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Evidence documents the importance of individual differences in masculinity ideology for men’s biological, social, and psychological wellbeing. Studies investigating the developmental antecedents of masculinity ideology and how it changes during specific developmental phases, however, are scarce. The present study examined the influence of childhood adversity and socioeconomic instability on Black men’s masculinity ideology during emerging adulthood. Specifically, we investigated changes in two types of masculinity ideology: (a) respect-based, which is associated with prosocial outcomes such as hard work, education, and fidelity, and (b) reputation-based, which is related to antisocial outcomes such as sexual prowess, toughness, and authority-defying behavior. Hypotheses were tested using structural equation modeling with three waves of data from 504 Black American men aged 19 to 22 at baseline living in resource-poor communities in the rural South. Results indicated that childhood adversity was associated with elevated socioeconomic instability during emerging adulthood. Childhood adversity and socioeconomic instability were associated with decreases in respect-based masculinity and increases in reputation-based masculinity. Indirect effects were detected whereby childhood adversity was associated with respect-based and reputation-based masculinity indirectly via socioeconomic instability. Taken together, these results suggest that childhood adversity and socioeconomic instability forecast changes in the types of masculinity ideology rural Black men endorse during the emerging adulthood transition.

Promotoras de salud (Spanish for female community health workers) are integral to efforts to enhance the health and well-being of Latinx individuals, families, and communities. The purpose of this study was to describe the challenges that promotoras face and the proposed solutions from the perspective of the promotoras themselves. Five promotoras who worked for a year as volunteers in a community-based participatory research study, Lazos Hispanos, participated in two group interviews. Eight challenges emerged—balancing their new work with their family commitments, handling their perceived imbalance of power with men, managing the emotional impact of hearing participants’ problems, facing and handling the barriers imposed by having limited English language skills, feeling discouraged by the perception of ethnocentric beliefs and discrimination from some providers, feeling disheartened by the cultural beliefs of some Latinx participants, handling the lack of transportation for themselves and for the participants, and managing the burden of data collection for the research aspect of the program. The explanation of these challenges and the practical solutions they proposed are embedded in their intersecting identities. The solutions are a valuable addition to the practice of health promotion and community-based participatory research, particularly within Latinx communities.

Therapy models developed for Western nations are being imported into Cambodia, yet there is limited research on the effectiveness or native experiences of these therapeutic practices. We present a ...

This study was conducted to determine the generalizability of the Mother–Adult Daughter Questionnaire (MAD) for first- and second-generation Afro-Caribbean women. The measure was created specifically to explore adult daughters’ reports of their relationship with their mothers in order to capture the values of connectedness, trust in hierarchy, and interdependence in the mother–daughter relationship. We test this cross-generational applicability to (1) determine the generalizability of the measure for first- and second-generation women and (2) assess whether the means of the subscales differ across first- and second-generation women. Confirmatory factor analysis (CFA) was used to test the factor structure of the MAD with this population. The sample ( N = 285) was comprised of reports from 129 adult daughters born in the United States and 156 born in the Caribbean. CFAs indicated that the scoring algorithm for the subscales fit these data well. Results indicated that the MAD subscales (Connectedness, Trust in Hierarchy, and Interdependence) were applicable and may operate similarly across first- and second-generation Afro-Caribbean women.

Despite increasingly nuanced conversations about women’s issues in family therapy, discussion about internalized oppression in women remains limited. Without addressing internalized sexism within o...

We explored identity formation among nine gay men who were born between 1946 and 1964. This group of nine was the largest homogeneous sub-group within a larger sample (N = 18). Although participants share similar demographic characteristics, their individual social, personal and narrative identities diverge to represent distinctive embodied selves. Guided by queer and feminist theories, the qualitative analysis identified dominant and counter-narratives that demonstrate the complexity of sexual identity as it evolves over time. All nine men recall being aware of their gay identity as children; however, like many socially constructed labels, their outward identity was more complex and difficult to understand. The findings demonstrate how participants negotiated their sexual identities through decades of social change. As illustrated within each subset of identity (i.e.social, personal and narrative), some participants found themselves breaking ground for a broader gay rights social movement, while others described their experience of being relegated to silence and invisibility for most of their lives. This research contributes to an ongoing discussion concerning the individuality found among lesbian, gay, bisexual and transgender (LGBT) individuals in later life. As the LGBT population becomes more visible, there will be a growing need to understand the individualism that exists within this coalition and affirm their diversifying sexual and gender identities.

Millions of mixed-status Latinx immigrant families in the United States are facing extreme stress and fear of family separation stemming from harsh immigration enforcement practices. In this paper,...

The multifaceted context of Aotearoa / New Zealand offers insight into the negotiation of cultural discourses in mental health. There, bicultural practice has emerged as a theoretically rights-based delivery of culturally responsive and aligned therapies. Bicultural practices invite clinicians into spaces between Indigenous and Westernized knowing to negotiate and innovate methods of healing. In this article, we present findings from a qualitative study based on one year of ethnographic fieldwork. Drawing on negotiated spaces theory and critical interactionism, we report results of a situational analysis of interviews conducted with 30 service providers working within the bicultural mental health system. Through iterative map-making, we chart the discursive positions taken in the negotiated spaces between Indigenous and Western lifeworlds. In total, we identified five major positions of negotiated practices within the institutionalized discourses that constitute bicultural mental health. Findings indicate that negotiations from Westernized systems of care have been, at best, superficial and that monoculturalism continues to dominate within the bicultural framework. Implications are made for genuine engagement in the negotiated spaces, so treatment has resonance for clients living in multi-cultural, yet Western-dominant societies.

U.S. Latinos face multiple inter-related barriers to access health and social services. Researchers and practitioners have called upon community-based participatory research (CBPR) to address such challenges and health disparities, with the community health worker—or promotoras—model evidencing positive outcomes. What is less clear, however, are the promising strategies to support the development of a multisystem, community-based promotoras program. In response, the current study applied a CBPR conceptual model as an organizing framework to develop a promotora program. Lazos Hispanos (Hispanic Links) was developed to enhance the health and well-being of Latinx residing in low-income communities in the Southeastern United States. This study highlights 16 lessons learned, anchored in the first two dimensions of the CBPR conceptual model: community context and partnership development. First, the community assessment and activities leading to Lazos Hispanos took nearly 2 years but were crucial to develop a strong basis for the program. Second, the development of a multicultural and interdisciplinary research team enriched every aspect of the program and enhanced culturally responsive community engagement. Selection, training, and ongoing support of the promotoras were fundamental to program success. Particularly important were the following: receiving mentorship from a successful promotora organization; delineating mutually agreed upon roles and responsibilities; following national training standards for community health workers; and, holding monthly meetings for training, support, and data collection. The engagement of community service providers as partners was facilitated by building upon existing community relationships, signing a memorandum of understanding that specified roles and responsibilities, conducting tours of provider facilities with the promotoras, and keeping providers abreast of the program via bi-annual community gatherings. The development process showed fidelity to the conceptual model. Lazos Hispanos has proven an asset to participants, the promotoras, and service providers as the program continues to develop a community-based, health supportive infrastructure.

OBJECTIVES: This study explores the relationships of individualistic (e.g., competition, material success) and collectivistic values (e.g., familism, respect) with risky and prosocial behavior among African-American and European-American youth. While previous work has focused upon immigrant adolescents, this study expands the research exploring cultural values to other racial-ethnic groups and to a younger developmental period. This study builds upon culture as individually experienced beliefs and practices, potentially espousing multiple cultural orientations and relationships to behavior. METHODS: Data from Cohort 3 of a study of 219 urban, suburban, and rural children included African-American (42%) and European-American(58%) children, 54% female, ranging from grades 1–5 (mean age = 9). Multigroup structural equation models were tested resulting in a measurement model that fit similarly across groups (RMSEA=.05, CFI =.94). RESULTS: African-American children reported higher levels of individualism, and African-American and European-American children reported espousing similar levels of collectivism. Children in higher grades were found to be more collectivistic and less individualistic. Individualistic values were related to children’s lower prosocial and higher rates of problem and delinquent behavior. Collectivistic cultural values were associated with reduced rates of problem behaviors, controlling for race-ethnicity, gender and grade. CONCLUSIONS: Results provide support for the assertion that youth espouse multiple cultural orientations and that collectivistic cultural values can serve as promotive factors for children of diverse backgrounds. Practice and policy should seek to understand the role of family, school, and community socialization of multiple cultural orientations and nuanced associations with risk and resilience.

The coming out process is complex and diverse. Some believe being out is optimal for health, while others suggest that disclosing one’s sexual orientation invites rejection, isolation, and many other dangers. Moreover, this process has been critiqued for being constructed through the experiences of white middle-class gay men. Given these critiques, clinicians must be wary of positioning coming out as a goal of therapy when working with queer adolescents, especially for adolescents of color. This article aims to offer family therapists trans-theoretically informed points of considerations when working with this population as well as to decolonize the coming out process.

Research related to the process of communication among couples is central to the work of couple and family therapists. This study examines the relationship between couple’s conflict resolution styles, weekly church attendance, and marital satisfaction. Specifically, we surveyed 191 Latino couples using Gottman’s typology of conflict resolution styles (e.g., validator, avoidant, and volatile) to identify which style predicted marital satisfaction for both partners. Using the actor–partner interdependence model, we find a multifaceted picture of how partner’s conflict resolution style influences theirs and their partner’s marital satisfaction.

Couple interactions have long been conceptualized in terms of pursue and withdraw. Emotionally focused therapy is an approach that is largely based on this conceptualization of couple interaction. ...

The aim of many adults in middle to old age is to be generative. Generativity is the concern older adults direct toward the wellbeing of future generations. Being generative results in positive well-being during later life and is especially important to lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults who have experienced lifelong discrimination. In this study, we identified stigmatizing social influences that both negatively and positively acted to inform understandings of generativity and the ability to leave a legacy for future generations. Using a narrative analysis methodology, we identified three overarching redemptive narratives from study participants: (1) experiences during the HIV/AIDS pandemic, (2) absence of positive role models, and (3) religious conviction. These life story narratives inform how generative contributions can contribute toward a legacy of resilience, despite social stigma and collective trauma.

The goal of Lazos Hispanos is to enhance the health and well-being of the Latinx community through promotoras, who connect community members with service providers for multiple health and social needs. A community-based participatory research conceptual model framed the multimethod evaluation of promotoras, service providers, and community participants at baseline and at the 1-year follow up. The promotoras increased their self-efficacy and knowledge, felt a strong sense of commitment to the community, viewed themselves as a bridge between participants and providers, and felt empowered by their new role. Service providers valued the promotoras as their ambassadors in the community and Lazos Hispanos as central to connecting service providers, promotoras, and community members; they noted that this collaboration increased their accountability with the Latinx community. This multistakeholder evaluation highlights the depth of positive changes achieved during the first year and the challenges of a community-embedded project and the benefits and possibilities of calling upon theoretically informed evaluation models.

Afro-Caribbean immigrants are a growing and marginalized population in the U.S. Although they have much in common with African Americans and Latino immigrants, they are a unique and diverse group that is often misunderstood and understudied. This exploratory study highlights the struggles of these mothers as they navigate contrasting parenting values and practices as transnational families. In-depth, semi-structured interviews were conducted, and a thematic analysis revealed four themes related to culture, discipline, education, and collectivism. Data were interpreted from a transnational feminist lens. Clinical implications are offered to strengthen cultural sensitivity and effectiveness with Afro-Caribbean immigrant mothers and their families.

This article highlights the ways in which cultural, relational, and therapeutic power can affect polyamorous relationships and the therapeutic process. In therapy, focusing on the power narratives that polyamorous partners might experience can aid in challenging mononormativity while creating space for a variety of relational orientations. Power processes are presented as occurring on three levels: social discourse (without), relational meaning-making (within), and therapeutic practice (in between). A case study is used to evaluate these processes and implications are provided for clinicians working with polyamorous families.

The original version of this article unfortunately contained an error in the co-author name. The author name should be Jeffrey B. Jackson instead it was published incorrectly as Jeffrey Jackson.

We contend that the field of family therapy is undergoing a notable shift from second- to third-order thinking. We offer theoretical support and examples to demonstrate how third-order thinking provides a framework for integrating heightened sociocultural attunement into family therapy practice. We discuss the importance of third-order thinking relative to being prepared to invite families into third-order change. Finally, we offer a case example to show specific guidelines for third-order practice.Afirmamos que el ámbito de la terapia familiar está sufriendo un cambio notable porque está pasando del pensamiento de segundo orden al pensamiento de tercer orden. Ofrecemos respaldo teórico y ejemplos para demostrar cómo el pensamiento de tercer oden ofrece un marco para integrar una mayor sensibilización sociocultural en la práctica de la terapia familiar. Debatimos la importancia del pensamiento de tercer orden relativa a estar preparados para invitar a las familias al cambio hacia el tercer orden. Finalmente, ofrecemos el ejemplo de un caso para mostrar pautas específicas sobre la práctica del tercer orden.我们认为家庭心理治疗这一领域正在经历一个从第二种到第三种思考的显著转折。我们提出理论支持和例子来证明第三种思考如何为将进一步社会文化调适整合入家庭心理治疗提供框架。我们还讨论了第三种思考相对于将家庭引入引入第三种改变的重要性。最后,我们提供了一个案例来表明第三种实践的特定指南.

When working with clients in another language, having culturally relevant and properly translated clinic materials is vital to effective clinical practice. Not having them presents a barrier for bilingual therapists and their clients. This paper reviews common translation methods and introduces a multi-level, community-based approach for translating clinic materials for non-English speaking clients. Informed by decolonizing practices, this five-tier method includes members from the target community as cultural brokers to verify the accuracy and nuances of language for their cultural group, as well as a constant comparative method to ensure methodological rigor in the process of inclusion. We present community member's feedback and recommendations, as well as discuss advantages and challenges of using this collaborative culturally responsive translation method.

Family therapists know that clinical concerns are not separate from larger sociopolitical contexts. Attunement to clients' sociocultural experience is foundational to good practice, yet few guidelines integrate attention to the larger societal processes or address social equity. The purpose of this article is to help therapists move from knowing about sociocontextual issues to doing socioculturally attuned practice. We offer an overarching framework that returns to Bateson and the roots of family therapy through a call for third order transformation. The approach is responsive to societal context and an analysis of power while working through enduring concepts of major family therapy models. Transtheoretical guidelines that can be integrated across practice models to promote third order change are illustrated with case examples.

Therapist self-disclosure (TSD) is a skill with numerous potential benefits and risks for the therapeutic alliance. While its effects have been established, little empirical research has examined the impact of TSD in cross-cultural treatment settings with court-mandated clients, a context with unique considerations. In an effort to help fill this gap, results of a phenomenological study examining the effects of TSD on Mexican–American men working with Anglo American therapists in a mandated treatment setting are presented. The results of this study indicate that TSD is a culturally competent intervention with several benefits for mandated clients, including strengthening the therapeutic alliance, normalizing client problems, lessening the therapist-client hierarchy, and modeling the acceptability of self-disclosure. Clinical and marriage and family therapy educational implications are also discussed.