The Impossibility of Client–Therapist “Match”: Implications and Future Directions for Multicultural Competency

2019 ◽  
Vol 41 (4) ◽  
pp. 312-326
Author(s):  
Melissa M. Ertl ◽  
Michelle Mann-Saumier ◽  
Renee A. Martin ◽  
Donald F. Graves ◽  
Jeanette Altarriba
Keyword(s):  
Multicultural Competence ◽  
Multicultural Competency ◽  
Future Directions ◽  
Cultural Match ◽  
Training And Supervision ◽  
Competence Training ◽  
Critical Issues ◽  
Current Article ◽  
Therapeutic Context ◽  
Racial Ethnic

Extensive research has examined the influence of client–therapist racial, ethnic, or cultural match on outcomes in therapy. Further, many narrative reviews have summarized the literature in this area, and several meta-analytic reviews have examined the strength of the influence of client–therapist match. The present narrative review builds on previous studies by discussing several critical issues in this literature. In particular, we add to the extant literature reviews by contextualizing the challenges of defining and measuring client–therapist match given the possible broad range of diverse intersectional identities. As matching is not always possible, recommendations for working with clients of a different cultural background are discussed. Suggestions for multicultural competence training are included. We also provide a case example of how intersectionality of identities can inform the therapeutic context. The current article provides updated insights into the client–therapist match literature and emphasizes specific recommendations for education, training, and supervision.

Perinatal Depression as an Early Stress

2018 ◽  
pp. 286-312
Author(s):  
Sherryl H. Goodman ◽  
Meeka S. Halperin
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Developmental Psychopathology ◽  
Perinatal Depression ◽  
Mental Health Outcomes ◽  
Future Directions ◽  
Causal Relations ◽  
Early Stress ◽  
Critical Issues ◽  
Per Se

This chapter provides a review of research and a description of the central issues regarding the stressor of depression in mothers during pregnancy and the postpartum periods in relation to risk for the development of psychopathology in offspring. Where evidence allows, causal relations are emphasized; otherwise, limitations are noted, especially those regarding being able to draw causal conclusions from the correlational approaches typically taken in this area of study. Evidence for mechanisms in the transmission of risk is also described, given the potential for understanding causal relations. With the developmental psychopathology perspective of depression as a stressor for offspring, the focus is on vulnerabilities to and early signs of disorder as well as mental health outcomes per se. The chapter concludes with suggested critical issues in the field and recommendations for future directions for research.

scholarly journals State-of-the-art review: preventing child and youth pedestrian motor vehicle collisions: critical issues and future directions

2020 ◽  
pp. injuryprev-2020-043829 ◽  
Author(s):  
Marie-Soleil Cloutier ◽  
Emilie Beaulieu ◽  
Liraz Fridman ◽  
Alison K Macpherson ◽  
Brent E Hagel ◽  
...  
Keyword(s):  
Risk Factors ◽  
English Language ◽  
Motor Vehicle ◽  
State Of The Art ◽  
Intersectoral Collaboration ◽  
Future Directions ◽  
Vehicle Collisions ◽  
The Road ◽  
Vehicle Collision ◽  
Critical Issues

AimTo undertake a comprehensive review of the best available evidence related to risk factors for child pedestrian motor vehicle collision (PMVC), as well as identification of established and emerging prevention strategies.MethodsArticles on risk factors were identified through a search of English language publications listed in Medline, Embase, Transport, SafetyLit, Web of Science, CINHAL, Scopus and PsycINFO within the last 30 years (~1989 onwards).ResultsThis state-of-the-art review uses the road safety Safe System approach as a new lens to examine three risk factor domains affecting child pedestrian safety (built environment, drivers and vehicles) and four cross-cutting critical issues (reliable collision and exposure data, evaluation of interventions, evidence-based policy and intersectoral collaboration).ConclusionsResearch conducted over the past 30 years has reported extensively on child PMVC risk factors. The challenge facing us now is how to move these findings into action and intervene to reduce the child PMVC injury and fatality rates worldwide.

scholarly journals Racial/ethnic segregation and health disparities: Future directions and opportunities

2020 ◽  
Vol 14 (6) ◽  
Author(s):  
Tse‐Chuan Yang ◽  
Kiwoong Park ◽  
Stephen A. Matthews
Keyword(s):  
Health Disparities ◽  
Ethnic Segregation ◽  
Future Directions ◽  
Racial Ethnic

scholarly journals Perceived Racial/Ethnic Discrimination and Mental Health: a Review and Future Directions for Social Epidemiology

2017 ◽  
Vol 4 (2) ◽  
pp. 156-165 ◽  
Author(s):  
Anissa I. Vines ◽  
Julia B. Ward ◽  
Evette Cordoba ◽  
Kristin Z. Black
Keyword(s):  
Mental Health ◽  
Social Epidemiology ◽  
Ethnic Discrimination ◽  
Future Directions ◽  
Racial Ethnic

scholarly journals Glycemic modulation in neuro-oncology: experience and future directions using a modified Atkins diet for high-grade brain tumors

2015 ◽  
Vol 2 (3) ◽  
pp. 127-136 ◽  
Author(s):  
Roy E. Strowd ◽  
Mackenzie C. Cervenka ◽  
Bobbie J. Henry ◽  
Eric H. Kossoff ◽  
Adam L. Hartman ◽  
...  
Keyword(s):  
Brain Tumors ◽  
Dietary Intervention ◽  
Glycolytic Metabolism ◽  
Dietary Interventions ◽  
Future Directions ◽  
Modified Atkins Diet ◽  
Atkins Diet ◽  
Low Carbohydrate ◽  
Critical Issues ◽  
Novel Therapeutic Strategies

Dietary glycemic modulation through high-fat, low-carbohydrate diets, which induce a state of systemic ketosis and alter systemic metabolic signaling, have been incorporated into the clinical management of patients with neurological disease for more than a century. Mounting preclinical evidence supports the antitumor, proapoptotic, and antiangiogenic effects of disrupting glycolytic metabolism through dietary intervention. In recent years, interest in incorporating such novel therapeutic strategies in neuro-oncology has increased. To date, 3 published studies incorporating novel dietary therapies in oncology have been reported, including one phase I study in neuro-oncology, and have set the stage for further study in this field. In this article, we review the biochemical pathways, preclinical data, and early clinical translation of dietary interventions that modulate systemic glycolytic metabolism in the management of primary malignant brain tumors. We introduce the modified Atkins diet (MAD), a novel dietary alternative to the classic ketogenic diet, and discuss the critical issues facing future study.

Hyaluronic Acid Viscosupplementation and Osteoarthritis

2009 ◽  
Vol 37 (8) ◽  
pp. 1636-1644 ◽  
Author(s):  
Eric J. Strauss ◽  
Jennifer A. Hart ◽  
Mark D. Miller ◽  
Roy D. Altman ◽  
Jeffrey E. Rosen
Keyword(s):  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Clinical Studies ◽  
Nonoperative Management ◽  
Additional Patient ◽  
Future Directions ◽  
Current Article ◽  
Active Research ◽  
Improve Patient ◽  
Potential Use

Intra-articular hyaluronic acid viscosupplementation is gaining popularity as a treatment option in the nonoperative management of patients with osteoarthritis. Recent clinical studies have demonstrated that the anti-inflammatory, anabolic, and chondroprotective actions of hyaluronic acid reduce pain and improve patient function. With evidence mounting in support of the efficacy of this treatment modality for patients with osteoarthritis, its potential use in additional patient populations and for other pathologies affecting the knee is being investigated. The current article reviews the use of intra-articular hyaluronic acid viscosupplementation in the management of knee osteoarthritis and presents the potential for expanding its indications for other joints and alternative patient subpopulations. Additionally, future directions for the use of hyaluronic acid and areas of active research are discussed.

scholarly journals The Initial Impact of the Open Scholarship Policy Observatory

2019 ◽  
Vol 3 ◽  
pp. 16
Author(s):  
Sarah Milligan ◽  
Kimberly Silk ◽  
Alyssa Arbuckle ◽  
Ray Siemens
Keyword(s):  
Diverse Group ◽  
Policy Changes ◽  
Future Directions ◽  
Digital Scholarship ◽  
International Policies ◽  
Production Distribution ◽  
New Knowledge ◽  
Critical Issues

In September 2016, members of the Implementing New Knowledge Environments (INKE) Partnership—a broad, diverse group working to advance understanding of, and resolve critical issues in, the production, distribution and widespread engagement of digital scholarship in Canada and beyond—met to discuss future directions and focus areas. One of the resulting initiatives is the Open Scholarship Policy Observatory. The Open Scholarship Policy Observatory tracks national and international policies and policy changes in order to assist INKE partners with developing timely and responsive policies. This paper describes the development of the initiative, and reports on the initial impacts the project has had to date.

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