Despite significant progress in the acceptance and celebration of LGBTQ+ individuals, there is overwhelming evidence that sexual minorities still face disproportionate levels of health inequity compared to their heterosexual peers. Relative to their heterosexual peers, LGBTQ+ emerging adults may encounter unique challenges with discrimination, stigma, and limited social support as they navigate changes in their educational and occupational environments. Additionally, within the broader public health and LGBTQ+ mental health literature, little is known about the mental health service utilization of sexual minority emerging adults. To address these empirical gaps, a sample of 98 LGBTQ+ emerging adults completed self-report measures of heterosexist discrimination experiences, mental health symptoms, LGBTQ+ positive identity, LGBTQ+ community connectedness, and mental health service utilization. The present study found that LGBTQ+ positive identity and LGBTQ+ community connectedness did not attenuate the significant positive relationship between discrimination and negative mental health outcomes. The present study also found that LGBTQ+ positive identity predicted greater likelihood of mental health service utilization, whereas LGBTQ+ community connectedness did not. Finally, exploratory qualitative analyses yielded deeper understanding of relationships between LGBTQ+ positive identity, LGBTQ+ community connectedness, mental health service utilization, and resilience among sexual minority emerging adults. Implications and future directions for empirical research …

This person-centered analytic approach identifies homogeneous offender subtypes in terms of psychopathic trait profiles and facilitates examination of correlates that may be linked with specific subtypes. Prosody is an external correlate that contains a wealth of information relevant to disruptions in cognition and affect and may offer novel insight into different psychopathic subtypes. The current study examined prosodic output in a male offender sample (n = 469) within the context of the clinical Psychopathy Checklist – Revised interview (PCL-R; Hare, 2003). Audio recorded speech samples were drawn from offender responses to affectively-charged PCL-R interview questions representing differing levels of valence and arousal. Generally consistent with previous literature, LPA results indicated that a four-class solution yielded the best model fit for the allocation of individual cases to subtypes with high overall classification accuracy (85%). Results of external validation analyses using mixed effects multivariate analysis of variance revealed significant two- and three-way interactions (psychopathy subtype x valence x arousal) for both speech production and variability indices that helped differentiate the subtypes. Overall, the current study suggests that meaningful differences exist in terms of prosodic output within psychopathic offender subtypes, which may be related to dysfunction in underlying affective processes. Implications of these …

The ability to monitor client change in psychotherapy over time is vital to quality assurance in psychotherapy as well as the continuing improvement of psychotherapy research. Currently there is not a free and comprehensive outcome measure for psychotherapy that meets current research and treatment goals. This study took further steps to validate a suite of measures to aid in treatment and research, theoretically based in the research domain criteria (RDoC) and the phase model of change frameworks. Items previously tested in a community sample were further tested in a clinical population in psychotherapy training clinics and a community clinical sample Data was analyzed using bi-factor confirmatory factor analysis and multidimensional item response theory. Additional exploratory analyses were conducted to explore differential item functioning in these samples.