Advancing Antiracism in Community-Based Research Practices in Early Childhood and Family Mental Health.

Structural racism-the ways that institutional policies, practices, and other norms operate to create and sustain race-based inequities1-has historically been foundational to the operations of academic medical centers and research institutions. Since its inception, academic medicine has depended on the exploitation of vulnerable communities to achieve medical, educational, and research goals.2 Research practices have long ignored or taken advantage of the individuals purportedly benefiting from the research, a dynamic most manifestly true for Black, Indigenous, and People of Color (BIPOC) communities in the United States. Reflecting current practices in racial justice work, we intentionally use the term "BIPOC" to highlight shared experiences within racially and ethnically minoritized communities, given the history of White supremacy in the United States. We acknowledge limitations of this term, which collapses myriad unique communities and histories into one construct. Specifically, child and adolescent psychiatry has historically been driven by Eurocentric approaches, paradigms, and methodology. These nonparticipatory dominant research practices have contributed to a lack of culturally responsive interventions for BIPOC communities, a paucity of evidence-based practices with demonstrated effectiveness within BIPOC communities, and disparities in access and quality of care.3 Mental health research involving BIPOC communities has been replete with exploitation and inequality.2.

Reshaping Couple Configurations that Get in the Way of Relationship Repair and Healing.

In the context of relationship trauma, partners' reactive patterns of engagement can disrupt and derail attempts at relationship correction and healing. A circumplex typology of couple patterns of engagement in relational trauma context is defined in terms of partners' underlying views of self in relation to other (VSIRO). VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self-aggrandizing) versus collapsed (self-abnegating) VSIRO, with a balanced (egalitarian) VSIRO, characterized by accountability and forbearance, as the target position. The circumplex model delineates four problematic couple configurations-a dejected couple, a taker-enabler couple, an ultimate fighting couple, and a debtor-collector couple. Where problematic engagement occurs, therapists need to reshape couple engagement toward the balanced, egalitarian position prior to relational trauma work. Clinical vignettes depict these couples and springboard an analysis of unique needs and interventions associated with each couple configuration. Reshaping couple patterns of engagement using a circumplex model of couple configurations is an essential prerequisite to effective and ethical relational trauma work.

A Circumplex Model of Couple Configurations in Relational Trauma Context: An Example of Practice-Based Model Development.

We propose a circumplex model and typology of patterns of couple engagement to help therapists assess and shape positive couple engagement, prerequisite to successful resolution of relational trauma. View or value of self in relation to other (VSIRO) is conceived as a primary engine organizing couple relationships and patterns of engagement. VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self-aggrandizing) versus collapsed (self-negating) VSIRO, with a balanced (egalitarian) VSIRO as the target position, consisting of self and other mutuality, respect, and equality. Two axes (one for each partner) form the circumplex model of five couple configurations-four quadrants plus a balanced, mid-axes region. Using couple configuration conceptualization to address patterns of engagement is an essential prerequisite to resolving couple relational trauma.

An Organizational Framework for Sexual Media's Influence on Short-Term Versus Long-Term Sexual Quality.

Although research has suggested a net negative influence of sexual media on sexual quality, enough researchers have found results suggesting that sexual media has no effect or a positive influence that the matter warrants further investigation. We present an organizational framework utilizing primarily the acquisition, activation, application model (3AM), and the Antecedents-Context-Effects model (ACE) to reconcile these apparently contradictory claims. By synthesizing these theories, we suggest that to truly understand the impact of sexual media on sexual quality, four factors must be taken into account: (1) the content of the sexual media being viewed, (2) the difference between short-term and long-term sexual quality, (3) the influence of exclusivity, formativeness, resonance, and reinforcement in moderating the extent to which the portrayed sexual script is applied (influences attitudes and behavior), and (4) the couple context for congruency of use, script application, and moral paradigms. While acknowledging the many nuances that should be considered, we ultimately argue that when considering these factors simultaneously, the overall scripts presented in sexual media are congruent with pursuing factors for short-term sexual quality and incongruent with pursuing factors for long-term sexual quality.