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).

Who are the Asian Americans? Commentary on the Asian American psychology special issue.

For decades, Asian Americans have had to deal with stereotypes, misunderstandings of their status in society, and prejudice and discrimination. Because of their small population in the U.S. and prevailing model minority stereotypes, they have not received the attention or aid necessary for research and policy advocacy to counter the misunderstandings. It is argued that Asian Americans are diverse group on many dimensions but they share experiences involving stereotypes and racism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Ethnoracial variations in acute PTSD symptoms among hospitalized survivors of traumatic injury.

Ethnoracial minority status contributes to an increased risk for posttraumatic stress disorder (PTSD) after trauma exposure, beyond other risk factors. A population-based sampling frame was used to examine the associations between ethnoracial groups and early PTSD symptoms while adjusting for relevant clinical and demographic characteristics. Acutely injured trauma center inpatients (N = 623) were screened with the PTSD Checklist. American Indian and African American patients reported the highest levels of posttraumatic stress and preinjury cumulative trauma burden. African American heritage was independently associated with an increased risk of higher acute PTSD symptom levels. Disparities in trauma history, PTSD symptoms, and event related factors emphasize the need for acute care services to incorporate culturally competent approaches for treating these diverse populations.

Ethnic minority psychology: struggles and triumphs.

This article focuses on my interpretation of the history of ethnic minority psychology, using as a base the presentations of the contributing authors to this special issue of Cultural Diversity and Ethnic Minority Psychology. Because each contributing author has focused on a particular ethnic group or a particular aspect of history, my goal is to focus on 3 common issues and problems. First, what are the themes and issues that confronted African Americans, American Indians and Alaska Natives, Asian Americans, and Latinos? Second, what were characteristics of the ethnic leaders on whose shoulders we now stand? Third, what kinds of relationships existed between members of different ethnic minority groups?

Epilogue for the special issue on sociocultural factors and mechanisms in alcohol use: Epidemiology, prevention, and intervention among ethnic minority groups: Lessons learned.

The research articles in this special issue edited by Zamboanga and Lui focus on sociocultural factors and processes that underlie ethnic disparities in alcohol use in the United States. Major ethnic minority groups such as African Americans, Asian Americans, and Hispanics are included. Contributors to this special issue present their research findings and draw implications for research, theory, and intervention. The focus is clearly needed. We know enough to say that serious alcohol-use disparities exist; finding effective solutions to these problems is vitally important, especially in our increasingly diverse society; and much more research is needed. Priority for ethnic minority research has increased because of the growing ethnic diversity of the nation; concerns over disparities, social justice, and the welfare of minority populations; and increasing political clout of different minority groups. Nevertheless, greater efforts are needed to address research inadequacies and those programs and policies that affect the mental health of various ethnic minority groups. What have we learned from these articles? To address this question, it is important to have a context for viewing the research. In this context, I make three major points. First, the social sciences in general and psychology in particular have not traditionally embraced the importance of culture. Consequently, conducting ethnic minority research has been difficult. Second, the significance of ethnicity and culture in alcohol use is undeniable. The real task is to understand the complexities in ethnic alcohol use. Third, in addition to culture, ethnic minority groups have minority status in our society that affects all facets of alcohol use and its consequences. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Use of mental health-related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American Study.

OBJECTIVES: We examined rates of mental health-related service use (i.e., any, general medical, and specialty mental health services) as well as subjective satisfaction with and perceived helpfulness of care in a national sample of Asian Americans, with a particular focus on immigration-related factors. METHODS: Data were derived from the National Latino and Asian American Study (2002-2003). RESULTS: About 8.6% of the total sample (n=2095) sought any mental health-related services; 34.1% of individuals who had a probable diagnosis sought any services. Rates of mental health-related service use, subjective satisfaction, and perceived helpfulness varied by birthplace and by generation. US-born Asian Americans demonstrated higher rates of service use than did their immigrant counterparts. Third-generation or later individuals who had a probable diagnosis had high (62.6%) rates of service use in the previous 12 months. CONCLUSIONS: Asian Americans demonstrated lower rates of any type of mental health-related service use than did the general population, although there are important exceptions to this pattern according to nativity status and generation status. Our results underscore the importance of immigration-related factors in understanding service use among Asian Americans.

Immigration-related factors and mental disorders among Asian Americans.

OBJECTIVES: We examined lifetime and 12-month rates of any depressive, anxiety, and substance abuse disorders in a national sample of Asian Americans. We focused on factors related to nativity and immigration as possible correlates of mental disorders. METHODS: Data were derived from the National Latino and Asian American Study, the first national epidemiological survey of Asian Americans in the United States. RESULTS: The relationships between immigration-related factors and mental disorders were different for men and women. Among women, nativity was strongly associated with lifetime disorders, with immigrant women having lower rates of most disorders compared with US-born women. Conversely, English proficiency was associated with mental disorders for Asian men. Asian men who spoke English proficiently generally had lower rates of lifetime and 12-month disorders compared with nonproficient speakers. CONCLUSIONS: For Asian Americans, immigration-related factors were associated with mental disorders, but in different ways for men and women. Future studies will need to examine gender as an important factor in specifying the association between immigration and mental health.

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.

Ethnic and racial health disparities research: issues and problems.

Racial and ethnic disparities in health and health care are pervasive. A number of research and policy issues have been raised in the examination of disparities. This article analyzes some methodological, conceptual, and political issues that underlie disparities research. Specifically examined are the research challenges posed by the different ways of defining disparities, heterogeneity within racial or ethnic groups, measurement issues, conceptual levels of analyses, and financial/political factors. It is suggested that research funding for disparities research be substantially supported and encouraged and that researchers more adequately address methodological and conceptual difficulties that are associated with disparities research.

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.

In the eye of the storm: race and genomics in research and practice.

The difficulties of operationalizing race in research and practice for social, behavioral, and genetic researchers and practitioners are neither new nor related to recent genetic knowledge. For geneticists, the bases for understanding groups are clines, observed traits that gradually change in frequency between geographic regions without distinct identifiable population boundaries and population histories that carry information about the distribution of genetic variants. For psychologists, race may not exist or be a social and cultural construct associated with fluid social inferences. Because definitions of populations and race can be socially and biologically incongruent, the authors suggest that geneticists and social and behavioral scientists and clinicians attend to external validity issues by operationalizing population and racial categories and avoiding race proxies for other biological, social, and cultural constructs in research designs, data analyses, and clinical practice.

The gaming of concussions: a unique intervention in postconcussion syndrome.

OBJECTIVE: To present the case of 2 adolescent high school student-athletes who developed postconcussion syndrome with protracted and limiting visual complaints that markedly affected academic, social, and athletic activity for a year after the onset of symptoms. Both had significant improvement soon after a unique intervention was administered. BACKGROUND: A 14-year-old female soccer and softball player sustained 2 concussions in the same week. She had persistent symptoms for a year that affected her grades and precluded athletic participation. A 15-year-old male football player sustained a concussion during an altercation with 2 other male adolescents. He continued to have symptoms 1 year later, with a marked decrease in academic performance and restriction from athletics. Both adolescents reported blurry vision, photophobia, and associated headache as significant components of the postconcussion syndrome. DIFFERENTIAL DIAGNOSIS: Concussion, postconcussion syndrome, skull fracture, subdural hematoma, epidural hematoma, second-impact syndrome, and visually sensitive migraine. TREATMENT: Both patients were advised to obtain computer gaming glasses to use throughout the day. The female patient was diligent in her use of the glasses, with marked lessening of symptoms. The male patient was less accepting of the glasses but did report lessening of symptoms when using the glasses. UNIQUENESS: We hypothesized that postconcussion syndrome with marked visual complaints would respond to and improve with decreased stimulation of the visual system. This was attempted with the addition of computer gaming glasses. Both adolescent athletes responded well to the filtering of visual stimuli by off-the-shelf computer gaming glasses. CONCLUSIONS: Postconcussion syndrome is a persistent condition with a myriad of symptoms. Two young athletes developed postconcussion syndrome with prominent visual symptoms that lasted a year. The addition of computer gaming glasses markedly lessened symptoms in both patients.

Considering context, place and culture: the National Latino and Asian American Study.

This paper provides a rationale for, and overview of, procedures used to develop the National Latino and Asian American Study (NLAAS). The NLAAS is nationally representative community household survey that estimates the prevalence of mental disorders and rates of mental health service utilization by Latinos and Asian Americans in the US. The central aims of the NLAAS are to: 1) describe the lifetime and 12-month prevalence of psychiatric disorders and the rates of mental health services use for Latino and Asian American populations using nationwide representative samples of Latinos and Asian Americans, 2) assess the associations among social position, environmental context, and psychosocial factors with the prevalence of psychiatric disorders and utilization rates of mental health services, and 3) compare the lifetime and 12-month prevalence of psychiatric disorders, and utilization of mental health services of Latinos and Asian Americans with national representative samples of non-Latino whites (from the National Comorbidity Study-Replication) (NCS-R) and African Americans (from the National Survey of American Life) (NSAL). This paper presents new concepts and methods utilized in the development of the NLAAS to capture and investigate ethnic, cultural and environmental considerations that are often ignored in mental health research.

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.

The effects of race and problem type on teachers' assessments of student behavior.

The authors tested the hypothesis that race bias in teacher evaluations may be problem specific by examining the extent to which ratings of child behavior were influenced by the interaction between the race of the child and the type of presenting behavior. Teachers (N = 197) were presented with three vignettes (overcontrolled, undercontrolled, and "normal"), systematically paired with a photograph of a male child (African American, Asian American, or Caucasian). Respondents rated the seriousness, referability, and typicality of the behavior; the child's family life; academic ability and performance; and causal dimensions. Although results did not reveal a bias in the ratings of African American students, data suggest that stereotypes remain embedded in teachers' interpretive framework for Asian Americans, particularly regarding expectations of overcontrolled traits.

In defense of cultural competency in psychotherapy and treatment.

Cultural competency guidelines and policies are being widely established. Yet some critics have challenged the evidence for cultural competency and the lack of efficacy studies that demonstrate its outcomes. Various positions are examined that discuss cultural competency research. They include the need for more resources for research, scientific practices that overlook ethnic research findings, fruitfulness of theory-driven rather than population-based research, problems in defining cultural competency as a technique, and development of policies in the absence of research. Implications of these positions are discussed.

The state of psychological assessment in Asia.

The collection of articles in this special section provides a much-needed examination of the state of psychological assessment in various Asian countries or societies. In particular, the contributors review and critique assessment of personality, depression and anxiety, children and adolescents, and neuropsychological evaluation. The reviews cover the use of, and research on, imported measures (Western derived) as well as indigenous measures that were developed locally. The articles make a valuable contribution toward understanding not only the state of assessment in Asia but also larger issues such as the universal applicability of assessment instruments and the cross-cultural validity of models of human behavior.

Culture-specific patterns in the prediction of life satisfaction: roles of emotion, relationship quality, and self-esteem.

This study was conducted to explore the culture-specific roles of emotion, relationship quality, and self-esteem in determining life satisfaction. It was hypothesized that maintaining good interpersonal relationships would make individuals in collectivistic cultures not only feel good about their lives but also feel better about themselves. Furthermore, two emotion variables--emotional expression and emotion differentiation--were proposed as possible determinants of relationship quality. It was hypothesized that emotional expressiveness would be more important for maintaining good interpersonal relationships in individualistic societies but emotion differentiation would be more important in collectivistic cultures. These hypotheses were tested with Euro-American, Asian American, Korean, and Chinese groups using multigroup analyses in a structural equation model. Results supported all proposed hypotheses and indicated that emotion differentiation contributes to maintaining good interpersonal relationships in collectivistic cultures, which contributes to self-esteem and satisfaction with life.

Sex, race/ethnicity, and romantic attractions: multiple minority status adolescents and mental health.

This study examined the association between multiple minority statuses and reports of suicidal thoughts, depression, and self-esteem among adolescents. Data from the National Longitudinal Study of Adolescent Health were used to examine mental health outcomes across racial/ethnic groups for same-sex-attracted youths and female youths. Hispanic/Latino, African American, and White female adolescents reported more suicidal thoughts, higher depression, and lower self-esteem compared with male adolescents in their racial/ethnic group. Same-sex-attracted youths did not consistently demonstrate compromised mental health across racial/ethnic groups. Follow-up analyses show that White same-sex-attracted female adolescents reported the most compromised mental health compared with other White adolescents. However, similar trends were not found for racial/ethnic minority female youths with same-sex attractions.

Life strengths and life stresses: explorations in the measurement of the mental health of the Black aged.

A study of Asian American patients receiving care in community mental health facilities suggests that rates of psychopathology among Asain Americans have been underestimated and that treatment facilities are not responding to the needs of this group.