ABSTRACT
Trichotillomania (TTM) involves the chronic pulling out of hair to the point of hair loss or thinning, which continues despite repeated attempts to stop. Behavior therapy is a promising treatment for the condition, but studies have been limited by the lack of a credible control condition, small sample sizes, follow-up periods of short duration, and low participation by underrepresented populations. In the current article, the authors describe the theoretical rationale for an acceptance-enhanced form of behavior therapy for TTM in adults and describe the methodology used to test the efficacy of this intervention against a psychoeducation and supportive control condition. In addition, the authors discuss the importance of and difficulties encountered with enrolling minority participants into TTM research, as well as strategies used to enhance minority recruitment. Finally, the authors discuss the instruments, procedures, and related outcomes of the fidelity measures used in the randomized controlled trial.
Subject(s)
Behavior Therapy/methods , Black or African American/ethnology , Outcome and Process Assessment, Health Care , Patient Selection , Randomized Controlled Trials as Topic/methods , Trichotillomania/ethnology , Trichotillomania/therapy , Adolescent , Adult , Female , Humans , Male , Middle Aged , Quality Assurance, Health Care , Wisconsin/ethnology , Young AdultABSTRACT
One of the most harmful accusations one Black adolescent can hurl at another is the acting White accusation (AWA). The AWA is an attack against an individual's ethnic/racial identity and many have described it as a bullying experience. Those who experience the AWA frequently and are bothered by it might perceive the accusation as bullying for these reasons, and peer victimization has been associated with several negative outcomes including social anxiety. The present study examines the relationship between the acting White accusation, bullying victimization, and social anxiety. Thirty-one Black females between the ages of 10 and 18 years served as participants in the study. The findings indicated that all participants reported receiving the accusation at least once in their lifetime. The results also indicated that bother experienced when receiving the accusation was positively associated with social anxiety, while both bother and frequency of the accusation were positively associated with bullying victimization. These findings suggest that adolescents interpret the accusation as a negative evaluation. Additionally, the more an adolescent experiences the accusation and the more bothered he or she is by it, the more victimized they feel.
