Teresa D. LaFromboise

Psychological impact of biculturalism: Evidence and theory.

A vital step in the development of an equal partnership for minorities in the academic, social, and economic life of the United States involves moving away from assumptions of the linear model of cultural acquisition. In this article we review the literature on the psychological impact of being bicultural. Assimilation, acculturation, alternation, multicultural, and fusion models that have been used to describe the psychological processes, social experiences, and individual challenges and obstacles of being bicultural are reviewed and summarized for their contributions and implications for investigations of the psychological impact of biculturalism. Emphasis is given to the alternation model, which posits that an individual is able to gain competence within 2 cultures without losing his or her cultural identity or having to choose one culture over the other. Finally, a hypothetical model outlining the dimensions of bicultural competence is presented.

Development and factor structure of the cross-cultural counseling inventory-revised

This article presents the development and preliminary validation of the Cross-Cultural Counseling Inventory (CCCI), a measure based on the American Psychological Association Division 17 Educa-) tion and Training Committees tridimensional characteristics of cross-cultural counseling competence—beliefs/attitudes, knowledge, and skills (Sue et al, 1982). Three studies investigated the instruments content validity, interrater reliability, and factor structure. The first study established substantial agreement among judges when classifying items according to the tridimensional characteristics. In the second study, judges reached adequate levels of interrater reliability after viewing cross-cultural counseling vignettes. The third study found a 3-factor orthogonal solution of crosscultural counseling skill, sociopolitical awareness, and cultural sensitivity. The authors discuss the utility of the instrument in counseling supervision and research.

Counseling Intervention and American Indian Tradition An Integrative Approach

The training of American Indian counseling and community psychologists should move away from conventional counseling tenets toward the use of culturally sensitive mental health approaches that maintain American Indian values. In this article, unique American Indian social and psychological perspectives concerning the process and theory of counseling are contrasted with the individualistic focus, style, and outcomes of therapy as practiced in America today. Empirical studies are reviewed concerning the role of social influences in the counseling process as perceived by American Indians and the types of problems Indians present in counseling. The under use of mental health services by American Indian is is associated with the tension surrounding power differentials in counseling relationships and perceived conflicting goals for acculturation between counselors and Indian clients. In addition, three types of psychological intervention-social learning, behavioral, and network -are reviewed and summarized for their contributions and implications for training counselors in effective mental health service delivery with American Indians.

Perceived Discrimination, Traditional Practices, and Depressive Symptoms among American Indians in the Upper Midwest*

American Indian adults are thought to experience significant depressive symptoms at rates several times higher than adults in the general population, yet we know very little about factors associated with depressive symptoms among this under studied group. Many researchers have argued that depressive symptoms are associated with conflicts between American Indian traditional cultural values, practices, and beliefs and those of the majority culture. This report, based on a sample 287 American Indian adults from the upper Midwest, takes into account two measures of cultural effects: perceived discrimination, as one indicator of culture conflict, and traditional practices, as a measure of cultural identification. The results indicate that discrimination is strongly associated with depressive symptoms among American Indian adults and that engaging in traditional practices is negatively related to depressive symptoms. Moreover, interaction effects between perceived discrimination and traditional practices indicate that engaging in traditional practices buffers the negative effects of discrimination among those who regularly participate in them.

Cross-Cultural Training: Scientist-Practitioner Model and Methods

Despite the existence of Criteria 2 -cultural and individual differences -in the American Psychological Association (APA) accreditation of doctoral training in counseling psychology, few programs offer, much less require, course work on service delivery to or research with ethnic minorities. The goal of this article is to present a model for organizing and evaluating cross-cultural content throughout each phase of clinical and research training during doctoral study in scientist-practitioner programs. First described is an overview of the separate course, area of concentration, interdisciplinary, and integration models for the promotion of cultural understanding in psychology. Then a series of specific recommendations along the lines of the integration model are provided for the development of cross-cultural competence beginning with institutional modifications at the departmental level. Specific additions to research and clinical course work are suggested along with information on available resources for curricular reform in each area. Finally, an apprenticeship continuum from prepracticum to internship is presented as a guide for making more culturally relevant both research and clinical mentoring.

Suicidal Ideation Among American Indian Youths

This study examined correlates of suicidal ideation among 212 American Indian youth who lived on or near three reservations in the upper Midwestern United States. The youths were, on average, 12 years old, and 9.5% reported current thoughts about killing themselves. Females were over 2 times more likely than males to think about suicide. Multivariate logistic regression results indicated that gender, enculturation, negative life events, perceived discrimination, self-esteem, and drug use were related to the likelihood of thinking about suicide. Drug use was the strongest correlate of suicidal ideation, and both enculturation and perceived discrimination emerged as important culturally specific variables. It was suggested that suicide prevention programs should draw on the strengths of American Indian culture.

The Zuni Life Skills Development Program: A School/Community-Based Suicide Prevention Intervention

The Zuni Life Skills Development Program, an effective community-initiated and high-school-based suicide prevention intervention, is featured. Development and evaluation of this intervention are followed by note of the specific challenges associated with stabilizing the program. A more tribally diverse, culturally-informed model entitled the American Indian Life Skills Development Curriculum is then presented to illustrate a hybrid approach to the cultural tailoring of interventions. This curriculum is broad enough to address concerns across diverse American Indian tribal groups yet respectful of distinctive and heterogeneous cultural beliefs and practices. Finally, we reflect upon issues in community-based research that emerged during this collaboration.

Changing and diverse roles of women in American Indian cultures

This article explores traditional and contemporary sex roles of Indian women. It emphasizes the renewing power of the feminine—a creative, healing balance that arises as traditional and contemporary strengths are brought together. The survival of the extended family throughout two hundred years of governmental policy attests to Indian womens resilience despite continuous role readjustment, value conflict, and economic pressure. Tribal diversity and predominantly egalitarian structural similarities are affirmed in this work through reviews of ethnographic studies addressing the roles of Indian women prior to European contact. The conventional and alternative roles of Indian women in traditional times are examined with an eye toward the spiritual source of Indian womens strength. Studies outlining the emotional and spiritual costs of contemporary Indian women living bicultural lifestyles, especially those pursuing advanced educational training, highlight the continued use of traditional Indian coping mechanisms. Finally, the current movement toward retraditionalization of roles of Indian women as caretakers and transmitters of cultural knowledge is posited as an effective means of overcoming problems and achieving Indian self-determination.

Patterns of hopelessness among American Indian adolescents: Relationships by levels of acculturation and residence.

Poor mental health among American Indian adolescents has been a matter of significant concern for the past two decades. This study extends the literature on acculturation within this population by investigating the relationship between hopelessness, levels of acculturation, and residence among American Indian adolescents. Utilizing data drawn from 438 adolescents across 67 American Indian tribes, our analyses show that American Indian adolescents who have bicultural competence (i.e., those who are adept in both Indian and White cultures) have significantly less hopelessness than do those with adeptness in only one culture or in neither culture. Our findings also show a significant difference by residence, with American Indians who live on reservations indicating less hopelessness than those living in urban or rural/nonreservation areas. Analysis of interaction effects suggests that the beneficial effect of adeptness in White culture is particularly true for American Indians living in urban areas.

Cultural and cognitive considerations in the prevention of American Indian adolescent suicide

A description of cultural considerations associated with American Indian adolescent coping is presented within a transactional, cognitive-phenomenological framework. Select cultural values and cultural beliefs of American Indians associated with death are discussed in terms of person variables and situational demand characteristics that interplay in the transactional coping process. Three situational demand characteristics (ambiguity of identity, frequency of loss, and pervasiveness of hardships) are then presented to illustrate the reciprocal relationship between environmental contingencies and American Indian individual and community efforts at coping. The dynamic interdependence between person and environmental variables is emphasized and considered essential for inclusion in the design of interventions to prevent suicide. Existing intervention efforts with American Indian adolescent suicide attempters are reviewed and a school-wide cognitive behavioural approach based on the transactional model of coping with suicide is described. It is suggested that on-going cognitive restructuring, social skills training, and peer counselling training activities be culturally adapted and integrated into relevant areas of the school curricula in order that coping be enhanced and suicide ameliorated.