Richard M. Suinn (1933-2024).

Richard M. Suinn, an eminent psychologist known for his work in cognitive behavioral therapy (CBT), sports psychology, ethnic minority issues, and professional association leadership, passed away on January 5, 2024, in Fort Collins, Colorado, at the age of 90 years. Suinn was born on May 8, 1933, in Hawai'i. Suinn was an expert in anxiety management and developed the widely used Mathematics Anxiety Rating Scale. He was the first psychologist appointed team psychologist to a U.S. Olympic team, applying his CBT expertise to five Olympic teams. Suinn developed the Suinn-Lew Asian Self-Identity Acculturation Scale, the most widely used measure of Asian American acculturation. He served as a president of the American Psychological Association (APA) where he opened the door for APA presidents of color, and the Association of Behavioral and Cognitive Therapies (ABCT) and a member of the Board of Directors of APA, the American Psychological Foundation, American Board of Professional Psychology, Association for the Advancement of Psychology, ABCT, and the Asian American Psychological Association (AAPA). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Rendered invisible: Are Asian Americans a model or a marginalized minority?

In 1992, the United States government expanded a 1978 decision to observe Asian Pacific American Heritage Week to a month-long recognition of the contributions of Asian Americans to the country's history and ongoing cultural milieu. Since 2000, the Asian population in the United States has grown by 72%-the fastest rate of any racial/ethnic group in the country. Today, the Census reports that Asians comprise 22 million United States residents. Despite this unprecedented growth, Asian Americans remain largely invisible in the national dialogue and in scientific research. This special issue features theoretical, empirical, and policy articles that highlight Asian Americans in psychology. Asian Americans remain marginalized and invisible in scientific endeavors for several reasons. For example, consolidating many ethnic groups under an "Asian American" pan-ethnic umbrella masks meaningful cultural, linguistic, ethnic, migration, gender, sexual/gender identity/expression, and socioeconomic differences. These intersectional identities result in experiences that are multiply marginalized, contributing to invisibility. The model minority stereotype highlights high-achieving and successful individuals, rendering the segment of the Asian American population that is struggling irrelevant and unworthy of attention. This special issue directly interrogates sources of invisibility to synthesize theory, research, and policy focused on Asian Americans. The articles in this special issue focus on the intersectional spaces that Asian Americans occupy, unpacking the diversity behind the "Asian American" pan-ethnic label, experiences of identity and discrimination across a range of Asian American groups, and areas of theory/research/policy where Asian American experiences have been overlooked. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Reducing mental health disparities by increasing the personal relevance of interventions.

One of the most persistent health disparities is the underutilization of mental health services by people of color. Neither evidence-based treatments (universal focus) nor culturally adapted treatments (group focus) have reduced these disparities. We propose the personal relevance of psychotherapy (PROP) model, which integrates universal, group, and individual dimensions to determine the personal relevance of interventions. A cultural example of personal relevance among people of East Asian ancestry involves "face" (i.e., one's prestige and position in society), which may moderate treatment outcomes. Pragmatic intervention approaches focused on helping individuals cope with specific external problems, compared to managing a "personal" disease, can effectively "restore" face. Thus, social problem-solving interventions may be more personally relevant to many people of East Asian ancestry than are approaches that are internally focused. In addition, we posit that social neuroscience can offer unique opportunities above and beyond self-report measures when assessing the impact of PROP and the personal relevance of interventions for diverse populations. Our preliminary evidence upon testing this hypothesis indicated that among Asian Americans, exposure to problem-solving therapy content elicited significantly greater neural activity in brain areas associated with personal relevance compared to exposure to cognitive-behavioral therapy content. Identifying personally relevant interventions has the potential to reduce mental health disparities by increasing engagement with mental health services for diverse groups. The increased client engagement produced by personally relevant interventions also has the potential to make mental health services more effective for diverse groups. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Mental health and clinical psychological science in the time of COVID-19: Challenges, opportunities, and a call to action.

COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The role of spousal relationships in fibromyalgia patients' quality of life.

Fibromyalgia (FM) is a chronic pain syndrome that includes debilitating symptoms such as widespread pain and tenderness, fatigue, and poor physical functioning. Research has shown FM patients' choice of coping style and relationship quality with their spouse can impact their mental quality of life (QoL), but no known study has examined the protective nature of relationship quality and coping behaviors on both patient physical and mental QoL in the context of chronic pain. We examined 204 patients with FM on the (a) roles of coping styles and relationship quality on patient quality of life, and (b) moderating effect of relationship quality on the association between negative coping style and patient QoL. A series of multiple regressions found patients' coping styles were not significantly associated with physical QoL, but were significantly associated with mental QoL. Patients' relationship quality with their spouse was significantly associated with mental QoL, but not physical QoL and no significant interactions with negative coping style were found. Our results emphasize the importance of coping styles and relationship quality between patients and their spouses in the context of chronic pain. Clinicians can incorporate the patient's relationship as part of a more holistic approach to care and improving outcomes.

Disciplinary perspectives on multicultural research: Reply to Dvorakova (2016) and Yakushko et al. (2016).

In their comments on Hall, Yip, and Zárate (2016), Dvorakova (2016) addresses cultural psychology methods and Yakushko, Hoffman, Consoli, and Lee (2016) address qualitative research methods. We provide evidence of the neglect of underrepresented groups in the publications of major journals in cultural psychology and qualitative psychology. We do not view any particular research method as inherently contributing to "epistemological violence" (Yakushko et al., 2016, p. 5), but it is the misguided application and/or interpretation of data generated from such methods that perpetuate oppression. We contend that best practices for representing ethnocultural diversity in research will require a diverse toolbox containing quantitative, qualitative, biological, and behavioral approaches. (PsycINFO Database Record

A Meta-Analysis of Cultural Adaptations of Psychological Interventions.

Forehand and Kotchick (1996) issued a wake-up call to the field to develop culturally responsive interventions. Since that time, 11 meta-analyses on culturally adapted interventions have been conducted. To reconcile the differences of the previous meta- analyses, a new meta-analysis was conducted that included 13,998 participants, 95% of whom were non-European American, in 78 studies evaluating culturally adapted interventions with psychopathology outcomes. Using a random effects multilevel regression model, the overall effect size (g = 0.67, p < .001) favored the effectiveness of culturally adapted interventions over other conditions (no intervention, other interventions). There was a medium effect size favoring the effectiveness of culturally adapted interventions over unadapted versions of the same intervention (g = .52). The overall effect size was moderated by whether the study involved treatment (g = .76) vs. prevention (g = .25, p = .03) and whether the study involved specific measures of mood or anxiety symptoms (g = .76) vs. general measures of psychopathology (g = .48, p = .02). Culturally adapted interventions had 4.68 times greater odds than other conditions to produce remission from psychopathology (p < .001) in 16 studies that reported remission. There were greater effects in no intervention control designs (marginal odds ratio = 9.80) than in manualized intervention (marginal odds ratio = 3.47, p = .03) or another active, nonmanualized intervention (marginal odds ratio = 3.38, p = .04) comparison designs in remission studies. Research has yet to adequately investigate whether culturally adapted or unadapted interventions impact culture-specific psychopathology. These findings indicate a continuing need for rigor in the conceptualization and measurement of culture- specific psychopathology and in developing culturally responsive interventions.

On becoming multicultural in a monocultural research world: A conceptual approach to studying ethnocultural diversity.

Race, culture, and ethnicity are critical components of the human experience, yet they are often treated as nuisance variables or as post hoc explanations for poorly predicted results. Mandates to pay attention to ethnocultural diversity in research have largely been ignored. Here, we affirm some basic principles of multicultural psychology in conceptually grounded research. We first identify the importance of clear and conceptually guided ethnocultural research, and describe multiple perspectives in the field. The first perspective, a generalizability approach, seeks to find similarities and universalities across diverse groups. The second perspective, a group differences approach, attempts to determine the generalizability and limits to generalizability across different groups that are assumed to represent different cultures. The third perspective, multicultural psychology, involves specifying and measuring the mechanisms of cultural influences on behavior in ethnocultural groups underrepresented in research. In contrast to conventional approaches to culture that apply existing models to other groups, we propose an "inside-out" model that prizes the perspectives of those in ethnocultural communities that are underrepresented in research and places a secondary emphasis on generalizability. We follow with examples and new directions for multicultural psychology research. This approach has the potential to enhance researchers' ability to answer conceptually derived research questions and in combination with the other approaches promises to enhance the advancement of psychological science generally. (PsycINFO Database Record

Validity for an integrated laboratory analogue of sexual aggression and bystander intervention.

This study sought to develop and validate an integrated laboratory paradigm of sexual aggression and bystander intervention. Participants were a diverse community sample (54% African American) of heterosexual males (N = 156) between 21 and 35 years of age who were recruited to complete the study with a male friend and an ostensibly single, heterosexual female who reported a strong dislike of sexual content in the media. Participants viewed a sexually explicit or nonsexually explicit film clip as part of contrived media rating task and made individual choices of which film clip to show the female confederate. Immediately thereafter, participants were required to reach consensus on a group decision of which film clip to show the female confederate. Subjecting a target to an unwanted experience with a sexual connotation was operationalized as selection of the sexually explicit video, whereas successful bystander intervention was operationalized as the event of one partner individually selecting the sexually explicit video but then selecting the nonsexually explicit video for the group choice. Results demonstrated that a 1-year history of sexual aggression and endorsement of pertinent misogynistic attitudes significantly predicted selection of the sexually-explicit video. In addition, bystander efficacy significantly predicted men's successful prevention of their male peer's intent to show the female confederate a sexually explicit video. Discussion focused on how these data inform future research and bystander intervention programming for sexual aggression.

Toward ethnocultural diversification of higher education.

Attitudes toward ethnocultural diversification in higher education mirror attitudes toward paying taxes. Dissenters are opposed to paying taxes or to ethnocultural diversification. Passive Supporters value the benefits of taxes or ethnocultural diversification, but pay taxes or engage in diversity efforts only when required to do so. Active Supporters pay taxes or support diversity efforts even if they are not required to do so. Mandatory approaches to decrease the resistance of Dissenters to ethnocultural diversification may be necessary, whereas compelling voluntary approaches may be useful to mobilize Passive Supporters. Solutions need to be tailored to the needs of European Americans and persons of color. This article offers a conceptual framework for future research and interventions.

Application to graduate psychology programs by undergraduate students of color: the impact of a research training program.

The top 86 students were selected from a pool of approximately 400 applicants to a summer clinical psychology research training program for undergraduate students of color. Forty-three of the students were randomly assigned to 1 of 2 clinical psychology research training programs, and 43 were randomly assigned to a control condition without training. The multicultural version of the training program emphasized the cultural context of psychology in all areas of training, whereas cultural context was de-emphasized in the monocultural version of the program. Although the cultural content of the 2 training programs was effectively manipulated as indicated by a fidelity check by an outside expert, there were no significant differences between the effects of the 2 programs on the outcomes measured in this study. The primary differences in this study were between students who did versus those who did not participate in a training program. Sixty-five percent of the students who completed the multicultural training program applied to graduate schools in psychology, compared with 47% of those who completed the monocultural training program, and 31% of those in the control group. Participation in summer research training programs also increased self-perceptions of multicultural competence.

Cultural considerations in adolescent suicide prevention and psychosocial treatment.

Ethnic groups differ in rates of suicidal behaviors among youths, the context within which suicidal behavior occurs (e.g., different precipitants, vulnerability and protective factors, and reactions to suicidal behaviors), and patterns of help-seeking. In this article, the authors discuss the cultural context of suicidal behavior among African American, American Indian and Alaska Native, Asian American and Pacific Islander, and Latino adolescents, and the implications of these contexts for suicide prevention and treatment. Several cross-cutting issues are discussed, including acculturative stress and protective factors within cultures; the roles of religion and spirituality and the family in culturally sensitive interventions; different manifestations and interpretations of distress in different cultures; and the impact of stigma and cultural distrust on help-seeking. The needs for culturally sensitive and community- based interventions are discussed, along with future opportunities for research in intervention development and evaluation.

Initiation, desistance, and persistence of men's sexual coercion.

Patterns of sexually coercive behavior were examined among 266 Asian American and 299 European American men over 1 year. Noncoercer (n = 358), desister (n = 120), initiator (n = 39), and persistent (n = 48) sexually coercive groups were identified. The strongest predictor of sexual coercion was past sexual coercion. Persistent sexual coercers were higher than the other groups in delinquency and hostile masculinity and were nearly twice as likely to engage in laboratory sexual harassment. Loss of face attenuated self-reported sexual coercion and laboratory sexual harassment risk among Asian Americans and attenuated only laboratory sexual harassment risk among European Americans. These findings suggest that the heterogeneity of sexually coercive behavior and ethnicity are important research and clinical considerations.

Ethnicity, culture, and sexual aggression: risk and protective factors.

Explanatory models of sexual aggression were examined among mainland Asian American (n=222), Hawaiian Asian American (n=127), and European American men (n=399). The Malamuth et al. (N. M. Malamuth, D. Linz, C. L. Heavey, G. Barnes, & M. Acker, 1995; N. M. Malamuth, R. J. Sockloskie, M. P. Koss, & J. S. Tanaka, 1991) confluence model of sexual aggression, which posits impersonal sex and hostile masculinity as paths to sexual aggression, was consistently supported. Culture-specific moderators of sexual aggression were also identified. Whereas loss of face was a protective factor against sexual aggression in the Asian American samples, it generally was not a protective factor among European Americans. These findings are not a function of actual or perceived minority status. An implication is that theoretical models may need to be augmented with cultural constructs for optimal application in certain ethnic group contexts.

Validation of Acceptance of Coercive Sexual Behavior (ACSB): a multimedia measure of adolescent dating attitudes.

The psychometric properties of the Acceptance of Coercive Sexual Behavior (ACSB), a multimedia measure of adolescent dating attitudes, were examined. The ACSB is an interactive instrument that uses video vignettes to depict adolescent dating situations. Analyses of the measure's factor structure, internal consistency, test-retest reliability, and validity were conducted with separate samples of male (n = 106) and female (n = 114) high school students. Validity was evaluated in relation to subscales on the Sexual Attitudes Survey and self-reports of dating and sexual experiences. Factor analyses on the ACSB yielded two factors, Coercion and Consent. The ACSB demonstrated acceptable psychometric properties. Advantages of using a multimedia assessment of sexually coercive attitudes with adolescents are discussed.

The cultural context of sexual aggression: Asian American and European American perpetrators.

Attention paid to culture in theories of sexual coercion has been limited. This failure to include culture in these theories implies that culture does not have an important role in sexually coercive behavior. Recent conceptual and empirical work supports the existence of culture-specific models of sexual coercion. Sexual coercion has been characterized in much of the literature as an individual phenomenon. However, cultural norms are influential in collectivist cultural groups. Whereas European American men's sexual coercion is primarily determined by misogynous beliefs, Asian American men's sexual coercion is determined by a combination of misogynous beliefs and cultural considerations. These findings underscore the need to consider cultural context in the development of theoretical models and interventions for sexually coercive behavior.

Gender differences in sexual harassment and coercion in college students: developmental, individual, and situational determinants.

Differences in male (N = 148) and female (N = 278) college students' use of sexually harassing and coercive behaviors were investigated. Men were twice as likely to be sexually harassing and 3 times more likely to be sexually coercive as women. Among men, sexual harassment was predicted by child sexual abuse, hostility, adversarial heterosexual beliefs, and alcohol expectancy, with the latter mediating the effects of aggression. Sexual coercion was predicted by adult sexual victimization and alcohol expectancy, with alcohol expectancy again mediating the effect of aggression. Among women, sexual harassment was predicted by adult sexual victimization, adversarial heterosexual beliefs, aggression, and alcohol expectancy, with aggression mediating the effect of adversarial heterosexual beliefs and alcohol expectancy mediating the effect of aggression. Sexual coercion was predicted by a hostile personality, which mediated the effects of both child and adult sexual victimization. These findings suggest both gender similarities and differences in determinants of sexual aggression.

Meta-analyses of ethnic match as a predictor of dropout, utilization, and level of functioning.

Meta-analyses were performed on 7 studies of ethnic match and psychotherapy. From 13 comparisons of ethnic match and dropout, a small overall effect size was found (r = .03). From 16 comparisons of ethnic match and number of sessions attended, a small overall effect size was found (r = .04). Effect sizes for dropout and utilization were heterogeneous, with ethnic minority groups having larger effect sizes than Caucasian Americans. From 9 comparisons of ethnic match and termination Global Assessment Score, a negligible overall effect size was found (r = .01). The small dropout and utilization effect sizes indicate that ethnic match is not a significant clinical predictor of decreasing dropout after the first session or increasing number of sessions attended.