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2012

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Developing Mathematics Motivation Scale For The United Arab Emirates, Jalal Haj Hussien, Othman Alsawaie, Abdelaziz Alsartawi, Iman Alghazo, Sana Tibi Dec 2012

Developing Mathematics Motivation Scale For The United Arab Emirates, Jalal Haj Hussien, Othman Alsawaie, Abdelaziz Alsartawi, Iman Alghazo, Sana Tibi

Journal of Educational and Psychological Studies

The objective of this study was to develop a valid and reliable mathematics motivation scale (MMS) for UAE students in grades 4 through 12 based on the self-determination theory. A total of 1,481 students (713 boys and 768 girls) from the UAE participated in this study. The process of developing the MMS involved: a) Development of an initial item pool, b) investigating the item-type of motivation membership, c) examining the appropriateness of the administration instructions and the items phrasing, d) and exploring various types of validity and reliability of the MMS. The results indicate that the MMS has acceptable levels …


Omani Science Teachers’ Perceptions Of The Difficulties In Using Creative Teaching Methods, Ali Huwaishel Al-Shuaili Dec 2012

Omani Science Teachers’ Perceptions Of The Difficulties In Using Creative Teaching Methods, Ali Huwaishel Al-Shuaili

Journal of Educational and Psychological Studies

This study aims at investigating the perceptions of science teachers in Omani Basic Education schools regarding the difficulties they face in using creative teaching methods in the classrooms. The sample comprised 130 science teachers of basic education schools in the governorates of Muscat and the Interior. For the purpose of the study a 42-item questionnaire covering five domains – teacher, student, subject, school administration and other difficulties – was developed and administered by the researcher. The validity of the questionnaire was checked by a panel of experts and practitioners in science: Cronbach alpha reliability coefficient was found to be 0.923. …


Listening Difficulties Among Non-Native Speakers Of Arabic, Fatma Yousuf Al-Busaidi Dec 2012

Listening Difficulties Among Non-Native Speakers Of Arabic, Fatma Yousuf Al-Busaidi

Journal of Educational and Psychological Studies

This qualitative study analyzed the listening difficulties of 19 students learning Arabic as a foreign language in the Sultanate of Oman from a social-constructivist perspective. Analysis of the data obtained from interviews and students’ diaries has indicated that learners experienced five listening difficulties that occurred either in the classroom setting, in their real-life conversation with Omanis or while listening to TV and radio programs. It was found that their listening difficulties were related to speed of speech, quickly forgetting what was heard, missing the next part when thinking about meaning, the inability to understand what they had heard and inability …


Resilience Among Adolescent Girls In India: Role Of Home And School Protective Factors, Sayed A. Azam Dec 2012

Resilience Among Adolescent Girls In India: Role Of Home And School Protective Factors, Sayed A. Azam

Journal of Educational and Psychological Studies

Resilience of school going adolescent girls has always been influenced by healthy and nurturing family and school life. Research studies reveal how extrinsic protective factors at home and school become pivotal in healthy development of adolescent girls who are known to be sensitive to the social support system they live in. The present study was therefore conducted with the purpose to examine the role of home and school environment of school going adolescent girls in a semi-urban town of India. The study more specifically explores and identifies which protective factors are responsible for higher levels of resilience in this population. …


Accessing Justice Ii: A Model For Providing Counsel To New York Immigrants In Removal Proceedings, Stacy Caplow, Peter L. Markowitz, Claudia Slovinsky, Jojo Annobil, Peter Cobb, Amy L. Kenepaske, Nancy Morawetz, Lindsay Nash, Raluca Oncioiu, Oren Root, Maribel Hernández Rivera, Jane Stern, Isaac Wheeler, Marianne Yang Dec 2012

Accessing Justice Ii: A Model For Providing Counsel To New York Immigrants In Removal Proceedings, Stacy Caplow, Peter L. Markowitz, Claudia Slovinsky, Jojo Annobil, Peter Cobb, Amy L. Kenepaske, Nancy Morawetz, Lindsay Nash, Raluca Oncioiu, Oren Root, Maribel Hernández Rivera, Jane Stern, Isaac Wheeler, Marianne Yang

Online Publications

The New York Immigrant Representation Study (“NYIR Study”) is a two-year project of the Study Group on Immigrant Representation to analyze and ameliorate the immigrant representation crisis—the acute shortage of qualified attorneys willing and able to represent indigent immigrants facing deportation. The crisis has reached epic proportions in New York and shows no signs of abating.

In its year-one report (issued in the fall of 2011), the NYIR Study analyzed the empirical evidence regarding the nature and scope of the immigrant representation crisis. In that report, we documented how many New Yorkers—27 percent of those not detained and 60 percent …


Grandparents As Guards: A Game Theoretic Analysis Of Inheritance And Post Marital Residence In A World Of Uncertain Paternity, Brishti Guha Dec 2012

Grandparents As Guards: A Game Theoretic Analysis Of Inheritance And Post Marital Residence In A World Of Uncertain Paternity, Brishti Guha

Research Collection School Of Economics

I unify the following (1) men face paternal uncertainty while women do not face maternal uncertainty, (2) putative fathers and paternal kin care about true paternity, (3) paternity confidence is systematically lower in matrilocal cultures than in patrilocal ones, (4) inheritance tends to be patrilineal in high paternity confidence cultures and matrilineal in low confidence ones, and (5) most societies with patrilineal inheritance were patrilocal while most societies with matrilineal inheritance were matrilocal. I model the co-evolution of inheritance patterns and post-marital residence patterns - and their relationship with paternity uncertainty. Using a game theoretic model, I examine how a …


Can Law And Literature Be Practical? The Crucible And The Federal Rules Of Evidence, Martin H. Pritikin Dec 2012

Can Law And Literature Be Practical? The Crucible And The Federal Rules Of Evidence, Martin H. Pritikin

West Virginia Law Review

Counter-intuitively, one of the best ways to learn the practice-oriented topic of evidence may be by studying a work of fiction-specifically, Arthur Miller's The Crucible, which dramatizes the seventeenth-century Salem witch trials. The play puts the reader in the position of legal advocate, and invites strategic analysis of evidentiary issues. A close analysis of the dialogue presents an opportunity to explore both the doctrinal nuances of and policy considerations underlying the most important topics covered by the Federal Rules of Evidence, including the mode and order of interrogation, relevance, character evidence and impeachment, opinion testimony, and hearsay.


From Constitutional Listening To Constitutional Learning, Leigh Jenco Dec 2012

From Constitutional Listening To Constitutional Learning, Leigh Jenco

Chicago-Kent Law Review

In this article, I point out some limitations of Michael Dowdle's "listening" model, particularly its basis in the "principle of charity." I try to show that listening, as well as the principle of charity, are inadvertently passive and one-sided exercises that seem to have little similarity to the deeply self-transformative "learning" Dowdle urges us to undertake. I go on to suggest other ways of accomplishing the goals Dowdle sets for this project. Specifically, I develop the "self-reflexive approach" to think about how we might change ourselves—our conversations, our terms, our concerns—in addition to, and in the process of, learning from …


Beyond The Schoolhouse Gate: Should Schools Have The Authority To Punish Online Student Speech?, Brittany L. Kaspar Dec 2012

Beyond The Schoolhouse Gate: Should Schools Have The Authority To Punish Online Student Speech?, Brittany L. Kaspar

Chicago-Kent Law Review

This note analyzes the current circuit split over whether schools should have the authority to punish students for speech made on the Internet. Part I discusses the First Amendment generally and the four Supreme Court cases that have refined its application with respect to on-campus student speech. Part II presents the ensuing circuit split over the constitutionality of disciplining students for online, off-campus speech. Specifically, this section will explain both of the existing perspectives and why neither of the two is ideal. Part III attempts to devise a solution to the current divide by advocating a compromise position. In particular, …


The Management Of Sport-Related Concussion: Considerations For Male And Female Athletes, Tracey Covassin, R. J. Elbin, Bryan Crutcher, Scott Burkhart Dec 2012

The Management Of Sport-Related Concussion: Considerations For Male And Female Athletes, Tracey Covassin, R. J. Elbin, Bryan Crutcher, Scott Burkhart

Faculty Publications - Doctor of Psychology (PsyD) Program

Sport-related concussion continues to be a centerpiece of attention in the field of sports medicine. The benefit to using neurocognitive testing when managing concussion will be documented in this review. In addition to providing critical objective information on the neurocognitive status of the concussed athlete, research data will be provided on the pre- and post-concussion neurocognitive profiles of concussed male and female athletes. Specifically, an overview of research will be presented on the epidemiology of male and female concussion rates, as well as concussion outcomes including symptoms and cognitive function post-injury. Finally, a clinician’s perspective on managing sports-related concussion will …


Assessment And Treatment Of Anxiety And Problem Behavior In Children With Autism Spectrum Disorders And Intellectual Disability, Lauren Jill Moskowitz Dec 2012

Assessment And Treatment Of Anxiety And Problem Behavior In Children With Autism Spectrum Disorders And Intellectual Disability, Lauren Jill Moskowitz

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

The relationship between anxiety and problem behavior has not been systematically investigated in children with autism spectrum disorders (ASD). Although there are numerous studies demonstrating successful treatment of anxiety in neurotypical populations, there is little research on the functional assessment and treatment of anxiety in children with ASD and intellectual disability (ID). Thus, the present study evaluated a multimethod strategy for the assessment and treatment of anxiety and problem behavior in three children with comorbid ASD and ID. In Study 1, anxiety was operationally defined, a functional analysis of problem behavior was conducted in High-Anxiety versus Low-Anxiety conditions, and heart …


Contemporary Manhattan Cartographies: Ephemeral Public Projects In New York, Andrew Wasserman Dec 2012

Contemporary Manhattan Cartographies: Ephemeral Public Projects In New York, Andrew Wasserman

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

This dissertation considers the emergence of a cartographic public practice in both contemporary art and contemporary cities, attending to the ways in which ephemeral public projects create map-like objects that diverge from official urban projections. Rather than marking a single location, such projects structure networked connections between several sites, transforming undifferentiated urban spaces into legible urban places. Evaluation of this recent cartographic turn entails the triple consideration of placemaking, placemakers, and placemarkers as constructing spatialized identities for different neighborhoods and setting forth wayfinding strategies within these same neighborhoods. Focusing on Manhattan, the dissertation surveys how the borough has served as …


Da Shahidano Chawk: Martyrs' Square In Kandahar City, Afghanistan, William E. Donovan Dec 2012

Da Shahidano Chawk: Martyrs' Square In Kandahar City, Afghanistan, William E. Donovan

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

The Shahidano Chawk is a monument in the center of Kandahar City, Afghanistan. It was constructed after World War II, in the period between 1946 and 1948. This thesis explores the various meanings the monument has embodied since its creation. It was originally an ethno-nationalist monument which used two highly charged events, the 1843 massacre at the Herat gate, and the 1880 battle of Maiwand, as motivational motifs to help cement the Pashtun people at a time of crisis. The crisis was the formation of Pakistan, and the transition of the Durand Line from a line demarcating a sphere of …


A Jest's Prosperity Lies In The Ear / Of Him That Hears It, Never In The Tongue / Of Him That Makes It, Laura Konigsberg Dec 2012

A Jest's Prosperity Lies In The Ear / Of Him That Hears It, Never In The Tongue / Of Him That Makes It, Laura Konigsberg

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

After fifty years of religious upheaval, the question of religion continued to be a sociopolitical problem throughout the reign of Elizabeth I and into the reign of James I. Through his characters crises of identity and through the attempted incursion of Roman Catholicism into society by characters' aligned with Spain, Shakespeare addresses England's anxiety over religious identity. By portraying the difference between Protestant and Roman Catholic ideology and rite, Shakespeare reflects the relationship between the Catholic and Protestant psychologies by flavoring his plays, throughout his career, with nuggets of Roman Catholic doctrine; these are not mementos, but rather instances wherein …


Hostile Mood And Social Strain During Daily Life: A Test Of The Transactional Model., Elizabeth J. Vella, Thomas W. Karmarck, Janine D. Flory, Stephen B. Manuck Dec 2012

Hostile Mood And Social Strain During Daily Life: A Test Of The Transactional Model., Elizabeth J. Vella, Thomas W. Karmarck, Janine D. Flory, Stephen B. Manuck

Faculty Publications

Hostility is a multidimensional construct related to cardiovascular (CV) disease risk. Daily hostile mood and social interactions may precipitate stress-related CV responses in hostile individuals. Purpose: Determine whether trait cognitive hostility best predicts daily hostile mood and social interactions relative to other trait hostility factors and explore the temporal links between these daily measures


From The "War On Poverty" To Reagan's "New Right," What's In A Name? : The Symbolic Significance Of The "Welfare Queen" In Politics And Public Discourse., Kem Roper Dec 2012

From The "War On Poverty" To Reagan's "New Right," What's In A Name? : The Symbolic Significance Of The "Welfare Queen" In Politics And Public Discourse., Kem Roper

Electronic Theses and Dissertations

This dissertation is a rhetorical analysis of the political discourse surrounding the role of poor African American women within the American social and political economy beginning in 1965 with Lyndon Johnson's War on Poverty initiatives and extending to the early 1980s with Ronald Reagan and the "religious right." I argue that an ideology of whiteness permeates both the Johnson and Reagan administrations even though each worked towards different ends. In Chapter 1, I begin by discussing how America's establishment as a capitalist society made it a nation ill-fitted for government-funded social programs. In particular, I discuss the impact of distinctions …


Tobacco Dependence Treatment Education For Dental Students Using Standardized Patients., Jacqueline A. Singleton 1955- Dec 2012

Tobacco Dependence Treatment Education For Dental Students Using Standardized Patients., Jacqueline A. Singleton 1955-

Electronic Theses and Dissertations

Dentists can play a key role in helping patients quit tobacco use by providing tobacco cessation treatment (TCT) in their practice. Although the majority of dentists receive training in TCT, most do not provide adequate intervention. Many feel they are not adequately trained. Using standardized patients (SPs) shows promise in TCT training by providing a simulated clinical environment for students to practice counseling skills with individuals trained to portray patients. Standardized patients evaluate students' skills and provide immediate feedback. The purpose of this study is to determine if there is a difference in dental students' attitudes, perceived barriers, subjective norms, …


Albert Taylor Bledsoe : Whig Intellectual And Proslavery Theorist., Lori Jean Wilson 1974- Dec 2012

Albert Taylor Bledsoe : Whig Intellectual And Proslavery Theorist., Lori Jean Wilson 1974-

Electronic Theses and Dissertations

This thesis explores the life and career of Albert Taylor Bledsoe, a conservative Whig intellectual and proslavery theorist. It seeks to understand an apparent contradiction in Bledsoe's public comments regarding slavery and secession. Bledsoe lived in a socially and politically dynamic world. His comments on slavery must be understood in the different political contexts in which they were made. This thesis explores those contexts and illuminates Bledsoe's desire to preserve social hierarchies and maintain public order, which Bledsoe believed necessary to secure liberty and equality among white men. The same concerns informed Bledsoe's shift toward secession. Bledsoe remained a Unionist …


Resourceful Financing By New Firms : The Use Of Multiple Credit Sources, John M. Mueller Dec 2012

Resourceful Financing By New Firms : The Use Of Multiple Credit Sources, John M. Mueller

Electronic Theses and Dissertations

New firms face financial constraints that could hinder firm performance. Yet founders exhibit persistence and resourcefulness in building their new ventures and finding solutions to their financial constraints. The use of financial theories that focus on financing costs, profit maximization, and valuation of firms draws attention to the question of whether entrepreneurs increase survival and growth prospects for their firms through resourcefulness in financing (e.g. using multiple credit sources) or instead make suboptimal financing decisions (i.e. when being resourceful in their financing) that actually decrease the probability of new venture survival and high growth rates. My dissertation examines if being …


The Role Of Community College-Based Transfer Programming In Transfer Student Success., Kathren Teresa Partin Dec 2012

The Role Of Community College-Based Transfer Programming In Transfer Student Success., Kathren Teresa Partin

Electronic Theses and Dissertations

More students now begin their postsecondary education at the two-year college level with the intention of transferring to earn a bachelor's degree, making the transfer function more important. Recent government mandates in Kentucky brought about new programming efforts to aid student transitions between public institutions. This study was designed to determine whether the University of Louisville (ULtra) Transfer Program, designed as a bridge between Jefferson Community and Technical College and the University of Louisville (UofL), played a significant role in community college students' successful academic transition to the four-year institution. Participants of this study were 227 community college students who …


The Art Of Natality : Virginia Woolf's And Kathe Kollwitz's Aesthetics Of Becoming., Jennifer Brooke Goldberg 1973- Dec 2012

The Art Of Natality : Virginia Woolf's And Kathe Kollwitz's Aesthetics Of Becoming., Jennifer Brooke Goldberg 1973-

Electronic Theses and Dissertations

Though Virginia Woolf’s and Kathe Kollwitz's personal histories and specific cultural circumstances were quite different, their aesthetics share fundamental qualities. This dissertation demonstrates that both artists affirm memory, the maternal, and creativity as coalescent, and through doing so assert a principle of connectivity that counters the turmoil of their times. Through this constellation, Woolf’s and Kollwitz's aesthetics exude faith in the continued viability of beauty and of possibility, faith that a commitment to becoming will undermine the sources of hopelessness that enshroud the modem world. Channeling their losses into their creative endeavors, Woolf and Kollwitz appropriated crises from their pasts …


Factors Affecting Speech Intelligibility Improvement With Exposure To Reverberant Room Listening Environments., Eugene Brandewie Dec 2012

Factors Affecting Speech Intelligibility Improvement With Exposure To Reverberant Room Listening Environments., Eugene Brandewie

Electronic Theses and Dissertations

Speech intelligibility has been found to improve with prior exposure to a reverberant room environment. It is believed that perceptual mechanisms help maintain accurate speech perception under these adverse conditions. Potential factors underlying this speech enhancement effect were examined in three experiments. Experiment 1 studied the time course of speech intelligibility enhancement in multiple room environments. Carrier phrases of varying lengths were used to measure changes in speech intelligibility over time. Results showed an effect of speech enhancement with a time course that varied with the signal-to-noise ratio between the speech and a broad-band noise masker. Additionally, greater speech enhancement …


Predictive Relationships Of Teacher Efficacy, Geometry Knowledge For Teaching, And The Cognitive Levels Of Teacher Practice On Student Achievement., Paul Klein Dec 2012

Predictive Relationships Of Teacher Efficacy, Geometry Knowledge For Teaching, And The Cognitive Levels Of Teacher Practice On Student Achievement., Paul Klein

Electronic Theses and Dissertations

This study explored the predictive relationships of teacher efficacy, teacher knowledge, and teacher practices with student achievement. More specifically, secondary mathematics teachers' efficacy beliefs, geometry knowledge for teaching, and the cognitive complexity of the teachers' classroom practices were examined for 72 teachers in both urban and rural districts across Kentucky, along with the student achievement data of their students. Teacher and student data were obtained from the NSF-funded Geometry Assessment for Secondary Teachers (GAST) project, which administered geometry teacher knowledge assessments at the beginning and end of the school year, and collected cognitive complexity data from lessons through three classroom …


Anthropological Apologetics: A Proposal Of An Anthropological Compendium As Evidence For The Imago Dei, Jeffrey R. Dickson Dec 2012

Anthropological Apologetics: A Proposal Of An Anthropological Compendium As Evidence For The Imago Dei, Jeffrey R. Dickson

Masters Theses

Evangelical scholarship has shown great admiration for the work of Gary Habermas and others in their contribution to Christian apologetics by validating the historicity of the resurrection of Jesus Christ with a list of minimal facts generally agreed to by historical and biblical scholars. This thesis will explore the methodology of the minimal facts approach and appropriate it as a tool to explore the data within the field of anthropology which offers evidence for the biblical concept of the Imago Dei. This study will focus on Wolfhart Pannenberg in his critically acclaimed work demonstrating the importance of the theological perspective …


Transforming The Healthcare Response To Intimate Partner Violence And Taking Best Practices To Scale, Michele R. Decker, Shannon Frattaroli, Brigid Mccaw, Ann L. Coker, Elizabeth Miller, Phyllis Sharps, Wendy G. Lane, Mahua Mandal, Kelli Hirsch, Donna M. Strobino, Wendy L. Bennett, Jacquelyn Campbell, Andrea Gielen Dec 2012

Transforming The Healthcare Response To Intimate Partner Violence And Taking Best Practices To Scale, Michele R. Decker, Shannon Frattaroli, Brigid Mccaw, Ann L. Coker, Elizabeth Miller, Phyllis Sharps, Wendy G. Lane, Mahua Mandal, Kelli Hirsch, Donna M. Strobino, Wendy L. Bennett, Jacquelyn Campbell, Andrea Gielen

CRVAW Faculty Journal Articles

BACKGROUND: Intimate partner violence (IPV) is prevalent among adolescent and adult women, with significant physical, sexual, and mental health consequences. In 2011, the Institute of Medicine's Clinical Preventive Services for Women consensus report recommended universal screening for violence as a component of women's preventive services; this policy has been adopted by the Health Resources and Services Administration (HRSA). These policy developments require that effective clinic-based interventions be identified, easily implemented, and taken to scale.

METHODS: To foster dialogue about implementing effective interventions, we convened a symposium entitled "Responding to Violence Against Women: Emerging Evidence, Implementation Science, and Innovative Interventions," on …


Watering The Seed: A Model For Change In Jinotepe, Nicaragua And Beyond, Andy Douglas Dec 2012

Watering The Seed: A Model For Change In Jinotepe, Nicaragua And Beyond, Andy Douglas

City and Regional Planning

No abstract provided.


Function Approximation With Artmap Architectures, Lucian M. Sasu, Răzvan Andonie Dec 2012

Function Approximation With Artmap Architectures, Lucian M. Sasu, Răzvan Andonie

All Faculty Scholarship for the College of the Sciences

We analyze function approximation (regression) capability of Fuzzy ARTMAP (FAM) architectures - well-known incremental learning neural networks. We focus especially on the universal approximation property. In our experiments, we compare the regression performance of FAM networks with other standard neural models. It is the first time that ARTMAP regression is overviewed, both from theoretical and practical points of view.


Guardians Of Generations: African American Grandparent Caregivers For Children Of Hiv/Aids Infected Parents, Sandra Edmonds Crewe Dec 2012

Guardians Of Generations: African American Grandparent Caregivers For Children Of Hiv/Aids Infected Parents, Sandra Edmonds Crewe

Journal of Family Strengths

Grandparents, particularly, grandmothers in the African American community have historically provided needed care for their grandchildren (Crewe, 2003). Before there was a child welfare system that addressed the needs of African American children, there were grandmothers who served as the safety net for their biological, informally adopted grandchildren, and other minor relatives. They cared for grandchildren and others whose birth parents were unable or unwilling to care for them. For families of color, HIV/AIDS is an emerging issue that is contributing to the growing numbers of grandparent-headed households. And once again, many African American grandmothers have accepted the challenge of …


Can Public Child Welfare Help To Prevent Child Maltreatment? Promising Findings From Los Angeles, Jacquelyn Mccroskey, Peter Pecora, Todd Franke, Christina Christie, Jaymie Lorthridge Dec 2012

Can Public Child Welfare Help To Prevent Child Maltreatment? Promising Findings From Los Angeles, Jacquelyn Mccroskey, Peter Pecora, Todd Franke, Christina Christie, Jaymie Lorthridge

Journal of Family Strengths

This article describes promising findings from the Los Angeles County Prevention Initiative Demonstration Project, a systems change approach to developing relationships between public child welfare, allied public agencies, and community-based networks that offer family-centered services, economic assistance and capacity building to support all kinds of families. It describes the conceptual underpinnings and unique structure of the initiative, the evaluation methods used to assess results, and a pattern of promising results.


Planning For Emotional Labor And Secondary Traumatic Stress In Child Welfare Organizations, James C. Caringi, Hal A. Lawson, Mary Devlin Dec 2012

Planning For Emotional Labor And Secondary Traumatic Stress In Child Welfare Organizations, James C. Caringi, Hal A. Lawson, Mary Devlin

Journal of Family Strengths

This analysis provides an emergent framework that emphasizes a neglected component of both direct practice with families and organizational development. Human emotions, both beneficial (positive emotional labor) and harmful (negative emotional labor), have received short shrift in leadership development, supervision, direct practice preparation and supports, and workforce stabilization, and professionalization.

Significantly, a key indicator of negative emotional labor—secondary traumatic stress (STS)—often has been ignored and neglected, despite the fact that it may be endemic in the workforce. STS typically results from traumatic events in practice, but it also stems from workplace violence. Often undetected and untreated, STS is at least …