American Journal of Orthopsychiatry最新文献

{"title":"The fog of classism: Where middle-class white parents of young white children may get lost in their antiracist parenting aspirations.","authors":"Noah Hoch, Amy E Heberle","doi":"10.1037/ort0000829","DOIUrl":"10.1037/ort0000829","url":null,"abstract":"<p><p>Aspiring antiracist White parents report feeling stuck and uncertain about how to socialize their young White children into antiracism. Most of the scholarship focused on this population, their ideas, and practices overlooks the intersection of their class positionalities with their attitudes and behaviors regarding antiracist parenting. The present study offers insights into the dynamics of class-related beliefs and antiracist socialization among middle- to upper-middle-class White parents. Using methods informed by critical thematic analysis, we interrogated the in-depth interviews of 19 White parents of young White children who self-identified as antiracist. All parents in the sample identified as middle class, and all but one parent identified as women. We find that, despite the sincere intentions of this group, these parents, through rhetorical and behavioral processes, ultimately evade acknowledging for themselves and with their children the material ways in which their families benefit from and maintain an unjust status quo. We describe three interrelated themes that characterize the prevailing patterns of ideas and behaviors among our parent participants on this subject: class confusion, class attribution error, and complexity avoidance. We argue that these patterns reflect the embeddedness of these parents within the dominant racial and class regimes of contemporary U.S. society: White supremacy and neoliberalism. Our discussion highlights the inconsistencies and contradictions in our participants' beliefs and practices and highlights ideological blinders that antiracist interventions can address to help parents counteract the influence of these systems and more fully realize their antiracist parenting goals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442786","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":"A double betrayal: The implications of institutional betrayal for trauma-related symptoms in intimate partner violence survivors.","authors":"Yael Lahav, Sharon Avidor, Lee Gafter, Avital Lotan","doi":"10.1037/ort0000826","DOIUrl":"10.1037/ort0000826","url":null,"abstract":"<p><p>Intimate partner violence (IPV) is a global health concern that is known to result in a plethora of detrimental outcomes, among them trauma-related symptoms. According to the betrayal trauma theory, these outcomes may be rooted not only in the abusive partner's betrayal but also in institutional betrayal, namely institutions' failure to fulfill their obligations to provide safety, resources, and protection to IPV victims/survivors. Yet, thus far, research on institutional betrayal has been focused on survivors of abuse that occurred within an institutional context. This study aimed to explore the implications of institutional betrayal for trauma-related symptoms among survivors of IPV, while broadening the scope of institutional betrayal and exploring institutional betrayal in relation to varied contexts. An online survey was conducted among Israeli female adults using self-report measures. The sample consisted of 117 IPV survivors, <i>M</i>_age = 39.35 (<i>SD</i> = 7.9), who reported involvement of various institutions around their IPV. Regression models indicated that institutional betrayal had a unique effect in explaining all four clusters of trauma-related symptoms. The risk for clinically significant trauma-related symptoms increased by 3% (<i>OR</i> = 1.03) for each increase in institutional betrayal, after controlling for income, having children with the abusive partner, degree of IPV exposure, and being abused by multiple partners. The present results suggest that institutional betrayal can be a retraumatizing experience, amplifying trauma-related distress in IPV survivors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442727","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":"Centering justice in the codesign of mindfulness and compassion-based college curricula.","authors":"Caitlin McKimmy, Natalie Avalos, Donna Mejia, Sona Dimidjian","doi":"10.1037/ort0000817","DOIUrl":"10.1037/ort0000817","url":null,"abstract":"<p><p>Colleges and universities are increasingly common contexts in which young people navigate the transition to adulthood. Research suggests that mindfulness and compassion may support undergraduates as they navigate this developmental transition. Embedding learning about mindfulness, compassion, and flourishing into college curricula demonstrates promise in supporting undergraduate wellness and academic outcomes. However, there is a need to generate curricula that are relevant to the lived realities of undergraduates and attentive to relational dimensions of wellness, including social justice and systemic determinants of health. Codesign holds promise as a method to generate such curricula. This study used qualitative methods to examine the codesign of an accredited college-level course that teaches about the interrelationship between mindfulness, compassion, human flourishing, and social justice. Qualitative data that emerged during the codesign process were analyzed to answer the following research questions: (1) How did mindfulness and compassion practice support the codesign process? (2) What design tensions emerged during the adaptation and collaborative design of a social justice-oriented mindfulness and compassion-based course? We found that weaving shared mindfulness and compassion practice into the codesign process supported study participants in working with their emotions, connecting with others, and balancing power. In turn, these skills allowed codesign team to effectively grapple with complex design tensions that arose on the levels of vision, approach, and project tensions as the team sought to fulfill its commitments to individual and collective transformation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959028","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":"\"May we be the bridge and boat to cross the water\": Community-engaged research on metta meditation.","authors":"Ariana Thompson-Lastad, Shah Noor Hussein, Jessica M Harrison, Xiaoyu Jennifer Zhang, Mushim P Ikeda, Maria T Chao, Shelley R Adler, Helen Y Weng","doi":"10.1037/ort0000823","DOIUrl":"10.1037/ort0000823","url":null,"abstract":"<p><p>Inclusive research is needed to understand how contemplative practices are used by people of diverse identities. Metta meditation-also known as loving-kindness meditation-may be particularly relevant for people committed to equity and justice because of the social nature of the practice. Using community-based participatory research and an intersectional framework, we assessed how people in a diverse meditation community teach and practice metta meditation. In partnership between university researchers and a community-based meditation center, we conducted virtual focus groups on experiences with metta meditation during the early months of the COVID-19 pandemic. We used reflexive thematic analysis to analyze focus group data, with a member checking process to include participant feedback. Forty-seven people participated in six focus groups (<i>M</i>_age = 47; 62% lesbian, gay, bisexual, transgender, queer, intersex or asexual; 23% Asian, 19% Black, 13% Hispanic/Latina/o, 32% White, 24% multiracial). Qualitative analysis identified three central themes: (1) the importance of a community of practice for creating a sense of belonging (including during the early months of the COVID-19 pandemic); (2) the benefits of metta practice for cultivating compassion and equanimity; and (3) the use of metta practice to cope with harmful situations, including individual-level stressors and structural oppression. Metta meditation supported participants in navigating stressors and injustice. Community-based spaces designed to cultivate belonging among diverse communities can support people to connect contemplative practice with their efforts for social change. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959022","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":"Tired of being tired: Black college students' experiences of racial battle fatigue from highly publicized anti-Black violence.","authors":"Betty L Wilson, Angela M Smith, Marcelo Diversi, Terry A Wolfer, Sharon E Moore","doi":"10.1037/ort0000821","DOIUrl":"10.1037/ort0000821","url":null,"abstract":"<p><p>The highly publicized murders of Breonna Taylor, George Floyd, and Ahmaud Arbery in 2020 sparked public outrage and widespread discussion around anti-Black violence. While some studies have examined the effects of anti-Black violence exposure on mental health outcomes, there is a paucity of research that explores how these racially charged events contribute to cumulative stress and \"weathering\" for Black people, particularly. Informed by racial battle fatigue theory, this in-depth qualitative study explored the lived experiences of 30 Black male and female undergraduate college students (aged 18-28) exposed to highly publicized acts of anti-Black violence. Thematic analysis revealed four predominant themes: (a) witnessing an endless cycle of anti-Black violence, (b) experiencing cumulative and prolonged psychosocial effects, (c) grieving while Black, and (d) navigating the tension between activism and burnout. Findings expose the cyclical and inescapable nature of anti-Black violence, including the toll of these events on the lives of Black college students. Research, practice, and policy implications underscore the need for culturally relevant interventions to support resilience among Black people in the aftermath of anti-Black violence. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959032","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":"Voices that matter: A community-driven intervention framework for Black women who have experienced traumatic loss.","authors":"Stephanie Castelin, Ana Paola Sáenz Jiménez, Danya Soto, Lisa D Daniels, Aldena D Brown, Tracy Fehrenbach","doi":"10.1037/ort0000771","DOIUrl":"10.1037/ort0000771","url":null,"abstract":"<p><p>Although Black women face disproportionately high rates of gun violence and incarceration loss, there is a scarcity of culturally relevant interventions for this population. The aims of this study were to (a) examine the need for a culturally responsive, trauma-informed, and evidence-based grief intervention and to (b) identify key program components and considerations. Using a community-based participatory research framework, co-collaborators interviewed and surveyed 13 Black women who experienced gun violence and/or incarceration loss. Thematic analysis of interview data confirmed a need for this type of intervention due to the traumatic impact of losing a loved one, the inadequacy of available resources, and the personal and communal importance of addressing their grief. Critical intervention components included relationships and social support, help in \"moving beyond\" the experience, opportunities for emotional expression and validation, acknowledgment of spirituality and self-care, personal freedom in the grieving process, and addressing \"underlying issues.\" The participants also completed a survey with 24 proposed intervention activities. The 22 they identified as \"very important\" largely corresponded with interview codes. Barriers to treatment included judgment and invalidation, lack of trust, disinterest, feeling stuck, mental health stigma, and lack of knowledge. Opinions about combining women with different types of loss in the same group and the importance of the group developers' lived experience were mixed. Overall, our findings support the need for culturally relevant, trauma-informed interventions in this population and provide a foundation for developing such an intervention. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"153-165"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560435","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":"Sexual identity differences in the association between psychological distress and cardiometabolic health among women: 2013-2018 National Health Interview Survey.","authors":"Colleen D Beatriz, Elizabeth R Bertone-Johnson, Billy A Caceres, Nicole A VanKim","doi":"10.1037/ort0000806","DOIUrl":"10.1037/ort0000806","url":null,"abstract":"<p><p>Poor psychological health has been consistently documented for sexually minoritized women. However, little is known about the association between poor psychological health and physical health. This study examined associations between psychological distress and cardiometabolic health, including cardiovascular disease risk conditions (hypertension, high cholesterol, and diabetes) and diagnoses (stroke, coronary heart disease, myocardial infarction, and angina), by sexual identity among women. Data are from the 2013-2018 National Health Interview Survey and included 102,279 women, who were straight (<i>n</i> = 97,909), lesbian/gay (<i>n</i> = 1,424), bisexual (<i>n</i> = 1,235), something else (<i>n</i> = 360), did not know (<i>n</i> = 712), and refused to disclose (<i>n</i> = 639). Multivariable multinomial logistic regression models were fit to estimate associations between psychological distress (measured with Kessler-6) and cardiometabolic health (self-reported diagnosis) and to examine sexual-identity differences in these associations. Covariates included sociodemographic characteristics. Overall, severe psychological distress was associated with significantly higher odds of having a cardiometabolic health condition (<i>OR</i> = 2.66). These associations generally did not statistically significantly differ based on sexual identity. However, potential substantive differences in the magnitude of the association existed among lesbian/gay (<i>OR</i> = 4.00) compared to straight women (<i>OR</i> = 2.73). Moreover, women who identified as gay/lesbian, bisexual, \"something else,\" or \"I don't know\" all reported significantly higher prevalence of severe psychological distress than straight women. Given the overall positive association between psychological distress and cardiometabolic health as well as the higher prevalence of severe psychological distress among sexual minority women, more work is needed to longitudinally examine the effects of psychological distress on health among sexually minoritized women. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"512-520"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513484","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":"From multilevel to trans-level interventions: A critical next step for creating sustainable social change to improve mental health.","authors":"Jessica R Goodkind, Julia Meredith Hess, Cirila Estela Vasquez Guzman, Alexandra Hernandez-Vallant","doi":"10.1037/ort0000754","DOIUrl":"10.1037/ort0000754","url":null,"abstract":"<p><p>Eliminating mental health disparities requires simultaneously addressing numerous determinants of health, including social inequities. Although emphasis on multilevel change is growing, interventions typically involve separate efforts or people focusing on each level. We propose a <i>trans-level</i> conceptual model for mental health intervention that simultaneously facilitates change across multiple intersecting levels with four guiding principles: (1) emphasis on structural change; (2) involvement of people experiencing health and social inequities in achieving structural change by addressing the necessary preconditions of access to resources for basic needs, community membership and belonging, and knowledge or information to participate in social change efforts; (3) valuing and building on the expertise and strengths of individuals, families, and communities experiencing health inequities; and (4) dismantling unequal power dynamics of helping relationships through a focus on mutual learning and support and cocreation of change. Tracing the trajectory of a 23-year community-based mental health intervention partnership (the Refugee and Immigrant Well-Being Project), we illustrate the trans-level intervention model and describe its impact on individual mental health and sustainable change at multiple levels. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082943","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":"Psychosocial determinants of adolescents' attitudes toward disclosing dating violence.","authors":"Natallia Sianko, Deborah Kunkel, Savannah R Burke, Sarah Duncan, Mark A Small","doi":"10.1037/ort0000769","DOIUrl":"10.1037/ort0000769","url":null,"abstract":"<p><p>This study combined a person-oriented approach with a psychosocial framework of help-seeking to examine factors associated with the intent to disclose dating violence among developing adolescents. Data came from adolescents in middle and high school in a rural area in the southeastern United States, who were surveyed annually for 4 years (<i>N</i>_{wave 1} = 580; <i>M</i>_age = 13 years, <i>SD</i> = 1.48; 52.7% female; 49% Black, 39% White, 11% Hispanic, or other minorities). Results confirm expectations that intraindividual (adolescent views on violence and safety); interindividual (peer and family dynamics); positional (gender, having a supportive adult); and ideological factors are all significant predictors of patterns in help-seeking attitudes. However, predictive relevance of some factors varied across help-seeking groups and data collection periods, supporting the differential effects hypothesis. For example, while greater friend social support increased the odds of belonging to \"friend confidants,\" it simultaneously decreased the odds of being a member of \"parent confidants\" and \"moderate help-seekers\" groups. Additionally, the influence of family functioning tended to decrease over time, eventually losing its explanatory value at Wave 4. The article concludes by discussing how integration of a person-centered methodological approach with a robust theoretical foundation advances our understanding of variability in adolescents' responses to dating violence. Consideration of diversity in adolescent intentions to react to interpersonal violence is discussed further in the context of policy and practice to enhance protective options and prevent or minimize harm. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"126-139"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560432","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":"Championing racial equity within mental health systems: Perceptions and experiences among state government organization staff leading the charge.","authors":"Alexandra M Alden, Alisa K Lincoln","doi":"10.1037/ort0000801","DOIUrl":"10.1037/ort0000801","url":null,"abstract":"<p><p>The COVID-19 pandemic and police brutality, especially the murder of George Floyd, have intensified the focus on racial equity within a diverse array of organizations. While a variety of strategies are employed in the pursuit of racial equity in mental health care, there is a notable gap in recognizing the crucial role of individual staff driving change within organizations. Few studies have examined these individuals and the ways they think about their work and its impact. Here, we examine the ways that state health and mental health authority (SH/MHA) staff understand racial equity in mental health care when faced with unusual support for equity reform following the Summer of 2020. Through in-depth qualitative interviews with 58 individuals working in SH/MHAs of 31 states across the United States, we examine the perspectives and experiences of staff engaging in racial equity work when they sense that sociohistoric events perhaps temporarily lifted constraints. Findings confirm the importance of people in the racial equity work process and show that study participants have the characteristics of champions with (a) a conceptualization of (in)equity that involves White systems, including their own organizations, and the need for persistent, sustainable work, (b) an emotional investment toward racial equity, and (c) autonomous motivations of morality and empathy. This study underscores the profound transformative capacity of champions within organizations. Gaining insight into their perceptions and experiences offers a deep understanding of the qualities of a champion and equips us to bolster their pursuits toward racial equity within mental health systems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"427-434"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367640","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}