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Full-Text Articles in Clinical Psychology

Initial Pilot Test Of A Single-Session Social Support Program For Increasing Social Approach Behavior And Social Support In Emerging Adults, Emily L. Jones Aug 2026

Initial Pilot Test Of A Single-Session Social Support Program For Increasing Social Approach Behavior And Social Support In Emerging Adults, Emily L. Jones

Electronic Theses and Dissertations

Emerging adulthood, the developmental stage between adolescence and young adulthood (Arnett, 2000), is marked by increases in autonomy, changes in social dynamics, and identity exploration (Arnett, 2015). During this stage, social stressors may trigger or exacerbate preexisting mental health problems (Slavich & Auerbach, 2018), though few emerging adults seek or receive mental health support (Zhao et al., 2025). Single-session interventions, or “specific, structured programs that intentionally involve just one visit or encounter” (Schleider et al., 2019), may present an opportunity to provide some support to those who face barriers to participation in traditional forms of treatment (Janota et al., 2022). …


Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood Aug 2026

Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood

Electronic Theses and Dissertations

Depression is the leading cause of disability among adults in the U.S and is associated with negative short- and long-term social, emotional, economic, and physical health outcomes. Notably, rates of depression among children and adolescents are rapidly increasing across the globe. Depression in youth disrupts crucial developmental processes that can adversely affect concurrent and longitudinal socioeconomic and health outcomes. Although extant research delineates the consequences of adolescent depression for adult functioning (e.g., lower educational attainment, fewer economic resources, worse physical health), studies that examine these associations within racially minoritized populations are scarce. This gap in the literature is especially striking …


Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki Aug 2026

Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki

Electronic Theses and Dissertations

Pediatric traumatic brain injury (TBI) is linked with social problems in peer relationships that can last into adulthood. Little is known about how social problems impact the development of intimate relationships as pediatric TBI survivors grow up. This study addressed this gap by examining risk of intimate partner violence (IPV) in a sample of 50 young adult survivors of pediatric TBI prior to age 13 (M age = 22.96, SD = 1.70, 60% women) and tested social information processing (SIP) as a potential process through which TBI influences risk for IPV. Participants were recruited via Prolific and social media …


Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik Jun 2026

Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik

Dissertations

This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …


Associations Between Mmpi-3 And Cape Scores: Measuring Psychosis Symptoms In A Non-Clinical Population, Tigis A. Applin, Ashlynne N. Wright, Andrew Kremyar, Megan R. Whitman, Yossef S. Ben-Porath Ph.D. May 2026

Associations Between Mmpi-3 And Cape Scores: Measuring Psychosis Symptoms In A Non-Clinical Population, Tigis A. Applin, Ashlynne N. Wright, Andrew Kremyar, Megan R. Whitman, Yossef S. Ben-Porath Ph.D.

Aurora

Psychosis includes two major types of symptoms: positive (i.e., hallucinations, delusions, paranoia) and negative (i.e., flat affect, poverty of speech, lack of motivation). Psychosis is also frequently comorbid with depressive and other mood disorder symptoms. Differentiating positive, negative, and depression symptoms is important, as practicing clinicians may tailor treatments to specific presenting symptoms. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) is a broadband measure of personality and psychopathology that includes scales that measure both psychosis and depression related symptoms. Prior studies indicate that scale scores on previous versions of the MMPI-3 can help with the differential diagnosis of depressive and psychosis-related …


Reevaluating Pediatric Concussion Recovery: The Need For Comprehensive Psychological Assessments, Jolie L. Slobodin Apr 2026

Reevaluating Pediatric Concussion Recovery: The Need For Comprehensive Psychological Assessments, Jolie L. Slobodin

Senior Theses

Pediatric concussions represent a significant public health concern due to their complex and often long-lasting effects on the developing brain. Although concussion is classified as a mild traumatic brain injury (mTBI), growing evidence indicates that children and adolescents experience psychological, cognitive, and academic difficulties that extend beyond physical symptom resolution. While somatic and cognitive symptoms often predominate in the acute phase of recovery, emotional and behavioral concerns frequently emerge or persist later, yet remain inconsistently evaluated in standard concussion care. This thesis examines the psychological, cognitive, and academic outcomes of pediatric concussion and evaluates whether current assessment practices capture the …


Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen Jan 2026

Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen

Journal of Interprofessional Practice and Collaboration

Purpose: Physical Therapy (PT) and Behavioral Health (BH) often overlap in patient care; however, collaborative treatment is always not utilized by providers. This case study details the interdisciplinary treatment of a 69-year-old female with a fear of falling; emphasizing the importance of interprofessional collaborative care in treating Fear of Falling (FOF) in individuals at risk for fall-related injury with Cognitive Behavioral Therapy (CBT) and PT interventions.

Problem: FOF is common among older adults and can result in physical, psychological, and social consequences (Lee & Tak, 2023; MacKay et al., 2021). Patients at risk of fall-related injury experience decreased self-confidence in …


The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey Jan 2026

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

UROP Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …


Showpony, George Theodore Ellington Jan 2026

Showpony, George Theodore Ellington

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The poetry collection Showpony focuses on the real-life experiences of a woman in her twenties during the 1970s, who is treated by psychiatrist Dr. Robert J. Stoller at UCLA in a desperate attempt to make her normal. Mrs. G struggles with homicidal and suicidal thoughts, psychosis, as well as her homosexuality and transgender identity. Showpony examines the ways in which psychology has pathologized these experiences and the ramifications for patients, particularly those who have been publicly showcased as examples of their conditions used to train future students. The collection critiques the exploitation of patients by psychiatrists and psychologists, highlighting unethical …


Moving Positively: A Review Of Positive Psychology Interventions In Counseling, Spencer M. Fleming, Ingrid Weigold Ph. D Jan 2026

Moving Positively: A Review Of Positive Psychology Interventions In Counseling, Spencer M. Fleming, Ingrid Weigold Ph. D

Williams Honors College, Honors Research Projects

Positive psychology is a relatively new and developing subfield of psychology which examines the machinations and roles of various character strengths and traits such as growth, well-being, meaning, life satisfaction, character strengths, and more. Positive psychology holds various implications for counseling, therapy, individual growth, and self-determination. However, current literature on positive psychology interventions (PPIs) are scattered, nuanced, and lack overall consensus. Thus, encompassing research is necessary to identify common trends, areas for improvement, and a clear direction moving forward. The present review analyzes positive psychology interventions (PPIs) within psychology and counseling. This review examined forty-eight articles, including fifteen meta-analyses, on …


Barriers To Mental Health Care Among Emerging Adult Women Across Racial, Ethnic, And Lgbtq+ Identities, Tikyla M. Euline Jan 2026

Barriers To Mental Health Care Among Emerging Adult Women Across Racial, Ethnic, And Lgbtq+ Identities, Tikyla M. Euline

Honors Undergraduate Theses

Emerging adulthood is a developmental period characterized by increasing mental health concerns, yet many young adults do not seek professional psychological services. The present study examined barriers to mental health care among undergraduate women, with particular attention to the intersecting identities of sexual minority status and racial/ethnic minority status. Guided by intersectionality theory, the study investigated whether LGBTQ+ women, women of color, and individuals holding both identities reported greater perceived barriers to treatment, higher levels of medical mistrust and discrimination in healthcare settings, and lower mental health service utilization. Participants included 373 undergraduate women between the ages of 18 and …


Examining Bias In The Death Qualification Process: Mental Health Attitudes And Support For The Death Penalty, Aliana N. Lemmey Jan 2026

Examining Bias In The Death Qualification Process: Mental Health Attitudes And Support For The Death Penalty, Aliana N. Lemmey

Honors Undergraduate Theses

For an individual to serve on a capital jury, they must first undergo voir dire, a preliminary examination of potential jurors to assess impartiality regarding death penalty use. This process is called death qualification and is carried out so that attorneys can identify and exclude individuals who are unwilling to impose capital punishment (Haney, 1984). Over the last four decades, this selection process has been criticized by researchers and legal scholars for its biasing effects in capital cases (Butler, 2007; Butler & Moran, 2007a; Fitzgerald & Ellsworth, 1984; Haney, 1984; Thompson et al., 1984). Since the 1980s, psychologists have investigated …


From Custody To Care: Understanding Mental Health And Recidivism In The Criminal Justice System, India Cox Jan 2026

From Custody To Care: Understanding Mental Health And Recidivism In The Criminal Justice System, India Cox

UROP Posters

Previous studies on genetic influences in mental health disorders have been shown to correlate with incarceration rates in families. Consequently, there are individuals within the criminal justice system under the clinical threshold of a mental health diagnosis; it has been found that almost half of the incarcerated population was arrested due to acting upon their mental health disorder, while 27 to 38 percent developed PTSD while imprisoned. Furthermore, the serious and exhausting cycle of recidivism within the criminal justice system highlights the failure to provide the necessary mental health treatment required to support rehabilitation while incarcerated and prevent reoffending upon …


Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan Jan 2026

Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan

UROP Posters

Introduction: Exposure to traumatic events is a well-established risk factor for eating pathology, including binge eating, purging, restricting, and excessive exercise. This association has been primarily explored in higher-income countries, like the United States. The goal of this study was to elucidate the associations among victimization trauma (physical assault, sexual assault, and other unwanted sexual experience assessed) exposure and (binge eating, purging, restriction and excessive exercise) in a global sample of women.

Methods: Participants were 2,458 women attending universities across seven countries (US, UK, Canada, Germany, Iran, Turkey, Colombia) who were recruited through their undergraduate participant pool. Students who completed …


Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan Dec 2025

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …


9th Gsep Research Symposium - 2025 Oct 2025

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …


Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar Jun 2025

Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar

Electronic Theses and Dissertations

Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …


Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman May 2025

Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman

Honors Theses

Migraine is a debilitating neurological disorder affecting millions worldwide, with substantial societal and personal burdens. Psychological factors, particularly fear of pain, may influence migraine experience by impacting perceptions of headache triggers. This study investigates the relationship between fear of pain and perceived triggers in individuals with migraine. A sample of 2,959 young adults meeting diagnostic criteria for migraine completed a structured diagnostic interview and self-report measures of fear of pain, headache-related disability, and beliefs about headache triggers (which stimuli triggered headache, most important triggers, and likelihood of developing a headache upon exposure to the most important trigger [trigger potency]). Linear …


Cultural Self-Harm Differences, Erin E. Simmons May 2025

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …


Racial Trauma, Psychosis, And Double Consciousness, Brianna A. Baker Apr 2025

Racial Trauma, Psychosis, And Double Consciousness, Brianna A. Baker

Publications and Research

Key Points

  • Black distress is often misdiagnosed as psychosis instead of recognized as a response to racial trauma.
  • Double consciousness may explain how racism causes cognitive and emotional strain in Black individuals.
  • Racial discrimination is linked to paranoia, dissociation, and hallucinations in Black communities.


A Qualitative Approach To Identifying Obstacles To Mental Healthcare In The Rio Grande Valley From The Perspective Of Mental Healthcare Professionals., Shania M. Linder, Cristian Botello, Raquel Villarreal, Nelda Rodriguez, Mario Gil, Dayana Zamora Mar 2025

A Qualitative Approach To Identifying Obstacles To Mental Healthcare In The Rio Grande Valley From The Perspective Of Mental Healthcare Professionals., Shania M. Linder, Cristian Botello, Raquel Villarreal, Nelda Rodriguez, Mario Gil, Dayana Zamora

Research Symposium

Background: There are many factors that prevent members of the Hispanic/Latino community from accessing mental health resources. This is important to investigate because there is a lack of knowledge on why residents of the Rio Grande Valley, an underserved region of South Texas, are unable to access and/or utilize mental health resources.

Methods: A focus group session was held at a mental health counseling clinic in Cameron County, Texas on February 1, 2024. The participants consisted of mental health professionals, such as two mental health clinicians, a clinical counselor, two school counselors, a licensed professional counselor supervisor, and a …


Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade Jan 2025

Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade

UROP Posters

Therapy has long been a foundational approach for addressing mental health, but advances in digital technology have led many young adults, especially Generation Z, to increasingly turn to AI tools for support. Rising costs, limited access to providers, and long wait times have further boosted the appeal of AI-based mental-health solutions. Despite this growing interest, the use of AI for emotional and psychological support raises important questions about trust, empathy, safety, and the ethical responsibilities of mental-health providers and developers. We conducted a brief scoping review of research on AI-based mental-health tools and student help-seeking behaviors. Searches were performed on …


Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray Jan 2025

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …


Nondisclosure Of Trans Group Status Among Transgender Individuals, Alexander Williams Dec 2024

Nondisclosure Of Trans Group Status Among Transgender Individuals, Alexander Williams

Masters Theses & Specialist Projects

The purpose of the study was to investigate motivations for concealment of transgender group status beyond a qualitative scale. Additionally, the study aimed to identify the role one’s identity centrality, salience, and valence played in concealment behavior and attitudes. It was hypothesized that factors found in the extant literature (i.e., gender dysphoria, lack of connection, safety, stigma, and discrimination concerns) would apply presently. It was hypothesized that those individuals with low identity centrality, salience, and valence would be less likely to disclose their trans status. Results indicated that the previously named factors for concealment were present among participants with particularly …


Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick Sep 2024

Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick

JADARA

Emotional display rules refer to the expression of culturally prescribed and socially acceptable emotions across different people and situations (Wu & Schulz, 2020). The display rules among hearing adults across several cultures are well defined and depend on the type of emotion, the individuals involved in the exchange, and the situation. Regarding Deaf culture in the United States, this minoritized group may follow unique display rules (Hosie et al., 2000), but there has been almost no research conducted with this population and the existing studies have focused on youth. The present study explores perceived emotional expressions among a sample of …


Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy Sep 2024

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …


Reproductive Coercion And Intergenerational Trauma: The Role Of Reproductive, Sex, And Relationship Education And Family Messaging, Maria-Ernestina Christl Aug 2024

Reproductive Coercion And Intergenerational Trauma: The Role Of Reproductive, Sex, And Relationship Education And Family Messaging, Maria-Ernestina Christl

Electronic Theses and Dissertations

Women’s knowledge of reproductive choices as well as ability to decide and implement those choices are critical to promoting healthy parent-child relationships and avoiding potentially harmful family dynamics. Reproductive coercion (RC) is a form of intimate partner violence in which abusive partners control reproductive outcomes of their partners. The field of RC is a relatively new field of study compared to the literature on IPV, and this study is one of the first to examine the role of formal and informal messaging women received in childhood related to sex, dating, and relationships in relation to RC. Furthermore, parenting attitudes were …


Examining The Effects Of Post-Traumatic Self-Blame And Shame On Response To Laboratory-Induced Pain, Adi Rosenthal Aug 2024

Examining The Effects Of Post-Traumatic Self-Blame And Shame On Response To Laboratory-Induced Pain, Adi Rosenthal

Electronic Theses and Dissertations

Extant research has made clear the link between self-criticism and engagement in non-suicidal self-injury (NSSI). As posited by the Defective Self Model of NSSI, individuals who experience feelings of self-hatred may perceive pain as deserved and engage in NSSI (Burke et al., 2021). Individuals exposed to interpersonal trauma are at higher risk of engaging in NSSI, and also frequently experience trauma-related self criticism, namely shame and self-blame. More work is needed; however, to understand how self-critical post-traumatic cognitions contribute to risk for NSSI engagement for interpersonal trauma survivors. The current study uses a combination of lab-induced pain and self-report measures …


Developing A Comprehensive Cognitive Model Of Math Achievement, Nina Anderson Aug 2024

Developing A Comprehensive Cognitive Model Of Math Achievement, Nina Anderson

Electronic Theses and Dissertations

Recently, downward trends have been reported in U.S. children’s math performance following school disruptions during COVID-19 amidst longstanding concerns for instruction and curricula within the subject. In support of efforts to remedy these declines, the current work presents two studies dedicated to identifying cognitive factors that are most strongly related to math performance, and which therefore offer promising potential targets for assessment and intervention. Both studies use data from the Colorado Learning Disabilities Research Center, which includes participants ages 8 - 16 and multiple well-validated measures of all constructs of interest. Study 1 tests three alternative latent cognitive models of …


Sources Of Sexual And Romantic Education: Associations With Sexual Minority Men’S Sexual Experiences And Romantic Relationship Quality, Charlie Huntington Jun 2024

Sources Of Sexual And Romantic Education: Associations With Sexual Minority Men’S Sexual Experiences And Romantic Relationship Quality, Charlie Huntington

Electronic Theses and Dissertations

Individuals with sexual minority identities experience a variety of poorer mental and physical health outcomes, including those related to sexual and romantic quality, relative to heterosexual individuals (Beaulieu et al., 2017; CDC, 2021). These poorer romantic, sexual, and psychological outcomes may be attributable in part to lacking access to affirmative and relevant modeling of sexual minority experiences, such as through sex education (Gillespie et al., 2022; Keiser et al., 2019). This study aimed to understand how sexual minority men learn – in ways potentially both helpful and unhelpful – about romantic relationships and sexual activity, and how these experiences are …