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OBJECTIVE Trauma narration is important to PTSD recovery and is widely used in clinical interventions. First responders experience high rates of exposure to trauma yet there are no studies with a primarily first responder population despite that trauma exposure is a chronic and unavoidable aspect of their occupation. The aim of the current study was to qualitatively examine trauma narratives posted online through a supportive website dedicated for first responders. METHOD 30 trauma narratives of police officers, firefighters, and emergency medical personnel were randomly chosen for inclusion in the study. While some narrative posters remained somewhat anonymous, overall, there was moderate diversity in terms of age, sex, job field, number of years on the job, and the locations of the employer. RESULTS Online narration offered a less formalized opportunity for self-disclosure that allowed for authenticity, honesty, and vulnerability. Thematic analyses revealed 5 themes: idealization with the job, disillusionment with the job, on the job trauma, trauma sequalae, and coping with trauma. CONCLUSION Findings suggest that first responders are exposed to trauma on the job that significantly alters their work and home lives. Although they experience psychopathology, and could benefit from formal treatment, their decision to seek treatment is impacted by stigma in the culture. Implications and future directions are discussed regarding the need to improve perceived connectedness and support and reduce stigma in online platforms and within the subculture to encourage healing. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The Deferred Action for Childhood Arrival (DACA) policy has given unauthorized immigrants access to many opportunities, specifically education. While DACA has improved the lives of many undocumente...

Objective The current qualitative study assessed the immigration experiences of eight Latinos who immigrated to the United States when they were children and who spent their childhood undocumented. While researchers have highlighted the challenges undocumented youth face in healthcare, mental health, and educational contexts, this study addresses the need for additional research on the immigration process and adaptation experiences of undocumented child immigrants. Methods Participants were interviewed using a semi-structured interview protocol and the interviews were transcribed and analyzed for themes using two coding cycles. Results The following themes arose and are discussed in detail: the immigration process, recollections of the process, experiences in the U.S., liminality, and resiliency. Conclusion The findings describe that undocumented youth experience many hardships such as psychological distress, concerns with educational success, and cultural vacillation, however, they continue to persevere in the United States.

Per the most recent census, non-Latinx White individuals comprise the majority of the U.S. population (76.6%); Latinx individuals make up 18.3% of the total U.S. population, followed by African Americans (13.4%) and Asians (5.9%). Given the high prevalence rates of posttraumatic stress disorder (PTSD) observed across many ethnoracial minority groups in the United States, the fact that PTSD presentation may vary across culture, and the National Institute of Health's mandates for the inclusion of women and minorities in clinical outcome research, the aim of the present systematic review was to examine minority inclusion in clinical outcome research for PTSD. Our review focused exclusively on one empirically supported treatment: prolonged exposure therapy (PE); we identified 38 studies that met the inclusion criteria. Apart from African Americans, who were overrepresented in 21 studies (inclusion rate range: 13.5%-73.9%), ethnoracial minority inclusion in RCTs examining PE was low. More specifically, across included studies that reported ethnoracial minority data, 58.9% of participants were White, 31.1% were African American, 4.9% were Latinx, 0.6% were Asian American or Pacific Islander, and 4.7% reported race as "other." Inclusion rates for ethnoracial minorities appeared to increase across time, and recruitment strategies did not appear to be associated with increased ethnoracial minority participation in RCTs for PE.