in anti-immigration actions and laws. It directs attention to the detrimental effects that such perceptions, actions, and laws are having on the psychological and social well-being of Latino/a immigrant families and children. Efforts are taken throughout the article to differentiate perceptions from reality and facts from fiction. The article concludes with selective professional, institutional, and legislative policy recommendations that advocate for a more humane treatment of Latino/a immigrant children and families.
This paper describes Mexican American family members' descriptions of perceived discrimination by pediatric health care providers (HCPs) and the families' reactions to the HCPs' discriminatory conduct. A retrospective, grounded theory design guided the overall study. Content analysis of interviews with 13 participants from 11 families who were recruited from two children's hospitals in Northern California resulted in numerous codes and revealed that participants perceived discrimination when they were treated differently from other, usually white, families. They believed they were treated differently because they were Mexican, because they were poor, because of language barriers, or because of their physical appearance. Participants reported feeling hurt, saddened, and confused regarding the differential treatment they received from HCPs who parents perceived "should care equally for all people." They struggled to understand and searched for explanations. Few spoke up about unfair treatment or complained about poor quality of care. Most assumed a quiet, passive position, according to their cultural norms of respecting authority figures by being submissive and not questioning them. Participants did not perceive all HCPs as discriminatory; their stories of discrimination derived from encounters with individual nurses or physicians. However, participants were greatly affected by the encounters, which continue to be painful memories. Despite increasing efforts to provide culturally competent palliative care, there is still need for improvement. Providing opportunities for changing HCPs' beliefs and behaviors is essential to developing cultural competence.
This article discusses the creation, implementation and maintenance of the Santa Barbara Wellness Project. This initiative was developed in response to an increase in Latino teen suicides in Santa Barbara County in recent years. Community members including mental health professionals, university faculty and students, concerned citizens, youth and parents came together to help form a prevention program in the wake of this adversity. A basic program including components of relaxation, stress management, problem-solving, and decision-making was developed through consultation among these groups and modifications continue as needed. The program is rooted in the empowerment philosophy of Freire (1973, 2004). Thus far, over 500 individuals have been trained and we are in the process of conducting program evaluation. Challenges, “lessons learned,” and successes are discussed.
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