The use of coercion to induce entry to addiction treatment is controversial and a large body of research has accumulated considering ethical issues, benefits, and repercussions. However, development of evidence-based policy and practices is hampered by limitations of existing literature. Theoretical and empirical work on self-determination suggests that perceptions of coercion have negative implications for motivation, behaviour change, and psychological well-being; however, these insights have not generally informed research on coerced treatment. The present work seeks to further understandings of the meaning and effectiveness of coerced addiction treatment through a theory-based, prospective study of coercion and treatment processes. The sample includes 276 adults admitted to an outpatient counseling program for alcohol- and drug-related problems. At admission, participants completed questionnaires on motivation, perceived coercion, and pressures to enter treatment. Two months later, a second questionnaire assessed engagement in treatment and substance problem severity (follow-up rate = 74.3%). Retention was determined via self-report and agency records. Analysis was guided by a conceptual model based on Self-Determination Theory. Perceived coercion at admission was associated with greater pressures from legal and informal sources, and lower substance problem severity. Fewer than half (45.7%) of participants were still attending treatment at 2-month follow-up. Clients who reported greater coercion were more likely to leave treatment within the first 2 months, and to qualify that decision by statements indicating a lack of perceived need for continued treatment. Greater autonomous motivation was associated with higher client confidence in treatment, and lower perceived coercion and greater informal pressure were associated with greater resolution of substance problems in the weeks following admission. This work contributes empirical evidence to ongoing debates over the legitimacy of coerced addiction treatment by reframing relevant concepts in terms of client perspectives and evaluating the impact on treatment processes. Results raise questions about previous conclusions of the effectiveness of coerced treatment and suggest many future avenues for research. In particular, research is needed to evaluate the longer-term implications of coercion and the changing nature of perceptions and motivation during treatment.

Monogamy values and the influence of masculine conformity were examined using a sample of 154 gay men within the Greater Toronto Area. Monogamy values were measured on four dimensions: emotional monogamy, sexual monogamy, perceptions of monogamy as relationship-enhancing and perceptions of monogamy as a sacrifice. Gay men generally found monogamy to be enhancing, however, they tended to value emotional monogamy more than sexual monogamy. Gay men with traditionally masculine attitudes valued sexual monogamy less than those who held non-traditional attitudes. Emotional monogamy was not associated with masculine attitudes. This relationship of masculine attitudes and monogamy values was moderated by length of longest relationship experienced, religiosity, as well as current relational status. Results are interpreted through evolutionary, social learning and queer theory perspectives to suggest that monogamy values are a multi-faceted construct. Counsellors would benefit by asking questions regarding monogamy values expecting multiple interpretations as well applications.

Monogamy values and the influence of masculine conformity were examined using a sample of 154 gay men within the Greater Toronto Area. Monogamy values were measured on four dimensions: emotional monogamy, sexual monogamy, perceptions of monogamy as relationship-enhancing and perceptions of monogamy as a sacrifice. Gay men generally found monogamy to be enhancing, however, they tended to value emotional monogamy more than sexual monogamy. Gay men with traditionally masculine attitudes valued sexual monogamy less than those who held non-traditional attitudes. Emotional monogamy was not associated with masculine attitudes. This relationship of masculine attitudes and monogamy values was moderated by length of longest relationship experienced, religiosity, as well as current relational status. Results are interpreted through evolutionary, social learning and queer theory perspectives to suggest that monogamy values are a multi-faceted construct. Counsellors would benefit by asking questions regarding monogamy values expecting multiple interpretations as well applications.

Implicit prejudice, and in particular, the Implicit Association Test (IAT), are paradigmatic examples of psychological concepts and research methods that have recently enjoyed great publicity and accessibility. However, little is known about the possible reflexive consequences of this popularization for the public understanding of prejudice, and by implication, for the formulation of social policy aimed at the reduction of prejudice and racism. Specifically, how does the public interpret and contextualize the claims of the IAT and implicit prejudice? With what social and political preoccupations does this operationalization of implicit prejudice resonate? Furthermore, how do members of the public experience and interpret the IAT as both a scientific instrument and as a bearer of psychological truth? In answer to these questions, this dissertation comprises a report of two empirical studies of public encounters with the IAT and the concepts of implicit prejudice. The first of these focused on popular responses to IAT research in the New York Times. Employing a discourse analytic approach to reader comments, it identified the social and psychological concerns against which the public makes sense of the IAT. In responding to the IAT, readers drew on skeptical and confessional discourses to position themselves reflexively in relation to its claims. I argue that these discourses constitute a space within which strong injunctions to self-scrutiny, impartiality and objectivity are established as moral-psychological ideals. Building on these findings, the second study examined the IAT as a discursive practice through a focus on the lived experience of taking the test. Recruited participants took the IAT, and were subsequently interviewed to elicit moment-by-moment accounts of this process. Hermeneutic-phenomenological analysis of these accounts revealed thematic concerns that both resonated with and augmented those in the analysis of public discourse. In particular, the IAT was experienced as a vivid demonstration of the operationalization of "implicit bias". I argue that the test embodies and communicates this paradigm to test-takers, and therefore functions as a psychological pedagogical tool. The dissertation closes by discussing the implications of these analyses for public understandings of, and responses to, prejudice.

Implicit prejudice, and in particular, the Implicit Association Test (IAT), are paradigmatic examples of psychological concepts and research methods that have recently enjoyed great publicity and accessibility. However, little is known about the possible reflexive consequences of this popularization for the public understanding of prejudice, and by implication, for the formulation of social policy aimed at the reduction of prejudice and racism. Specifically, how does the public interpret and contextualize the claims of the IAT and implicit prejudice? With what social and political preoccupations does this operationalization of implicit prejudice resonate? Furthermore, how do members of the public experience and interpret the IAT as both a scientific instrument and as a bearer of psychological truth? In answer to these questions, this dissertation comprises a report of two empirical studies of public encounters with the IAT and the concepts of implicit prejudice. The first of these focused on popular responses to IAT research in the New York Times. Employing a discourse analytic approach to reader comments, it identified the social and psychological concerns against which the public makes sense of the IAT. In responding to the IAT, readers drew on skeptical and confessional discourses to position themselves reflexively in relation to its claims. I argue that these discourses constitute a space within which strong injunctions to self-scrutiny, impartiality and objectivity are established as moral-psychological ideals. Building on these findings, the second study examined the IAT as a discursive practice through a focus on the lived experience of taking the test. Recruited participants took the IAT, and were subsequently interviewed to elicit moment-by-moment accounts of this process. Hermeneutic-phenomenological analysis of these accounts revealed thematic concerns that both resonated with and augmented those in the analysis of public discourse. In particular, the IAT was experienced as a vivid demonstration of the operationalization of "implicit bias". I argue that the test embodies and communicates this paradigm to test-takers, and therefore functions as a psychological pedagogical tool. The dissertation closes by discussing the implications of these analyses for public understandings of, and responses to, prejudice.

Among several difficulties associated with immigration, acculturation process has been recognized as one of the main stressors and one of the major risk factors associated in the incidence of mental disorders. The strategies adopted by individuals to deal with the acculturation process appear to be predictive of different mental health outcomes. This exploratory study investigated the relationship between acculturation strategies and the occurrence of symptoms of depression in the context of the Brazilian immigrant community living in the Greater Toronto Area. The results demonstrated that Separation and Assimilation were the predominant strategies for this sample and that acculturation strategies failed to serve as significant predictors of depression scores. However, participants with Separation as their predominant acculturation strategy exhibited higher depressive symptom endorsement. The significance of these findings in the context of previous research as well as its implications for future research and critical multicultural practice in mental health are discussed.

Background. Because there have been few studies examining resilience associated with postnatal (PN) depression, this study aimed at formulating and testing a theory-based model integrating both traditional resilience paradigms and non-traditional factors including existential beliefs about life, motherhood and religion. Method. Study hypotheses addressed prediction of PN depression, stress and resilience, and the confounding influence of negative affectivity (neuroticism). Study variables included PN depression (Edinburgh PN Depression Scale, EPDS), stress, neuroticism, self-esteem, mother's distress and ambivalence, purpose/meaning, religious belief, parity, age, marital and social status. They were assessed with standardized self-report instruments and, following a pilot, administered to a probability sample of women four months postpartum in a one-wave, community, postal survey. Because the overall response rate was so low (49%) only the Europeans were included in the study (N = 225; response-rate = 78%). Statistical hypothesis-testing included linear and logistical multivariate model-twilding techniques, and principal components analysis. Results. Sixteen percent scored in the major depression range (EPDS > 12), and 14% in the minor depression range. Depression was associated with stress, neuroticism, purpose/meaning, mother's distress and (marginally) religious belief, but not with self-esteem, mother's ambivalence, age, parity or social class. Although neuroticism was strongly associated with depression, and also overlapped with most psycho-social variables, nonetheless stress, purpose/meaning, and mother's distress maintained significant relationships with depression after neuroticism was statistically controlled. Stress was associated in part with the perception of losing one's freedom in the motherhood role (neuroticism controlled). When resilience was defined as high stress coupled with low depression, it was associated with low levels of neuroticism and mother's distress. When resilience was defined in terms of high levels of maternal satisfaction, it was associated with high purpose and low ambivalence. Principal components analyses revealed that (1) stress scores reflected two dimensions suggestive of distress and self-efficacy; and (2) depression, stress, neuroticism, self-esteem and purpose were markers for the same underlying component, whereas mother's distress and ambivalence were markers for another (unrelated) component. Conclusion. This study underlines the relevance of temperament, self-efficacy, self-transcendence, existential beliefs and motherhood-related cogniitions to the understanding of PN depression and stress. / Subscription resource available via Digital Dissertations only.

Background. Because there have been few studies examining resilience associated with postnatal (PN) depression, this study aimed at formulating and testing a theory-based model integrating both traditional resilience paradigms and non-traditional factors including existential beliefs about life, motherhood and religion. Method. Study hypotheses addressed prediction of PN depression, stress and resilience, and the confounding influence of negative affectivity (neuroticism). Study variables included PN depression (Edinburgh PN Depression Scale, EPDS), stress, neuroticism, self-esteem, mother's distress and ambivalence, purpose/meaning, religious belief, parity, age, marital and social status. They were assessed with standardized self-report instruments and, following a pilot, administered to a probability sample of women four months postpartum in a one-wave, community, postal survey. Because the overall response rate was so low (49%) only the Europeans were included in the study (N = 225; response-rate = 78%). Statistical hypothesis-testing included linear and logistical multivariate model-twilding techniques, and principal components analysis. Results. Sixteen percent scored in the major depression range (EPDS > 12), and 14% in the minor depression range. Depression was associated with stress, neuroticism, purpose/meaning, mother's distress and (marginally) religious belief, but not with self-esteem, mother's ambivalence, age, parity or social class. Although neuroticism was strongly associated with depression, and also overlapped with most psycho-social variables, nonetheless stress, purpose/meaning, and mother's distress maintained significant relationships with depression after neuroticism was statistically controlled. Stress was associated in part with the perception of losing one's freedom in the motherhood role (neuroticism controlled). When resilience was defined as high stress coupled with low depression, it was associated with low levels of neuroticism and mother's distress. When resilience was defined in terms of high levels of maternal satisfaction, it was associated with high purpose and low ambivalence. Principal components analyses revealed that (1) stress scores reflected two dimensions suggestive of distress and self-efficacy; and (2) depression, stress, neuroticism, self-esteem and purpose were markers for the same underlying component, whereas mother's distress and ambivalence were markers for another (unrelated) component. Conclusion. This study underlines the relevance of temperament, self-efficacy, self-transcendence, existential beliefs and motherhood-related cogniitions to the understanding of PN depression and stress. / Subscription resource available via Digital Dissertations only.

Background. Because there have been few studies examining resilience associated with postnatal (PN) depression, this study aimed at formulating and testing a theory-based model integrating both traditional resilience paradigms and non-traditional factors including existential beliefs about life, motherhood and religion. Method. Study hypotheses addressed prediction of PN depression, stress and resilience, and the confounding influence of negative affectivity (neuroticism). Study variables included PN depression (Edinburgh PN Depression Scale, EPDS), stress, neuroticism, self-esteem, mother's distress and ambivalence, purpose/meaning, religious belief, parity, age, marital and social status. They were assessed with standardized self-report instruments and, following a pilot, administered to a probability sample of women four months postpartum in a one-wave, community, postal survey. Because the overall response rate was so low (49%) only the Europeans were included in the study (N = 225; response-rate = 78%). Statistical hypothesis-testing included linear and logistical multivariate model-twilding techniques, and principal components analysis. Results. Sixteen percent scored in the major depression range (EPDS > 12), and 14% in the minor depression range. Depression was associated with stress, neuroticism, purpose/meaning, mother's distress and (marginally) religious belief, but not with self-esteem, mother's ambivalence, age, parity or social class. Although neuroticism was strongly associated with depression, and also overlapped with most psycho-social variables, nonetheless stress, purpose/meaning, and mother's distress maintained significant relationships with depression after neuroticism was statistically controlled. Stress was associated in part with the perception of losing one's freedom in the motherhood role (neuroticism controlled). When resilience was defined as high stress coupled with low depression, it was associated with low levels of neuroticism and mother's distress. When resilience was defined in terms of high levels of maternal satisfaction, it was associated with high purpose and low ambivalence. Principal components analyses revealed that (1) stress scores reflected two dimensions suggestive of distress and self-efficacy; and (2) depression, stress, neuroticism, self-esteem and purpose were markers for the same underlying component, whereas mother's distress and ambivalence were markers for another (unrelated) component. Conclusion. This study underlines the relevance of temperament, self-efficacy, self-transcendence, existential beliefs and motherhood-related cogniitions to the understanding of PN depression and stress. / Subscription resource available via Digital Dissertations only.

Background. Because there have been few studies examining resilience associated with postnatal (PN) depression, this study aimed at formulating and testing a theory-based model integrating both traditional resilience paradigms and non-traditional factors including existential beliefs about life, motherhood and religion. Method. Study hypotheses addressed prediction of PN depression, stress and resilience, and the confounding influence of negative affectivity (neuroticism). Study variables included PN depression (Edinburgh PN Depression Scale, EPDS), stress, neuroticism, self-esteem, mother's distress and ambivalence, purpose/meaning, religious belief, parity, age, marital and social status. They were assessed with standardized self-report instruments and, following a pilot, administered to a probability sample of women four months postpartum in a one-wave, community, postal survey. Because the overall response rate was so low (49%) only the Europeans were included in the study (N = 225; response-rate = 78%). Statistical hypothesis-testing included linear and logistical multivariate model-twilding techniques, and principal components analysis. Results. Sixteen percent scored in the major depression range (EPDS > 12), and 14% in the minor depression range. Depression was associated with stress, neuroticism, purpose/meaning, mother's distress and (marginally) religious belief, but not with self-esteem, mother's ambivalence, age, parity or social class. Although neuroticism was strongly associated with depression, and also overlapped with most psycho-social variables, nonetheless stress, purpose/meaning, and mother's distress maintained significant relationships with depression after neuroticism was statistically controlled. Stress was associated in part with the perception of losing one's freedom in the motherhood role (neuroticism controlled). When resilience was defined as high stress coupled with low depression, it was associated with low levels of neuroticism and mother's distress. When resilience was defined in terms of high levels of maternal satisfaction, it was associated with high purpose and low ambivalence. Principal components analyses revealed that (1) stress scores reflected two dimensions suggestive of distress and self-efficacy; and (2) depression, stress, neuroticism, self-esteem and purpose were markers for the same underlying component, whereas mother's distress and ambivalence were markers for another (unrelated) component. Conclusion. This study underlines the relevance of temperament, self-efficacy, self-transcendence, existential beliefs and motherhood-related cogniitions to the understanding of PN depression and stress. / Subscription resource available via Digital Dissertations only.