Extant research suggests communication styles (CS) such as constructive communication (CC) to be associated positively with relationship satisfaction (RS) and negatively with mental health (MH) whereas self-demand / partner withdraw (SD/PW) communication is associated negatively with RS and positively with MH. Research also suggests child abuse (CA) to be associated with poorer CS, lower RS, and poorer MH. Further, RS has been differentially associated with MH and CS in adult intimate relationships. However, no study has examined these associations simultaneously. The current study aimed to (1) assess these associations in IPV-exposed women and (2) assess differences between those with and without a history of CA. Data (n = 412; Mage = 36.77, SD = 12.54) come from a larger data collection project (N = 676). I hypothesized that: (1) higher CC and RS would be associated with lower severity of MH symptoms; (2) higher SD/PW and lower RS would be associated with higher severity of MH symptoms; (3) women with a history of CA will report less CC, lower RS, and higher severity of MH symptoms; and (4) women with a history of CA will report more SD/PW, lower RS, and higher severity of MH symptoms. Results did not support …

Racial and ethnic diversity representation in the field of health service psychology is neither equitable nor reflective of the increasingly diverse population nationwide. This discrepancy is endemic to widespread problems associated with mental health care: Minorities are severely underrepresented in the workforce, in psychology training programs, and in treatment populations. The longstanding lack of diversity among trainees in doctoral programs and among professionals in the workforce is associated with poorer mental health outcomes among minority patients; however, the specific contributors that facilitate and maintain racial/ethnic diversity constriction appear to be understudied. Based on the extant literature, a reasonable hypothesis might be that admission of qualified underrepresented minorities to doctoral training is constricted by ineffective and/or outdated recruitment and admissions practices. The proposed study sought to investigate whether impostor feelings or self-reported resilience might be predictive of intent to apply to graduate programs among underrepresented minority students earning their bachelor's degree in psychology. Results indicated that resilience was the most impactful variable in undergraduate students' intent to apply to graduate programs. Hypothesized ethnic differences in impostor feelings and self-perceived resilience were not observed in the study sample. The larger implications of these findings underscore the need for more culturally informed measures …

Family functioning has long been a focus of research in psychopathology. Decades of research has shown that family factors are associated with symptom severity, relapse, functional outcomes, and conversion to psychosis among at-risk individuals. Previous studies suggest family functioning varies across cultures, which raises the possibility that associations between family factors and psychopathology may also differ by culture. Furthermore, family functioning assessment generally involves instruments that have not been systematically validated for use with individuals from diverse cultural backgrounds. The current study used data from the Adolescent Brain Cognitive Development study (N = 11,138) to: (1) evaluate three family functioning scales (i.e., Family Environment Scale, Child's Report of Parental Behavior Inventory, Parental Monitoring Survey) and the Prodromal Questionnaire – Brief Child version for measurement invariance across racial/ethnic groups; (2) investigate the relations between family factors and psychosis; and (3) compare relations derived from Step 2 between racial/ethnic groups. Full scalar invariance was tenable for the CRPBI and the PQ-BC, providing statistical support for mean comparisons across groups. The FES and the PMQ lacked scalar invariance, which suggests mean comparisons across groups may not be appropriate. The CRPBI and the PMQ are significantly associated with the PQ-BC, and all three family …

Little is known about the current state of multicultural training within sport psychology master's programs. The study explored students' perceptions of their multicultural training and program climate. Importantly, differences in perceptions were investigated based on students' demographic factors, given that students with marginalized identities tend to report less favorable perceptions of and experiences in graduate training. Participants (N = 107) consisted of students and recent graduates of master's level sport psychology programs. Participants reported moderate levels of feeling safe, valued, and comfortable within their master's program, low to moderate levels of multicultural training integration within their curriculum and supervision, and low to moderate satisfaction with their multicultural training. Asian, Asian American, bi/multiracial, Black, African American, Hispanic, and Latino/a/e students, compared to their White peers, reported less satisfaction with their multicultural training, felt less safe, comfortable, and valued within their programs, and perceived less integration of multiculturalism into curriculum and supervision. A multiple regression analysis revealed that, for all students, perceptions of multicultural training integration and reports of feeling safe, comfortable, and valued was significantly related to students' satisfaction with their multicultural training. Discussion focuses on possible explanations for these findings, training implications, and future research directions.

Developmental psychology aims to elucidate how children's early relationships influence their interactions with the world. Piaget's cognitive development theory is often noted when discussing development, and although his cognitive descriptions of decentering (i.e., perspective taking) were compelling, they neglected interpersonal contexts. Accordingly, Feffer conceptualized decentering within a social context. To expand on Feffer's consideration of the social context, the current study explored early parent-child bonds and their impact on child development, specifically interpersonal decentering, in adolescence. In the present secondary analysis of data from the Institute of Human Development longitudinal Guidance Study at the University of California, Berkeley, I hypothesized that, for both boys and girls, conflict with relatives and a parent's nervous instability would moderate the association between early strong parental bonds and more mature decentering at ages 12.5 and 18 years, and that more imaginative play, introspection, and better physical health would moderate the relationship between strong father-son bonds at age 21 months and the son's more mature decentering at age 12.5 and 18 years. The findings revealed that the association between strong father-son bonds at 21 months and the son's more mature decentering at age 12.5 was strongest when the son was less introspective compared to when …

Past research demonstrates that participants who label themselves as ‘victims' experience worse trauma-related outcomes than those who label themselves as ‘survivors.' Self-labeling in trauma research is typically measured using a dichotomous measure where participants choose either victim or survivor, but this construct may be better conceived as more continuous. The current study assessed self-labeling as a possible continuous construct and explored its predictive validity. To capture self-labeling as a continuous construct, we created and utilized a new scale, the Trauma Self-Labeling Measure. Two hundred eleven participants completed a battery of questionnaires to measure self-labeling and four trauma-related outcomes: posttraumatic stress symptoms (PTSS), depression, anxiety, and resilience. When tested on the continuous trauma self-labeling measure, an overwhelming number of participants chose in-between victim and survivor (78.9%) which suggests self-labeling is better assessed using a continuous measure than dichotomous. However, correlation analyses revealed that the continuous self-labeling measure was not significantly correlated to the four trauma-related outcomes, whereas the dichotomous self-labeling, continuous victim, and continuous survivor measures were. When conducting post-hoc analyses, we found an unexpected positive correlation between the continuous victim and survivor self-labeling measures. This unexpected positive correlation suggests that self-labeling is not a singular construct, as previously assumed, but …

Narcissism is currently being redefined as a multidimensional construct. While some researchers hold that narcissism remains a unidimensional phenomenon, others have suggested that bi- and tridimensional conceptualizations may better represent the construct as well as align more succinctly with the experiences of individuals with varying levels of narcissistic traits. Also, since the latter conceptualizations offer a broader assessment of narcissistic tendencies, they may provide greater accuracy in identifying differing narcissistic phenotypes (e.g., malignant vs vulnerable). Given the variety in conceptualizations of narcissism, it remains an open area as to how their respective domains are associated with various risk factors and behavioral outcomes, particularly within antagonistic forms of narcissism. This thesis explored the multidimensional approaches to defining narcissism and examined the associations between narcissistic traits and attachment style, self-concept, self-esteem, emotion regulation, and aggression. Also, the current study explored how differences in college degree (business vs. psychology) and gender may influence the expression of narcissism and associations with attachment style. Overall, the study provides results relevant for a tridimensional view of narcissism and adds to the literature on narcissism's link with factors involved in personality pathology, gender, and choice of college degree.

Unipolar depression is a leading cause of disability and overall burden of disease for millions of individuals across the world. Depressive symptoms (e.g., depressed mood, anhedonia, fatigue, feelings of worthlessness, difficulties concentrating, etc.) can drastically affect an individual's life leading to occupational, social, and personal impairment. Past research shows significant ethnic and racial differences in depression rates and treatment. Moreover, previous literature has also begun to explore the multidimensional nature of depression, investigating its occasion-like (or episodic) and trait-like (or stable) factors. However, prior studies have not explored differences in occasion and trait depression by race or ethnicity, nor have they explored these questions in nurses, a group that faces substantial workplace stressors. To redress these gaps, the current study investigated trait and occasion depression in a large sample of nurses (N = 390) tracked across 12 months and aimed to understand whether trait versus occasion rates of depression differed by racial and ethnic minority status. Findings indicated substantially more trait depression (65.93%) than occasion depression (34.11%) across the year in nurses. However, there were no significant differences based on racial and ethnic minority status. Results highlight the importance of understanding depression as a much more stable aspect of an …

The current study consisted of 4,116 student-athletes (Mage = 19.84; women = 66.9%; White = 78.2%) to achieve two purposes when considering the disrupting effects of the COVID-19 pandemic and the cancellation of collegiate sports. First, I examined the relationship between gender, race/ethnicity, competition level, and athletic identity. Though there were no significant differences across NCAA Divisional levels, I found a significant gender by race interaction with Black male athletes reporting stronger athletic identities compared to White male and female athletes as revealed by post-hoc analyses. Second, I examined the relationship between athletic identity and psychological distress and found that when social support and self-compassion are both low, there is a moderate, positive relationship between athletic identity and psychological distress for the White female athletes. Additionally, there were main effects for self-compassion and social support where higher levels were related to lower psychological distress among the White female athletes and Latino/a athletes. For the Black male athletes, there was a main effect for only self-compassion. There was a significant self-compassion by social support interaction for the Black female athletes and White male athletes, suggesting that when self-compassion is low, or high, there are higher levels of psychological distress experienced when …

The current study aimed to explore the direct effect of insecure adult attachment on subjective wellbeing and its indirect effect via racial-ethnic identity. Additionally, the present study examined the extent to which racial-ethnic socialization practices may moderate adult attachment and racial-ethnic identity link. The final sample included 213 emerging adults (M = 20.94; SD = 2.96) with diverse racial-ethnic backgrounds. PROCESS Model 4 and 1 were used to examine the direct and indirect effect of insecure attachment on subjective wellbeing via racial-ethnic identity variables and the interaction effect between insecure attachment and racial-ethnic socialization on racial-ethnic identity variables. Results indicated the direct effect of insecure attachment on subjective wellbeing but did not support hypotheses for the indirect effect of insecure attachment on subjective wellbeing via the racial-ethnic identity variables. Additionally, results indicated that overt socialization buffered the negative impact of attachment avoidance on racial-ethnic identity exploration. Furthermore, racial-ethnic identity variables and subjective wellbeing significantly differed across racial-ethnic groups and socioeconomic statuses. Findings provide insight on the distinct concepts of attachment and racial-ethnic identity as they highlight inter- and intra-personal components, respectively. Mental health professionals may utilize overt socialization to help clients develop a sense of purpose and meaning related to …

We ran three MANOVAs in a sample of 422 young adults to examine differences in eating, shape, and weight concerns (i.e., ESW concerns) between gender diverse individuals, ciswomen, and cismen. Additionally, we examined the effects of self-esteem and sense of belonging on ESW concerns. We also tested for interaction (moderation) effects between gender and self-esteem and gender and sense of belonging. Findings indicated that gender diverse individuals experience ESW concerns at a significantly higher rate than cisgender men. There were no differences, however, in ESW concerns between gender diverse people and ciswomen. Self-esteem and sense of belonging significantly predicted ESW concerns, but no interaction effects were observed. Limitations of the current study include using one large gender diverse group rather than exploring each individual gender identity as well as limited recruitment. Future studies should recruit more participants across the gender spectrum in order to better understand the unique experiences of each gender group as it relates to eating, shape, and weight concerns and expand recruitment across broader regions of the United States.

Non-physical intimate partner violence (NPIPV) is the most pervasive type of abuse, yet literature has predominantly focused on physical IPV victimization. This study employed a mixed-methods design utilizing archival expressive writing data previously collected to identify the presence of NPIPV victimization. Participants wrote about their experience after a relationship dissolution using the expressive writing paradigm. They were asked to share their deepest thoughts and feelings across two sessions. A constructivist grounded theory approach established the theoretical framework for coding the presence of NPIPV acts between romantic partners. Four themes of NPIPV were established (degradation, isolation, control, and jealousy). Disclosure of NPIPV and other themes were also evident in these data. Quantitative analyses assessed changes in participants' psychological distress after completing a brief writing intervention. The intervention increased the likelihood of NPIPV victimization being mentioned from Time 1 to Time 2 writing sessions. This study increases clinical awareness regarding NPIPV by providing insights into this longest-sustained IPV subtype. All participants reported a reduction in avoidance symptoms after completing the writing intervention. Finally, gender continues to complicate this field as researchers must acknowledge both the existence of men's victimization experiences and the greater severity of women's victimization. Clinical implications demonstrate a strength …

Participants from earlier nationwide studies on predictors of internship match were contacted 7-10 years after obtaining their doctoral degree to gather additional data concerning their attained early career competencies and benchmarks (e.g., scores on the national licensing exam). In this sample (N = 190), licensure exam scores were significantly positively associated with scores obtained on the Graduate Record Examination (GRE), family of origin socioeconomic status, and student debt load. However, obtained licensure scores were not found to be significantly associated with any pre-doctoral training variables (e.g., intervention/ assessment hours, number of integrated reports, number of publications, rank order of matched internship site) or most post-doctoral early career activities. Weak positive associations between licensures scores and engaging in teaching / supervision / consultation services were observed. Few self-reported early career competencies were found to be weakly positively associated with scores on the national licensing exam (i.e., integrity, seeking supervision, scientific mindedness, evidence-based practice). Significantly inverse associations were found between national licensing exam scores and self-reported competencies in the areas of management and systems change. Findings are discussed and implications for the national licensing exam considered.

The current study examined the nature and extent of endorsement of PMIEs, the nature and severity of MI symptoms related to endorsement of a PMIE, and the relations between extent of endorsement of PMIEs and MI symptoms. We hypothesized that (1) PMIEs perpetrated by others would be endorsed to a greater extent than PMIEs perpetrated by oneself; (2) medical professionals who endorsed a PMIE would report significantly greater severity on all MI symptoms compared to medical professionals who did not endorse a PMIE; (3) experiencing PMIEs (perpetrated by oneself and/or others) to a greater extent would predict higher levels of MI symptom severity, and MI symptom severity would specifically be most strongly predicted by PMIEs perpetrated by oneself. Hypotheses were examined using t-tests, Pearson's r correlations, and multiple multivariate regression analyses. First, the current study found that PMIEs perpetrated by others were endorsed to a greater extent than those perpetrated by themselves; second, greater exposure to PMIEs was associated with significantly greater severity of 10 of the 14 outcomes. Third, PMIEs perpetrated by oneself predicted more MI symptomatology than PMIEs perpetrated by others, indicating that while PMIEs perpetrated by others are more common, PMIEs perpetrated by oneself are more strongly …

Socioeconomic status (SES) has been shown to reliably predict parenting practices, family well-being, and psychological outcomes throughout the lifespan. The current study employed a cross-sectional, quantitative design in which adult participants (N = 336) completed an online survey measuring demographic variables, financial stress, attachment security, and psychological well-being. The study results suggest that (a) both current and family history of financial stress negatively predicted attachment security, (b) SES positively predicted general psychological well-being, although individual SES factors (e.g., income, subjective SES, financial stress) demonstrated nuanced relationships with well-being, life satisfaction, and resilience, (c) family history of financial stress and attachment security mediated the relationship between calculated social status and psychological well-being, and (d) the mediated relationship between calculated social status and psychological well-being via the pathway of attachment security was significant for racial/ethnic minorities, but not for White participants. The present findings contribute to the current literature by (1) including multidimensional measurements of SES, (2) addressing nuances in the relationship between SES and attachment, (3) emphasizing the role of financial stress on attachment security, and (4) providing initial cross-cultural considerations in the relationships among SES, attachment, and psychological well-being. Future researchers are encouraged to conduct longitudinal analyses, amplify sample recruitment …

In Miranda v. Arizona (1966), the Supreme Court of the United States required that custodial arrestees be informed of their constitutional and continuous rights to silence and to legal counsel. Moreover, the ruling mandated that waivers be considered valid only if they were made knowingly, intelligently, and voluntarily. However, in the decades that followed, evidence from both caselaw and empirical scholarship clarified that, for many vulnerable populations, these rights are in jeopardy. Among these vulnerable populations, those with limited cognitive capacities (LCCs) have been functionally excluded from research which primarily focused on persons with intellectual disabilities. This thesis offers a novel exploration of the role of specific cognitive impairments on Miranda comprehension and reasoning, with a focus on verbal intelligence (VIQ). Using a large archival sample of pretrial defendants (N = 820), current results suggest that defendants struggled with Miranda abilities regardless of other, individual characteristics. However, verbal intelligence emerged as a very strong predictor of Miranda comprehension such that those with lower VIQ were considerably more vulnerable to impaired comprehension. More so, data suggest that several compounded vulnerabilities (i.e., minoritized racial/ethnic identity status, limited academic achievement, illiteracy) are essential to understanding the extent of vulnerability in the criminal legal …

To assess a wide range of stressors and traumas, we developed a trauma and stressors exposure checklist for adults to capture a wide variety of potential trauma exposure. This study details the extensive development and validation process of the Comprehensive Trauma and Stressors Checklist (CTSC). Study 1 consisted of item pool generation, review of existing trauma measures, content analysis, and expert review and input. Study 2 analyzed reliability and validity of the updated checklist. Participants were recruited from college and community samples (N = 200) and completed the CTSC along with five additional measures. The CTSC demonstrated high internal consistency (α =.96). Good temporal stability was established with a subset of participants (n = 28) who completed the survey twice for test-retest reliability (r = 0.86, p < .001). Significant correlations between scores on the CTSC and the Stressful Life Events Screening Questionnaire, Life Events Checklist for the DSM-5, Intersectional Discrimination Index, and Spiritual Abuse Questionnaire are evidence of strong convergent validity. Finally, the lack of significant correlations between CTSC scores and theoretically unrelated constructs supported the discriminant validity of the CTSC. This study provides preliminary evidence that the CTSC is a reliable and valid measure of exposure to traumas …

Research identifies male athletes as a subpopulation at risk for developing eating disorders and disordered eating (ED/DE). Petrie and Greenleaf's sociocultural model proposes that various correlates contribute to the etiology of ED/DE in athletes. Among the correlates, body satisfaction has been identified as a direct precursor to ED/DE symptomatology in male and female athletes. Recent research has noted self-compassion's utility in alleviating the outcomes of poor body image and ED/DE through several pathways. However, researchers have yet to examine self-compassion in relation to body satisfaction and ED/DE in male athletes or the temporal relationship between these variables. This study longitudinally examined the direct and indirect effects of self-compassion on body satisfaction and ED/DE symptomatology in a mixed-sport sample of 452 male collegiate athletes by testing the cross-lagged, temporal relationships among self-compassion, body satisfaction, and ED/DE symptomatology across a four-month time frame. Time 1 self-compassion was neither directly related to Time 2 body satisfaction (β = 0.02, p = .755), nor indirectly to Time 2 ED/DE (β = -0.002, 95% BCaCI [-0.028, 0.014]) when controlling for Time 1 scores. Recent research supports my finding and suggests that the effects of self-compassion on body satisfaction and ED/DE symptomatology may be dependent on …

Research has extensively documented the mental health disparities that exist for ethnic and racial minorities living in the United States. With respect to Latinos, such disparities are marked by less access to care and poorer quality of mental health treatment. Studies on Latino mental health have found differences in mental health service utilization among ethnic subgroups and among different generations of Latinos. However, empirical data examining specific attitudes and barriers to mental health treatment among different generations of Latinos are limited. This study explored the relationships between Latino generational status, mental health service utilization, psychological distress, and barriers to mental health treatment. An online survey (N = 218) included samples of first-generation (n = 67), second-generation (n = 86), and third-generation or beyond Latinos (n = 65). Results indicated first-generation Latinos had the lowest rate of mental health service utilization and reported greater linguistic and structural knowledge barriers, however, they had lower perceived social stigma of mental health services when age at migration was considered. Implications of these findings for research, mental health service providers and mental health policy are discussed.

Retirement from sport is a process that unfolds over time in which athletes have varied experiences, ranging from seamless transition to psychological distress. Researchers have sought to understand the variables (i.e., athletic identity, social support) that contribute to successful or unsuccessful transitions, with athletic identity being one of the most frequently mentioned. Athletes who strongly identify with the athlete role at the time of retirement are more at risk for adverse retirement outcomes (i.e., mental health concerns, identity concerns, substance use). To date, few studies have examined the moderating effect of coping resources, such as social support, on athletic identity at the time of retirement. The purpose of this study was two-fold. First, we found that student-athletes who graduated and retired had lower athletic identity, higher alcohol use, and less perceived social support than their peers who continued competing four months after graduation. Second, we longitudinally examined the relationship of athletic identity and social support to the psychological well-being (i.e., life satisfaction and binge drinking) of collegiate student athletes who retired from sport. Neither T1 athletic identity nor T1 social support, nor their interaction, were related to T2 life satisfaction or T2 alcohol use in the retired student-athletes after controlling …

This study explored how well specific socio-cognitive processes (i.e., interpersonal problems, empathy, hostile attributional biases, envy/jealousy) predicted the manifestations of both grandiose and vulnerable narcissism. Additionally, we explored the impact of both forms of narcissism on the presence of maladaptive social behaviors (i.e., the perpetration of psychological abuse). We found that domineering interpersonal behaviors and a propensity to fantasize predicted significant unique variance in grandiose narcissism; envy of others, hostile attributional biases, and a propensity to fantasize predicted significant unique variance in vulnerable narcissism. Additionally, while domineering interpersonal behaviors and hostile attributional biases predicted significant variance in psychological abuse perpetration, only vulnerable narcissism added significant unique variance to its regression model. Lastly, only domineering interpersonal behaviors, envy of others, and hostile attributional biases predicted significant unique variance in psychological abuse victimization; narcissism was nonsignificant. The results of our study will contribute to an increased understanding of the nature of both grandiose and vulnerable narcissism and the impacts these personality styles have on an individual's ability to function effectively in interpersonal relationships.

Sibling aggression is one of the most frequently occurring forms of aggression within the family and has been associated with socioemotional problems. Guided by the cultural context perspective and family systems theory, a conceptual model depicting the direct and indirect effects of cultural orientation values, traditional gender role attitudes, parental differential treatment, and parent-child conflict on sibling aggression and psychosocial functioning (i.e., psychological distress and interpersonal difficulties) was developed. It was hypothesized that perceptions of cultural values and gender role attitudes endorsed by primary caregivers would be associated with family dynamics factors (i.e., parental differential treatment and parent-child conflict) that contributed to sibling aggression and resulting impaired psychosocial functioning. A total of 272 participants completed the online questionnaire that measured the variables of interest. Structural equation modeling (SEM) methods were used to analyze the data. Findings of the final models lent clear support to the indirect effects of cultural values and gender role attitudes on sibling aggression and resulting psychosocial functioning through differential treatment and parent-child conflict although the results also yielded some unexpected nuances regarding the indirect effect paths. Specifically, lower levels of independent cultural values contributed to greater levels of sibling aggression and impaired psychosocial functioning through more …

The Examination for Professional Practice in Psychology (EPPP) is a requirement for licensure as a psychologist across the entire United States as well as in numerous territories and provinces. Despite many longstanding criticisms and findings of bias, the EPPP is being expanded (adding a second, putatively competency-based, portion to the overall exam) and rebranded as the Enhanced EPPP. A review of literature reveals strong skepticism surrounding these developments, particularly with respect to the issue of criterion validity. The current study sought to examine the criterion validity of the EPPP by (1) drawing archival competency assessment data from existing measures (convergent validity) and (2) gathering new neurocognitive and emotional intelligence data, along with demographic data (discriminant validity), with copies of EPPP score reports from individuals who have recently taken the EPPP. Competency ratings did not significantly positively correlate with EPPP scores and, instead, indicated the opposite trend. Analyses also revealed a significant relationship between ethnicity and exam scores, with White individuals scoring higher than other ethnicities. Finally, performance on neurocognitive tests significantly positively correlated with exam scores, indicating that general test taking abilities play a larger role than abilities and competencies unique to the psychology field. Given the gatekeeping role the …

While experiencing childhood maltreatment (CM) increases the risk for negative lifetime outcomes, protective factors can lessen the harmful impact of stressful experiences and contribute to one's overall resilience. Musical engagement may operate as a protective factor by facilitating creative expression, increasing feelings of mastery, and providing a sense of belonging. It may also present stressors due to the unique demands of music performance (e.g., time constraints, competitiveness, scarce career opportunities). Due to the limited current research looking at musicians that have experienced trauma, we used a constructivist grounded theory approach to understand how the experience of engaging in music education and performance as children influenced resilience among adult survivors of CM. We invited thirteen students from prestigious music performance programs to participate based on their demonstrated resilience to perform at elite levels, despite reports of severe CM. Participants reflected on their experiences with CM, music education and performance, their identities as musicians, and the concept of resilience. Our analysis of interview transcripts supported the positive influence of social support, self-efficacy, and time and space away from their primary perpetrators of CM. Participants also consistently noted challenges present within organized music education, including ineffective instructors, pressure to perform well, and music …