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This cross-sectional study describes knowledge, perceived competence, and behaviors relative to intimate partner violence (IPV)-related brain injury (BI) among staff in residential domestic violence shelter programs across a New England state. A 23-item questionnaire was administered to registrants of an online IPV-related BI training series. Within this sample, knowledge about IPV-related BI was high, but relative to providing screening, accommodations, and specialized referrals to survivors with BI, perceived competence was low, and behaviors were infrequent. IPV shelter agencies should facilitate IPV-related BI training programs for staff and prioritize developing and implementing BI screening, accommodation, and referral policies and procedures. [ABSTRACT FROM AUTHOR]

Background: The current emphasis among addiction treatment providers is to use person-first language, such as "a person with a substance use disorder," as a way to reduce stigma around addiction and resulting barriers to treatment. This study considers how individuals recovering from substance use feel about the terms "alcoholic" and "addict," particularly how they self-identify and whether they believe the terms carry stigma. Method: Thirty-five individuals were interviewed, recruited primarily, but not exclusively, from 12-step meetings (Alcoholics Anonymous, Narcotics Anonymous), from 3 locations throughout a rural New England state. Interviews were transcribed and coded in Atlas Ti qualitative analysis software, and a content analysis of text coded with "stigma" was conducted. Results: Some comments reflected a belief that the terms "addict" and "alcoholic" carry a stigma. However, more comments rejected the notion of these being stigmatized terms; or acknowledged the stigma but reflected the subject's lack of internalizing of any stigma. Comments reflected other themes including a sense of pride, identity and ownership when self-identifying as an addict or alcoholic. Several comments suggested that person-first language is part of a larger movement to "soften everything," without changing the underlying condition (addiction). The findings may reflect the fact that subjects were recruited from 12-step programs, where the convention is to self-identity using the terms "alcoholic" and/or "addict." Conclusions: Some individuals seeking treatment for addiction may prefer self-identifying using old-school terminology (addict, alcoholic) rather than person-first language, for a variety of reasons (eg, they do not internalize the stigma of such terms). [ABSTRACT FROM AUTHOR]

Social, emotional, and behavioral (SEB) screening frequently employs a variable-based approach wherein individual scale scores indicate risk. However, a person-centered approach wherein risk is indicated by profiles, or constellations of scores across all scales, could help schools prioritize students based on the pervasiveness of SEB needs and match students to appropriate interventions. This study used latent profile analysis (LPA) to identify profiles within two diverse student samples (n = 16,270 in year one; n = 4019 in year two) based on teacher ratings on the Behavior Intervention Monitoring Assessment System, Second Edition (BIMAS-2). Results suggested four profiles including one profile with elevated risk across all scales, one profile with low behavioral risk and above average social functioning, one profile with borderline risk across all scales, and one profile with typical scores across most scales. Implications for linking universal screening to intervention are discussed. Impact and Implications: Many school districts employ universal screening to prevent and address wide-ranging student needs. Grouping students based on shared sets of needs has the potential to efficiently identify and prioritize students with pervasive risk in order to match them to comprehensive services. Results from this study capture the first attempt to identify student need profiles using BIMAS-2 scores. Future research should refine this process to derive more usable and consistent student profiles allowing direct links to comprehensive student services. [ABSTRACT FROM AUTHOR]

Background: Healthcare workers report a higher incidence of depression than the general population. Work–family conflict is a risk factor, but the mechanisms explaining its association with depression are not well understood. This study examines the potential mediating and moderating role of sleep and decision latitude in translating work–family conflict into depression. Methods: In 2018, a cross-sectional survey was collected from healthcare workers (n = 1,059) in five public sector facilities in the northeast United States. The survey included questions on participants' work–family conflict, depression, sleep duration and disturbances, decision latitude, and other work environments and socio-demographic characteristics. Multivariable linear and Poisson regression modeling were used to examine associations among variables. Findings: There was a significant association between work–family conflict and depression (β = 2.70, p <.001). Sleep disturbances, although not short sleep duration, partially mediated this association. The association between work family–conflict and depression was stronger among workers with low decision latitude. Conclusions: Depression was prevalent among healthcare workers and was associated with work–family conflict. Sleep disturbances served as a significant mediator, while decision latitude modified the strength of the association. Application to Practice: Evidence-based interventions seeking to alleviate the effect of work–family conflict and improve healthcare workers' mental health should consider promoting employee sleep quality and improving employees' decision-making on the job. [ABSTRACT FROM AUTHOR]

This study examined the relationship between DNA evidence and outcomes of prosecution of sexual assault. Researchers coded data from prosecutor and crime laboratory files for sexual assault cases referred to prosecutors between 2005 and 2011 in a metropolitan jurisdiction in the northeastern United States. Cases with a DNA match were significantly more likely to move forward and result in conviction, even with other predictor variables statistically controlled. Analyses suggest DNA evidence contributes to case progression but also is a result of it. These findings strengthen the case for quality forensic medical examinations, investment in DNA analysis, and increased prosecutor training. [ABSTRACT FROM AUTHOR]

Previous research indicates that teen dating violence (TDV) is more common among sexual minority than heterosexual adolescents, with approximately half of female sexual minority adolescents (SMA) endorsing TDV victimization in the last year. In samples of adolescents without regard to sexual orientation, exposure to violent pornography is associated with TDV, but this relationship has not been assessed in female SMA. The current study sample consisted of 10th-grade high school students aged 14-17 who identified as cisgender females (N = 1,276). Data were collected from a baseline survey prior to the delivery of a sexual assault prevention intervention. Female SMA had 2.54 times the odds (95%CI [1.75, 3.69]) of being exposed to violent pornography and 2.53 times the odds (95%CI [1.72, 3.70)]) of TDV exposure compared to heterosexual girls. Exposure to violent pornography was not associated with involvement in TDV among female SMA, controlling for episodic heavy drinking (aOR = 2.25, 95%CI [0.88,6.22]). Given the relatively higher rates of violent pornography and TDV exposure among female SMA compared to heterosexual girls, it is critical that sex education curricula address these experiences and meet the needs of adolescents of all sexual orientations. Future research can assess how these TDV interventions might be tailored for female SMA. Although we did not find that exposure to violent pornography was associated with TDV among female SMA, these investigations should be replicated with larger data sets, given that the association between exposure to violent pornography and engagement in TDV was in the expected direction. [ABSTRACT FROM AUTHOR]

Consistent with a therapeutic jurisprudence framework, court decisions and processes can have a therapeutic or antitherapeutic effect on intimate partner violence (IPV) victims. To maximize therapeutic effects, IPV scholars have advocated for survivor-defined practices that emphasize the importance of engaging with victims in a collaborative manner that promotes autonomy, choice, and control. However, limited research exists in the context of criminal protection orders (POs). The current study addressed this gap by assessing whether criminal PO match (whether victims received the level PO they requested [i.e., PO match] or not [i.e., PO mismatch]) and victims' subjective experiences of the court process were associated with their willingness to use the system in the future to address IPV. In a sample of 187 women whose partners were arrested for IPV, experiencing the court processes as positive (ß = .36, p = .001) and court-related fear (ß = .41, p < .001) were positively associated with willingness to use the system in the future. Additionally, PO match moderated the association between subjective court experiences and willingness to use the system in the future. Experiencing the court processes as negative (b = .33, p = .005) and validating (b = -.36, p = .001) was associated with willingness to use the system in the future only for participants who did not receive the PO level they requested. While experiencing the court as positive (b = -.40, p = .001) was associated with willingness to use the system regardless of PO match, it was most strongly associated for participants who did not receive the PO level they requested. Results suggest the importance of ascertaining strategies to improve victims' experiences with the court, especially when victims' requests are not met, to increase future engagement with the system. [ABSTRACT FROM AUTHOR]

Adolescents are at high risk for sexual and dating violence (SDV) at school, indicating need for both adolescents and school personnel to engage in bystander behavior to prevent SDV. Adolescents' perceptions of social norms about bystander behavior, including their perceptions about social norms among school personnel, may impact adolescents' own SDV attitudes and intended bystander behavior. Based on social norms theory, the current research examines adolescents who underestimate, accurately perceive, and overestimate school personnel's reactive (responding to a current situation) and proactive (spreading messaging about prevention) bystander behaviors. High school students (N = 3,404; mean age = 15.7; 87.2% White; 87% heterosexual) and school personnel (N = 1,150) from 25 schools completed surveys. Adolescents who underestimated school personnel's reactive and proactive bystander behavior had more accepting attitudes towards violence and less bystander behavior intentions. Correcting misperceived norms about bystander behavior may improve students' own bystander behavior. [ABSTRACT FROM AUTHOR]

Sexual minority adolescents are at greater risk for experiencing teen dating violence (TDV) in their dating relationships. Although adolescents in dating relationships often report experiencing and perpetrating various forms of TDV, the directionality of TDV based on youth's reported gender and sexual orientation is not known. A sample of 10th-grade students (N = 1,622) recruited from high schools in the Northeastern United States completed assessments of TDV victimization and perpetration and reported their past-month heavy alcohol use and marijuana use. Sexual minority girls (58%) and boys (36%) were more likely to experience TDV than heterosexual girls (38%) and boys (25%), respectively. Sexual minority boys were less likely, although the confidence intervals included one, to engage in dual-role physical TDV (odds ratio [OR] = 0.14, 95% confidence interval [CI] [0.00, 1.26]) and threatening TDV (OR = 0.14, 95% CI [0.00, 1.02]), and instead were more likely to be victimized. In contrast, the profiles of TDV were similar for girls, with sexual minority girls only being more likely than heterosexual girls to report dual-role physical TDV (OR = 2.23, 95% CI [1.07, 4.66]). Compared with unidirectional TDV, bidirectional TDV was significantly associated with sexual minority girls' substance use, but not with heterosexual girls' substance use. Sexual minority youth report higher rates of TDV, with sexual minority boys being distinctly at-risk for being victimized within their dating relationships. Engagement in both TDV victimization and perpetration was distinctly associated with substance use for sexual minority girls, highlighting the need for integrated prevention efforts and support. [ABSTRACT FROM AUTHOR]

The Confluence Model of Sexual Aggression is a well-established framework for understanding factors that contribute to men's perpetration of sexual aggression against women, highlighting the roles of hostile masculinity, impersonal sex orientation, and exposure to pornography. To date, only one study has applied aspects of the Confluence Model to examine predictors of sexual aggression in adolescent males, and the study did not include pornography exposure as a predictor. The current study evaluates the Confluence Model as a framework for understanding the perpetration of both contact and noncontact sexual aggression in a sample of 935 heterosexual 10th-grade adolescent boys. Composite scores for hostile masculinity and impersonal sex orientation were generated. Nearly all the variables included in the hostile masculinity and impersonal sex constructs were associated with perpetration. Zero-inflated Poisson regression models revealed distinct combinations of salient predictors when the dependent variable was identified as boys' frequency of perpetration, compared with when the dependent variable was defined as any perpetration of sexual aggression. Impersonal sex orientation and violent pornography exposure were associated with perpetrating noncontact sexual aggression in the last 6 months, while violent pornography exposure and the interaction of hostile masculinity and impersonal sex orientation increased the frequency of recent contact sexual aggression. Results suggest that hostile masculinity, impersonal sex orientation, and violent pornography exposure are important factors to address within sexual assault prevention approaches for adolescent boys. [ABSTRACT FROM AUTHOR]

Casual sex, although common in college culture, can increase the risk of sexual victimization, which in turn can lead to posttraumatic stress disorder (PTSD). This study examined sexual victimization, self-esteem, and social support as relative predictors of PTSD and risky casual sex (RCS) in a sample of 229 female undergraduates. Results suggested that enhancing self-esteem may have a greater relative impact on PTSD symptoms compared with social support, even after accounting for the impact of sexual victimization. Moreover, a reduction in PTSD symptoms may have the potential to minimize RCS. Future research is needed to determine temporal relations among these variables. [ABSTRACT FROM AUTHOR]

Recent decades witnessed a surge in pornography use, contributing to what some researchers referred to as problematic pornography use (PPU; excessive, compulsive, and uncontrollable pornography use). Informed by cognitive scripts theory, cross-sectional, longitudinal, and experimental research spanning several decades documented a positive association between men's pornography use and physical and sexual violence perpetration. However, there is a paucity of research investigating pornography use broadly, and PPU specifically, among men who perpetrate intimate partner violence (IPV). The present cross-sectional study investigated the association between self-reported PPU and physical and sexual IPV perpetration among 273 men in batterer intervention programs. After accounting for psychiatric symptomology and substance use and problems, results revealed a positive association between PPU and both physical and sexual IPV perpetration. Findings highlighted the need for continued investigation of the function of pornography use for violent men, particularly as it relates to physical and sexual IPV perpetration. [ABSTRACT FROM AUTHOR]

This study examines students' bystander intervention opportunities and behaviors using survey data from a convenience sample of 226 college students from a university in the United States. We approach this study with theoretical concepts from the criminological literature on positive peer influence, self-control theories, and social control theories. Bivariate correlations and logistic analysis reveal, contrary to our predictions, that social and self-control have only minor predictive power on the likelihood of witnessing and intervening in sexually coercive events. However, we find strong support for some demographic characteristics, peer relationships, and behavioral characteristics (such as binge drinking) as predictive of witnessing a sexually coercive event and intervening in an event. Our study adds to the literature on bystander intervention behavior and aims to inform bystander intervention programming efforts by identifying student populations that are more likely to have the opportunity to intervene in sexually coercive situations and sexual assaults. [ABSTRACT FROM AUTHOR]

The lack of research on graduate students' experiences with campus sexual violence and the campus climate is a glaring gap in the literature (Bonistall Postel, 2020). Thus, the current exploratory study examines the experience of graduate students at one university to determine their victimization rates and the number of disclosures they receive from peers. In addition, we compare graduate and undergraduate students' awareness of resources on campus and their confidence in knowing where to seek assistance for their peers or themselves. Finally, we compare key influential factors related to the campus climate such as sense of community and perceptions of the university's responsiveness to incidents of sexual violence among graduate and undergraduate students. An online survey was administered to a sample of 9,546 students, with 79.9% undergraduates and 20.1% graduates. A total of 5.2% of graduate students reported experiences of sexual violence since attending the university, with 13% receiving disclosures from peers. MANCOVA revealed that compared with undergraduate students, graduate students had significantly less awareness of campus resources, less confidence in knowing where to seek assistance, and less of a sense of community. There were no differences in perceptions of the university's handling of sexual violence. The findings highlight the importance of including and targeting graduate students in sexual violence awareness and prevention programming on college campuses. [ABSTRACT FROM AUTHOR]

This study examined incoming male college students' proclivity to perpetrate sexual assault at a large public university in the Northeast (n = 1,619). Overall, self-reported proclivity to perpetrate was low (between 20–26%). Students' perception that a peer would intervene as a bystander was negatively associated with proclivity, while acceptance of certain rape myths was positively associated with proclivity. Students who intended to join a fraternity and White students had increased proclivity to perpetrate using force or incapacitation. Based on these findings, recommendations for sexual assault prevention efforts are included. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal disorders (MSDs) are the leading cause of pain and disability among nurses and are frequently accompanied by depression. However, the association between the comorbidity of MSDs and depression and working conditions has not been studied, which was the aim of this study. Methods : In 2015, all nurses (n = 1,102) employed at a community hospital in the Northeast United States were invited to participate in this cross-sectional study. A survey was distributed in which participants were asked to report on MSDs, depressive symptoms, as well as subjective working conditions assessed including physical demands, psychological demands, decision authority, social support, and work–family conflict. Findings : 397 nurses responded (36%), and the prevalence of the comorbidity of MSDs and depression was 14.5%. Poisson regression (PR) models suggested that work–family conflict was associated with increased risk of the comorbidity (PR = 2.18; 95% confidence interval [CI] = 1.33–3.58), as was 8-hour night shift (PR = 2.77; 95% CI = [1.22, 6.31]) or 12-hour day shift (PR = 2.20; 95% CI = [1.07, 4.50]). Other working conditions were not directly associated with the comorbidity. Conclusions/Application to Practice : The comorbidity of MSDs and depression is prevalent among hospital nurses, and work–family conflict and working night shift or longer shifts were significantly associated with this. Effective workplace programs are needed to address nurses' working conditions to reduce their work–family conflict, thereby improving their musculoskeletal and mental health. [ABSTRACT FROM AUTHOR]

Background: The Veterans Affairs (VA) is a leader in the implementation and advancement of antibiotic stewardship programs throughout the nation. The Centers for Disease Control and Prevention (CDC) has also led national antibiotic stewardship efforts and has outlined core elements to improve antibiotic use in hospitals, long-term care, and outpatient settings. Many facilities still face challenges to the implementation and maintenance of successful programs, particularly in nonacute care settings. The objective of this study was to identify barriers and facilitators to antibiotic stewardship within the VA medical centers through qualitative interviews with pharmacists. Methods: Eight semi-structured telephone interviews were conducted with pharmacists from 6 VA medical centers within VA New England Healthcare System. Pharmacist respondents were either pharmacy champions (for medical centers with established programs) or pharmacists with responsibilities in making antibiotic recommendations (locations without established programs). All interviews were audio recorded and transcribed verbatim. NVivo 8 was used for data coding and analysis. Results: Pharmacists from all 8 medical centers were contacted for interviews and pharmacists from 6 medical centers agreed to interviews (75% VA New England medical center participation). Three main themes regarding antibiotic stewardship were identified from the interviews with pharmacists. Respondents described the importance of (1) a supportive organizational culture, (2) protected time for antibiotic stewardship, and (3) a cohesive organizational structure in the success of antibiotic stewardship programs. Conclusions: Our findings support the CDC core elements for antibiotic stewardship, in particular the importance of leadership commitment in the creation of a culture that supports antibiotic stewardship and in ensuring staff are given sufficient time for antibiotic stewardship efforts. Although a strong supportive culture has been built, strategies focused on fostering increased protected time for antibiotic stewardship and a cohesive organizational structure may be helpful in advancing and sustaining successful antibiotic stewardship programs that improve patient outcomes. [ABSTRACT FROM AUTHOR]

Anxiety disorders are common in youth. Because somatic complaints are a hallmark feature of anxiety, these students frequently visit their school nurse, creating an ideal opportunity for nurses to identify and assist them. In an effort to better understand current practices, we surveyed a large sample (N = 93) of school nurses. Results indicated that the majority of nurses perceived anxiety as the most prevalent mental health issue in their students. Moreover, the majority of nurses reported that they did not use any formal screening tool or intervention protocol and stated wanting to expand their training in anxiety intervention. These data suggest that school nurses identify anxiety as a top problem but do not receive adequate training to address it. Data from this survey may be used to plan how best to fill gaps in nurse training and practices that can enhance nurses' capacity to optimize outcomes for anxious students. [ABSTRACT FROM AUTHOR]

Purpose: This study explored the experiences of Black nurse faculty employed in predominantly White schools of nursing. High attrition rates of this group were noted in previous literature. Understanding their experiences is important to increase nurse diversity. Design: Hermeneutic phenomenology was used to explore the experiences of 15 Black nurse faculty using interviews. Findings: Four themes were extracted as the following: cultural norms of the workplace, coping with improper assets, life as a “Lone Ranger,” and surviving the workplace environment. Discussion: The study provided insight to understand the meaning that Black faculty members give to their experiences working in predominantly White schools of nursing. Findings exemplify the need to improve culturally competent work environments and mentoring programs. Implications for Practice: Results suggest that better communication and proper respect from students, colleagues, and administrators are necessary. The limited research on this topic illustrates that Black nurse faculty remain under investigated; research is necessary to determine effective change strategies. [ABSTRACT FROM AUTHOR]

Objectives For centuries, the concept of race, a uniquely pervasive social construct, has often complicated dialogue and interactions between groups of people. This study assessed perceptions and attitudes of faculty and trainees with varied racial backgrounds within graduate medical and psychology programs. Self-reported responses addressed potential barriers and facilitating factors required for meaningful conversations about race. Methods A brief 18-question survey was developed and administered electronically to three professional and academic Listservs within a large metropolitan city in northeast United States. Quantitative and qualitative analysis were conducted using SPSS Statistical Software and Text analyzer. Results Results revealed that among participants (N = 57) a majority experienced cross-racial supervision, and more than half indicated engaging in conversations about race within supervision. Respondents endorsed lack of comfort and lack of opportunity/time as significant barriers to discussing race within supervision. When race-related dialogues occurred, a majority of supervisees and supervisors found it beneficial. Most Supervisors of Colora actively initiated these conversations in supervision, while White supervisees endorsed the least benefit from these conversations. Contrary to our expectations, few respondents endorsed limited training as a barrier. Discussion The current study revealed cross-racial dialogues about race may be occurring frequently in supervisory relationships. Supervisees of Color reported benefiting from these dialogues, in contrast to their White counterparts, who endorsed the least benefit. Lack of comfort in supervisory relationships appears to be a significant barrier to having these conversations. Therefore, it is important for supervisors to create supervisory relationships emphasizing safety and comfort. Directions for future research are discussed. [ABSTRACT FROM AUTHOR]

This mixed methods study explored elementary and secondary educators’ perceptions of their school district’s responsiveness to intervention (RTI) initiative. Teachers and administrators were surveyed regarding (a) the perceived feasibility and effectiveness of educational practices that are inherent within RTI models, (b) perceived knowledge of basic RTI concepts, and (c) perceived preparedness to implement specific components of RTI within their district. A majority of respondents reported that educational practices common to RTI models (e.g., progress monitoring, evidence-based instruction) were both feasible for the classroom and effectively implemented at their school. In addition, most understood the basic principles of RTI. However, responses indicated that educators need more specific guidance about how to implement. Lack of understanding of RTI and need for guidance for implementation were particularly pronounced at the high school level. Findings from the current study are consistent with the existing RTI literature. We conclude with recommendations for professional development of RTI and implications for practice specifically at the secondary level. [ABSTRACT FROM AUTHOR]

Background and Objective. This study is a qualitative analysis examining caregivers’ expectations for pediatricians with regard to behavioral health care. Methods. Fifty-five parents/caregivers of children seen in an urban primary care clinic participated in semistructured interviews. Participants were parents or guardians of children between the ages of 2 and 17 years, referred from the pediatric clinic to the mental health center. Interviews were analyzed using grounded theory methods. Results. Pertinent themes were the following: expected range of care, components of an effective primary care provider (PCP) relationship, action of the PCP, and parent reaction to PCP intervention. Forty-seven percent of caregivers saw the PCP role as strictly for physical health care; 53% expected the PCP to have a role in both physical and behavioral health. Responses were overwhelmingly positive from caregivers when the PCP asked about or conducted a behavioral health intervention. Conclusion. Caregivers did not consistently expect but responded positively to PCPs engaging around behavioral health concerns. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) accounts for up to 50% of all calls to police. In an effort to standardize arrest criteria, mandatory arrest laws were established. It is unclear whether subsequent increased rates of female arrest are due to greater recognition of female IPV perpetrators or of women acting in self-defense. This study aims to understand the context and consequences of IPV-related arrest from perspectives of women arrested in a single metropolitan area. Semi-structured qualitative interviews were conducted with women arrested and court-ordered to attend IPV education groups at a women’s shelter in the Northeast United States. Interviews addressed circumstances surrounding arrest, experience with past violence, and reasoning regarding use of partner violence. Two researchers independently coded transcripts and met to iteratively refine the code and review transcripts for themes. Eighteen women were interviewed. Major themes that emerged were as follows: (a) Women’s use of violence occurred within the context of their own victimization; (b) the arrest included a complex interplay between subject, partner, and police; (c) women perceived police arrest decisions to be based on a limited understanding of context; and (d) women experienced both positive and negative consequences of arrest. Many relationships did not fall under the traditional victim/perpetrator construct. Rather, women’s use of violence evolved, influenced by prior experiences with violence. More appropriate methods must be developed for making arrest decisions, guiding justice system responses, and developing interventions for couples experiencing IPV. Recognition that women’s use of partner violence often represented either a retaliatory or self-defensive gesture within the context of prior victimization suggests that victims’ interventions should not only focus on empowerment but also provide skills and strategies to avoid temptation to adopt aggression as a primary method of self-protection. [ABSTRACT FROM PUBLISHER]

The article presents a qualitative study which compares the substance abuse treatment programs of secular organizations and faith-based organizations (FBO) in the U.S. The study uses grounded theory methods for creating models of religious influences. The study shows differences in religious activities of secular and faith-based programs.

A modern assessment of Freud's conceptualization of the creative process focusing on drives, ego psychology, and object relation theory is presented. 40 artists and musicians were interviewed employing 13 open-ended questions to provoke responses historically associated with the theoretical conceptualizations of Freud and post-Freudian theory related to the creative process. Creative process was defined as internal object relations that motivate the external connection between artist and the creative work. Measured responses concerning purpose and understanding; motivation before, during, and after performance; obstacles in performance; and needs through the creative process were assessed. Cluster analysis segregated the participants into high, medium, and low agreement groups based on similarity of responses. A multivariate stepwise regression revealed four questions (enlightenment, drives, obstacles, and ought self discrepancies) accounted for 83.9% of the variance. A post hoc discriminant function analysis identified 82.5% of the population to their correct groups. The findings support Spitz's (2005 ) suggestion that we regard "drives, ego psychology, and object relation theory not as separate approaches but as parts of a whole with varying stresses or accents" (p. 503). [ABSTRACT FROM AUTHOR]

Across two studies, we tested whether perceived social costs and benefits of confrontation would similarly predict confronting discrimination both when it was experienced and when it was observed as directed at others. Female undergraduate participants were asked to recall past experiences and observations of sexism, as well as their confronting behaviors. Path modeling in Study 1 (N = 148) demonstrated that women were more likely to report confronting if they believed that the confrontation would make a difference (perceived benefits), or they were less concerned about social sanctions (perceived costs), and the prediction patterns were similar for both experienced and observed sexism. Study 2 (N = 166) replicated the results of Study 1, as well as tested the moderating influence of gender identification. In situations of higher perceived social costs, women who were less strongly identified with their gender group were more responsive to the perceived benefits of the confrontation when deciding whether to confront on behalf of the self. The results of the two studies suggest that researchers should investigate methods for enhancing perceived social benefits and reducing perceived social costs when designing intervention programs aimed at increasing confrontation and decreasing the prevalence of discrimination. [ABSTRACT FROM AUTHOR]