BackgroundName change is an important aspect of gender affirmation and identity formation for some transgender and nonbinary (TNB) individuals. This study explores the experience of name change for TNB individuals living in Canada within an ecological perspective to understand how legal, sociocultural, and institutional systems shape identity affirmation.MethodsSemi-structured interviews were conducted with 28 TNB individuals living in English-speaking Canada (6 nonbinary, 6 transmasculine, 5 transfeminine, 4 agender, 4 women, 2 men, and 1 transfemme/nonbinary). The research employed inductive reflexive thematic analysis. A reflexive approach was utilized, leveraging the diverse gender backgrounds of the research team to ensure strong objectivity throughout the interpretative process.TNBResultsFour overarching themes were identified: 1) meaningfulness of a name, 2) overcoming challenges during the name change process, 3) utilizing supports to help with the name change process, and 4) rebirthing identity. Findings reveal that while name change brought about feelings of gender euphoria and helped participants affirm their gender and identity transition, individuals still navigate bureaucratic obstacles, anticipated anxiety, and a significant cognitive load when balancing two names.ConclusionThis research suggests that name change is a distinctive capstone experience that fosters gender euphoria and allows individuals to introduce themselves authentically. This work also suggests a need for accessible legal and administrative name-change procedures that prioritize individual autonomy.

This paper considers digital stories as a mode capable of representing the world experienced by survivors of intimate partner violence (IPV). We use as our case study data collected from young women and mothers who were fleeing violence during the COVID-19 pandemic. Our data collection used critical community-engaged mixed methods including interviews and the creation of digital stories. The digital stories created by participants combine fragments of sound, stock images, personal photos, moving images, text, animation, court documents, testimonies, intertextual references, citations, popular culture, news clips, and more. We reposition these digital feminist activities as postdigital given the personal and embodied realities of IPV. The DST method builds upon a feminist practice of re-visioning. For Rich (1972), re-visioning is ‘an act of survival’ (p. 18) that requires finding ‘language and images for a consciousness we are just coming into’ (p. 19). In this instance, we use DST methods to re-vision research practices towards postdigital sensibilities in order to reassert survivor-led practices that form the roots of IPV-justice and knowledge campaigns.

Feminist researchers have demonstrated that engagement in silencing of the self (i.e., self-restrictive and sacrificial behaviors reflecting how women “should” be in relationships) remains a prevalent strategy for relationship maintenance. However, little is known about (young) women silencing themselves in relationships where abuse is present. Young women’s experiences of silencing and other partner-focused behaviors (e.g., sexual compliance) within their relationships were thus explored. Young, partnered women ( Mage = 21; N = 146) completed an online survey and open-ended questions about their current intimate relationships. Comparing between groups (abuse, n = 108; non-abuse, n = 38), the former scored higher on measures of total self-silencing, sexual compliance, and non-constructive communication and lower on measures of constructive communication (all p < .001). A mixed inductive and deductive content analysis found that while the importance of communicating with their partner was a preferred strategy for conflict management, multiple participants still emphasized self-suppression as an important part of their experience of relational conflict. Also, most participants indicated feeling as though they could be their authentic selves in their relationships, which suggests that their silencing may be situational and strategic in nature. These findings nuance previous understandings of self-silencing as inherently harmful and instead frame it as something sporadic and done strategically. They also bring forth questions about the extent to which young women’s emphasis on communication and insistence that they can be authentic are a product of changing societal expectations of women in today’s society compared to the 1980s/1990s when much of the foundational work on self-silencing was being done.

In response to concerns about the use of online focus groups, particularly around sensitive topics research, we provide two case examples of sensitive topics research that pivoted to online focus groups amid university ethics restrictions due to COVID-19 concerns. We begin by contextualizing the studies, one of which used the more traditional focus group method while the other employed a mix of focus groups and a variation on the World Cafe method, termed Community Cafes. We discuss issues like online platform choice (Microsoft Teams versus Zoom), security, and considerations for effective participant communication and connection. We demonstrate the effectiveness of online focus group data collection for sensitive research in two disciplines as well as the benefits to participants. We conclude by providing considerations and recommendations based on our own learnings for researchers wanting to conduct online focus group research on sensitive topics.

The invisible nature of economic abuse contributes to its pervasiveness. Through interviews with 14 women survivors in Canada, this study identifies the ways in which economic abuse is (in)visible to survivors. There were three major themes: "Constructing and maintaining the fairy-tale" describes how gender roles and ideas of love concealed abuse. "The normalization of financial problems in heterosexual relationships" examines how disagreements about money were normalized in ways that masked abuse. "Recognizing economic abuse" describes how breaking away from expectations was critical to recognition. These findings can aid in improving support to help survivors identify, avoid, and escape economic abuse.

Our work examines when young women who have experienced abuse choose to (not) speak out and what creates the conditions for (not) doing so. We interviewed 17 heterosexual, partnered women aged 18 to 24 who had experienced intimate partner violence. Many linked silence with fear/anxiety and understood speaking out as a threat to their relationship, while others spoke up despite possible consequences and called their partners out. Some experienced fear at the thought of speaking out but did so anyway. This study nuances understandings of silencing in the abuse context and may contribute to youth programming concerning decisions around (not) speaking out.

Despite several parallels between intimate partner violence (IPV) and sexual assault (SA), programs designed to reduce either of these forms of violence against women rarely evaluate the impact on both IPV and SA. Accordingly, we investigated whether one such program (the Enhanced Assess, Acknowledge, Act (EAAA) Sexual Assault Resistance program), designed to help university-aged women resist SA, could also reduce subsequent IPV. Women university students who were enrolled in the Sexual Assault Resistance Education (SARE) randomized controlled trial examining the impact of the EAAA program on SA, were recruited immediately after completing the last survey in the SARE trial. From this trial, 153 women completed the IPV substudy, which included an additional survey. Occurrence of IPV was assessed using the Composite Abuse Scale. Of the 93 new relationships reported by 66 women in the control group, the 1-year risk of IPV was 26.8%. In contrast, of the 113 new relationships reported by 87 women in the EAAA program group, the 1-year risk of IPV was 12.2%. Effectively, the EAAA program significantly reduced the 1-year risk of IPV by 54.4% ( p = .037, 95% CI [2.9%, 79.8%]). Our findings suggest that the EAAA program is effective in reducing the risk of IPV and highlights the generalizability of programming that targets the foundational underpinning of multiple forms of gender-based violence.

Justice after sexual assault is often understood and enacted through the criminal legal system such that the outcomes are binary (i.e., justice is achieved or not achieved). Previous research indicates that survivors have specific wants and needs following an assault in order to experience justice, which may or may not align with current practices. We conducted a critical interpretive synthesis of 5 databases to create a sampling frame of 4,203 records; the final analysis included 81 articles, book chapters, and policy documents. Results indicate that justice is an individualized and dynamic process which may include the experience of voice, connectedness, participating in a process, accountability, and prevention. The experiences of safety and control are central to each of these domains. Survivors may seek and enact these justice domains through several avenues, including the criminal justice and legal systems, restorative justice, medical/mental health spaces, activism, art, and social media. Existing actors within currently available justice systems, including legal, medical, and mental health personnel should encourage survivors to identify and define their own experience of justice, including locating helpful behaviors rooted in safety and control, and resist a binary model of justice. Extant systems should therefore be flexible and accessible to help survivors realize their preferred modes of justice.

Amid changes in the North American socio-cultural/political and dating landscape, there exist questions about whether the sexual double standard and the inequality (e.g., of pleasure) in sex still exist for young women today. In this study, we explored the discourses that shape young women’s navigation of and talk about heterosexuality, or heterosex. Young, heterosexual women of diverse demographic and relationship backgrounds aged 18–24 (N = 28) attended one of five online focus groups. Informed by feminist post-structuralism and discursive psychology, we analyzed women’s talk about doing heterosex. Many participants mobilized a discourse of expectations of compulsory heterosex practices in casual and committed contexts. Within that discourse, young women were positioned as both constrained and regulated in their sexual lives and as needing to comply with unwanted sex. Risks of non-compliance included the risk of being perceived as being defective and/or “bad.” Participants’ talk also linked coercion, assault, and other male-perpetrated violence against women with how heterosex is done in today’s context. Our findings suggest that despite #MeToo and other exposés of rape culture, young women remain constrained by heterosexual norms. However, their language, ability, and willingness to challenge the current situation concerning heterosex is more sophisticated than previously observed. These advancements are promising, as they suggest the importance of continued research and activism in this area and carry several practical implications, including for sex education programming and counselling and support services in sessions with young women.

Scholars have long explored the expectations of women to maintain intimate relationships and the gendered discourses governing those expectations. Despite the dating landscape changes, having intimate relationships remains important for young women. Amid these changes and the impacts of #MeToo/#TimesUp, investigating the discourses at play within women's talk about intimate relationships produces a current snapshot that contrasts with past literature. Young, heterosexual women of diverse racial, educational/work, and relationship backgrounds aged 18-24 years (N = 28) attended one of five online videoconferencing focus groups. Using an eclectic theoretical approach informed by feminist post-structuralism and discursive psychology, we analyzed women's talk about doing relationships. Mobilizing a discourse of intimate relationship necessity/importance, young women (a) were positioned as "the silenc(ed/ing) woman," demonstrating a shared understanding of the necessity of silence when doing intimate relationships; and/or (b) actively took up "the communicative woman," which they conceptualized as the hallmark of a healthy relationship. Tensions between these subject positions were evident (e.g., needing to be "cool"). Also, women described no-win situations in relationships despite attempts to contend with these contradictions and limitations. These findings may contribute to educational materials and youth programming delivered in high school or college.

Theoretical and measurement differences contribute to the conflation of shame and guilt, leading to confusion regarding discrepant research findings. Previous research has consistently established the maladaptive nature of shame, yet controversy exists regarding the nature of guilt across contexts involving everyday situations and traumatic events. The current research addressed this debate by examining the interrelationships between trauma-related shame and trauma-related guilt, with posttraumatic stress disorder (PTSD) and depression symptoms using a measure (Event-Related Brief Shame and Guilt Scale [ERB-SGS]) that clearly distinguishes between shame and guilt after trauma. Participants (n = 758) who endorsed a past experience of an interpersonal or noninterpersonal traumatic event were recruited via MTurk to complete an online survey. Results from analyses of variance and t test analyses indicated that levels of ERB shame and ERB guilt varied depending on trauma type, both within and across specific trauma groups. Bivariate correlations revealed that ERB shame and ERB guilt were strongly related to both PTSD and depression symptoms. Given the degree of association between ERB shame and ERB guilt, with values ranging between r = .52 and r = .69, semipartial correlations from the multiple regression analyses were used to examine the influence of this shared variance. ERB shame consistently accounted for unique variance in PTSD and depression symptoms across broad and specific trauma groups. However, the pattern for ERB guilt varied according to group membership and outcome variable. The current findings extend research in the field by providing insight to the (mal)adaptive nature of guilt in the context of trauma, with implications for research and treatment.

Background: In a multi-site randomized controlled trial (RCT), the EAAA programme designed for first year university women (17-24 years old) was shown to reduce the likelihood of any (attempted and completed) rape in the next year by 50% (Senn, C. Y., Eliasziw, M., Barata, P. C., Thurston, W. E., Newby-Clark, I. R., Radtke, H. L., & Hobden, K. L. (2015). Efficacy of a sexual assault resistance program for university women. New England Journal of Medicine, 372(24), 2326-2335). Through a non-profit organization, EAAA has been available to universities globally since 2016 using a Train-the-Trainer model. Observations of the 'real world' implementation suggested that universities often altered eligibility criteria (especially year of study and age) in their recruitment.Objective: The current study (2017-2021) evaluated whether EAAA was effective when implemented by universities in Canada outside of the constraints of an RCT.Method: Five universities participated. Women students who signed up to take the EAAA programme on their campuses were recruited for the research. Participants completed surveys at 1-week pre-program and 1-week and 6-months post-programme. Compared to the RCT, participant eligibility was broader, the sample was more diverse in terms of race and sexual identity and had a higher proportion of survivors. Programme fidelity was adequate.Results: Comparisons in this quasi-experimental design, between students who took the programme and students in the control group (i.e. those who signed up but did not attend the programme), confirmed the effectiveness of the EAAA programme. Reduction of any rape exceeded the a priori benchmark of 37.5%. Completed rape was significantly reduced by 57.3% at 6-months. Reduction in attempted rape of 32.9% was lower than in the RCT likely due to the somewhat older (average age 22 vs 18) sample. Positive changes to previously established mediators of the programme effects were all replicated.Conclusions: These findings suggest that the EAAA is highly effective when implemented by universities even when eligibility for students in terms of year of study and age is broadened.

Trauma narratives may have been influenced by the Me Too movement, with thousands of individuals disclosing sexual violence stories online. Youth, the largest demographic of online users, may prefer the anonymity of the Internet to discuss experiences of sexual assault. Understanding the ways that young women, especially those experiencing mental health difficulties, discuss their experiences is important as they are at higher risk of revictimization and continued poor mental health. We searched for terms related to acts of sexual assault on a mental health peer-support app, TalkLife, and compared the number of posts during the initial wave of the Me Too movement (October 2017-March 2018) to the same time period in the previous year (October 2016-March 2017). We found a significant increase in posts related to sexual assault of 49.7% between the Pre and Post Me Too time periods (p < .001), controlling for a general increase in posts. A content analysis of 700 randomly selected posts found that a substantial number of young women used TalkLife to discuss their experiences of sexual assault, and these self-disclosures were mostly hopeless or depressing in tone. Additionally, neither the nature nor the number of self-disclosures varied across time points. The negative tone of the self-disclosures in the current study is worrying because the way women talk about their trauma can shape how they understand it, which could lead to negative self-appraisal and continued mental health difficulties. Online spaces have the potential to support young women and facilitate help-seeking, but we must be attentive to how they are used.

Introduction The Enhanced Assess , Acknowledge , Act ( EAAA ) Sexual Assault (SA) Resistance Program is a theoretically sound, evidence-based program providing SA resistance education within a positive sexuality framework. It was shown to substantially reduce sexual assault victimization among university women who participate (Senn et al. in New England Journal of Medicine 372 (24), 2326-2335, 2015 ). Staff training can either enhance or impede successful program scale-up and implementation. In this paper, we evaluate the transfer of training to implementation sites (i.e., postsecondary institutions) using a train-the-trainer model. Methods Using pre- and post-training surveys and post-training interviews conducted from 2016 to 2020 with 33 implementation staff members from multiple sites, we answered the following research questions: 1. Did the training meet its overall goal of preparing implementation staff? 2. What training components were perceived to contribute to training effectiveness and implementation staff preparedness? Results Results suggested that our model of training was effective. Competence, confidence, and knowledge and ability increased significantly after training, and most staff perceived the training to be highly useful and effective (especially for preparing them to address EAAA participant issues). Practice and feedback from trainers through active learning techniques were especially important. Although implementation staff reported being well prepared to deliver the training or program, they reported being less prepared for handling other implementation-related activities and issues (that the training was not necessarily designed to address in-depth). Conclusions Our findings suggest a need to enhance existing training on self-care and supporting program facilitators and for ongoing support and reminders from program purveyors to ensure that implementers are making use of existing resources. This study fills important gaps in the literature as few studies have examined the transfer of training for SA prevention programming.

The effectiveness of the Enhanced Assess, Acknowledge, Act (EAAA) program in reducing victimization and impacting other outcomes (mediators of program effects) was demonstrated in a randomized controlled trial. A planned analysis showed that program effects on sexual assault were not significantly different for survivors of completed rape and other women. The present article investigated whether the impact of EAAA on incidence of rape and attempted rape and on the mediators of EAAA's effectiveness (e.g., situational risk detection, direct resistance, self-defense self-efficacy) was strengthened or weakened for women with a history of victimization (i.e., history of rape, attempted rape, or neither). EAAA's impact on self-blame for women who experienced rape after program participation was also assessed. Data from 851 women who received either EAAA or a control intervention were examined. Regardless of victimization history, participants benefited from EAAA to some degree (28%-85% relative risk reduction). Prior victimization was not a significant moderator of the variables that mediate EAAA's effectiveness, suggesting EAAA functions similarly for women regardless of victimization history. Finally, women who were raped post-intervention blamed themselves significantly less after taking EAAA than women in the control group. This effect was found both for rape survivors and women with no history of victimization but not for attempted rape survivors. These results contribute to the #MeToo movement(s) by showing the power of feminist resistance education as well as areas where program adaptation or boosters are needed.

Men's sexual violence against women is pervasive and is commonly committed against young women by intimate partners. Limited research has examined occurrence rates of intimate partner sexual violence among university students separated by various tactics and sexual acts. Using surveys with convenience samples of 142 Canadian university women and 441 Canadian university men, we examined women's self-reported intimate partner sexual violence victimization and men's self-reported perpetration rates in their most recent heterosexual intimate relationship in the past year. We examined a detailed breakdown across different tactics (i.e., verbal coercion, intoxication, and threats of harm/physical force) and sexual acts (i.e., nonpenetrative sexual contact; oral, vaginal, and anal penetration). Thirty-three percent of women reported at least one victimization experience, and 16% of men reported at least one perpetration experience. The most common tactic reported was verbal coercion for both women's victimization and men's perpetration, and the most common sexual act reported was vaginal penetration for women's victimization and oral sex for men's perpetration. We also examined contextual features and perceptions of the effects of perpetrators' most memorable incidents. These most memorable incidents often occurred either in their own or their partner's home and involved alcohol consumption. Most men reported no significant effects of their sexual violence on their relationships and sometimes normalized their behavior. We briefly discuss the implications of our results for future research and interventions.

Helping others has been identified as an important component in recovery and resilience for women following intimate partner violence (IPV). However, little is known about the experiences of women who are IPV survivors and who also engage in formal and informal violence against women (VAW) advocacy work, such as supporting IPV survivors in a social work role or volunteering on VAW advocacy committees. Using in-depth semistructured interviews with nine “survivor–advocates” who were part of a larger study on IPV and resilience, this study extends the existing literature to examine the multidirectional relationship between IPV, advocacy work, and resilience using narrative analysis. Three distinct narratives were identified in survivor–advocates’ accounts of their experiences of abuse and advocacy work. The working through the abuse narrative focused on using the knowledge and experience from advocacy work that began prior to IPV to critically reflect on the abuse and its meaning for women. The second narrative, helping others, focused on using personal experiences of abuse to help other IPV survivors. The third narrative, personal strength, focused on a personal identity as a lifelong advocate and inner strength and determination as central to resilience. The findings of this study demonstrate the multitude of ways that engaging in advocacy work interacts with abuse experiences and women’s recovery and resilience processes. The findings of this study can inform approaches for promoting resilience and recovery for IPV survivors and highlight the importance of cultivating a critical understanding of abuse to support resilience and recovery following IPV.

This parallel group randomized controlled trial tested effectiveness of the Let's Talk About Pain training on respite workers' (RW) pain-related knowledge and feasibility-confidence-skill ratings using between-group and within-group analyses. Fourteen children's respite organizations were randomized to pain or control training. Participants (nintervention = 66; ncontrol = 92) underwent a 3-3.5 hour training and completed measures at pre-, post-, and 4-6 week follow-up. Intention-to-treat (nintervention = 65; ncontrol = 92) and per-protocol (nintervention = 26-38; ncontrol = 40-57) analyses were conducted. Pain training participants demonstrated significantly higher pain knowledge and feasibility-confidence-skill ratings post-follow-up versus control group and significant increases in knowledge from pre-post. Significant gains were maintained from post-follow-up. Results represent a promising step towards enhancing pain-related care for children with IDD.

The Enhanced Assess, Acknowledge, Act (EAAA) program has been shown to reduce sexual assaults experienced by university students who identify as women. Prevention researchers emphasize testing theory-based mechanisms once positive outcomes related to effectiveness are established. We assessed the process by which EAAA’s positive outcomes are achieved in a sample of 857 first year university students. EAAA’s goals are to increase risk detection in social interactions, decrease obstacles to risk detection or resistance with known men, and increase women’s use of effective self-defense. We used chained multiple mediator modeling to assess the combined effects of the primary mediators (risk detection, direct resistance, and self-defense self-efficacy) while simultaneously assessing the interrelationships among the secondary mediators (perception of personal risk, belief in the myth of female precipitation, and general rape myth acceptance). The hypothesized multiple mediation model with three primary mediators met the criterion for full mediation of the intervention effects. Together, the mediators accounted for 95% and 76% of the reductions in completed and attempted rape, respectively, demonstrating full mediation. The hypothesized secondary mediators were important in achieving improvements in personal and situational risk detection. The findings strongly support the benefit of cognitive ecological theory and the Assess, Acknowledge, Act conceptualization underlying EAAA. This evidence can be used by administrators and staff responsible for prevention policy and practice on campuses to defend the implementation of theoretically grounded, evidence-based prevention programs. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/doi/suppl/10.1177/0361684320962561