"You're Not Alone": How Adolescents Share Dysmenorrhea Experiences Through Vlogs.

Many adolescents experience severe pain during menstruation, yet their attempts to receive medical attention to alleviate or manage this pain are often met with dismissal or disbelief. In light of these barriers to care, many adolescents turn to social media to share their experiences with menstruation and pain, as well as hear from other members of their community. In this study, we investigated how adolescents present their experiences with menstruation in vlogs (or "video blogs"). Using critical qualitative methods and a four-column analysis structure, we transcribed and thematically analyzed the audio and video content of 17 YouTube vlogs wherein adolescents described their experiences with menstrual pain. We found that stylistically, the vloggers modulated between a polished documentary style and an intimate storytime style of video production. We additionally found that vloggers spoke about their menstrual pain experiences from three perspectives: as a Patient managing and diagnosing physical symptoms, as a Self considering how the pain affects their life and ambitions, and as a Teacher educating their audience. Considering both the visual and audio data, we discuss how healthcare providers can use these findings to inform their approach to discussing menstrual pain with adolescents. We further discuss possible future directions for research into health story sharing on social media.

Not just in sync: Relations between partners' actions influence the sense of joint agency during joint action.

When people perform joint actions together, they often experience a sense of joint agency ("we did that together"). The current study investigated whether relations between partners' actions within joint actions that require precise interpersonal synchrony influence joint agency, above and beyond the degree of synchrony partners achieve. We employed a mixed-methods approach that combined a quantitative experiment with a qualitative analysis of post-experiment interviews. Partners produced synchronized tone sequences that comprised either constant pitch sequences (simple temporal alignment between partners' actions) or musical duets (complex metrical and harmonic relations between partners' actions). Participants reported stronger joint agency for duets than constant pitches, when comparing trials with equally good synchronization. Post-experiment interviews revealed that joint agency was also influenced by participants' knowledge of the music and their perceptions of task performance, difficulty, and enjoyability. These findings further our understanding of joint agency for joint actions that require precise interpersonal synchrony.

Impact of Perpetrator Type on Attributions of Mother Fault in Child Sexual Abuse.

Blaming nonoffending mothers for child sexual abuse has substantial negative consequences for both the mother and child victim. Although perpetrator type has been shown to influence how much blame and responsibility is placed on nonoffending mothers in child sexual abuse cases, research to date has focused primarily on perpetrators who are strangers to the child or the child's biological father, ignoring the effect of other father-figure perpetrators. The current study examined how differences in perpetrator's relationship to the mother impacted blame, responsibility, cause, and prevention as separate constructs. One hundred and eight participants from an online community sample were randomly assigned to read a vignette describing a child sexual abuse situation with a female victim and one of two perpetrators: the victim's biological father or the mother's boyfriend. Participants assigned significantly higher levels of fault for CSA to the mother when the perpetrator was the mother's boyfriend. Implications and future directions are discussed.

"Becoming a Person Who Does Self-Care": How Health Care Trainees Naturalistically Develop Successful Self-Care Practices.

OBJECTIVES: Self-care is an ethical imperative for health professionals as it can mitigate the adverse effects of stress on professional functioning and health. Yet, there tends to be a lack of self-care among healthcare trainees and an insufficient focus on self-care in medical education. The objective of this study was to develop a grounded theory of how health trainees become successful self-care users. METHODS: Semi-structured interviews were conducted with 17 students in a variety of healthcare disciplines. Data were analyzed using grounded theory methodology. RESULTS: Health trainees underwent 4 iterative phases to become successful at self-care: Having a Wake-Up Call, Building Skills, Gaining Confidence, and Building an Identity. Our model also explained why some trainees were unsuccessful at developing self-care practices. CONCLUSION: We offer the first theory to explain how health trainees develop effective self-care habits. Understanding how self-care practices naturalistically develop has critical implications for developing interventions and curricula: By basing curricula about self-care on knowledge of what works, we have an opportunity to be more successful as educators. Indeed, other researchers have noted a lack of success in self-care and anti-burnout interventions for healthcare professionals. We conclude by discussing implications and recommendations for medical training and curriculum for health professions, including augmenting naturally occurring processes, linking self-care to personalized values, providing opportunities for deliberate practice, focusing on persistence with self-care, and faculty promotion and acceptance of trainee self-care.

Vicarious Growth, Traumatization, and Event Centrality in Loved Ones Indirectly Exposed to Interpersonal Trauma: A Scoping Review.

It is well-known that interpersonal traumatic events can impact the physical and mental health of those indirectly exposed to the events. Less studied are populations of loved ones who have been indirectly exposed to interpersonal trauma. We conducted a scoping review to synthesize literature related to potential consequences of indirect interpersonal trauma exposure, specifically vicarious traumatization (VT) and vicarious posttraumatic growth (VPTG). We used the Joanna Briggs Institute methodology. Inclusion criteria included: (1) participants were indirectly exposed to the interpersonal trauma of a loved one in adulthood, (2) discussion of VT, VPTG, or related terms, (3) published peer-reviewed empirical journal articles, and (4) available in English. We used a three-step search strategy to find relevant articles. Keywords found from the first two steps were entered into PsycINFO, PsycArticles, PubMed, Scopus, and Web of Science databases. Reference lists of the included articles were also examined. The identified articles were then screened using the inclusion and exclusion criteria. Twenty-eight articles met inclusion and exclusion criteria. Twenty-six articles referenced VT or related terms, one referenced VPTG, and one referenced vicarious trauma keywords. Results of this scoping review are summarized by definitions, measures, key findings, and knowledge gaps. Future research should focus on vocabulary management, diverse samples, and VPTG in this population, including the identification or creation of appropriate measures.

Parents' Vicarious Event Centrality of Their Child's Interpersonal Trauma.

This study aimed to understand parents' process of centering their child's interpersonal traumatic event in their lives post-disclosure. Specifically, how it informed their understanding of themselves, their lives, and the world. This phenomenon of centering a traumatic event in one's life is termed event centrality and has not been previously applied to qualitative research or this population. Participants were 17 primary caregivers (14 maternal caregivers and 3 paternal caregivers) of 27 victims of child interpersonal trauma (14 males and 13 females) located in Canada. The age of participants ranged from 35 to 75 years (average = 54.5 years) and majority self-identified as Caucasian (70.6%). Grounded theory was used to analyze the data. The resulting model was labeled Vicarious Event Centralization and Decentralization, indicating that parents center their child's interpersonal trauma across many areas of their lives, which orients them to focus on protecting and healing the child. After the child's functioning improves, parents are then able to reorient to life beyond the trauma, representing decentralization. The grounded theory consists of three phases: Centralization, Decentralization Gateway, and Decentralization. These results illustrate that parents' centralization of the trauma may be an adaptive mechanism that promotes child recovery, which in turn allows parents to begin to decentralize the trauma and move toward recovery. This study supports that parents are affected by their child's trauma in a myriad of ways and require unique services to address their needs. This study can help practitioners understand the post-trauma experience for parents and target areas likely to increase recovery.

Women Survivors of Adolescent Dating Violence Describe the Maintenance of Their Abusive Relationships: First Person Stories via YouTube.

The current study explores the personal stories of young women on their own experiences with adolescent dating violence and focuses on their perceptions of the relevant factors that maintained the relationship over time. To this end, we analyzed seven publicly available videos on YouTube of women explaining their experiences of adolescent dating violence, including how they perceived their relationships to be maintained over time. We identified four major sources these survivors perceived as contributing to the maintenance of adolescent dating violence: the Self, the Partner, the Relational Dynamic, and Other People.

Warmth, Competence, and Blame: Examining Mothers of Sexually Abused Children Within the Stereotype Content Model.

Research shows that nonoffending mothers are frequently held at fault for child sexual abuse (CSA), by both society and professionals, with contradictory explanations for the fault. For example, the same maternal characteristic can be used to assign blame or alleviate blame (i.e., single mothers have been held more at fault for their child's CSA and less at fault). The purpose of this study was to assess a theoretically based model that could account for these different reasons. We tested the stereotype content model (SCM), which examines the content of stereotypes toward target groups, by focusing on perceptions of that group's levels of warmth and competence. We sampled 136 undergraduate participants who read a vignette describing CSA, and completed the SCM with the mother of the victim as the target, and measures of mother fault. Our results showed that participants fell into three SCM groups of mother fault: (a) Moderate Contemptuous Prejudice (i.e., low competence, low warmth); (b) Admiration (i.e., moderate competence, high warmth); and (c) Very Contemptuous Prejudice (i.e., very low competence, very low warmth). Each cluster also held unique emotions toward the mother, as predicted by the SCM. Results further showed that assigned levels of fault were significant, but that fault did not vary by SCM group, lending support to the ideas that the SCM can be applied to this group and that different participants assign fault for different reasons.

Examining Parental Expectations and Fault Attributions for Child Sexual Abuse.

Previous research has demonstrated that nonoffending mothers are held at fault when their child is sexually abused and this fault is directly linked to a decrease in help-seeking behavior. It is unclear, however, whether similar fault is applied to nonoffending fathers, as little such research on fathers exists. What does exist is marked by methodological limitations. Using an experimental vignette design, 154 participants were randomly assigned to read one of two hypothetical abuse scenarios (i.e., nonoffending mother or nonoffending father) depicting the sexual abuse of a female child by an adult male perpetrator. Participants rated levels of fault attributions assigned to either parent and then provided open-ended responses outlining their reasons for their attribution ratings. Quantitatively, both mothers and fathers were assigned similar amounts of fault for the sexual abuse. Thematic analysis of participants' justifications for their assigned fault attributions revealed both mothers and fathers are subject to similar expectations that either increase or decrease assigned fault, with the exception of one theme, Disbursement, in which participants distributed fault away from fathers toward others (e.g., the nonoffending mother). By understanding parent blaming and the reasons behind parent blaming attributions, future research can work to improve these attitudes.

Qualitatively Understanding Mother Fault After Childhood Sexual Abuse.

Socially constructed images of motherhood suggest that a "good" mother is caring, nurturing, and selfless-the perfect maternal figure. When these standards are not met, mother blaming (i.e., assigning fault to mothers) occurs even in child sexual abuse (CSA) cases. We collected 312 open-ended responses in total from 108 community-based participants to understand contextual factors that increase and decrease in mother fault in a CSA-related vignette depicting the mother's partner as the perpetrator. Thematic analysis revealed five main themes. Three themes were associated with decreased blame: Lack of Overt Knowledge (i.e., the mother had no direct knowledge of the CSA and thus cannot be blamed), Physical Act (i.e., the mother was not the actual perpetrator; only the perpetrator is responsible for the CSA), and Trust (i.e., the mother should be able to trust her partner). Two themes were associated with increased blame: Covert Knowledge (i.e., the mother was expected to have covert, intuitive knowledge of the CSA) and Mistrust (i.e., the mother should have known better than to trust her partner). Faulting mothers for the CSA of their child may reduce reporting of, and help seeking for, CSA, due to fear of being blamed.

But what do participants want? Comment on the "Data Sharing in Psychology" special section (2018).

This commentary addresses a recent special section on data sharing (i.e., open data) in the February-March 2018 American Psychologist. In 4 articles, the authors outline how open data can positively impact psychology and provide guidelines for adopting open data practices, which we believe is to be commended. However, this special issue has not acknowledged a crucial concern in the open data debate: the views and desires of participants. Participants are the backbone of psychological research and an important stakeholder in open data issues. We review research that has studied participants' opinions of open data and outline concerns regarding open data raised by some groups of participants. We conclude with recommendations, including a call to psychological researchers to move beyond opinion and instead to empirically examine the impact of open data. We believe psychology is a discipline uniquely poised to execute these recommendations and guide researchers' understandings of how to appropriately and ethically implement open data practices across multiple disciplines. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Mother Blame and the Just World Theory in Child Sexual Abuse Cases.

Mothers are blamed for a variety of negative experiences and outcomes of their children, including child sexual abuse (CSA). According to just world hypothesis (JWH), people have a need to view the world as one where there is no such thing as an innocent victim; that is, the world is fair and just. These beliefs predict victim blaming in situations such as sexual abuse, physical abuse, and robbery. However, JWH has not been applied to the examination of mother blame, a situation in which the blame target did not directly experience the traumatic event. We examined this application in two studies: (a) a thematic analysis of focus group discussions and (b) a correlational study. Across both studies, participants identified personal characteristics of the mother that either increased or decreased blame, consistent with JWH. However, when directly asked, most participants denied holding just world beliefs, particularly as related to child sexual abuse. Our results indicate that methodological choices might affect results, and that socially constructed views of "ideal mothers" influence mother blame. We discuss implications for validity of just world theory (JWT), methodological choices, and reduction of mother blame.

Transformational change in parenting practices after child interpersonal trauma: A grounded theory examination of parental response.

Child interpersonal trauma is associated with a host of negative outcomes, both concurrently and in adulthood. Parental responses following trauma can play an important role in modulating child responses, symptoms, and post-trauma functioning. However, parents themselves are also impacted after their child experiences trauma, reporting distress, psychopathology, concerns about the child's safety, changes in discipline and protectiveness, and feelings of blame. Most of this previous research, however, suffers from methodological limitations such as focusing on description and correlations, providing static "one shot" assessments of parenting after trauma, and relying mainly on results related to child sexual abuse. This project developed a comprehensive, explanatory theory of the dynamic process by which parenting changes in response to a range of child trauma, using a sample of parents whose children had experienced a range of interpersonal trauma types. Grounded theory analyses revealed a three-phase dynamic model of discontinuous transformation, in which parents experienced destabilization, recalibration, and re-stabilization of parenting practices in response to child trauma. Parents were focused on Protecting and Healing the child victim, often at the expense of their own needs. Most parents reached a phase of posttraumatic growth, labelled Thriving Recovery, but processes that hindered this recovery are also discussed. This study provides the first evidence that dynamic systems of change as well as vicarious posttraumatic growth can apply to parents of child trauma victims. Generating an explanatory theory provides important avenues for future research as well as interventions and services aimed at families who have experienced child trauma.

In-session caregiver behavior predicts symptom change in youth receiving trauma-focused cognitive behavioral therapy (TF-CBT).

OBJECTIVE: Involving caregivers in trauma-focused treatments for youth has been shown to result in better outcomes, but it is not clear which in-session caregiver behaviors enhance or inhibit this effect. The current study examined the associations between caregiver behaviors during Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and youth cognitive processes and symptoms. METHOD: Participants were a racially diverse sample of Medicaid-eligible youth (ages 7-17) and their nonoffending caregivers (N = 71 pairs) who received TF-CBT through an effectiveness study in a community setting. Caregiver and youth processes were coded from audio-recorded sessions, and outcomes were measured using the Child Behavior Checklist (CBCL) and UCLA PTSD Reaction Index for Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition (DSM-IV; UPID) at 3, 6, 9, and 12 months postintake. RESULTS: Piecewise linear growth curve modeling revealed that during the trauma narrative phase of TF-CBT, caregivers' cognitive-emotional processing of their own and their child's trauma-related reactions predicted decreases in youth internalizing and externalizing symptoms over treatment. Caregiver support predicted lower internalizing symptoms over follow-up. In contrast, caregiver avoidance and blame of the child predicted worsening of youth internalizing and externalizing symptoms over follow-up. Caregiver avoidance early in treatment also predicted worsening of externalizing symptoms over follow-up. During the narrative phase, caregiver blame and avoidance were correlated with more child overgeneralization of trauma beliefs, and blame was also associated with less child accommodation of balanced beliefs. CONCLUSIONS: The association between in-session caregiver behaviors and youth symptomatology during and after TF-CBT highlights the importance of assessing and targeting these behaviors to improve clinical outcomes. (PsycINFO Database Record

Essential processes for cognitive behavioral clinical supervision: Agenda setting, problem-solving, and formative feedback.

Clinical supervision should be a proactive and considered endeavor, not a reactive one. To that end, supervisors should choose supervision processes that are driven by theory, best available research, and clinical experience. These processes should be aimed at helping trainees develop as clinicians. We highlight 3 supervision processes we believe should be used at each supervision meeting: agenda setting, encouraging trainee problem-solving, and formative feedback. Although these are primarily cognitive-behavioral skills, they can be helpful in combination with other supervision models. We provide example dialogue from supervision exchanges, and discuss theoretical and research support for these processes. Using these processes not only encourages trainee development but also models for them how to use the same processes and approaches with clients.

Impact of Open Data Policies on Consent to Participate in Human Subjects Research: Discrepancies between Participant Action and Reported Concerns.

Research outlets are increasingly adopting open data policies as a requisite for publication, including studies with human subjects data. We investigated whether open data policies influence participants' rate of consent by randomly assigning participants to view consent forms with and without discussion of open data policies. No participants declined to participate, regardless of condition, nor did rates of drop-out vs. completion vary between conditions. Furthermore, no significant change in potential consent rates was reported when participants were openly asked about the influence of open data policies on their likelihood of consent. However, follow-up analyses indicated possible poor attention to consent forms, consistent with previous research. Moreover, thematic analysis of participants' considerations of open data policy indicated multiple considerations such as concerns regarding confidentiality, anonymity, data security, and study sensitivity. The impact of open data policies on participation raises complex issues at the intersection of ethics and scientific innovation. We conclude by encouraging researchers to consider participants as stakeholders in open data policy and by providing recommendations for open data policies in human subjects research.

The Dynamics of Self-Esteem in Cognitive Therapy for Avoidant and Obsessive-Compulsive Personality Disorders: An Adaptive Role of Self-Esteem Variability?

Self-esteem variability is often associated with poor functioning. However, in disorders with entrenched negative views of self and in a context designed to challenge those views, variable self-esteem might represent a marker of change. We examined self-esteem variability in a sample of 27 patients with Avoidant and Obsessive-Compulsive Personality Disorders who received Cognitive Therapy (CT). A therapy coding system was used to rate patients' positive and negative views of self expressed in the first ten sessions of a 52-week treatment. Ratings of negative (reverse scored) and positive view of self were summed to create a composite score for each session. Self-esteem variability was calculated as the standard deviation of self-esteem scores across sessions. More self-esteem variability predicted more improvement in personality disorder and depression symptoms at the end of treatment, beyond baseline and average self-esteem. Early variability in self-esteem, in this population and context, appeared to be a marker of therapeutic change.