Unwanted Experiences Research Articles

Adaptive Self-Reflection as a Social Media Self-Effect: Insights from Computational Text Analyses of Self-Disclosures of Unreported Sexual Victimization in a Hashtag Campaign

Hashtag campaigns calling out sexual violence and rape myths offer a unique context for disclosing sexual victimization on social media. This study investigates the applicability of adaptive self-reflection as a potential self-effect from such public disclosures of unreported sexual victimization experiences by analyzing 92,583 tweets that invoked #WhyIDidntReport. A supervised machine learning classifier determined that 61.8% of the tweets were self-disclosures of sexual victimization. Linguistic Inquiry and Word Count (LIWC) analysis showed statistically significant differences in four psycholinguistic dimensions (greater use of past focus, cognitive processes, insight, and causation words) connected with reflective processing in tweets with self-disclosed sexual victimization compared to those without. Additionally, topic modeling and thematic analysis identified nine salient topics within the self-disclosing tweets, comprising three self-distanced representations (i.e., relatively abstract and insightful construals) of the unwanted experiences: (a) acknowledging one’s previously unacknowledged victimization, (b) reaffirming one’s rationale for not reporting, and (c) decrying invalidating response to one’s disclosure. Moving beyond reception effects and social support in extant research about social media as a coping tool, this study provides new empirical insights into the potential of social media to promote expressive meaning-making of upsetting and traumatic experiences in ways that support recovery and resilience.

Addressing Culturally Based Hidden Bias and RacisM (A-CHARM) Using Simulation Experiences, Nik's Story: A Quasi-Experimental Study.

Racism and hidden bias experienced by underrepresented nursing students contribute to a loss of confidence and anxiety. The A-CHARM nursing project developed virtual simulation experiences for nursing students to practice how to address racism. 'Nik's Story' virtual simulation was created as part of the A-CHARM project. The purpose of this study was to examine the effectiveness of an education intervention, that included Nik's story, on cultural humility and cultural diversity awareness. This quasi-experimental study included a convenience sample of final year nursing students. After informed consent, participants completed a pre-intervention questionnaire that included the Cultural Humility Scale "context for difference in perspective" subscale, and the Cultural Diversity Awareness questionnaire to assess baseline knowledge. Students participated in an education intervention that included a lecture, Nik's story virtual simulation experience, a debrief and then completed a post-education/simulation questionnaire that included usability/learner engagement questions and the Cultural Humility Scale "context for difference in perspective" subscale, and the Cultural Diversity Awareness questionnaire. Forty-seven students consented and completed the pre/post intervention questionnaire. Participants rated the effectiveness, engagement and usability of the simulation experience highly. There was a significant positive change in cultural humility "context for difference in perspective" subscale (pre-scores = 6.9, SD = 3.3; post-scores = 31.0, SD = 3.8, p < 0.001), and cultural diversity awareness (pre-scores = 95.4, SD = 8.9; post-scores = 103.4, SD = 9.8, p < 0.001). This intervention was effective in improving cultural humility and cultural diversity awareness in nursing students. Simulation experiences regarding racism in the clinical setting provide a strategy for students to learn how to professionally navigate unwanted experiences.

The Dating Metaverse: Why We Need to Design for Consent in Social VR.

This paper presents a participatory design study about how consent to interaction and observation of other users can be supported in social VR. We use emerging VR dating applications, colloquially called the dating metaverse, as context for study of harm-mitigative design structures in social VR given the evidence of harms that occur through dating apps and general social VR applications individually, and the harms that may occur through their convergence. Through design workshops with potential dating metaverse users in the Midwest United States (n=18) we elucidate nonconsensual experiences that should be prevented and participant-created designs for informing and exchanging consent in VR. We position consent as a valuable lens for which to design preventative solutions to harm in social VR by reframing harm as unwanted experiences that happen because of the absence of mechanics to support users in giving and denying agreement to a virtual experience before it occurs.

Multiple Casual Sex Scripts: Shared Beliefs about Behavior among Portuguese Emerging Adults

Objective Empirical research to differentiate casual sex scripts is still limited. We aimed to ascertain the sexual scripts for three main types of casual sexual relationships: hookup, friends with benefits and one-night stands. Methods Through a mixed-method approach, we performed a study consisting in two sequential tasks to (1) complete three lists of script actions, and (2) identify the most agreed-upon actions for each casual sexual relationship. Results An important number of actions and events were identified for the three casual sexual scripts, reflecting a high level of elaboration and structure. Following a cognitive-script methodology, the actions retained for the content of the script for each casual sexual relationship were those obtaining at least 60% in respect to the mean of their centrality to the encounter. Only 16.5% of actions were shared among the three scripts, demonstrating their distinctiveness. Conclusion Knowledge about the different casual sex scripts can be used to develop relational and personal skills within CSRs and decrease unwanted experiences such as condomless sex.

Service provider interpretations of childhood sexual experiences among sexual minority men.

In this study, we report findings from a directed content analysis of service provider (SP) interpretations of early sexual experiences depicted in vignettes created from retrospective interviews with Black sexual minority men. Specifically, we explore whether SP recognize circumstances of abuse in the vignette narrators' sexual histories. Data for this analysis come from in-person qualitative interviews conducted with 35 providers working in substance abuse treatment and allied health service settings (e.g., mental health, HIV prevention and outreach) across the New York City area. The interviewees were asked to evaluate each of five vignettes depicting a range of early sexual experiences as described by the narrators [e.g., unwanted experiences with a male or female consistent with definitions of childhood sexual abuse (CSA), consensual sex with an older male or female]. Based on analysis of provider responses to the vignettes, we found that most recognized differences in age and authority as abuse indicators. Many of the providers struggled with assertions by vignette narrators that they had consented to the encounters-specifically those that could be considered abusive. Findings highlight areas to focus on in developing additional provider training, including the challenges of defining CSA, age and other factors that influence consent, and how cultural background and sexual minority status may shape men's appraisals of their experiences. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Inducing forgetting of unwanted memories through subliminal reactivation

Processes that might facilitate the forgetting of unwanted experiences typically require the actual or imagined re-exposure to reminders of the event, which is aversive and carries risks to people. But it is unclear whether awareness of aversive content is necessary for effective voluntary forgetting. Disrupting hippocampal function through retrieval suppression induces an amnesic shadow that impairs the encoding and stabilization of unrelated memories that are activated near in time to people’s effort to suppress retrieval. Building on this mechanism, here we successfully disrupt retention of unpleasant memories by subliminally reactivating them within this amnesic shadow. Critically, whereas unconscious forgetting occurs on these affective memories, the amnesic shadow itself is induced by conscious suppression of unrelated and benign neutral memories, avoiding conscious re-exposure of unwelcome content. Combining the amnesic shadow with subliminal reactivation may offer a new approach to voluntary forgetting that bypasses the unpleasantness in conscious exposure to unwanted memories.

Evidence-Based Approach to Decrease Incidence of Hospital-Acquired Pressure Injuries.

Hospital-acquired pressure injuries (HAPIs) are a painful and unwanted experience for the patient and cause unwanted additional costs to hospitals. Because HAPIs are a preventable occurrence, they are a nurse-sensitive indictor for national benchmarking when looking at quality and safety. Controlling the occurrence of HAPI in the hospital setting can be challenging for any nurse, but the difficulty is enhanced in the intensive care unit. This article discusses how a group of nurses from various areas of the hospital came together to heighten awareness of skin care and provided frontline education to peers. Through the use of structured programs using both a nationally known Wound Associate treatment program and Lean methodology, the nurses were able to work through processes and barriers and successfully decrease the incidence of HAPI in this academic medical center.

A cross-sectional study design to assess the sexual experiences and contraceptive use of adolescents and youths attending high school and college in Jimma town

BackgroundAdolescents and youths in Ethiopia have limited access to reproductive health services designed to address their needs. Therefore, the study aims to assess adolescents' and youth’s sexual practice, contraceptive use, and behavioral patterns towards safe sexual exercise.MethodsA quantitative cross-sectional study design was used on 374 students selected from high school and vocational colleges to assess their sexual experience and contraceptive use and related perceptions using pre-tested self-administered semi-structured questionnaires. We used descriptive analyses to report their sexual and reproductive health status and logistic regression to examine the association between contraceptive use and other variables.ResultsThe results show that 52.7% of the respondents (students) migrated or moved from rural to urban to continue their high school and college education at urban. 41.7% of the respondents were with less than 18 years, of which 75.9% of them already initiated sexual intercourse. Of all the students who started sexual intercourse (51.1%), only 30.9% used contraceptives, but condom use accounts for 49.2%. Overall, 84.8% of those who practiced sexual intercourse were at risk of acquiring sexually transmitted diseases due to not using a condom. About 3% of the respondents reported unwanted pregnancy experiences, of which 64% of these pregnancies were reported to be aborted.ConclusionAdolescents and youths attending high schools and College are at increased risk of acquiring HIV and unwanted pregnancy due to low levels of contraceptive use. Specifically, a designed youths-friendly reproductive health service is needed to avert related problems and contribute to sustainable development goals.

Resilience and psychosocial factors linked to symptom experience during the menopause transition for women living with HIV.

Women living with HIV (WLWH) are commonly symptomatic during perimenopause and menopause (≥1 y without menstruation), however, little is known of risks for symptoms and their timing. We analyzed these unwanted experiences to inform care. WLWH (≥40 y) in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study rated midlife experiences for seven symptoms and a symptom composite (from 0 to 21). Timing was categorized into four phases: i) perimenopause (flow in the last year), ii) 1-2 years from final menstrual period (FMP), iii) 2-5 years post-FMP; and iv) >5 years post-FMP. Resilience (standardized out of 100) was assessed based on Wagnild's Resilience Scale. Univariable/multivariable mixed effects linear regression assessed correlates of symptom intensity by composite score. Among 457 peri-/menopausal women mean age 54.7 (±6.6) over two time points (703 observations), 88% experienced ≥1 mild symptom; 75% were of moderate and 55% severe intensity. The most frequently reported symptoms were joint/muscle stiffness (67%), depressed mood (67%), and hot flashes (57%). After adjusting for reproductive phase, we found that women with greater resilience had fewer/lower intensity symptoms (symptom score 1.37 [2.30 to 0.44] lower; P = 0.004); those with depressive symptoms and recreational drug use (respectively) had more/higher intensity symptoms (scores 1.71 [0.61 to 2.82] [P = 0.002]; 2.89 [2.09 to 3.77] [P<0.001] higher). Symptoms were most intense in perimenopause and declined with increasing menopausal years (P = 0.03). WLWH experiences a high burden of midlife symptoms, decreased by resilience and most intense during perimenopause. Unwanted experiences were linked to psychosocial and behavioral factors. These data encourage HIV providers to adopt a bio-psychosocial approach to midlife management.

Co zrobić z Tym Wstydem?… Jacek Podsiadło, Słup ze słów i problemy z pamięcią w edukacji polonistycznej

The paper attempts to analyse the concept of memory in the social conscience, which is a taboo (despitefilms, testimones, the amount of academicresearch) related to the participation of the Polish communities in the Holocaust. It is believed that this dark memory or dark post-memory is animportant element which partially creates the sphere of key values for etery community ornation. Its absorption defines the maturity in taking up the challenges of history and indvidual experience. In order to avoid it being only anelitist memory, it should be included in the school practice, which is a difficult endeavour. It is controversial, and sometimes leads to an even stronger denial of knowledge and unwanted experience, due to its disgracefulness. In Jacek Podsiadło’s Słup ze słów, it is possibe to see the chance to break from this oblivion in the Polish Language Education.

An examination of department of defense environmental factors that contribute to reporting sexual harassment

ABSTRACT This study examined the influence of inclusion on the relationship between unwanted workplace experiences (UWEs) and negative perceptions of the sexual harassment reporting climate (NPRC) among 77 United States military units. De-identified archival data from the Department of Defense’s Defense Organizational Climate Survey (DEOCS) were analyzed. Results show that, while perceptions of inclusion did not moderate the relationship between UWEs and NPRC, it did predict NPRC. Our research reveals that the more inclusive a unit is, the more likely members in that unit will have positive perceptions of the sexual harassment reporting climate. Additionally, unit group cohesion (GC) levels were found to positively predict levels of inclusion among units. Implications regarding the implementation of more team-building exercises to both raise GC and perceptions of inclusion – as a potential way for military units to improve sexual harassment reporting climate – are discussed.

" Measuring Momentary Experiential Avoidance in Daily Life: A Preliminary Investigation for a New Contingency-Based Measurement Framework"

"This preliminary investigation aims to develop a new measure for momentary experiential avoidance in daily life using ecological momentary assessment (EMA) and a small sample. To measure momentary experiential avoidance, this study devised a new method that involves capturing reductions in unwanted experiences after a behavior has occurred based on negative reinforcement characteristics. A daily life investigation on students (N = 25) indicated that although “a momentary experiential avoidance index” did not correlate with acceptance and commitment therapy or symptomrelated questionnaires, it could partially predict a decrease in “irritation” and an increase in “satisfaction” after a behavior that is measured separately from an unpleasant private experience preceding the behavior. Moreover, the momentary experiential avoidance index predicted a number of positive mood states only in a group with high global experiential avoidance defined by a self-report questionnaire. Although the momentary experiential avoidance index may measure one aspect of experiential avoidance, consistent results were not obtained. Thus, this preliminary investigation only suggests the potential of expanding the measurement framework and reveals issues that require further examination."

How College Men Understand Unwanted Sex with Women

Recent studies have shown that heterosexual college men report unwanted sex at higher rates than one might expect. And yet, college men’s perceptions of unwanted sex with women have been studied infrequently. This study examines how men understand unwanted sex with women and the impact of these experiences. Thirty‐nine men, aged 18–25, were interviewed using open‐ended questions related to their unwanted sexual experiences. Our findings demonstrate how men frequently minimize unwanted sex by framing it as either funny, unimportant, or something that happens to women. However, we find evidence that men's attempts at minimization are not always successful and that some experiences are indeed upsetting and/or hurtful. Rather than treating all men as a homogeneous category, our analysis details the circumstances associated with more or less troubling experiences. We find that there are particular circumstances (e.g. incapacitation), as well as personal characteristics (e.g. virgin), that position men to be more distressed by unwanted sex. This heterogeneity of men’s experiences explains some, but not all, differences in effects. Our analysis reveals that in experiences described as mild to severe, men talk about unwanted sex in highly contradictory ways. We argue that these contradictions are evidence of broader cognitive and emotional work done by men to convince themselves that unwanted sex does not matter to them. Our findings raise the possibility that when men use hegemonic notions of masculinity to understand their unwanted experiences, these interpretations serve to minimize the emotional damage that men might otherwise report.

Disrupting the path to craving: Acting without awareness mediates the link between negative affect and craving.

Low treatment utilization, relapse, and chronicity are characteristic of substance use disorders (SUDs). Craving is an important predictor of relapse. Individuals with an SUD report using various coping strategies in response to negative affect, two of which are investigated in the current study: suppression and acting with awareness. Suppression is typically understood to be avoidance of unwanted experience through turning attention away from unwanted stimuli. Acting with awareness (AWA) is a facet of mindfulness, which includes turning toward experience with kindness and curiosity, even when the experience is unwanted. Evidence suggests mindfulness may reduce craving, while suppression has been associated with increased craving. In the current study, participants (N = 210) had recently completed inpatient or intensive outpatient SUD treatment followed by a randomized controlled trial of aftercare. Participants completed measures within 2 weeks following the completion of the aftercare intervention. Negative affect and severity of dependence were both positively associated with craving. Structural equation modeling evaluated AWA and suppression as partial mediators of the link between negative affect and craving. Suppression was positively associated and AWA was negatively associated with craving. Mediation analyses revealed the indirect effect of negative affect on craving through AWA was significant, but the path through suppression was not. These findings suggest that AWA may inhibit the development of craving from negative affect, but further research is needed. Future research should investigate the path from negative affect to craving with greater temporal resolution to evaluate how these phenomena function with increased ecological validity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Stalking Behaviors Presented by Ex-Intimate Stalkers: A Victim's Perspective.

Stalking can be defined as a pattern of repeated, unwanted behaviors by one person to another. These behaviors may take the form of communicative intrusion, third-party contact, and physical or sexual assault. The individual stalking behaviors experienced by victims have been found to differ in every case, specifically dependent on their stalker-victim relationship. Recent tragedies have shown that the police force generally underestimates the risk of ex-intimate stalking and harassment behaviors. This study aims to identify patterns of stalking behaviors from a victim's perspective, specifically, whether there are any patterns of behavior among the ex-intimate stalkers, in comparison with acquaintance or stranger stalkers. Information from the accounts of individuals who had reported unwanted experiences as a result of one of three stalker-victim relationships (ex-intimate, acquaintance, or stranger) was extracted from the National Stalking Helpline database. Analyses were conducted on a sample of 1,626 victims' reports. One-way analysis of variance (ANOVA) and multiple logistic regressions were conducted to establish any common patterns of behavior among the subgroups of stalkers and to ascertain which behaviors increased the odds of being categorized as an ex-intimate stalker. Results indicated that ex-intimate stalkers presented considerably more behaviors than acquaintance or stranger stalkers; some of which included third-party contact, criminal damage, physical assault, and sexual assault. Results also indicated that ex-intimate stalkers presented more severe behaviors than the other subgroups. The majority of stalking behaviors were found to produce a statistically significant predictive contribution to being classed as an ex-intimate stalker. The findings in this study highlight that common misconception surrounding ex-intimate stalking still exists at every level of the Criminal Justice System. Results and implications for future research are discussed.

&lt;p&gt;The Effectiveness of a Mindfulness-Based Psychoeducation Programme for Emotional Regulation in Individuals with Schizophrenia Spectrum Disorders: A Pilot Randomised Controlled Trial&lt;/p&gt;

BackgroundEmotion dysregulation has emerged as a transdiagnostic factor that potentially exacerbates the risk of early-onset, maintenance, and relapse of psychosis. Mindfulness is described as the awareness that emerges from paying attention to the present moment without judgment. It gently pulls the mind out of the negative emotions induced by the disparity between expectation and reality by focusing on the present moment, instead of worrying about the future or regretting the past. However, only a few research has ever focused on the efficacy of using a mindfulness-based intervention to improve emotion regulation in schizophrenia spectrum disorders.PurposeThe purpose of this study was to examine the effectiveness of a Mindfulness-Based Psychoeducation Programme (MBPP) on the emotion regulation of individuals with schizophrenia, in particular, to access emotion regulation strategies. The objective of this study was to find out whether MBPP is feasible for improving emotion regulation strategies, in terms of rumination, cognitive reappraisal, and expressive suppression, with a sustainable effect at a three-month follow-up.Patients and MethodsA single-blinded pilot randomised controlled trial with repeated-measures designs was adopted. Forty-six participants diagnosed with schizophrenia and its subtypes were randomised in either the 8-week mindfulness-based psychoeducation programme or treatment-as-usual (control) group.ResultsThe results of the Generalised Estimating Equations test indicated that the MBPP group showed a significant improvement in reappraisal at a three-month follow-up (β = −6.59, Wald’s χ2=4.55, p=0.033), and a significant reduction in rumination across time. However, the Generalised Estimating Equations indicated no significant difference in rumination and expressive suppression in the MBPP group. Two participants reported having unwanted experiences, including feelings of terror and distress during the mindfulness practice.ConclusionThe MBPP appeared to be effective for improving emotion regulation, which will contribute to future large-scale RCT to confirm the treatment effects in more diverse groups of schizophrenic patients.

Intraoperative instrument breakage during the orthopedic elective procedures: A retrospective single-center experience

BACKGROUND: Fracture fixation accounts for majority of orthopedic surgical interventions with most procedures requiring variety of instruments as part of surgical armamentarium. Breakage of instruments during the operation is unwanted experience and may complicate or lengthen the procedure thus interfering with overall outcome. A study regarding the pattern of intraoperative instrument failures is thus important to gain fruitful insights for not only preventive strategies but for further studies in this context. MATERIALS AND METHODS: A retrospective study of all consecutive incidents of instrument breakage during a 2-year period (January 2017 to December 2019) were recorded with relevant details such as type of surgery, type of implant, type of instrument and the probable cause, management and key demographic details during 2-year period at a tertiary care center in North India. Knowledge about the risk factors was tried to be extracted from our observations. RESULTS: Out of a total 8132 elective major and minor cases during the study period, 30 (0.36%) cases of intraoperative instrument breakage were noted. The types of instrument broken in the descending order with numbers in the bracket were drill bits (5), guidewires (3), manual intramedullary reamers (3), periosteal elevator (3), screwdriver tip, and bone tap in two cases each. The power-driven flexible reamer, screwdriver tip, screwdriver handle, proximal jig for the intramedullary nail, bone nibbler, and bone lever were another instruments with singular incidents. In the general instruments, long artery forceps (4) was the most common to break followed by mosquito forceps (3) and one nose-plier in separate cases. Conclusion: The breakage of surgical and non-implant instruments during the operation is uncommon event but requires proper documentation and due acknowledgement for prohibitive and management guidelines.

Why cancer/terminal ill diagnosis unsuccessful in India: a qualitative analysis

The increasing of the modern technologies requires the setting up of multiple factories and industries that produce smokes and chemicals, which polluted the air, water, and the environment resulting in putting lives in dreaded conditions. In fact, the coming of the modern era and the modern lifestyle gives birth to numerous deadly diseases like cancer and its related diseases, which increasingly takes the lives of many in the country. The cold-blooded killer ‘cancer’ becomes the major public health concern in India as a whole. Among all the problems existed across the world, the problems or the issues associated with cancer or terminal illness becomes the worldwide phenomenon that produces several unwanted worst experiences. Human polluting the water, soil, and the air continued, and the global burden of cancer affected populations rapidly increasing year after year. Unfortunately, India turns out to be the world most densely cancer populated regions and a cancer hub. The reason behind the rapidly increasing of cancer illness and its mortality rates in India is mainly due to people lack awareness on cancerous factors, no proper preventive measures, and the late detection of the symptoms at the advanced stages when cure is not possible.Thus, concerning the helplessness conditions of the cancer effected people of in general, the current analytical study has been forms with an aim to spread awareness on the cold-blooded killer cancer across the country. Keywords: cancer, terminal illness, awareness, mortality rates, diagnosis.

In Case You Haven't Heard…

Choosing to forget something might take more mental effort than trying to remember it, researchers at the University of Texas at Austin discovered through neuroimaging. These findings, published in the Journal of Neuroscience, suggest that in order to forget an unwanted experience, more attention should be focused on it, Science Daily reported March 11. This surprising result extends prior research on intentional forgetting, which focused on reducing attention to the unwanted information through redirecting attention away from unwanted experiences or suppressing the memory's retrieval. “We may want to discard memories that trigger maladaptive responses, such as traumatic memories, so that we can respond to new experiences in more adaptive ways,” said Jarrod Lewis‐Peacock, the study's senior author and an assistant professor of psychology at UT Austin. Using neuroimaging to track patterns of brain activity, the researchers showed a group of healthy adults images of scenes and faces, instructing them to either remember or forget each image. Their findings not only confirmed that humans have the ability to control what they forget, but that successful intentional forgetting required “moderate levels” of brain activity in these sensory and perceptual areas — more activity than what was required to remember.

First Experiences with the "Questionnaire for the Assessment of Side Effects and Negative Experiences in Group Therapy" (NUGE-24)

This report describes the development of a questionnaire aiming in assessing unwanted effects of group psychotherapy and side effects of the group setting. Based upon interviews with experts and considering a model differentiating group related, therapist related strain within groups, stress caused by other members and subjective excessive demands, a first version of the questionnaire was developed and tested in the clinical field using heterogeneous groups. The data set from this sample (N=168 patients) was used to construct a 24-item short version with 6 items per scale reflecting the 4 contents. A first comparison of different groups related to unwanted experiences and side effects indicates that the NUGE-questionnaire might be useful in differentially assessing these effects. This should now be tested in more systematic studies.