In trauma theory, research, and practice, post traumatic stress disorder (PTSD), a syndrome of psychobiological reactions to events perceived as cataclysmic or life threatening, often has been the focus of mental health interventions and research. Yet virtually missing from contemporary trauma literature is consideration of racism and ethnoviolence as catalysts for PTSD and related symptoms. The stress inducing effects of obviously life threatening racist or ethnoviolent events may be readily apparent to service providers and researchers although they have not been treated or investigated. However, observers seem not to view other types of racism and ethnoviolence as life-threatening (e.g., vicarious experiences, exposure to microaggressions) because the historical roots of the trauma are invisible. Such events may arouse immediate or delayed PTSD and related symptoms in the experiencing person if the event(s) serves as a catalyst for recalling previous personal memories or identity-group histories of threats to life or psychological integrity. Current PTSD assessment schedules are critiqued for their inappropriateness for assessing stress reactions to racism and ethnoviolence specifically; quantitative scales are criticized because of developers' thoughtless application of traditional psychometric principles of scale development, such as maximizing the magnitude of internal consistency reliability coefficients. We recommend that researchers and practitioners conduct culturally responsive and racially informed assessment and interventions with African Americans, Latina/Latino Americans, Asian/Pacific Islander Americans, Native Americans, and related immigrant groups when they present with symptoms of trauma, particularly when their trauma responses are atypical or the precipitating stressor is ambiguous.
In trauma theory, research, and practice, post traumatic stress disorder (PTSD), a syndrome of psychobiological reactions to events perceived as cataclysmic or life threatening, often has been the focus of mental health interventions and research. Yet virtually missing from contemporary trauma literature is consideration of racism and ethnoviolence as catalysts for PTSD and related symptoms. The stress inducing effects of obviously life threatening racist or ethnoviolent events may be readily apparent to service providers and researchers although they have not been treated or investigated. However, observers seem not to view other types of racism and ethnoviolence as life-threatening (e.g., vicarious experiences, exposure to microaggressions) because the historical roots of the trauma are invisible. Such events may arouse immediate or delayed PTSD and related symptoms in the experiencing person if the experienced event(s) serves as a catalyst for recalling previous personal memories or identity-group histories of extreme threat. Current PTSD assessment schedules are critiqued for their inappropriateness for assessing stress reactions to racism and ethnoviolence specifically; quantitative scales are criticized because of developers' thoughtless application of traditional psychometric principles of scale development, such as maximizing the magnitude of internal consistency reliability coefficients. We recommend that researchers and practitioners conduct culturally responsive and racially informed assessment and interventions with African Americans, Latina/Latino Americans, Asian/Pacific Islander Americans, Native Americans, and related immigrant groups when they present with symptoms of trauma, particularly when their trauma responses are atypical or the precipitating stressor is ambiguous.
Researchers have documented health disparities for African American and other youth of color in the area of mental health. In accordance with calls for the development of innovative methods for use in reducing these disparities, the purpose of this article is to describe the development of an evidence-based intervention targeting the use of psychiatric clinical care by African American families. The authors summarize current research in the areas of perceived and demonstrated bias in the provision of mental health services, the significance of the problem of low African American participation in psychiatric clinical research and care, and evidence-based approaches to conducting family-oriented research to address adolescent mental illness in this population. This discussion is followed by a description of the development of an intervention to improve familial treatment engagement and plans to test the intervention. The article is provided as a foundation for carefully defined plans to address the unmet mental health needs of depressed African American adolescents within a culturally relevant familial context. Recent research suggests that African American and other adolescents of color face grave disparities compared with their White counterparts in the burden experienced by mental illness and in the appropriateness of indicated behavioral and pharmacological treatments for psychiatric illnesses (Breland-Noble, 2004; U.S. Department of Health and Human Services, 2001). Specifically, recent research indicates that African American youth with mental health and behavioral problems in the foster care system, and therapeutic foster care specifically, have a greater likelihood of involvement with the juvenile justice sector and in-home counseling and crisis services. Further, recent research suggests that African American youth are Keywords
As the psychology field moves towards establishing more evidence-based treatment (EBT), the applicability of EBT for different racial and immigrant groups (i.e., African American, Asian Americans and Pacific Islander, and Native American/Native Alaskan) is paramount. The current paper highlights the process of culturally adapting an EBT group cognitive behavioral therapy (CBT) intervention for use with Haitian American adolescents diagnosed with depression. Overall the main objective of this project was to culturally adapt the Adolescent Coping with Depression Course (ACDC) to ensure that it includes cultural factors that are likely to engage and retain Haitian adolescents in mental health treatment. The paper summarizes the cultural training of the focus group leaders, the focus group sessions with a group of Haitian middle-school students, and the feedback received from the participants regarding the intervention.
The strengths of Black youths lie in their abilities to resist the barriers that they encounter in the various environments in which they exist. Yet the media and social science literature have defined the youths in terms of the pathology of their environments rather than focusing on the assets that Black youths use in such environments. Thus, terms such as inner city, urban, and at-risk are used as proxies for the youths' personality attributes and themes, such as violence, substance abuse, school underachievement, and family instability are used to define their life experiences. In doing so, the literature suggests that the negative behaviors that it ascribes to Black youths are normative in actuality. In this article, a new framework for understanding the assets of Black youths is provided. The framework highlights the role of racial socialization in the youths' development of strengths that allow them to cope effectively with barriers.
Boston College Currently, ethnic and racial minority individuals represent a large proportion of the U.S. population, and researchers expect that they will represent the majority of the population by 2050. This shift in U.S. demographics calls for a greater awareness and integration of cultural issues into the assessment and treatment of ethnically and linguistically diverse clients. This article examines the unique beliefs and manifestations of illnesses among Haitians in connection with the American Psychological Association's (APA, 2002) Multicultural Guidelines. The authors use a common culture-bound syndrome, Séizisman, to illustrate the cultural beliefs, assessment, and treatment of illnesses among Haitians. In so doing, they demonstrate how to incorporate the APA Multicultural Guidelines into treatment with clients of diverse cultural and racial backgrounds.
This study documents the vicarious psychological impact of the 2010 earthquake in Haiti on Haitians living in the United States. The role of coping resources-family, religious, and community support-was explored. The results highlight the importance of family and community as coping strategies to manage such trauma.Keywords: vicarious trauma, natural disaster, coping Este estudio documenta el impacto psicológico vicario que tuvo el terremoto de 2010 en Haití sobre los residentes haitianos que viven en Estados Unidos. Se explora el papel de los recursos de afrontamiento-apoyo familiar, religioso y comunitario. Lo resultados destacan la importancia de la familia y la comunidad como estrategias de afrontamiento para superar un trauma de esas características.Palabras Clave: trauma vicario, desastre natural, afrontamiento R esearch has shown that natural disasters have an impact on survivors (Benight et al., 1999) as well as those outside of the disaster zone (Shalev, Tuval-Mashiach, & Hadar, 2004). Although less is known regarding those who are not directly affected, the limited research indicates that individuals outside the disaster zone may experience trauma symptoms similar to those reported by individuals who experienced the traumatic event (Everly, Boyle, & Lating, 1999), which may be defined as vicarious trauma (VT). Our article highlights (a) the VT symptoms resulting from one such natural disaster, the 2010 earthquake in Haiti, and (b) the coping strategies used to manage such trauma by Haitians/Haitian Americans.
Existing research demonstrates that culture has a profound impact on the expression and manifestation of mental illness
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