{"title":"The social lives of adults living alone during a public health emergency: Implications for future infectious disease outbreaks.","authors":"Alita Shettigar, Erika Felix, Lindita Djokovic, Miya Barnett","doi":"10.1037/ort0000936","DOIUrl":"10.1037/ort0000936","url":null,"abstract":"<p><p>Public health restrictions during infectious disease outbreaks can have a significant impact on the social lives of all individuals given public health guidance related to quarantining, shelter-in-place, and social distancing. These impacts may be felt differently or more profoundly by people who live alone. However, minimal research or public health guidance focused on the needs of individuals living alone. In this qualitative study, eight focus groups were completed with 37 participants that had experience living alone during some point in the first 2 years of the COVID-19 pandemic. Participants lived in different regions of the United States and were predominantly female and White. Thematic analysis was conducted to identify codes related to how social lives were impacted and how the individuals adapted at different phases of the pandemic. Participants reported their adaptation changed depending on the phase of the pandemic, and some reported needing to socialize despite the risk. Some individuals were able to gain social connection through technology or finding support within their community, whereas others experienced heightened levels of loneliness and negative coping. Implications for providing guidance that addresses the large population of adults that live alone are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How do Asian Americans interpret and respond to \"everyday\" interpersonal racism?","authors":"Danielle Godon-Decoteau","doi":"10.1037/ort0000946","DOIUrl":"10.1037/ort0000946","url":null,"abstract":"<p><p>Asian Americans are a diverse group that share the experience of racialization in the United States as both model minorities and perpetual foreigners. However, anti-Asian racism can be ambiguous and difficult to recognize, as it takes both subtle and overtly negative forms. In this qualitative study, I explored how Asian Americans interpret and react to so-called \"everyday\" racism in interpersonal scenarios. A sample of East Asian American adults (<i>n</i> = 239) responded to open-ended questions about two vignettes that depicted subtle and blatant racism. The research team used Consensual Qualitative Research-Modified (Spangler et al., 2012) to understand how the racism was interpreted and would be addressed. Racism was frequently acknowledged across scenarios. However, a notable number of participants were unsure if racism was present, while some recognized and then denied it, and others did not acknowledge it at all. Whereas challenging racism was frequent in blatant situations, accommodating the perpetrators by minimizing the impact of racism was more common in subtle racism scenarios. Participants reported a multitude of internal reactions: positive, negative, neutral, and uncertain. Given the importance of rejecting racial oppression for psychological health, this study highlights a need for clinicians and educators to work with Asian Americans to deconstruct Asian American stereotypes and critically examine interpersonal racial interactions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shani Pitcho, Lotem Cohen, Shani Nissim, Maya Adler, Neveen Abu Rashed, Ilana Dahan, Dor Oren Tourgeman, Lee Shalom Telem, Roy Pergal
{"title":"Governmental betrayal trauma: When failures of state protection undermine public trust and mental health.","authors":"Shani Pitcho, Lotem Cohen, Shani Nissim, Maya Adler, Neveen Abu Rashed, Ilana Dahan, Dor Oren Tourgeman, Lee Shalom Telem, Roy Pergal","doi":"10.1037/ort0000945","DOIUrl":"10.1037/ort0000945","url":null,"abstract":"<p><p>This study examined governmental betrayal trauma, defined as the experience of being harmed or insufficiently protected by the state, among Israeli civilians during the Israel-Hamas war. Drawing on institutional betrayal theory, we investigated how trust in government, including competence, benevolence, and integrity, and system justification relate to governmental betrayal trauma and whether system justification mediates the association between trust in government and governmental betrayal trauma. A convenience sample of 832 Israeli adults completed self-report measures, adapted to the wartime context. Structural equation modeling revealed that higher trust in governmental competence and benevolence, but not integrity, was associated with lower governmental betrayal trauma. System justification was positively related to governmental benevolence and integrity, but not competence, and in turn was negatively associated with governmental betrayal trauma. The association between integrity and governmental betrayal trauma was fully mediated by system justification, whereas benevolence showed a partly mediated effect. These findings identify governmental betrayal trauma as a distinct source of harm and extend betrayal trauma theory from interpersonal and organizational settings to the state level. During crises, state protection failures may be felt as betrayal, akin to a caregiver who fails to safeguard a child or, worse, inflicts harm directly upon civilians. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hani Nouman, Noam Tarshish, Gil Luria, Sara Rosenblum, Noa Gluskinos
{"title":"Mental health in asylum-seeking parents: Dynamics of fragmentation, resilience, and empowerment.","authors":"Hani Nouman, Noam Tarshish, Gil Luria, Sara Rosenblum, Noa Gluskinos","doi":"10.1037/ort0000944","DOIUrl":"https://doi.org/10.1037/ort0000944","url":null,"abstract":"<p><p>Asylum-seeking populations face a disproportionate burden of adverse mental health outcomes, yet empirical evidence on the factors that promote resilience and empowerment within these communities remain limited. This exploratory qualitative study examined the lived experiences of asylum-seeking parents through the lens of the family resilience model. Semistructured, in-depth interviews were conducted with 13 low-income Eritrean asylum-seeking parents in Israel, aged 25-40, most of whom resided in two-parent households. Data were analyzed, and themes were derived inductively using constructivist grounded theory principles, with the family resilience model serving as an orienting framework rather than a deductive coding scheme. Findings indicate that disruptions in the normal life continuum across three domains-legal rights, identity perception, and the intergenerational family continuum-generate a cumulative cycle of risk and vulnerability that challenges mental health and overall family functioning. Concurrently, protective and adaptive processes operating within the nuclear family, as well as the personal and community levels, form a multilayered support system that fosters resilience and empowerment. This study contributes to existing literature on strength-based approaches and offers policy and practice recommendations aimed at supporting asylum-seeking families. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruth Berkowitz, Netta Achdut, Rami Benbenishty, Ron Avi Astor
{"title":"Exploring the role of schools during prolonged crisis: Lessons learned from an armed conflict in Israel.","authors":"Ruth Berkowitz, Netta Achdut, Rami Benbenishty, Ron Avi Astor","doi":"10.1037/ort0000943","DOIUrl":"10.1037/ort0000943","url":null,"abstract":"<p><p>Recurrent crises like natural disasters, pandemics, and armed conflicts constitute a persistent traumatic reality for communities worldwide, significantly affecting students, teachers, and parents. While the importance of education in emergencies is well recognized, the research in western contexts has largely focused on acute collective traumas, with less attention to schools facing ongoing war and political conflict traumas. To address this gap, the study explored Israeli teachers' (<i>N</i> = 1,100) and parents' (<i>N</i> = 710) expectations of school psychosocial and material support for students, staff members, and parents; their evaluations of the actual support provided; and discrepancies between the two during the October 7 Israel-Hamas war. <i>t</i> tests were used to compare the school's expected role versus evaluations of provided support regarding students, teachers, and parents and to compare teachers' and parents' perceptions of roles and support provided. Analysis of variance, <i>t</i> tests, and correlations were used to explore associations between participants' background characteristics and their expectations of schools. Both groups emphasized schools' crucial role in providing emotional support and guidance, but notable gaps existed between expectations and actual support, especially regarding counseling (teachers: <i>t</i><sup>a</sup> = 28.44, <i>d</i> = 1.07; parents: <i>t</i><sup>a</sup> = 33.03, <i>d</i> = 1.08). Parents and teachers also differed in their expectations and perceptions, highlighting the need to include all stakeholder perspectives. The findings indicate the need for increased resources for emotional support, structured guidance, and systemic backing. Enhancing school-family communication and aligning expectations are also vital during crises. The authors stress the importance of preparing for future recurrent emergencies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rose E Miola, Hollee A McGinnis, Adam Y Kim, Sunghwan Cho, Seon Kim, Amanda L Baden, JaeRan Kim
{"title":"Exploring the role of critical consciousness on complex trauma for adopted adults.","authors":"Rose E Miola, Hollee A McGinnis, Adam Y Kim, Sunghwan Cho, Seon Kim, Amanda L Baden, JaeRan Kim","doi":"10.1037/ort0000939","DOIUrl":"10.1037/ort0000939","url":null,"abstract":"<p><p>Adopted adults may be at a higher risk of developing complex trauma symptoms due to early attachment ruptures caused by separating from caregivers and other potential early adverse childhood experiences. Critical consciousness, or interrogating systems of oppression, may mitigate trauma symptoms of powerlessness for marginalized groups by inspiring purposeful collective action. This study explored the association between critical consciousness (critical reflection, motivation, and action) and complex trauma symptoms from a national cross-sectional online survey of a racially diverse sample (<i>N</i> = 464) of adopted adults in the United States. The final regression model, which included demographic variables, adoption characteristics, traumatic experiences, and critical consciousness, explained 34.9% of complex trauma symptoms among adult adoptees in the sample, <i>R</i>² = .349, <i>F</i>(3, 355) = 5.630, <i>p</i> < .001, and critical consciousness accounted for 3.1% of the unique variance. Critical motivation, or a belief in one's ability to contribute to social change, was the only variable associated with lower complex trauma symptoms (β = -0.15, <i>p</i> = .019). Critical reflection, or a realization of societal inequality (β = .13, <i>p</i> = .037) and critical action, or political activism (β = .14, <i>p</i> = .004), were associated with higher trauma symptoms. Exploratory findings suggest critical consciousness of systemic oppression may be an important and complex factor to consider when addressing complex trauma symptoms among racially diverse clients who grew up outside of the \"traditional\" standard North American family (i.e., heterosexual, legally married couple with biological children). Findings suggest that aspects of critical consciousness may cause distress, but other aspects, such as critical motivation, may address feelings of powerlessness and be associated with lower complex trauma symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"When I saw his face, I recognized him\": Visibility, complexity, and therapeutic negotiation of LGBTQ+ identity disclosure in social work practice.","authors":"Nati Biton, Nofar Mazursky","doi":"10.1037/ort0000942","DOIUrl":"10.1037/ort0000942","url":null,"abstract":"<p><p>This study examines the experiences of lesbian, gay, bisexual, transgender, and queer/questioning, and related (LGBTQ+) individuals with psychiatric diagnoses regarding self-disclosure by LGBTQ+ social workers in mental health services. Understanding their perspectives and reflections contributes to deeper insight into the recovery process and the specific needs of LGBTQ+ clients. Twenty-nine LGBTQ+ individuals with psychiatric diagnoses receiving psychiatric rehabilitation services in Israel participated in semistructured in-depth interviews. Guided by intersectionality theory, this phenomenological study explores how shared identity shapes therapeutic relationships in mental health care. Findings revealed that therapist self-disclosure functions as a complex relational process. Visibility was experienced as a therapeutic resource that fostered trust, safety, and belonging and accelerated the development of the therapeutic alliance. At the same time, shared identity introduced ethical and relational complexities, including blurred boundaries, confidentiality concerns, and the risk of reducing clients' experiences to a single identity axis. Participants further described how professional stance and boundary negotiation enabled processes of rupture and repair, allowing challenges to be transformed into opportunities for deeper therapeutic engagement. The findings suggest that LGBTQ+ identity disclosure is neither inherently beneficial nor harmful, but depends on context, timing, implementation, and client interpretation. When enacted reflexively and supported by supervision, self-disclosure can enhance therapeutic care, reduce stigma, and promote equity in mental health services. These results underscore the need for structured training and institutional support to guide ethical and affirmative disclosure practices in clinical social work. Supporting LGBTQ+ visibility promotes social justice and inclusivity at the policy level. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ané María Maríñez-Lora, Jacqueline O Moses, Elisa S Shernoff, Stacy L Frazier, Marc S Atkins
{"title":"Parenting and social support: Caregiver strain in social context for low-income Black mothers.","authors":"Ané María Maríñez-Lora, Jacqueline O Moses, Elisa S Shernoff, Stacy L Frazier, Marc S Atkins","doi":"10.1037/ort0000937","DOIUrl":"10.1037/ort0000937","url":null,"abstract":"<p><p>Parents of children with mental health needs experience unique caregiver strain. Black mothers report reducing employment and missing workdays due to their children's behavioral difficulties and concern regarding their greater probability (compared with White children) of being diagnosed with behavioral problems, particularly their sons. Research highlights social support as a cultural asset serving a protective role in Black families. Literature on caregiver strain and support has been primarily limited to surveys that do not adequately capture the complexity, context, richness, and nuance of these experiences. An in-depth thematic analysis of semistructured interviews to advance the understanding of the strain experienced by low-income Black mothers (<i>N</i> = 16) parenting children with a disruptive behavior disorder (81% male) was conducted. A conceptual framework-caregiver strain in social context-informed by prior research and anchored in the data evolved iteratively and organically. For most mothers (<i>n</i> = 14), chronic strain was embedded within complex experiences of parenting, social support, and societal context (e.g., poverty, neighborhood disinvestment and safety concerns, racism). Social support was critical but insufficient to meet their needs, particularly among mothers describing greater levels of strain. The framework developed may serve as a clinical tool to understand, map, gather data, and highlight areas to counter marginalization and biases and access support for Black mothers parenting children with special needs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Child protective service rereports and foster care entry: Differences by race/ethnicity, immigration, and nativity status.","authors":"Chien-Jen Chiang, Miyoun Yang, Catherine LaBrenz, David Leija, An-Ti Shih, Meihsi Chiang","doi":"10.1037/ort0000938","DOIUrl":"https://doi.org/10.1037/ort0000938","url":null,"abstract":"<p><p>The number of Latinos in the child welfare system has increased over the past 2 decades. There is a lack of knowledge exploring the relative risk of rereport and foster care entry for Latino families. This study examines whether the risk of rereport and foster care entry varies based on race, ethnicity, nativity, and legal status among families involved with child protective services, with a specific focus on Latino families. Data for this study came from the National Survey of Child and Adolescent Well-Being-II. Logistic regression analysis was used to investigate the potential association between race, ethnicity, nativity, and legal immigration status with the rereport and foster care entry outcomes. The risk of Latino children being rereported and entering foster care varies based on their caregiver's nativity and legal status and differs from the risk for White and Black children. Children of U.S.-born Latino caregivers had higher rates of rereporting than other groups, while children of foreign-born Latino caregivers had higher rates of foster care placement. Children of undocumented Latino caregivers had lower rates of both rereporting and foster care placement compared with other groups. Our findings emphasize the importance of considering intersectional identities and privilege when evaluating the risk of rereporting and foster care entry across various racial and ethnic groups. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From involuntary dependence to resilient agency: First wartime responses and evacuation experiences of people with disabilities in Israel.","authors":"Limor Gadot, Yael Hochman","doi":"10.1037/ort0000933","DOIUrl":"10.1037/ort0000933","url":null,"abstract":"<p><p>Human-made disasters such as terrorism and war deepen structural inequalities and disproportionately affect people with disabilities, who are often overlooked by designers of ableist infrastructures and emergency systems. Grounded in the social and affirmative models of disability, this study explores the experiences and coping strategies of Israeli people with disabilities evacuated from the Gaza border after the Hamas attack on October 7, 2023. Using a qualitative phenomenological approach, 12 in-depth interviews revealed two main themes: involuntary dependence and resilient agency. Participants described navigating inaccessible environments and exclusionary services, yet also mobilized personal and community resources to foster resilience. The findings showed that systemic exclusion increased involuntary dependence but also emphasized the agency and collective efforts of people with disabilities. They call for emergency and rehabilitation planning that centers lived experience, dismantles barriers, and recognizes disability as a valued sociopolitical identity during crisis. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}