research examines associations between perfectionism and acceptance for the self and towards others, alongside their link with psychological health. Reported beliefs are compared with underlying implicit beliefs, as measured by response latencies on the Implicit Relational Assessment Procedure (IRAP; Barnes-Holmes et al., 2006). Ninetynine native English-language speaking university students completed measures of selforiented and other-oriented perfectionism, unconditional self-acceptance, acceptance of others and general health; together with the IRAP computer task. Self-perfectionism scores were observed to be significantly higher than other-perfectionism scores on both explicit and implicit measures. Acceptance of others was significantly higher than selfacceptance on explicit measures; however the two were non-significantly different as recorded by the IRAP. This suggests that participants may have under-reported selfacceptance levels or over-reported their acceptance of others. Possible reasons for this are explored. In addition, all explicit measures demonstrated no significant associations with implicit findings; meaning that participants‟ responses to the assessment tasks appeared to be driven by different processes. Low levels of explicit self-acceptance were the biggest predictor of psychological distress. As such, this research provides further support for the move towards acceptance-based strategies in the treatment of clinical perfectionism.

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Previous research shows that consuming violent media can lead to increased aggression in thoughts, feelings, and behaviors. Several other factors also contribute to such behaviors but have not been thoroughly studied including implicit beliefs about aggression in relation to media content. This two-part study consists of (1) an exploratory iterated principal-factor method to create an implicit belief measure about consuming violent media in conjunction with correlational analyses and (2) between subjects hierarchical linear regression models to determine what effects implicit beliefs have on subsequent aggression after participants view either a violent of nonviolent video, while controlling for violent media consumption and trait aggression, and accounting for desensitization. The first study successfully indicates which characteristics could be sued to define the implicit belief measure. The second study indicates that implicit beliefs about consuming violent media can affect aggressive outcomes moderated through desensitization and biological sex. The present study supports the assertion that implicit beliefs can affect aggressive outcomes but contradicts originally hypotheses.

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Indiana University-Purdue University Indianapolis (IUPUI) / Compared to people who are White and have high socioeconomic status (SES), those who are Black and have low SES are more likely to receive suboptimal pain care. One potential contributor to these disparities is biased provider decision-making—there is compelling evidence that providers are influenced by patient race and SES when making pain treatment decisions. According to the dual process model, people are more likely to be influenced by demographic stereotypes, including implicit beliefs, when they are under high cognitive load (i.e., mental workload). One stereotype belief relevant to pain care is that Black and low SES people are more pain tolerant. Aligned with the dual process model, providers who are under high cognitive load and have strong implicit beliefs that Black and low SES people are more pain tolerant may be particularly likely to recommend fewer pain treatments to them. To test this hypothesis, I recruited physician residents and fellows (n=120) to make pain treatment decisions for 12 computer-simulated patients with back pain that varied by race (Black/White) and SES (low/high). Half of the providers were randomized to the high cognitive load group in which they were interrupted during the decision task to make conversions involving hypertension medications for another patient. Remaining providers completed the task without being interrupted. Providers’ implicit beliefs about race and SES differences in pain tolerance were measured with two separate Implicit Association Tests (IATs). Multilevel modeling indicated that providers recommended stronger medications to low than high SES patients (OR=.68, p=.03). There was also a significant interaction between patient SES and cognitive load (OR=-.56, p=.05) and a trending interaction between patient race and cognitive load (OR=1.7, p=.07). Under low cognitive load, providers recommended more pain treatments to high SES (vs. low SES) and Black (vs. White) patients, but under high cognitive load, providers recommended more pain treatments to low SES (vs. high SES) patients and equivalent treatment to Black and White patients. There were no three-way interactions between patient demographics (race or SES), cognitive load, and providers’ implicit beliefs (race-pain or SES-pain IAT scores). However, there was a trending interaction between patient race and race-pain IAT scores (OR=2.56, p=.09). Providers with stronger implicit beliefs that White people are pain sensitive and Black people are pain tolerant recommended more pain treatments to White patients and fewer pain treatments to Black patients. Lastly, there was a trending effect that providers with stronger implicit beliefs that high SES people are pain sensitive and low SES people are pain tolerant recommended stronger medications in general (OR=13.03, p=.07). Results support that provider cognitive load is clinically relevant and impacts clinical decision-making for chronic pain for racially and socioeconomically diverse patients. Future studies are needed to further understand the impact of cognitive load on providers’ pain care decisions, which may inform evidence-based interventions to improve pain care and reduce disparities.

<p>Compared to people who are White and have high socioeconomic status (SES), those who are Black and have low SES are more likely to receive suboptimal pain care. One potential contributor to these disparities is biased provider decision-making—there is compelling evidence that providers are influenced by patient race and SES when making pain treatment decisions. According to the dual process model, people are more likely to be influenced by demographic stereotypes, including implicit beliefs, when they are under high cognitive load (i.e., mental workload). One stereotype belief relevant to pain care is that Black and low SES people are more pain tolerant. Aligned with the dual process model, providers who are under high cognitive load and have strong implicit beliefs that Black and low SES people are more pain tolerant may be particularly likely to recommend fewer pain treatments to them. To test this hypothesis, I recruited physician residents and fellows (n=120) to make pain treatment decisions for 12 computer-simulated patients with back pain that varied by race (Black/White) and SES (low/high). Half of the providers were randomized to the high cognitive load group in which they were interrupted during the decision task to make conversions involving hypertension medications for another patient. Remaining providers completed the task without being interrupted. Providers’ implicit beliefs about race and SES differences in pain tolerance were measured with two separate Implicit Association Tests (IATs). Multilevel modeling indicated that providers recommended stronger medications to low than high SES patients (OR=.68, p=.03). There was also a significant interaction between patient SES and cognitive load (OR=-.56, p=.05) and a trending interaction between patient race and cognitive load (OR=1.7, p=.07). Under low cognitive load, providers recommended more pain treatments to high SES (vs. low SES) and Black (vs. White) patients, but under high cognitive load, providers recommended more pain treatments to low SES (vs. high SES) patients and equivalent treatment to Black and White patients. There were no three-way interactions between patient demographics (race or SES), cognitive load, and providers’ implicit beliefs (race-pain or SES-pain IAT scores). However, there was a trending interaction between patient race and race-pain IAT scores (OR=2.56, p=.09). Providers with stronger implicit beliefs that White people are pain sensitive and Black people are pain tolerant recommended more pain treatments to White patients and fewer pain treatments to Black patients. Lastly, there was a trending effect that providers with stronger implicit beliefs that high SES people are pain sensitive and low SES people are pain tolerant recommended stronger medications in general (OR=13.03, p=.07). Results support that provider cognitive load is clinically relevant and impacts clinical decision-making for chronic pain for racially and socioeconomically diverse patients. Future studies are needed to further understand the impact of cognitive load on providers’ pain care decisions, which may inform evidence-based interventions to improve pain care and reduce disparities.</p> <p>  </p>

Les valeurs culturelles et leur impact sur les attitudes et les comportements ont longtemps été un objet de débat. La mondialisation, la migration et l'expatriation ont contribué au conflit provoqué par l'interaction entre les multiples identités culturelles, en particulier lorsqu’il s’agit d'organisations constituées de personnel diversifié. La France est un cas singulier, offrant un contexte historique et culturel particulièrement intéressant pour l’étude de ce sujet. En effet, la culture dominante en France prône l'égalitarisme et la laïcité. Parallèlement, une grande partie de la population française a adopté des valeurs culturelles issues de ses croyances religieuses. De plus, les perceptions au sujet de «l'égalité des chances» offerte par la société varient considérablement selon les cultures. Cette question est particulièrement importante dans un environnement de travail où les individus ayant des croyances diverses et complexes participent à des activités collectives. L'objectif de cette thèse est de découvrir les mécanismes par lesquels les attributs culturels déterminent une éthique de travail - premièrement, à travers leur interaction avec les croyances religieuses; et deuxièmement, à travers les croyances implicites sur la structure de la société. Les résultats révèlent que les pensées religieuses influencent positivement l’éthique de travail et le niveau de l’effort quand une culture de la religiosité est proéminente et négativement lorsque la culture laïque est saillante. Par ailleurs, cette recherche éclaircit les différentes perceptions de l'égalité des chances dans la société. Les attitudes méritocratiques sont directement influencées par la façon dont les gens distinguent la structure sociale : selon qu’elle soit perçue comme rigide ou malléable. Sur trois essais, cette thèse soulève une problématique particulièrement importante à laquelle font face les employeurs et les décideurs politiques, en particulier en France. Elle fournit une explication quant à l'impact des valeurs culturelles et religieuses, des perceptions sur la malléabilité de la structure sociale, et des mentalités, sur la prévision de l’éthique de travail et la motivation. / Cultural values and their impact on people’s attitudes and behavior have long been a place for debate. Globalization, migration and expatriation have contributed to the conflict caused by the interaction among multiple cultural identities, particularly when it comes to organizations with diverse workforce. Specifically, France is a unique case that provides a historically and culturally rich, yet very ambiguous context for studying this topic. The dominant culture in France emphasizes on egalitarianism and secularism. However, a great part of the population has adopted distinct cultural values with regard to their religious beliefs. Moreover, the perception about ‘equal opportunities’ provided by the society varies considerably across the cultures. The topic is specifically important at workplace, where individuals with diverse and sometimes divergent beliefs take part in collective activities. The objective of this dissertation is to discover the mechanisms by which cultural attributes predict work ethic and productivity- first, through their interaction with religious beliefs; and second through the implicit theories about the societal structure. The findings reveal that religious thoughts positively influence work ethic and level effort when a culture of religiosity is prominent and negatively when the laïc culture is salient. Furthermore, this research sheds light to the different perceptions about equal opportunities in the society. The meritocratic attitudes are directly influenced by the extent to which people perceive the social structure to be malleable vs. fixed. Across three essays, this dissertation addresses a particularly important issue as faced by employers and policy makers, specifically in France. It provides a compelling understanding about a number of antecedents of work ethic and work behavior; namely, the cultural and religious values, perceptions about malleability of the social structure, and mindsets.