Transgender people are at high risk for suicide ideation, attempts, and deaths compared to the general population. Several correlates of suicide ideation and attempts have been identified empirically to understand this increased risk. However, few attempts have been made to systematically review this literature. Further, a theory to understand and identify targetable factors for intervention has rarely been applied to this population. In the first systematic review guided by ideation-to-action frameworks of suicide, we systematically reviewed the literature from January 1991 to July 2017 regarding correlates of suicide ideation, attempts, and deaths among transgender people. To be included in the review, articles must have been reported in English, reported on empirical data, included a sample or subsample of transgender people, and reported separately on correlates of suicide ideation, attempts, or deaths. Two independent reviewers searched three major databases, references of included articles, and unpublished literature, which produced 45 articles for review. The review suggested that ideation-to-action frameworks would be worth investigating within this population, with attention to sources of psychological pain, social connectedness, and capacity/capability for suicide unique to this population. Additionally, other aspects of cultural identity were often studied (e.g., race, religion), suggesting the need to understand intersectionality of identities among transgender people and their effects on suicide risk. Finally, the review highlighted important limitations of the literature, namely measurement of suicide ideation and attempts and sampling method, which future work should seek to improve.
Intergroup dialogue (IGD) is a small group intervention that allows for sustained communication between people across social identity groups. It aims to foster intergroup relationships, develop critical consciousness, and increase capacities for promoting social justice. A decade after Dessel and Rogge published their review of the empirical research on IGD from 1997 to 2006, we reviewed the empirical IGD research from 2006 to 2017. We explore research that has examined IGD outcomes, processes, and facilitation, seeking to understand the current state of the research and practice of IGD. We discuss advances and new approaches to IGD, assess growth since Dessel and Rogge’s review, and discuss future directions. We provide five key recommendations for future research on IGD, and five key recommendations for future practice of IGD.
Although it remains an underresearched topic in the field, counseling psychology can and should play an important role in enhancing individuals' sexual and reproductive health (SRH), as well as promoting reproductive rights at the systemic level. SRH issues affect virtually all people, especially those whose sexual and reproductive behaviors and identities are stigmatized. In this article, we make the case for the importance of SRH and rights in counseling psychology, and introduce the reproductive justice framework as a means to incorporate these issues into research, training, practice, and advocacy for social justice. We introduce four case studies with a focus on the ways in which restrictions on SRH differentially affect individuals across dimensions of social inequality including race, class, and sexual orientation. Next, we assess the state of scholarship on SRH in counseling psychology. Finally, we offer an action plan for incorporating reproductive justice principles into counseling psychology.
The construct White guilt is typically motivated by the recognition of unearned and unfair racial privileges, the acknowledgement of personal racist attitudes or behavior, and/or the sense of responsibility for others’ racist attitudes or behavior. Empirical and conceptual work suggests mixed consequences of White guilt: it may correspond with antiracist attitudes and behavior, but it may also motivate defensiveness and disengagement. We addressed weaknesses in existing psychometric tools used to measure White guilt by synthesizing approaches from the literature on White racial emotions and self-conscious affect, and by attempting to distinguish between White guilt and shame. The results of Study 1 yielded a three-factor structure of White Guilt, Negation, and White Shame, and provided initial support for construct validity. In Study 2, a confirmatory factor analysis provided mixed support for a three-factor structure. In Study 3, our results suggest test-retest reliability over two weeks.
In 2016, Tennessee became the first state to allow counselors and therapists in private practice to deny services to any client based on the therapist’s sincerely held principles. The law’s proponents framed mental health care ethics as infringing on counselors’ religious liberties; its critics denounced the bill because it apparently targeted LGBT+ individuals. This exploratory study is the first statewide assessment of LGBT+ Tennesseans’ ( N = 346) perceptions of the law and how it may affect their help-seeking attitudes and behaviors. Evidence suggests widespread awareness of the law among our respondents and deep skepticism toward mental health care. Further, most respondents view the law as cover for discrimination. We stress the need for broader research on conscience clauses and call for advocacy against these laws, which have the potential to engender widespread harm to multiple minority groups.
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