Interpersonal Experiences Research Articles

An active inference approach to interpersonal differences in depression

Depression is characterized by different distortions in interpersonal experience and behavior, ranging from social withdrawal to overt hostility. However, clinical psychological research has largely neglected the need for an integrative framework to operationalize these different phenomena and their dynamic change more accurately in depression. In this article, we draw on active inference theory, a comprehensive theory of perception, action, and learning, to provide a formal model explaining how variations in patients' internal belief-systems lead to differences in social experience and behavior. In this context, we assume that individuals cannot directly grasp the characteristics of their social environment. Instead, they must infer them indirectly from ambiguous social observations, which they themselves generate and alter through their actions. Differences in interpersonal experience and behavior arise from the interplay of patients’ prior expectations, their propensity to infer particular social states from certain observations, and their beliefs in their ability to influence these situations through specific actions. We then use concrete examples to demonstrate how future research can take our approach to identify systematic differences in interpersonal experiences and behaviors among depressed patients (or patient subgroups) and to investigate their changes in response to new social experiences. We also discuss potential applications of our approach in diagnosing and treating depression. This work is a move towards understanding the interpersonal aspects of depression in more detail, recognizing their importance in etiology, diagnosis, and treatment.

Attachment and borderline personality disorder as the dance unfolds: A quantitative analysis of a novel paradigm

Current research on personality disorders strives to identify key behavioural and cognitive facets of patient functioning, to unravel the underlying root causes and maintenance mechanisms. This process often involves the application of social paradigms — however, these often only include momentary affective depictions rather than unfolding interactions. This constitutes a limitation in our capacity to probe core symptoms, and leaves potential findings uncovered which could help those who are in close relationships with affected individuals. Here, we deployed a novel task in which subjects interact with four unknown virtual partners in a turn-taking paradigm akin to a dance, and report on their experience with each. The virtual partners embody four combinations of low/high expressivity of positive/negative mood. Higher scores on our symptomatic measures of attachment anxiety, avoidance, and borderline personality disorder (BPD) were all linked to a general negative appraisal of all the interpersonal experiences. Moreover, the negative appraisal of the partner who displayed a high negative/low positive mood was tied with attachment anxiety and BPD symptoms. The extent to which subjects felt responsible for causing partners’ distress was most strongly linked to attachment anxiety. Finally, we provide a fully-fledged exploration of move-by-move action latencies and click distances from partners. This analysis underscored slower movement initiation from anxiously attached individuals throughout all virtual interactions. In summary, we describe a novel paradigm for second-person neuroscience, which allowed both the replication of established results and the capture of new behavioural signatures associated with attachment anxiety, and discuss its limitations.

Testing the Diathesis and Transactional Stress Models Among African American Adolescents

Prior literature suggests that stress exposure is associated with elevated rates of depressive symptoms in African American adolescents. However, there is substantial within-group variability which may be attributable to differences in adolescents’ individual characteristics (e.g., self-esteem, coping styles), and interpersonal experiences (e.g., peer support). The current study first examined whether active coping, perceived peer support, self-esteem, and stress were associated with depressive symptoms. Then, drawing from the diathesis-stress, transactional stress, and stress-buffering models, we examined whether the effects of stress on depressive symptoms were moderated by self-esteem, active coping, and perceived peer support. Using a sample of African American adolescents ( n = 1,163; mean age = 13 years old; 54.2% girls), we found that active coping and stress were positively associated with depressive symptoms in contrast to self-esteem and perceived peer support. Interaction results suggested that active coping and self-esteem moderated the effects of stress on depressive symptoms. Implications are discussed.

Using Co-Design with Streamers and Viewers to Identify Values and Resolve Tensions in the Design of Interpersonal Wearable Telepresence Systems

We conducted a co-design study with 26 users in dyadic groups who were assigned to the opposing roles of "Streamers'' and "Viewers'' to design interactive, wearable telepresence prototypes for interpersonal use. The goal was to elicit values, identify value tensions, and resolve these tensions in the design of a system that allows Streamers to share their live experiences with a remote Viewer. Leveraging the lens of value-sensitive design (VSD), we found that these different stakeholders prioritized different values in design, but possibly due to our prompt to design for someone they cared about/knew, often accounted for one another's needs in their solutions to arrive at designs that were affordable, unobtrusive, and socially acceptable for the Streamer, while giving the Viewer a sense of autonomy. Our work highlights the strengths of co-design when eliciting important human values in the design of sociotechnical systems for wearable telepresence, reconciling value tensions, and conceptualizing novel hardware- and software-based solutions for enhancing the interpersonal telepresence experience of both viewers and streamers. A key insight from our study is that no single system will meet all users' needs; therefore, we should move towards building customizable toolkits to account for differing values and needs.

Associations between perceived discrimination experiences, treatment adherence self-efficacy, and depressive symptoms among people living with HIV in the Southern United States

ABSTRACT This study examined associations between perceived discrimination, treatment adherence self-efficacy, and depressive symptoms among people living with HIV (PLHIV) in the Southern United States. Cross-sectional survey data were collected from 402 PLHIV who self-reported on interpersonal discrimination experiences based on HIV status, sexuality, gender, income, and living condition. Participants also reported on adherence self-efficacy and depressive symptoms. We employed K-means clustering to identify groups based on discrimination experiences, and logistic regressions to examine group differences on adherence self-efficacy and depressive symptoms. Results suggested three groups: a cluster with high perceived discrimination across all identities/conditions (n = 41; 11%; Cluster 1); a cluster with high perceived discrimination based on HIV status, income, and living condition (n = 49; 13%; Cluster 2); and a cluster with low perceived discrimination across all identities/conditions (n = 288; 76%; Cluster 3). Compared to Cluster 3, Cluster 1 and 2 had 2.22 times (p = .037) and 3.98 times (p<.001) greater odds of reporting depressive symptoms. Compared to Cluster 3, Cluster 2 had 3.40 times (p = .003) greater odds of reporting lower adherence self-efficacy. Findings demonstrate the need for individual-level support for PLHIV with discrimination histories, and broader efforts to end the stigma, discrimination, and marginalization of PLHIV based on HIV status and other characteristics.

Association between illness perception and social alienation among maintenance hemodialysis patients: The mediating role of fear of progression.

This study aimed to investigate the mediating role of fear of progression on illness perception and social alienation among maintenance hemodialysis (MHD) patients. MHD is frequently accompanied by increased pain and complications such as itchy skin, chronic fatigue, and muscle spasms. Cardiovascular disease rates are also elevated among MHD patients, which can heighten their anxiety regarding prognosis and treatment discomfort. This chronic fear may severely impact social functioning, leading patients to withdraw from interpersonal interactions and experience heightened helplessness and loneliness. Further investigation is necessary to understand the factors behind the high level of social alienation in MHD patients and their underlying mechanisms. A cross-sectional study guided by the STROBE. A convenience sample of 230 MHD patients were enrolled from January to May 2023. Data including demographic and clinical characteristics, illness perception, fear of progression, and social alienation were collected. Descriptive analysis and Pearson correlations were conducted using IBM SPSS version 25.0. The mediating effect was analyzed using Model 4 of the PROCESS macro for SPSS, with the Bootstrap method employed to assess its significance. The score of social alienation in MHD patients was high, with illness perception and fear of progression both significantly correlated with social alienation. In the mediating effects model, illness perception can predict social alienation in MHD patients, and fear of progression use plays a part in mediating the process by which illness perception affects social alienation. The Kappa Squared (κ2) value of 21.9%, suggests a medium effect size. Illness perception directly predicts social alienation in MHD patients and exerts an indirect effect through the mediating role of fear of progression. Suggests that healthcare professionals should concentrate on MHD patients with high negative illness perceptions to alleviate their fear of progression, thereby decreasing the level of social alienation and enhancing their integration into society.

(PM-24) TRANSLATION AND CULTURAL ADAPTATION OF THE KAROLINSKA INTERPERSONAL VIOLENCE SCALE INTO BRAZILIAN PORTUGUESE: A METHODOLOGICAL STUDY

Abstract Introduction Interpersonal violence is a global concern with significant implications for mental health and mortality. The Karolinska Institute in Sweden developed the Karolinska Interpersonal Violence Scale (KIVS), a semi-structured interview assessing interpersonal violence experiences as victims or aggressors across childhood and adulthood. Objective Our aim was to translate and culturally adapt the KIVS for use in the Brazilian population. Methods: The translation process involved ten stages based on The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines. Back-translation was performed by a clinical psychologist unfamiliar with the original scale. The English versions were cross compared by the original instrument author. The consensus version underwent comprehension evaluation by eight participants, comprising four healthcare professionals and four patients from the AISEP - Excessive Sexual Drive and Prevention of Negative Outcomes Related with Sexual Behavior at Instituto de Psiquiatria of Hospital das Clínicas of São Paulo. A 5-point Likert scale assessed participant comprehension, with 80% agreement indicating successful equivalence. Sentences were revised until this consensus was achieved. The finalized translation, incorporating contextual revisions, underwent syntactic and spelling review. Results After application to eight participants (4 women and 4 men), 7 rated with the highest comprehension score (5.0), and 1 with 4.9. A final report documented the entire KIVS translation and validation process. Conclusion The translation and cultural adaptation of the KIVS into Brazilian Portuguese were successful. Minor adjustments were made to enhance comprehension without compromising meaning. This adaptation provides a valuable tool for assessing interpersonal violence in the Brazilian context, with implications for research and clinical practice. Financing FAPESP.

The Impact of COVID-19 on Older Black and Hispanic Workers’ Perceptions of their Workplace

This study provides insight into how having COVID-19 shifted Black and older Hispanic adults’ organizational perceptions and experiences. We used data from 30 Black and Hispanic full-time men and women over the age of 45 who have had COVID-19, and most have co-occurring physical and mental chronic illness, to examine how having COVID-19 shapes their perceptions of their workplace and organizational interactions. We examine how older Black and Hispanic adults’ intersectional identities further shape their work experiences. Further, we illuminate how COVID-19-related enhanced safety protocols impacted these workers’ emotional and interpersonal experiences by increasing feelings of safety and support, while simultaneously widening relational gaps among coworkers and increasing mental health concerns. We end with workplace practice recommendations, centering an intersectional and Total Worker Health® (TWH) approach, to reduce work-related health and safety hazards with efforts to promote and improve the well-being of older Black and Hispanic workers.

The outsider phenomenon and the need to belong.

The outsider phenomenon is an existential pathology interrelated with the need to belong. It is a group related experience that has developmental foundations. W. R. D. Fairbairn (1952), was one of the first psychoanalysts who systematically challenged Freudian theory, and located the human experience within social relationships. Fairbairn (1935) suggested that the family is the first social group, leading to affiliations with important groups external to the family. This paper extrapolates from Fairbairn's ideas about schizoid character, which is an interpersonal experience, to group experiences in a family and with identity groups. Fairbairn's notions about the unavoidable activation of schizoid processes may help us understand what makes the outsider experience so pervasive.

An investigation of the associations between trauma exposure, racial stereotypes, and racist beliefs.

Given the concerning rise in hate crimes in recent years, it is critical to better understand factors associated with racist beliefs. As suggested by terror management theory (TMT), trauma exposure and posttraumatic stress symptoms (PTSS) may activate existential distress and anxiety, which may strengthen worldviews, including prejudiced beliefs (Greenberg & Kosloff, 2008; Weise et al., 2012). Although PTSS include negative alterations in beliefs about other people and the world, the connection between trauma and racist beliefs has not been investigated. There may also be key differences in terms of types of trauma exposure, such as interpersonal and noninterpersonal trauma, and racial beliefs. The present study aimed to determine: (a) whether cumulative trauma exposure and PTSS are associated with endorsement of racist perceptions and stereotypes regarding Black people, and (b) if interpersonal trauma is more strongly tied to prejudiced and stereotyped beliefs than noninterpersonal trauma among 277 White undergraduates (Mage = 23.33, SD = 6.11; 76.4% female). Neither cumulative trauma nor PTSS were found to be related to elevated racist beliefs or positive or negative stereotypes. However, noninterpersonal trauma exposure was associated with stronger endorsement of racist beliefs and negative stereotypes (ηp² = .03, .01). Surprisingly, interpersonal trauma exposure corresponded with lower racist beliefs (ηp² = .02). Noninterpersonal trauma exposure may thus activate TMT and strengthen prejudiced ideology, whereas interpersonal traumatic experiences and PTSS may not. More research is needed to better understand how types of traumatic events may relate to the development of prejudiced beliefs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Social-ecological semiotics and the complex organization of psyche, language, and culture

In each given situation, our words and deeds carry signs and meanings that are contingent on, and reflect, the social-ecological semiotic settings. The purpose of this work is to better understand the complex organization of psyche, language, and culture. The process of hyper-generalization brings affective and cognitive opposites into the whole sign field and guides the whole relating with the world. As well, the process of semiotic mediation entails signs constraining and enhancing both interpersonal and intrapersonal psychological processes and experiences, including through nested systems (the levels of the individual-the relationship-the community-the societal). We present data for Australia and Thailand on Hofstede’s six culture dimensions, that is, power distance, uncertainty avoidance, masculinity/femininity, individualism/collectivism, short-term/long-term orientation &amp; restraint/indulgence. An idealized and dynamic model of relations of Hofstede’s six culture dimensions and four indeterminate pronouns (e.g., ‘every’-one, ‘some’-one, ‘any’-one, ‘no’ one) is proposed. As a framework for construing the complex semiotic organization of (western, English-speaking) culture and psyche, four “cyclical” regulatory statements are outlined, regarding personal constraint, personal enhancement, cultural constraint, and cultural enhancement in language and culture, that is, in semiotic cultural psychology. Examples on the values of caring for people and planet are given to illustrate the social-ecological semiotic framework.

Determinants for positive and negative experiences of interpersonal touch: context matters

ABSTRACT The goal of the study was to determine which aspects of interpersonal touch interactions lead to a positive or negative experience. Previous research has focused primarily on physical characteristics. We suggest that this may not be sufficient to fully capture the complexity of the experience. Specifically, we examined how fulfilment of psychological needs influences touch experiences and how this relates to physical touch characteristics and situational factors. In two mixed-method studies, participants described their most positive and most negative interpersonal touch experience within a specific time frame. They reported fulfilment of nine needs, affect, intention, and reason for positivity/negativity, as well as the body part(s) touched, location, type of touch, interaction partner, and particular touch characteristics (e.g. humidity). Positive and negative touch experiences shared similar touch types, locations, and body parts touched, but differed in intended purpose and reasons. Overall, the valence of a touch experience could be predicted from fulfilment of relatedness, the interaction partner and initiator, and physical touch characteristics. Positive affect increased with need fulfilment, and negative affect decreased. The results highlight the importance of relatedness and reciprocity for the valence of touch, and emphasise the need to incorporate psychological needs in touch research.

Interpersonal Violence, Racial Discrimination, and Mental Health Symptoms Among Adolescents of Color in the Juvenile-Justice System.

The current study examined how interpersonal racial discrimination experiences operate together with other forms of interpersonal violence to contribute to mental health symptoms among justice-involved adolescents of color. Participants were 118 justice-involved adolescents of color aged 14 to 17 (M = 15.77, SD = 1.08; 52.5% male; 77.1% Black/African American) and their mothers. At baseline, adolescents reported on experiences of interpersonal racial discrimination, harsh parenting, teen dating violence, and exposure to interparental physical intimate partner violence. At baseline and the 3-month follow-up assessment, adolescents reported on trauma symptoms, and adolescents and their mothers reported on the adolescents' externalizing and internalizing symptoms. Multivariate multilevel modeling results indicated that interpersonal racial discrimination experiences contributed additively to adolescent mental health symptoms at both the baseline and 3-month follow-up assessments, after accounting for exposure to other forms of interpersonal violence. The current findings highlight the importance of considering adolescents' experiences of interpersonal racial discrimination, together with other forms of interpersonal violence, in work focused on understanding the mental health symptoms of justice-involved adolescents of color.

Associations Between Child Maltreatment Types and Pre- and Post-Partum Posttraumatic Stress Disorder Symptoms: A Brief Report

Objective: To foster resilience through reducing posttraumatic stress disorder (PTSD) symptoms in pregnant mothers with child maltreatment (CM) histories, it is important to understand factors impacting their well-being. This study explored whether CM predicted the severity of PTSD symptoms and symptom clusters during pregnancy and change in symptoms from pregnancy (Time 1; T1) to 3 months postpartum (Time 2; T2).&#x0D; Methods: 88 pregnant women (aged 18 to 29) completed surveys on CM exposure, adult interpersonal trauma experiences, and PTSD symptoms at T1; 58 participated at T2.&#x0D; Results: Stepwise regressions were conducted with the covariates age, family status, and adult interpersonal traumas. When accounting for all CM types, only neglect remained associated with overall PTSD symptoms (Ft1(1, 71) = 28.93, p &lt; .001) and for each of the PTSD symptom clusters (ps &lt; .01). Physical abuse remained associated with the alterations in cognition and mood cluster. No CM types were associated with changes in PTSD symptoms from T1 to T2.&#x0D; Implications: In future research, the implications of neglect for pregnant mothers should be explored in depth. Perinatal care should be trauma-informed, including assessing for CM histories, to foster greater resilience by reducing perinatal PTSD symptoms.

Discriminatory Healthcare Experiences and Medical Mistrust in Patients With Serious Illness

ContextThough discrimination in healthcare settings is increasingly recognized, the discriminatory experiences of patients with serious illness has not been well studied. ObjectivesDescribe racial differences in patient-reported experiences with discrimination in the healthcare setting and examine its association with mistrust. MethodsWe used surveys containing patient-reported frequency of discrimination using the Discrimination in Medical Setting (DMS) and Microaggressions in Health Care Settings (MHCS) scales, mistrust using the Group Based Medical Mistrust (GBMM) scale, and patient characteristics including patient-reported race, income, wealth, insurance status, and educational attainment. Univariable and multivariable linear regression models as well as risk ratios were used to examine associations between patient characteristics including self-reported race, and DMS, MHCS, and GBMM scores. ResultsIn 174 participants with serious illness, racially minoritized patients were more likely to report experiencing discrimination and microaggressions. In adjusted analyses, DMS scores were associated with elements of class and not with race. Black, Native American/Alaskan Native (NA/AN), and multiracial participants had higher MHCS scores compared to White participants with similar levels of income and education. Higher income was associated with lower GBMM scores in participants with similar DMS or MHCS scores, but Black and NA/AN participants still reported higher levels of mistrust. ConclusionIn this cross-sectional study of patients with serious illness, discriminatory experiences were associated with worse mistrust in the medical system, particularly for Black and NA/AN participants. These findings suggest that race-conscious approaches are needed to address discrimination and mistrust in marginalized patients with serious illness and their families.

Depression among refugee youth in an outpatient healthcare center-prevalence and associated factors.

Due to armed conflict and other crises, many children worldwide have to flee their home country and are, consequently, at a high risk for mental health problems. As the majority of previous research on refugee minors focused on post-traumatic stress disorder (PTSD), we aimed to assess the prevalence and risk factors for depression in a clinical sample of refugee youth. Data were collected during the standard diagnostic process in an outpatient refugee clinic in Germany. We assessed the prevalence of depression based on a diagnostic interview and investigated the association between age, gender, duration of flight, accompanying status, number of interpersonal traumatic experiences, residence status, and PTSD diagnosis with a depression diagnosis. More specifically, we conducted a Bayesian logistic regression with these associated factors as predictors and the presence of depression as the outcome. Additionally, we conducted a Bayesian network analysis including all these variables. The majority of the 575 included refugee children were male (n = 423, 73.6%) and, on average, 15.1 years old (SD = 2.69). Nearly half of the children (n = 243, 42.3%) met the diagnostic criteria for depression, of which most also showed a comorbid PTSD diagnosis. We found strong evidence that age, gender, number of traumatic experiences, and a diagnosis of PTSD were related to depression. The network analysis indicated that only age, gender, and PTSD were directly associated to depression. Flight-related factors were only indirectly associated with depression due to their associations with number of traumatic experiences and PTSD diagnosis. The high prevalence of depression and its strong associations with PTSD suggest that refugee minors are likely to experience depressive symptoms which might develop from PTSD symptoms. This implies a need for monitoring depressive symptoms in refugee minors, especially when these have a PTSD diagnosis.

Understanding and comparing risk factors and subtypes in South Korean adult and adolescent women's suicidal ideation or suicide attempt using survey and social media data.

This study aimed to investigate the similarities and differences in risk factors for suicide among adult and adolescent women in South Korea and identify subtypes of suicidal ideation or suicide attempt in each group. Multifaceted data were collected and analyzed by linking survey and social media data. Interpretable machine learning models were constructed to predict suicide risk and major risk factors were extracted by investigating their feature importance. Additionally, subtypes of suicidal adult and adolescent women were identified and explained using risk factors. The risk factors for adult women were primarily related to mental disorders, while those for adolescent women were primarily related to interpersonal experiences and needs. Two subtypes of suicidal adult women were one with high psychiatric symptoms and mental disorders of them and/or their families and the other with excessive social media use and high online victimization. Two subtypes of suicidal adolescent women were one with high psychiatric symptoms, high ACEs, and high social connectedness, and the other with frequent social media use, high online sexual victimization, and high social assurance. These findings enable a stratified and targeted understanding of suicide in women and help develop customized suicide prevention plans in South Korea.

Are Experiences of Discrimination Associated With Views of Physical Activity and Climate Policy Support in Canada?

Social climate refers to the general feelings, norms, and opinions in a society and may be affected by experiences of discrimination. This study examined whether experiences of discrimination are associated with the social climate of physical (in)activity and support for policies addressing dual benefits of physical activity (PA) and climate change. Data from the 2023 Social Climate Survey were used (n = 1950; ≥18y). Adherence to PA guidelines, perceived importance of PA, social norms, and support for 8 policy actions addressing dual benefits were each regressed on experiences of discrimination. Experiencing discrimination was not associated with the importance of PA, causal attribution of physical inactivity (individual vs external), adherence to PA guidelines, or policy support addressing PA and climate change. However, experiencing discrimination was associated with social norms that are favorable to PA: seeing children playing actively outdoors (odds ratio [OR]: 1.04; 95% CI, 1.02-1.06), perceiving that half of people their age meeting PA guidelines (OR: 1.04; 95% CI, 1.02-1.06), agreeing with societal disapproval of physical inactivity (OR: 1.03; 95% CI, 1.01-1.06), and having important people (eg,family/friends) meeting PA guidelines (OR: 1.10; 95% CI, 1.08-1.12). Unlike structural discrimination, interpersonal experiences of discrimination may not shape the perceived importance of and engagement in PA. However, experiencing discrimination may be associated with an individual's perceptions of their social environment, including how they observe and interpret the behaviors of others within their community. Generally strong support for policies addressing dual benefits, regardless of experiences with discrimination, aligns well with the planetary health agenda.

Indonesian Muslim Society's Reception of Sensation Language and Invitation to Polygamy on Social Media

Poligami Asyik Channel is one of the media used by Ustad Awan (UA) to socialize polygamy invitations. The language on this polygamous YouTube uses sensational language. Even though this invitation to polygamy is packaged in sensational language, it is still defeated by personal and interpersonal experiences that are discussed on social media and represented in stories from films and soap operas. This paper aims to map the forms of reception, the factors behind the reception and their impact on public discourse on polygamy law.This research is qualitative and based on primary and secondary data. Primary data was obtained from distributing questionnaires to participants in the Daurah Poligami online training (December 2022) and studies on the Poligami Asyik Channel (from December 1 to December 23, 2022). Data are sorted and classified based on Stuart Hall's reception theory. The stages of data processing started with the reduction of netizens' expressions /receptions in the comments column. The observation of data display is carried out in the form of a summary and synopsis based on reception expression patterns. The analysis follows an interpretation technique that starts with a restatement of the data followed by a description, ends with an interpretation of the dataThe results of the study show that invitations to polygamy using sensational language increase public rejection of polygamy. The public reception is through personal and interpersonal expressions that are discussed on social media and then represented in public entertainment media (soap operas and films). The difference in the reception then becomes a hybrid reception that further dramatizes polygamy law, so that it is not in line with Islamic law.

여성복지론 전공교과수업이 대학생의 성 인지 감수성에 미치는 효과 및 수업경험 분석

The purpose of this study was to examine the effects of taking a Social Work with Women Course on gender sensitivity of college students and explore the meaning of students' classroom experiences. To achieve this, the social work with women course offered to second-year students in the Department of Social Welfare at C University was conducted using a flipped learning approach in a blended learning environment. For data collection, 38 students responded to a pre-course survey in the first week and a post-course survey in the 14th week, assessing gender sensitivity. Additionally, students wrote individual reflection journals after the course. The analysis involved paired-sample t-tests for the gender sensitivity survey responses and qualitative content analysis for the reflection journals. The results revealed an improvement in gender sensitivity. Qualitative content analysis identified three categories: 'New perspectives and awareness,' 'Facilitation of reflection,' and 'Interpersonal interactive experiences' Based on these findings, this study proposed areas for improvements in social work with women course to enhance gender sensitivity among social work major college students.