Noelle L. Lefforge

Examination of Ethnicity in Controlled Treatment Outcome Studies Involving Adolescent Substance Abusers: A Comprehensive Literature Review

The extent to which adolescent drug treatment outcome studies address ethnicity was systematically examined. Reliability coefficients were calculated for both the search methodology used to obtain these outcome studies and the extent to which ethnicity was addressed along several dimensions. The resulting coefficients were highly reliable. Findings indicated that although investigators of 94% of the outcome studies considered ethnicity to some extent, only 28% of these studies incorporated ethnicity into their design, and only 6% of studies involved statistical analyses to examine differential response to treatment or moderating effects of ethnicity with a sufficient number of ethnic minority participants. Overall, results indicated that there is much work to do regarding the examination of ethnicity in controlled treatment outcome studies involving adolescent substance abusers. Indeed, modifications were rarely made to the treatment components to accommodate ethnicity-related variables. Future recommendations are presented in light of these findings.

Toward a Phenomenology of Feelings

Our understanding of emotion cannot be complete without an understanding of feelings, the experiential aspect of emotion. Despite their importance, little effort has been devoted to the careful apprehension of feelings. Based on our apprehension of many randomly selected moments of pristine inner experience, we present a preliminary phenomenology of feelings. We begin by observing that often feelings occur as directly experienced phenomena of awareness; however, often no feelings are present in experience, or if they are present, they are too faint to be observed by a process intended to observe them. Feelings range from vague to distinct and sometimes do, but other times do not, include bodily sensations. When bodily sensations are present, there is a wide range of clarity and location of these sensations. Sometimes people experience multiple distinct feelings and sometimes people experience one feeling that is a mix or blend of different feelings. We also discuss what feelings are not, including instances when feelings do not appear to be present, despite evidence suggesting the presence of underlying emotional processes (e.g., behavioral evidence of emotion). These instances of emotion but not feeling lead us to speculate that experiencing feelings is a skill developed over time through an interaction of interpersonal and intrapersonal events.

Adjudicated Mexican American Adolescents: The Effects of Familial Emotional Support on Self-Esteem, Emotional Well-Being, and Delinquency

This article examines relationships between familial emotional support, self-esteem, emotional well-being, and delinquency in 58 adjudicated Mexican American adolescents who were on probationary status with the juvenile justice system. Results indicated that maternal emotional support was negatively correlated with delinquency, and positively correlated with emotional well-being. In addition, regression analyses revealed that familial emotional support significantly predicted delinquency and emotional well-being, with maternal emotional support accounting for most of the total variance. Unlike previous findings in the general delinquency research, familial emotional support was unrelated to self-esteem. These results offer several insights into the nature and effects of Mexican American familial emotional support on an adolescents behavioral and emotional adjustment.

The Semistructured Interview for Consideration of Ethnic Culture in Therapy Scale: Initial Psychometric and Outcome Support

There has been recent pressure for practitioners to consider cultural variables when implementing evidence-based interventions. Therefore, the Semistructured Interview for Consideration of Ethnic Culture in Therapy Scale (SSICECTS) was empirically developed to address this issue. First, psychometric properties of a 6-item scale were evaluated in 279 individuals of various ethnicities. Results indicated two factors accounting for 71% of the variance (ethnic cultural importance and ethnic cultural problems). Internal consistency and convergent validity were satisfactory. Ethnic minority participants demonstrated significantly higher scores than did Caucasians, suggesting this scale may be particularly applicable in ethnic minority populations. In a second study, a controlled trial was conducted to examine clinical utility of the semistructured interview component in a subsample of 151 participants. Participant interviewees were queried about their basic demographic information and were subsequently instructed to evaluate the interviewers’ performance. Interviewees were then randomly assigned to receive the SSICECTS or a parallel semistructured interview regarding exercise. After participants completed their respective semistructured interviews, they were again instructed to evaluate the interviewers. Results indicated both semistructured interviews enhanced evaluations. However, interviewers who administered the SSICECTS were perceived as having greater knowledge and respect of participants’ ethnic culture.

Descriptive Experience Sampling: A Method for Exploring Momentary Inner Experience

Descriptive Experience Sampling (DES) is a method developed to provide high fidelity accounts of pristine inner experience. A DES investigator gives a subject a random beeper to take into her natural environments. When the beep sounds, the subject jots down notes about her ongoing experience. The subject repeats this process, typically collecting about six moments of experience in a sampling day. Within 24 hours the investigator interviews the subject. During this expositional interview subject and investigator collaborate to develop high fidelity accounts of each sampled moment of experience. This process is repeated over a number of days until an idiographic description of the subjects inner experience has been developed. DES is open-ended, qualitative, and minimally retrospective. Because of the close examination of brief moments of experience, DES is capable of providing highly detailed accounts of inner experience. We summarize some important DES results and contrast DES with the methods of van Manen and Moustakas.

Mixed Emotions: Toward a Phenomenology of Blended and Multiple Feelings:

After using descriptive experience sampling to study randomly selected moments of inner experience, we make observations about feelings, including blended and multiple feelings. We observe that inner experience usually does not contain feelings. Sometimes, however, feelings are directly present. When feelings are present, most commonly they are unitary. Sometimes people experience separate emotions as a single experience, which we call a blended feeling. Occasionally people have multiple distinct feelings present simultaneously. These distinct multiple feelings can be of opposite valence, with one pleasant and the other unpleasant. We provide examples that inform theories of emotions and discuss the important role observational methodology plays in the effort to understand inner experience including feelings.