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Articles 151 - 180 of 439
Full-Text Articles in Psychology
Indigenous Women In Active Drug Abuse Recovery: An Analysis Of Native And Non-Native Programs, Raquel J. Muñoz
Indigenous Women In Active Drug Abuse Recovery: An Analysis Of Native And Non-Native Programs, Raquel J. Muñoz
Cal Poly Humboldt theses and projects
In general, much has been written on the experiences of prototypical women in drug recovery programs, however there is only a scarcity of research on the experiences of rural women of color in drug recovery programs. Very few Northern American cultures had experience with alcohol before the first wave of European settlers. Responses to intergenerational trauma faced by Native women include substance abuse, depression, anxiety, low self-esteem, suicidal thinking, and more. Due to socioeconomic disadvantages drug and alcohol abuse tends to be a coping mechanism for many Native American women. Drawing on the narratives of ten Indigenous women who are …
Peer Response And Assistance To Suicidal Thoughts And Behavior In University Students, Lindsey Katherine Hunter
Peer Response And Assistance To Suicidal Thoughts And Behavior In University Students, Lindsey Katherine Hunter
Murray State Theses and Dissertations
Suicide represents the second leading cause of death in adolescents and young adults (CDC, 2022). Many interventions employed on college campus focus on peer support which has been previously related to reductions in suicidal thoughts and behaviors (STB, e.g., suicidal ideation, suicidal plan, suicide attempts), but students may not have the experience needed to increase confidence or knowledge in providing support (Hirsch & Barton, 2011; King et al., 2008). Further, previous research has identified factors including exposure to STB, direct engagement in STB, knowledge, and stigma regarding suicide which have had mixed impact on confidence and helping intentions in supporting …
Self-Disclosure Of Mental Illness In The College Classroom: The Role Of Stigma And Avoidance, Christopher Gjesfjeld, Jeffrey Kahn
Self-Disclosure Of Mental Illness In The College Classroom: The Role Of Stigma And Avoidance, Christopher Gjesfjeld, Jeffrey Kahn
Faculty Publications - Social Work
Many college students identify having a mental health condition, yet students may be ambivalent about self-disclosing their mental health. While stigma and self-disclosure have been examined in research, personal factors may also impact self-disclosure behaviors. The present study examined 150 U.S. college students with a self-identified mental health condition. Research aimed to predict classmate self-disclosure by stigma, avoidance beliefs, and the interaction of these variables. Multiple regression analysis found a significant interaction effect, whereby stigma was negatively associated with self-disclosure only under conditions of low avoidance. Implications suggest that self-disclosure interventions target stigma and avoidance beliefs to encourage greater self-disclosure.
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner
Antioch University Dissertations & Theses
The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …
Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones
Paternal Perinatal Psychopathology And Stigma Related To Nicu Admission, Hudson Holland Jones
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Stigma or the belief that mental health difficulties stem from a personal weakness, moral failing, or poor choices and will subject one to shame, embarrassment, scrutiny, victimization, oppression, and ostracization is a reason people choose to avoid, not to obtain or fully engage in mental health treatments despite their demonstrated effectiveness (Corrigan, 2004;Vogel et al., 2006). Gender differences have been found in experiences of stigma; for example, men were found to self-stigmatize to justify avoiding counseling to a greater degree than women (Judd et al., 2008). As such, stigma has been identified as a gender-salient variable that serves as a …
Treatment Of Borderline Personality Disorder: Re-Envisioned To Mitigate Stigma And Enhance Treatment Effectiveness, Abigail Lorraine Steinkamp
Treatment Of Borderline Personality Disorder: Re-Envisioned To Mitigate Stigma And Enhance Treatment Effectiveness, Abigail Lorraine Steinkamp
DSW Capstone Projects
Borderline personality disorder (BPD) and the characteristics that define it are often viewed negatively by therapists and other mental health providers. Terms to describe these clients commonly include “manipulative”, “attention-seeking”, and “always in crisis.” Because of this jargon, there is a deep-set stigma that surrounds the disorder. Therapists and treating clinicians base their decisions and treatment protocol on hearsay of the disorder and already have an image of their prospective BPD client before the client enters their office. This capstone project seeks to inform clinicians about the present stigma and provides tools that are proposed to reduce stigmatizing beliefs within …
Adaptive And Maladaptive Coping As Mediators Of The Relationship Between Impostor Phenomenon And Help Seeking Intention, Victor Mosconi
Adaptive And Maladaptive Coping As Mediators Of The Relationship Between Impostor Phenomenon And Help Seeking Intention, Victor Mosconi
Walden Dissertations and Doctoral Studies
The modern workplace and public media have reported on the influence of the impostor phenomenon (IP) on leadership mental health and workplace effectiveness. The choice of coping strategy may influence leaders’ intentions to seek psychological help. Guided by the impostor cycle model, the purpose of this quantitative study was to examine the extent to which adaptive and maladaptive coping mediates the relationship between IP and help-seeking intention in a convenience sample of 162 participants in leadership positions. The Clance Impostor Phenomenon Scale assessed strength of IP, the Brief COPE measure assessed adaptive and maladaptive coping, and the Beliefs About Psychological …
Help-Seeking And Stigma Experienced By Arab American Immigrant Parents Of Children With Autism, April Demasters
Help-Seeking And Stigma Experienced By Arab American Immigrant Parents Of Children With Autism, April Demasters
Walden Dissertations and Doctoral Studies
Because of cultural and religious norms and associated stigma, some parents of a child with a mental illness or developmental disorder are hesitant to seek help for their child. The purpose of the study is to better understand how religious and ethnic culture reinforces stigma and its impact on a parent’s decision to seek help. This phenomenological qualitative study was conducted with Muslim Arab American immigrant parents, including first and second generations, in the United States who had a child diagnosed with an autism spectrum disorder (ASD) within the last 15 years. Semistructured interviews were conducted to gather data exploring …
Adverse Childhood Experiences And Intimate Partner Violence In Gender Minority Populations, Claire Mason Mccown
Adverse Childhood Experiences And Intimate Partner Violence In Gender Minority Populations, Claire Mason Mccown
Graduate Theses, Dissertations, and Problem Reports (ETD)
Childhood adversity has been linked to numerous health and mental health concerns in adulthood (Felitti et al., 1998). Among the many outcomes associated with adverse childhood experiences (ACEs), victimization and perpetration of intimate partner violence (IPV) remains a public health crisis. Research has found that those identifying as gender minority individuals are disproportionately impacted by IPV (Messinger, 2017; Peitzmeier et al., 2020). Further, gender minority individuals experience equivalent, if not higher, rates of ACEs when compared to their cisgender counterparts (Baams, 2018; Juárez-Chávez et al., 2018; Schnarrs et al., 2019; Tobin & Delaney, 2019). While many factors contribute to the …
Illness Stigma, Social Connectedness, And Health In People Living With Chronic Illness: A Structural Equation Model, Abigail Brooke Crawford
Illness Stigma, Social Connectedness, And Health In People Living With Chronic Illness: A Structural Equation Model, Abigail Brooke Crawford
UNF Graduate Theses and Dissertations
The complexity of chronic or unexplained conditions may lead to potential stigma for those suffering long-term symptoms as they do not follow the expected pattern of recovery following diagnosis and treatment. Experiencing such illness-related stigma has potential for leading to a belongingness identity of detachment with implications for health across physical, social, and psychological dimensions. This study aimed to examine the relationship between stigma, social connection, mental health, physical health, and social functioning in a group of 231 participants with ongoing symptoms of chronic illness through structural equation modeling. The fit indices all suggest that the model reasonably fits the …
The Hurt And The Healing: An Artistic Investigation Into The Stigma Surrounding Substance Use Disorder, Kenny Kelley
The Hurt And The Healing: An Artistic Investigation Into The Stigma Surrounding Substance Use Disorder, Kenny Kelley
Undergraduate Theses
This interdisciplinary, creative thesis aims to deconstruct the stigma directed towards individuals who struggle with substance use disorder (SUD) through the use of a solo art exhibit on Bellarmine University's campus. This exhibit features two large-scale installation sculptures and curated art pieces created by individuals at Crossroads Recovery Center in Cincinnati, Ohio. In addition to the gallery exhibition, this research-based written reflection is also included. One of the sculptures portrays the “hurt” that stigma causes for those who struggle with SUD. In contrast, the second sculpture represents the “healing” that can be achieved for people struggling with SUD when stigma …
Mental Illness Labeling In Justice-Involved People, Elena Therese Vaudreuil
Mental Illness Labeling In Justice-Involved People, Elena Therese Vaudreuil
Open Access Theses & Dissertations
While it cannot be denied that there is a strong correlational relationship between justice-involvement and mental illness, research has demonstrated that severe mental illness is rarely the direct cause of criminal activity. However, stigmatizing attitudes towards people with mental illness are often rooted in incorrect generalizations regarding the link between mental illness and unpredictable, dangerous behavior, which can be magnified by labels (e.g., "schizophrenic" or "criminal"). This reduction of a person to a label results in a number of negative outcomes, ranging from the prejudice and inequitable treatment one may experience from groups such as justice workers, police, and employers …
Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick
Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick
Electronic Theses and Dissertations
Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …
Survey For Caregivers Of People With Autism Spectrum In Chile: Access To Health And Education Services, Satisfaction, Quality Of Life And Stigma [Encuesta Para Cuidadores De Personas Del Espectro Autista En Chile. Acceso A Servicios De Salud Y Educación, Satisfacción, Calidad De Vida Y Estigma], Ricardo Garcia, Matías Irarrázaval, Isabel Lopez, Sofia Riesle, Marci Cabezas Gonzalez, Andrea Moyano, Gabriela Garrido, Daniel Valdez, Cristiane S. De Paula, Cecilia Montiel-Nava
Survey For Caregivers Of People With Autism Spectrum In Chile: Access To Health And Education Services, Satisfaction, Quality Of Life And Stigma [Encuesta Para Cuidadores De Personas Del Espectro Autista En Chile. Acceso A Servicios De Salud Y Educación, Satisfacción, Calidad De Vida Y Estigma], Ricardo Garcia, Matías Irarrázaval, Isabel Lopez, Sofia Riesle, Marci Cabezas Gonzalez, Andrea Moyano, Gabriela Garrido, Daniel Valdez, Cristiane S. De Paula, Cecilia Montiel-Nava
Psychological Science Faculty Publications
People on the Autism Spectrum (AS) face multiple health, education, social, and economic problems. There is limited available information in Chile. \
Objective: To describe the access and satisfaction with health and education services, family and economic impact, stigma, and quality of life of people with AS and their families in Chile.
Subjects and Method: Parents/caregivers of AS persons completed the Caregiver Needs Survey, developed by Autism Speaks, which includes demographic information, characteristics of AS persons (previously published), use of health and education services, parents/caregivers' perceptions of satisfaction, impact, stigma, and quality of life.
Results: 291 caregivers (86% mothers) of …
Ethical Hiv Research With Transgender And Non-Binary Communities In The United States, Augustus Klien, Sarit Golub
Ethical Hiv Research With Transgender And Non-Binary Communities In The United States, Augustus Klien, Sarit Golub
Publications and Research
Introduction: Because transgender individuals experience disproportionately high rates of HIV infection, this population is an increasing focus of epidemiological and implementation science research to combat the epidemic. However, study participants, providers and other advocates have become increasingly concerned about research practices that may alienate, objectify, exploit or even re-traumatize the communities they are designed to benefit. This commentary explores the common pitfalls of HIV research with transgender communities and provides a potential framework for ethical, community-engaged research practice.
Discussion: We review some of the critical challenges to HIV research with transgender and non-binary communities that limit the potential for such …
Evaluating The Stigma Toward Counseling In The African American Community, Jamaica Chapman
Evaluating The Stigma Toward Counseling In The African American Community, Jamaica Chapman
Doctoral Projects
Self-stigma is an important factor that hinders help seeking through the use of mental health services. “Self-stigma is the reduction of an individual’s self-esteem or self-worth caused by the individual self-labeling herself or himself as someone who is socially unacceptable” (Vogel et al., 2006, p. 325). Attitudes have suggested both men and women struggle with depression in this population, and that they are reluctant to addressing psychological problems. Most are overly concerned about the stigma associated with mental illness. Though some are open to seeking treatment through mental health services, religious coping in this community is the most preferred method …
Experiences Of Stigma, Social Support, And Anxiety In People Living With Hiv In South Carolina, Sarah J. Miller
Experiences Of Stigma, Social Support, And Anxiety In People Living With Hiv In South Carolina, Sarah J. Miller
Theses and Dissertations
People living with HIV (PLHIV) experience numerous psychosocial stressors, including HIV-related stigma and heightened prevalence of mental health disorders such as depression, substance use disorders, and anxiety. However, limited research has investigated predictors of anxiety within this population. This study aimed to explore the relationship between HIV-related stigma and anxiety symptoms among PLHIV in South Carolina (SC) and to examine the role of social support as a mediator for this relationship. A total of 402 PLHIV receiving HIV care at large immunology center in SC completed a paper and pencil survey, reporting sociodemographic variables, as well as experiences of HIV-related …
Examining Culturally Adapted, Values Based, Mental Health Stigma Reduction And Help-Seeking Messages For Asian Americans, Anna M. Ying
Examining Culturally Adapted, Values Based, Mental Health Stigma Reduction And Help-Seeking Messages For Asian Americans, Anna M. Ying
Graduate Doctoral Dissertations
Mental health stigma is a ubiquitous concern impacting help-seeking in the United States and worldwide, including in college students. Insufficient attention has been given to the cultural context of stigma and help-seeking in Asian Americans, constructs in which culture has inherent relevance. The current study was the first to develop and test the acceptability of an online culturally adapted, values-based stigma and help-seeking intervention for Asian American college students, intentionally framing the benefits of therapy and mental wellness as congruent with values-based behaviors, intending to reduce the social costs and stigma of impaired functioning. A sample of 115 East, South, …
Potential Causes Of Stigma Toward Autism Spectrum Disorder In The Hispanic/Latin Community, Jill Morales
Potential Causes Of Stigma Toward Autism Spectrum Disorder In The Hispanic/Latin Community, Jill Morales
Psychology and Counseling Theses
The goals of this study were to (a) examine if stigma against ASD is predicted by high levels of acculturation, low socioeconomic status, low levels of education, and the lack of intention to seek help from a mental health professional, and (b) examine potential differences between Hispanics and Non-Hispanics on these predictors. I predicted higher levels of acculturation and lower levels of education among Hispanic/Latin individuals than non- Hispanic/Latin individuals, and that mature Hispanic/Latin individuals will have higher levels of acculturation and lower levels of education compared to their younger counterparts.
The data were collected via a Qualtrics survey distributed …
“I’M Not Just A Sex Robot”: Perceptions Of Stigma In Online Sex Workers, Clover Stutz
“I’M Not Just A Sex Robot”: Perceptions Of Stigma In Online Sex Workers, Clover Stutz
Honors Program Theses and Projects
The purpose of this qualitative study was to investigate online sex workers’ perceptions of stigma. Due to the increase in OnlyFans creators associated with the COVID-19 pandemic, these creators’ perceptions of stigma were of particular interest. Fifteen participants were interviewed, and themes were developed using thematic analysis. Three themes were identified, corresponding with findings regarding societal, interpersonal, and internalized stigma: ‘Persistent Judgement,’ ‘Strengthened and Severed Ties,’ and ‘Levels of Shame.’ Much of these findings echoed past research, but participants experienced unique manifestations of stigma as well—notably, participants reported navigating strict censorship on social media and often faced the misconception that …
Examining Dehumanization Of Individuals With Schizophrenia, Brianna Drake
Examining Dehumanization Of Individuals With Schizophrenia, Brianna Drake
USC Aiken Psychology Theses
Objective: Previous literature examines dehumanization of marginalized groups; though, most of this work focuses on ethnic and racial groups. Currently, there is a gap in the literature examining the extent to which people with mental illness are dehumanized. This study examined whether people with schizophrenia are dehumanized (relative to other marginalized groups, such as drug addicts). Furthermore, this research will investigate if using “person-first” language can attenuate dehumanization.
Method: Participants (n = 310) were recruited from Amazon Mechanical Turk to complete a measure of dehumanization and demeaning needs for each of the nine targets (i.e., self, close friend, lawyer, elderly, …
Cultural, Contextual, And Individual Determinants Of Mental Health Service Utilization Among Latinx Emerging Adults, Kenia Carrera Diaz
Cultural, Contextual, And Individual Determinants Of Mental Health Service Utilization Among Latinx Emerging Adults, Kenia Carrera Diaz
All Graduate Theses and Dissertations, Spring 1920 to Summer 2023
Despite being at an increased risk of experiencing mental health problems, Latinx emerging adults underutilize professional psychological services compared to other ethnic/racial groups. It is important for researchers to understand this mental health disparity to improve Latinx emerging adults’ use of quality mental health services (MHS). The current project investigated factors that might influence Latinx emerging adult’s use of MHS through two separate studies. In the first study, I systematically reviewed research published in the past decade that examined predictors of MHS use among Latinx emerging adults. A total of 9 studies were found and included in this review. This …
Recognizing And Disrupting Stigma In Implementation Of Hiv Prevention And Care: A Call To Research And Action, Sarit A. Golub, Rachel A. Fikslin
Recognizing And Disrupting Stigma In Implementation Of Hiv Prevention And Care: A Call To Research And Action, Sarit A. Golub, Rachel A. Fikslin
Publications and Research
Introduction: There is robust evidence that stigma negatively impacts both people living with HIV and those who might benefit from HIV prevention interventions. Within healthcare settings, research on HIV stigma has focused on intra-personal processes (i.e. knowledge or internalization of community-level stigma that might limit clients’ engagement in care) or inter-personal processes (i.e. stigmatized interactions with service providers). Intersectional approaches to stigma call us to examine the ways that intersecting systems of power and oppression produce stigma not only at the individual and interpersonal levels, but also within healthcare service delivery systems. This commentary argues for the importance of analysing …
Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li
Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li
Faculty Publications
We utilized an exploratory analytic approach to examine predictors of children's future beliefs, an internal asset associated with resilience among children affected by HIV, with emphasis on complex interactions among multisystem factors. Children (N = 1221) affected by parental HIV in China reported on psychosocial functioning, as well as internal, familial, and community resilience assets. Exploratory data analysis was conducted using a binary segmentation program. Six binary splits on predictors accounted for 22.78% of the variance in future expectation, suggesting interactions between children's perceived control of their future, loneliness, caregiver trust, and social support. Four binary splits accounted for …
Stigma Related To Criminal Justice History: The Role Of Offense Type, Mental Health Treatment, Mental Illness, And Race From Formerly Incarcerated Persons’ Perspective, Lindsey Ryan-Jones
Stigma Related To Criminal Justice History: The Role Of Offense Type, Mental Health Treatment, Mental Illness, And Race From Formerly Incarcerated Persons’ Perspective, Lindsey Ryan-Jones
Student Theses
Research has shown that offenders perceive stigma and anticipate stigma once they are released from incarceration, especially regarding employment and housing (LeBel et al., 2012). However, there is limited information about offense type, mental health treatment, mental illness and race affect how formerly incarcerated persons perceive, anticipate and experience stigma. While research has shown that those with mental illness are more likely to have recidivate and sex offenders are viewed negatively by the public, there are gaps in understanding reasons why this occurs (Bureau of Justice Statistics, 2017; Sample & Bray, 2006; Levinson et al., 2007; Rade, Desmarais & Mitchell, …
Factors Influencing Community Responses To Hoarding: Evaluating Operational Culture Of Hoarding Task Forces, Stigma, And Successful Outcomes, Leslie Gail
Dissertations
Hoarding is generally recognized as a pervasive need to acquire and retain items past the point of maintaining safe living spaces. Ushered into popular culture through television shows highlighting conflict, awareness of hoarding has increased. Experts report this condition affects 2-5% of the adult population, but this figure does not include children, family, neighbors, and community members (Buscher et al., 2013; Minor and Youth Children of Hoarding Parents, 2021). A unique feature of hoarding is the myriad of ways it is discovered.” People who hoard may keep conditions a secret due to a lack of awareness, concerns about forced remediation, …
Mental Health Stigma And Law Enforcement Officers, Moses Park
Mental Health Stigma And Law Enforcement Officers, Moses Park
Dissertations
Purpose: The purpose of this phenomenological research was to describe the perception of law enforcement officers (LEOs) about the stigmatizing behavior they experienced from fellow officers in their organization, after they sought mental health services, following a traumatic event they were involved in.
Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. Data was collected via semi-structured interviews with a purposive sample of 12 active and retired LEOs who served in southern California.
Findings: After the analysis, seven major findings were yielded. The major findings of the study are: (a) Within the law enforcement …
Impacts Of Diabetes Stigma On Acute Healthcare Engagement Among Adults With Type 2 Diabetes, Kate Camillo
Impacts Of Diabetes Stigma On Acute Healthcare Engagement Among Adults With Type 2 Diabetes, Kate Camillo
Honors Theses
Introduction: Individuals frequently experience public and self-stigma stemming from type 2 diabetes. Prior studies have linked stigma with higher levels of poorer diabetes outcomes such as greater disease-related distress and worse glycemic control. However, few if any studies have examined the association between diabetes-related stigma and healthcare utilization. This gap in the literature is critically important given the importance of proactive disease management and preventive care as well the high costs of acute service use in this population. Therefore, the purpose of the present study was to examine the relationship between type 2 diabetes stigma, patient activation, and acute medical …
Helping Our Heroes: An Evaluation Of Mental Health And Organizational Policies Surrounding Suicide Prevention And Postvention Strategies For Nebraska First Responders, Maria S. Mickles
Capstone Experience: Master of Public Health
Suicide is ranked as one of the leading causes of death in the United States. Over 40,000 individuals die by suicide each year (Stanley, Hom, & Joiner, 2016; Vigil et al, 2021), and, in 2020, it was ranked in the top 9 causes of death for all ages (10-64), and second for those 10-14 and 25-34 years of age (Centers for Disease Control and Prevention, 2022). These statistics disproportionately reflect first responders (i.e., firefighters, dispatchers, law enforcement, EMS, paramedics, etc.), as they die by suicide more than the general public (National EMS Management Association, 2016). Within their line of work …
Stigma Towards Sex Workers In The Clinical Setting: Sixteen Guidelines For Therapists To Improve Their Practice And Provide Ethical Mental Health Services To Sex Workers, Alessandra Lanti
UNLV Theses, Dissertations, Professional Papers, and Capstones
This study qualitatively investigates therapists’ attitudes toward their clients who work in the sex industry and assesses sex workers’ perception of these attitudes in therapy. Two separate surveys are used to assess attitudes. One is distributed to mental health professionals, and it uses clinical vignettes to evaluate the approaches used in therapy where the variable of “profession” is manipulated. The second survey is distributed to sex workers to evaluate their experiences in therapy. Then, indicators of persistent attitudes in the narrative responses are identified, organized into groups, and surveys are compared. Results suggest that participants in the survey distributed to …