Self-Disclosure and the Nonwhite Ethnic Minority Patient

Author(s):  
Adelbert H. Jenkins
2021 ◽  
Author(s):  
Lyndonna Marrast ◽  
Joseph Conigliaro ◽  
Camille Chan ◽  
Eun Ji Kim ◽  
Joan Duer-Hefele ◽  
...  

Aim: Patients from racial and ethnic minority backgrounds in the USA have historically been under-represented in research trials. Understanding their viewpoints regarding participation in N-of-1 trials is imperative as we design and implement these studies. Materials & methods: We conducted six focus groups of racial and ethnic minority patients (n = 25) and providers (n = 9). We used content analysis to identify themes. Results: Our results noted the importance of considering family members in N-of-1 trial recruitment and participation, patients’ desire for education as a design feature, for ‘lifestyle’ changes as a treatment option and for use of nonevidence-based treatments in the design of future N-of-1 trials. Conclusion: Personalized trials have the potential to change the way we deliver primary care and improve disparities for minorities.


2015 ◽  
Vol 25 (1) ◽  
pp. 83-99
Author(s):  
Arzoo Rafiqi ◽  
Jens Peter Frølund Thomsen

Socialpsykologer forfægter den såkaldte kontakthypotese, hvis påstand er, at majoritetsmedlemmer bliver mere imødekommende over for etniske minoritetsmedlemmer, når de kommer i personlig kontakt med dem. Denne hypotese efterprøves på baggrund af den mest omfattende danske spørgeskemaundersøgelse nogensinde vedrørende dette emne (N = 1.928). I modsætning til tidligere internationale undersøgelser, hvori betydningen af venskaber mellem etniske grupper understreges, fremhæver denne artikel betydningen af kontakt mellem majoritetsmedlemmer og minoritetsmedlemmer i nabolaget og på arbejdspladsen. Disse to typer kontakt tilvejebringer en mere overbevisende test af kontakthypotesen, eftersom de rummer mindre selvselektion. Naboskab og kontakt på arbejdspladsen dækker samtidig langt flere sociale relationer end venskaber, som primært vedrører en snæver privatsfære. Artiklen bidrager til den socialpsykologiske litteratur om kontakteffekter med tre hovedkonklusioner. For det første rummer kontakt i nabolaget og på arbejdspladsen mere meningsfuld samtale, end fagfolk hidtil har antaget. For det andet øger begge former for kontakt den etniske tolerance. For det tredje er det samtale og meningsudvekslinger, som delvis forklarer, hvorfor kontakt gør majoritetsmedlemmer mere tolerante over for minoritetsmedlemmer. ENGELSK ABSTRACT: Arzoo Rafiqi and Jens Peter Frølund Thomsen: When the Ethnic Majority Meets Ethnic Minority Members This paper examines the so-called intergroup contact hypothesis by redirecting focus away from the friendship measure preferred by social psychologists. Although theoretically important, the friendship measure is infected by self-selection biases, and its social coverage is too limited, at least in a European context. Instead, this paper focuses on workplace contact and residential contact. It examines how these relate to ethnic tolerance, as reflected in support for various rights of ethnic minority members. These two types of intergroup contact provide a stronger test of the key hypothesis (contact has a positive influence on tolerance) as they do not meet all the ideal conditions. The analysis shows that although residential contact and workplace contact are more superficial (in terms of self-disclosure), they are both positively related to ethnic tolerance. In fact, both types of contact are as strongly related to ethnic tolerance as intimate cross-group friendship. We conclude that intergroup contact effects are robust as they are capable of occurring in unfavorable circumstances. The analyses are performed on the basis of a Danish national probability sample from 2009. Keywords: intergroup contact, ethnic tolerance, cross-group friendship, residential contact, workplace contact.


2020 ◽  
Vol 5 (2) ◽  
pp. 414-424
Author(s):  
Rochelle Cohen-Schneider ◽  
Melodie T. Chan ◽  
Denise M. McCall ◽  
Allison M. Tedesco ◽  
Ann P. Abramson

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.


Crisis ◽  
2018 ◽  
Vol 39 (3) ◽  
pp. 197-204 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito

Abstract. Background: Gatekeeper training is an effective suicide prevention strategy. However, the appropriate targets of online gatekeeping have not yet been clarified. Aim: We examined the association between the outcomes of online gatekeeping using the Internet and the characteristics of consultation service users. Method: An advertisement to encourage the use of e-mail-based psychological consultation services among viewers was placed on web pages that showed the results of searches using suicide-related keywords. All e-mails received between October 2014 and December 2015 were replied to as part of gatekeeping, and the obtained data (responses to an online questionnaire and the content of the received e-mails) were analyzed. Results: A total of 154 consultation service users were analyzed, 35.7% of whom were male. The median age range was 20–29 years. Online gatekeeping was significantly more likely to be successful when such users faced financial/daily life or workplace problems, or revealed their names (including online names). By contrast, the activity was more likely to be unsuccessful when it was impossible to assess the problems faced by consultation service users. Conclusion: It may be possible to increase the success rate of online gatekeeping by targeting individuals facing financial/daily life or workplace problems with marked tendencies for self-disclosure.


2014 ◽  
Vol 45 (5) ◽  
pp. 408-420 ◽  
Author(s):  
Michela Menegatti ◽  
Monica Rubini

Two studies examined whether individuals vary the level of abstraction of messages composed to achieve the relational goals of initiating, maintaining, and ending a romantic relationships when the goal of communication was self-disclosure or persuading one’s partner. Study 1 showed that abstract language was preferred to disclose thoughts and feelings about initiating a romantic relationship or to persuade the partner to consolidate a long-term one. Study 2 revealed that participants used abstract terms to persuade the partner to continue a problematic relationship and to disclose their thoughts on ending it. These results show that language abstraction is a flexible means to handle individuals’ goals and influence the course of romantic relationships.


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