Patient-centered care (PCC) is a health care delivery model that is considered a means to reduce inequities in the healthcare system, specifically through its prioritization of patient voice and preference in treatment planning. Yet, there are documented challenges to its implementation. Community-based participatory research (CBPR) is seemingly well-positioned to address such challenges, but there has been limited discussion of utilizing CBPR in this way.
View Article and Find Full Text PDFWomen of Haitian descent living in the Dominican Republic experience oppression due to their gender, ethnicity, and economic status. They also exhibit high rates of participation in evangelical Christian communities, a paradoxical finding given the restricted roles women have traditionally played in these settings. The goals of this study were to explore the perceived benefits of participation in evangelical communities and the setting characteristics that lead to these benefits.
View Article and Find Full Text PDFObjectives: African Americans experience numerous adverse health consequences due to race-related stress. Yet, mindfulness may serve as a relevant and vital protective factor in the link between race-related stressors and depressive symptoms for this population.
Methods: Data from 190 African American participants, ages 18-53, were used to investigate if past discrimination and race-related vigilance, two types of race-related stressors, interactively predicted greater depressive symptomatology among this sample.
Clergy provide significant support to their congregants, sometimes at a cost to their mental health. Identifying the factors that enable clergy to flourish in the face of such occupational stressors can inform prevention and intervention efforts to support their well-being. In particular, more research is needed on positive mental health and not only mental health problems.
View Article and Find Full Text PDFJ Racial Ethn Health Disparities
October 2018
Aim: Sophisticated adjustments for socioeconomic status (SES) in health disparities research may help illuminate the independent role of race in health differences between Blacks and Whites. In this study of people who share the same occupation (United Methodist Church clergy) and state of residence (North Carolina), we employed naturalistic and statistical matching to estimate the association between race-above and beyond present SES and other potential confounds-and health disparities.
Methods: We compared the health of 1414 White and 93 Black clergy.
Reflexivity is an important tool for navigating ethically important moments in fieldwork. It may be particularly useful in situations where the researcher has the potential to undermine the conduct of the study and/or the well-being-enhancing role of counterspaces. In this article, I explore my use of reflexivity to traverse ethically important moments I encountered while investigating a counterspace for African-American youth who had been incarcerated.
View Article and Find Full Text PDFAm J Orthopsychiatry
May 2018
Minority youths who experience adversity in the forms of concentrated poverty, neighborhood violence, and social marginalization are at increased risk for delinquency. Yet, traditional approaches to reducing delinquency do not typically account for these social-structural risk factors. This article proposes a model of intervening that was developed to address this limitation.
View Article and Find Full Text PDFHistorically, consumers of mental health services have not been given meaningful roles in research and change efforts related to the services they use. This is quickly changing as scholars and a growing number of funding bodies now call for greater consumer involvement in mental health services research and improvement. Amidst these calls, community-based participatory research (CBPR) has emerged as an approach which holds unique promise for capitalizing on consumer involvement in mental health services research and change.
View Article and Find Full Text PDFCommunity psychology recognizes the need for research methods that illuminate context, culture, diversity, and process. One such method, ethnography, has crossed into multiple disciplines from anthropology, and indeed, community psychologists are becoming community ethnographers. Ethnographic work stands at the intersection of bridging universal questions with the particularities of people and groups bounded in time, geographic location, and social location.
View Article and Find Full Text PDFCultur Divers Ethnic Minor Psychol
October 2013
The cultural context in the United States is racialized and influences Black Caribbean immigrants' acculturation processes, but what role it plays in Black Caribbean immigrants' acculturation into specific facets of American society (e.g., African American culture) has been understudied in the field of psychology.
View Article and Find Full Text PDFResearch and theory on the intervening variables that enable individuals who experience marginalization and oppression to achieve well-being have historically relied on an individual level of analysis. Yet, there is a growing body of literature that highlights the roles that contexts play in facilitating processes that result in wellness among marginalized individuals. This paper proposes a conceptual framework that highlights a specific type of setting, referred to as "counterspaces," which promotes the psychological well-being of individuals who experience oppression.
View Article and Find Full Text PDFA new coaxial plasma gun is described. The long term objective is to accelerate 100-200 microg of plasma with density above 10(17) cm(-3) to greater than 200 km/s with a Mach number above 10. Such high velocity dense plasma jets have a number of potential fusion applications, including plasma refueling, magnetized target fusion, injection of angular momentum into centrifugally confined mirrors, high energy density plasmas, and others.
View Article and Find Full Text PDF