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Hallucinations, Full Moons and Coffee? Baylor Sleep Expert Debunks Common Sleep Myths that Might Just Help You Catch Some More Zzzs Tonight

On average, you will spend about a third of your life sleeping or attempting to sleep. For many, this means more than 25 years of your life will be spent in bed. Given this startling proportion, wouldn’t you like to know more about what helps, hinders and happens while you are asleep? Michael K. Scullin, Ph.D., director of the Sleep Neuroscience and Cognition Laboratory at Baylor University, spends the majority of his time researching and teaching about such topics. “One reason I am passionate about studying sleep is because you can't really introspect too much about it, as with nearly everything else in psychology,” Scullin said. “With sleep, you're unconscious at the time you are doing it. Sure, you can wake up and say ‘Oh, how did I sleep last night?’ but when you're actually engaging in the sleeping process, you can't do that. As a result, sleeping becomes an enigma. When you have the right equipment, you can begin to design experiments to figure out what exactly the brain is doing when we sleep and why is it important.” Below,  Scullin addresses several common beliefs about sleep and the science that proves or disproves them. MYTH: If you die in a dream, then you die in real life. For a time, a rumor circled around that one’s brain cannot handle the mental strain of dying in a dream, and if you die in a dream, you will die. “That's just not substantiated because people report dying in their dreams, and they report it while they're still alive,” Scullin said. “Your brain can actually handle a lot, and there’s one theory that says nightmares are a functional adaptation to help us survive. It is potentially really functional for your brain to have those stressors in its offline state to help prepare you for situations. A lot of people think that nightmares are bad, and yes, they can be a clinical problem. But when they aren’t to that level, they can help us prepare for stressful situations.” FACT: Snoring is a sign of disease. Sleep apnea and snoring are linked, although not with a 1:1 ratio; some people snore without sleep apnea, but snoring is the biggest risk-factor of sleep apnea, Scullin said. Snoring is caused by an obstruction to one’s breathing pathways. In many cases, individuals who snore wake up gasping for air. That’s an observed sleep apnea, said Scullin. If someone is observing those things, he recommends visiting a clinical sleep physician. “What if you stopped breathing every few minutes while you were awake during the day?” asked Scullin. “Would you be okay with that? Not only are you not getting enough oxygen to regions of your body, but it puts a lot of stress on your heart. Untreated sleep apnea traumatically increases your risk for heart problems and heart disease. The great thing is, however, if you get treatment, those risk factors all drop down to normal.” FACT: If you cannot fall asleep in 20 minutes, you should get out of bed. Seems contradictory, right? In fact, research shows that getting out of bed can improve your ability to fall asleep. Why? “If you’re lying in bed and can’t fall asleep, you are forming a negative association between your bed and sleep,” Scullin said. “The solution is getting out of bed and going to do something boring without the lights on. Then when you feel sleepy, go back to bed. This way, you only associate your bed with the feeling of sleepiness.” MYTH: After a night of great “recovery sleep,” you fully restore damage from pulling an all-nighter. “A really interesting neuroimaging study has been able to show that that sleep deprivation significantly impairs the frontal lobes ability to function,” Scullin said. “Your frontal lobe is responsible for memory, decision-making, paying attention and more. The study took individuals who had pulled an all-nighter and then allowed them to get a full night of recovery sleep. When they put them back into the scanner, scientists found that the frontal lobe only partly recovered.” Most people skip on sleep during weekday nights and then oversleep on the weekend, but this throws off your circadian rhythms, your body’s natural sleeping patterns, said Scullin. This means that when Sunday night comes around, you may have “Sunday night insomnia” – trouble falling asleep because you've trained your body to go to bed later. MYTH: During a full moon, people have twice as many sleep problems. A few years ago, there was a big media ‘boom’ claiming that there were more sleep disturbances during a full moon. According to Scullin, the scientific community was skeptical, and labs across the world pooled their data to discover the truth. They found no association between full moons and sleep quality. Why, then, did this myth surface? “Those who claim they don’t sleep well during full moons probably don't sleep very well on other nights as well, but they only realize it or think about it happening when it is a full moon,” Scullin said. “There is something called the confirmation bias where an individual holds a hypothesis about how the world works, and then he or she will look for instances that confirm the hypothesis. Oftentimes they forget every other instance that contradicts their claim. We think that is what caused the moon-sleep phenomenon.” FACT: You can fall asleep while driving without realizing it. People swerve on the road for many reasons – texting, drinking, eating – but not many realize that some individuals swerve because of ‘micro-sleeps.’ According to Scullin, people often operate under the impression that this would never happen to them, but what they don’t realize is that this a frequent occurrence that one has no control over. “We have a similar biological need for sleep as we do hunger and thirst,” Scullin said. “For thirst, we have to have access to water; for hunger we have to have access to food. But for sleep our body can shut down whenever it needs to. If this happens, our brain will occasionally do this for 3 to 5 seconds if you're really tired – and especially if you're involved in some long monotonous task such as driving down a long highway.” FACT: Some people’s bodies are paralyzed for minutes whenever they wake up. Imagine waking up, seeing your biggest fear and being unable to move. Unfortunately, this is a reality for some individuals. Sleep paralysis occurs when brain functions get mixed-up, said Scullin. In rapid eye movement (REM) sleep the brain paralyzes the rest of the body so one doesn't act out his or her dreams, and this is very important. “The problem is that in some cases, your brain isn't fully coordinating with the other parts of it,” Scullin said. The part that controls consciousness wakes up, but the other part that controls your body paralysis is hitting the snooze button. So, while you can be fully awake, your body is paralyzed.” Some people experience this for a few seconds, others for a couple of minutes. Some people also hallucinate when the part of your brain that is dreaming “crosses over” into your consciousness. These hallucinations are triggered when one is so sleep deprived that the brain is trying to get deep sleep, but it cannot fully wake up immediately afterwards. According to Scullin, there does not seem to be any big clinical issue with sleep paralysis or hallucinations, and they seem to go away over time and in development. MYTH: Smartphone apps can reliably measure your sleep. Despite their popularity, sleep apps cannot effectively track sleep quality or quantity, Scullin said. The only way to reliably measure your sleep is to have electrodes attached to your scalp, measuring your brain waves in a sleep clinic. But sleep evaluations are expensive and usually only worth the cost for individuals with sleep apnea or other ongoing sleep problems. The good news? Baylor’s sleep lab pays volunteers to get their sleep analyzed, and scientists like Scullin are always looking for participants. FACT: The latest you should consume caffeine is six hours before bed. In a placebo-controlled study, scientists manipulated whether participants had caffeine one, two, four or six hours before bed, and for each of those conditions they had a placebo control. When the subject’s sleep was measured, they found that in every group, it was harder to fall asleep and sleep quality wasn’t as good as those without caffeine. “Even if you have caffeine six hours before bed, you not only have more difficulty falling asleep, but your sleep was also less deep,” Scullin said. “We actually don’t know if the results would extend to seven or eight hours before bed, but we know that six hours before bed is a ‘no-go.’ What I recommend is having your caffeine in the morning.” For those who think caffeine has no effect on the body, Scullin points out a bigger problem. “If you can sleep right after drinking a cappuccino, it probably means that you are so terribly sleep-deprived that even with drugs in your system that are intended to keep you awake, your brain is saying ‘I don’t care; I’m putting you to sleep.’” For more about Scullin and his research, visit the Baylor Psychology and Neuroscience website. by Brooke Battersby , student newswriter, (254) 710-6805 ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines. Visit www.baylor.edu/artsandsciences.

Michael Scullin, Ph.D.
7 min. read

How to Negotiate the Best Retail Price: Baylor Expert Shares 11 Tips

Confidence in retail negotiations can lead to confidence in salary talks as well, management expert says In today’s retail climate, where stores struggle to keep up with online competition and customers can compare prices with the ease of their smartphones, the price tag is just a starting point for negotiations, said a negotiation expert at Baylor University. “No longer do you need to pay sticker price for everything you buy. The customer is now empowered to have a say in pricing, and even hourly retail workers are often empowered to give price discounts when requested,” said Emily Hunter, Ph.D., associate professor of management in Baylor University’s Hankamer School of Business, and an expert in negotiation and conflict management. Hunter said negotiations – whether in a retail setting or in the workplace – require confidence. “Many people are hesitant to negotiate because they don’t know how or they are worried about the other person’s reaction (Will they think I’m greedy?),” she said. “But practice can increase your confidence in your ability to negotiate. Rejection is less common than you fear, and retail stores especially are often willing to work with you.” She offered the following tips to increase the chances of greater deals at the check-out counter. Be nice. First and foremost, always be kind and polite when asking for a discount in retail settings, Hunter said. You are much more likely to be successful if someone wants to help you out, as opposed to demanding a discount or raising your voice to puff up your sense of power. It’s not a power play. Instead, negotiating is a matter of give-and-take. Find defects. It is easier to negotiate an item if you can find something wrong with it. Most stores have a policy in place that allows cashiers and salespeople to offer a moderate discount (typically 10-15 percent), but when they offer it, be persistent and politely try to push them for more. “I’ve negotiated a rug because it was on the sales floor and had frayed edges, a metal cabinet with a dent in the back (Who will ever see that? It’s in the back!), and clothing with a slight stain,” Hunter said. “Point out the defect to the person you are negotiating with and ask for half off.” Look for mark-downs. If an item is marked down or “open-box,” then ask for further discounts, Hunter advised. Remember, the store already acknowledged that the item is worth less than original price and they are likely desperate to be rid of it quickly. “Borrow” a coupon during check-out. When making a purchase, Hunter said she is often asked the question: “Do you have a coupon?” Instead of saying no, she said it might save some money to consider another reply. “Whenever I’m asked this question at check-out, I reply, ‘No, do you have one I could use?’ This works more often than you might think and can result in sweet savings. No clipping required,” she said. Prepare yourself – quickly. When you see an item that could be a good opportunity to negotiate, Hunter said it’s best to prepare quickly with three steps. First, set a strong goal for yourself, usually in the form of a steep discount you will request. Second, set a “redline” price, the highest price you are willing to pay. Third, consider your best alternative – which might be purchasing the same item online for less – if negotiations fail. Find a BATNA. “In negotiation lingo, we call your best alternative your BATNA – Best Alternative to a Negotiated Agreement,” Hunter said. “In retail, it’s extremely important to shop around both at other stores and online to see if the same or a similar item is offered elsewhere for less. This can be your bargaining chip to ask for a discount.” She explained that most big-box stores now have a price-matching policy, but it’s worth trying to go beyond the price match and ask for an additional 10 percent discount, particularly if you agree to purchase at that moment. “Think about it from the store’s perspective,” she said. “They want to keep you from buying from major online retailers, so they might agree to a discount.” Ask for a higher discount than you’re seeking. Let’s say you’re seeking $200 off the price of a refrigerator. Hunter said it’s not wise to start your negotiation by asking for $200 off, because you are almost guaranteed to get less than that. “In negotiations, both sides expect some give-and-take, and the retailer is unlikely to accept your first offer,” she said. “Start by asking for $500 off the fridge and see what they say. Even better, back up your offer by pointing out a defect, a cheaper price online for the same product or evidence of a sale at the same store that just ended.” Pretend you own the business. Think from the seller’s perspective, Hunter advised. Consider what the seller wants from you, the customer. Besides the obvious answer of higher sales and profit, simply offering to write a review online could be very helpful, especially for small businesses. “I once got a great deal on a tool cabinet because I offered to write a positive review on the customer experience survey (you know, the one you get on your receipt that few people fill out?). The manager said that would be wonderful because his store performance is assessed partly based on those customer surveys and he really needed a good review that quarter,” Hunter said. Always negotiate furniture. Hunter said the markup on furniture is often extremely high, as much as 80 percent, and that makes furniture a target for negotiation. “I always negotiate when buying everything from mattresses to sofas to end tables,” she said. “Ask for big discounts at first, as you never know how desperate they are to rotate their stock. And try asking for steeper discounts if you buy multiple pieces, or buying a sofa set and getting the coffee table thrown in for free.” Choose your opponent wisely. When you choose to negotiate, make sure you’re dealing with the people who can make the decisions, Hunter said. Sometimes the clerks on the floor might not be the best option, so jump straight to the cashier or the manager to work with someone who has the authority to make a pricing decision. Remember the ultimate goal.  Negotiation is not just about saving a few dollars, Hunter said. Instead, it’s about building negotiating skills. “Negotiating in retail settings can be a helpful practice to build your confidence to negotiate more important items such as salary and work projects,” she said. “While negotiating salary and other relationship-based issues at work differs quite a bit from the strategies described here, the first step is having the confidence to ask.” ABOUT EMILY HUNTER, PH.D. Emily Hunter, Ph.D., associate professor of management in Baylor University's Hankamer School of Business, teaches negotiation and conflict management. Her research on employee work-family issues, workday breaks and deviant behavior has appeared in academic journals such as Journal of Applied Psychology, Journal of Management and Journal of Organizational Behavior. She is also the co-author of "Organized Innovation: A Blueprint for Renewing America's Prosperity." ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR’S HANKAMER SCHOOL OF BUSINESS Baylor University’s Hankamer School of Business provides a rigorous academic experience, consisting of classroom and hands-on learning, guided by Christian commitment and a global perspective. Recognized nationally for several programs, including Entrepreneurship and Accounting, the school offers 24 undergraduate and 13 graduate areas of study. Visit www.baylor.edu/businessand follow on Twitter at twitter.com/Baylor_Business.

Emily Hunter, Ph.D.
6 min. read

Baylor Gerontology Expert: Signs that Your Loved One is Suffering Elder Abuse

Each year, an estimated 5 million older adults are abused, neglected or exploited, according to the Administration for Community Living. Gerontology expert James Ellor, Ph.D., M.Div., professor in Baylor University’s Diana R. Garland School of Social Work, shares what elder abuse looks like and how people can respond if they see the signs. Reports of abuse are most often submitted by family members, hospital staff and law enforcement. But churches and other organizations should also be diligent, Ellor said, adding that clergy are considered mandatory reporters in many states. “No one group of caring persons can solve this problem alone; it takes a community of caring lay and professional leaders to even try to start to make a difference,” Ellor said. “If signs are noticeable, the next steps will depend on the type of abuse. In most cases, counseling support is critical, but often the need for medical help or legal help is also very important.” Elder abuse – intentional or negligent acts by a caregiver or trusted individual – comes in many forms: neglect or isolation, physical abuse, sexual abuse, exploitation or financial abuse, emotional and psychological abuse, verbal abuse and threats. Physical Abuse Like any other form of physical abuse, physical abuse incudes odd bruising, broken bones or contusions that are not easily explained, Ellor said. One sign that quickly raises suspicion is when broken bones or bruises happen repeatedly. Drug overdoses or the withholding of drugs are also challenging. Emotional abuse Ellor said this could include yelling at the senior, humiliating him or her, blaming and/or scapegoating. Sexual abuse “This is contact without consent,” Ellor said. “We see this often between spouses, particularly when one spouse has dementia.” Neglect “Possibly one of the most common categories, it simply means not taking the time to respond to a wide variety of needs when one is the designated caregiver,” Ellor said. Financial exploitation “Laws governing guardianship and power of attorney try to address this, but family members who take money from seniors as cash or property are the most common culprits,” Ellor explained. Fraud This can involve financial exploitation or even heath care fraud, but it generally involves either over-charging, selling unnecessary benefits of something, or it may include trying to sell something that would benefit one’s children, Ellor said. Self-Neglect “Some seniors simply choose to not help themselves, often in the name of leaving money or property to family members,” Ellor said. “Evidence of this could be that they don’t purchase needed medications or other resources.” Report suspected mistreatment to local adult protective services, long-term care ombudsman or law enforcement agencies that can investigate the situation. ALSO READ: "Gerontology Expert: Six Questions You Should Ask Before Choosing a Nursing Home" SEE: Baylor University's Directory of Faculty Experts ABOUT JAMES ELLOR, PH.D. James Ellor, Ph.D., M.Div., is a professor in Baylor University’s Diana R. Garland School of Social Work. Ellor works with older adults around issues of mental and spiritual health. He has served on the executive committee of the Midwestern Geriatric Education Center and provided education, counseling and planning for individuals and groups who work with seniors. His research includes work in entrostomal therapy, hunger, the church as service provider, spiritual assessment and intervention techniques with cognitively impaired older adults. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT DIANA R. GARLAND SCHOOL OF SOCIAL WORK Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.), a Master of Social Work (M.S.W.) degree and three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary, and a Ph.D. program. Visit www.baylor.edu/social_work to learn more.

3 min. read

Baylors Benjamin Franklin Scholars Bring Light to Complex Figure

Founding Father Benjamin Franklin was a complex man. Among his many roles, he was a businessman, entrepreneur, inventor, journalist, author, printer, editor, politician, postmaster, statesman, ambassador and signer of the Declaration of Independence. And even with a treasure trove of accomplishments, sometimes the Franklin legends are bigger than Franklin the man – and it’s taken an army of historians and scholars throughout the centuries to sort it out. As July 4 Independence Day approaches, Baylor University's two Franklin scholars share different perspectives of Franklin, his faith and his business acumen: Thomas S. Kidd, Ph.D., Distinguished Professor of History and associate director of Baylor’s Institute for Studies of Religion Blaine McCormick, Ph.D., associate professor and chair of the management department in Baylor’s Hankamer School of Business Both have penned Franklin books and both have been featured nationally for their research on the Founding Father. Kidd’s 2017 book, “Benjamin Franklin: The Religious Life of a Founding Father,” has received high marks for its analysis of Franklin’s beliefs. From his Puritan upbringing to deism, skepticism and more, the book explores the influences and evolution of faith throughout Franklin’s life. “In today’s polarized political and religious environment, some pundits seek to remake the Founding Fathers in their own image. Benjamin Franklin’s example reveals that the historical truth is often more complicated,” Kidd wrote in a May 2017 column for The Wall Street Journal. McCormick, who wrote “Ben Franklin: America’s Original Entrepreneur,” discovered a passion to study the Founding Father after listening to an audiobook of Franklin’s autobiography. “Franklin could do things as a statesman, and understand things, and achieve things as a statesman, because he had achieved things in the marketplace first,” he said. “I’ve yet to find a better book for businesspeople to learn about how to run a business in the American Experiment. He wrote the autobiography to help train people in the life of business. Many of the principles are still very robust.” And the way he shared those principles (many of which have been misquoted and made into memes through the decades) is important, McCormick said. “Franklin used sentences no longer than a Tweet to train generations of colonial businesspeople,” he said. “They were short. They were memorable. They were high-impact.” ABOUT THOMAS KIDD, PH.D. Thomas S. Kidd, Ph.D., serves as Distinguished Professor of History and associate director of Baylor University’s Institute for Studies of Religion. His books include “Benjamin Franklin: The Religious Lie of a Founding Father, “American Colonial History: Clashing Cultures and Faiths,” “Baptists in America: A History,” “George Whitefield: America’s Spiritual Founding Father,” “Patrick Henry: First Among Patriots,” “God of Liberty: A Religious History of the American Revolution,” “American Christians and Islam” and “The Great Awakening: The Roots of Evangelical Christianity in Colonial America.” He has written for outlets including The Washington Post and The Wall Street Journal. ABOUT BLAINE MCCORMICK, PH.D. Blaine McCormick, Ph.D., serves as chair of the management department in Baylor’s Hankamer School of Business, is a nationally recognized scholar on the business practices of Benjamin Franklin and Thomas Edison. McCormick is interviewed frequently across all forms of media including Forbes, The New York Times, CNN, public radio, and ABC World News Tonight. He often travels to developing countries to teach business lessons to undereducated entrepreneurs using only a bottle of Coca-Cola as a teaching aid. A native Texan, McCormick grew up working in the cotton fields of West Texas. Before joining the Baylor faculty, he worked in Dallas and Plano for ARCO Oil & Gas Company as a human resource management professional. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions.

Blaine McCormick, Ph.D.
3 min. read

Feelings of Ethical Superiority Can Lead to Workplace Ostracism, Social Undermining, Baylor Study Says

Managers should consider ethics and performance when rewarding employees, Baylor professor says Do you consider yourself more ethical than your coworker? Caution! Your feelings of ethical superiority can cause a chain reaction that is detrimental to you, your coworker and your organization, according to Baylor University management research. A new study published in the Journal of Business Ethics suggests that your feelings of ethical superiority can lead you to have negative emotions toward a “less ethical” coworker. Those negative emotions can be amplified if you also believe you do not perform as well as that coworker. And, furthermore, those negative emotions can lead to your mistreatment and/or ostracism (social exclusion) of that less ethical, higher-performing coworker. “One way to think of this is that it is – and should be – concerning to us to believe that we are more ethical than our coworkers, especially if we do not perform as well as they do,” said lead author Matthew Quade, Ph.D., assistant professor of management in Baylor University’s Hankamer School of Business and an expert on workplace ethics and ostracism. The research, Quade said, can help managers create better atmospheres and improve the bottom line. “The managerial implication is that we need to create environments where ethics and performance are both rewarded,” he said. A total of 741 people, among them 310 employees (“focal employees”) and an equal number of their coworkers (“comparison coworkers”), were surveyed for the study. Focal employees compared themselves with their coworkers based on two areas: perceived ethics and performance. Then they rated their levels of negative emotions (i.e., feelings of contempt, tension or disgust) toward those same comparison coworkers. Results show that employees who believe they are more ethical than similar coworkers (i.e., those that hold similar positions, have similar education background and similar tenure in the organization) feel negative emotions (i.e., contempt, disgust, stress, repulsion) when thinking about those coworkers. These negative emotions about the coworker are amplified when the employees also believe they do not perform as well as those same coworkers. In turn, the comparison coworkers rated how often they experienced social undermining (i.e., insults, spreading of rumors, belittling of ideas) and ostracism (i.e., ignored, avoided, shut out of conversations) from the focal employee. Results also show that the negative emotions that the “more ethical, lower performing” employees experience may result in them behaving in unethical ways directed at their coworkers. Specifically, they become more likely to socially undermine and ostracize those “less ethical, higher performing” coworkers. All the study’s results exist regardless of gender and any positive emotion the employees may experience as a result of believing they are more ethical. Ultimately, such workplace scenarios pose a conundrum for managers, Quade said. On one hand, there is the ethical worker who doesn’t perform as well. On the other hand, there’s the less ethical worker who hits all the goals. Who gets rewarded? “If high performance is the result of questionable or unethical behavior, that combination should not be celebrated,” the researchers wrote. “Instead, organizations should be cautious when rewarding and promoting performance within organizations, ensuring that they also consider the way the job is done from an ethical standpoint.” The ideal situation, the study reveals, is when high ethics and high performance are the norm – and employees are rewarded. “Enhancing the ethical behavior of all employees should be an emphasis to attempt to remove some of the disparity that tends to exist between employees when it comes to their moral behavior at work,” the researchers wrote. ABOUT THE STUDY “’If Only My Coworker Was More Ethical’: When Ethical and Performance Comparisons Lead to Negative Emotions, Social Undermining, and Ostracism,” published in the Journal of Business Ethics, is authored by Matthew Quade, Ph.D., assistant professor of management, Hankamer School of Business, Baylor University; Rebecca Greenbaum, Ph.D., associate professor of management, Spears School of Business, Oklahoma State University; and Mary Mawritz, Ph.D., associate professor of management, LeBow College of Business, Drexel University. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT HANKAMER SCHOOL OF BUSINESS Baylor University’s Hankamer School of Business provides a rigorous academic experience, consisting of classroom and hands-on learning, guided by Christian commitment and a global perspective. Recognized nationally for several programs, including Entrepreneurship and Accounting, the school offers 24 undergraduate and 13 graduate areas of study. Visit www.baylor.edu/businessand follow on Twitter at twitter.com/Baylor_Business.

Matt Quade, Ph.D.
4 min. read

Are Birth Mothers Satisfied with Their Decisions to Place Children for Adoption? Time Will Tell, Study Says

Baylor research reveals effects of time, age, education and income on birth mothers’ satisfaction following ‘life-altering’ decision research findings from Baylor University’s Diana R. Garland School of Social Work could change the adoption landscape for birth mothers struggling with the life-altering decision to place their children. There is consensus among adoption researchers that for many birth mothers the experience of placing their children for adoption brings feelings of grief, loss, shame, guilt, remorse and isolation. Any level of satisfaction (or lack thereof) in such a decision varies. But how is that level of satisfaction – that feeling that the right decision was made – affected by time? “Little is known about the interaction of these two variables,” said Elissa Madden, Ph.D., associate professor of social work at Baylor and lead author of the study, "The Relationship Between Time and Birth Mother Satisfaction with Relinquishment." Much of Madden’s research focuses on the birth mother experience in the adoption process – an area, she said, has historically been underrepresented. “This article seeks to address a clear void in the literature,” she said, “and we hope it has some implications for future practices and adoption policies.” The research, published in the journal Families in Society, centers on data from an online survey of 223 birth mothers who had relinquished an infant for adoption during the last 25 years. This time period was selected because it reflects an increased acceptance and emphasis on open adoption arrangements between birth and adoptive parents, according to the study. Of those surveyed, nearly seven out of 10 reported periodic contact with the adopted child; most parents (94 percent) reported only a single child relinquished; a majority (56 percent) parented other children after the relinquishment; and on a scale of 1 to 5, participants reported a mean satisfaction with relinquishment score of 3.11. Among the study’s findings: 1. Satisfaction is not static. While many birth mothers reported satisfaction with their decision, the findings show that the more time that has passed since the birth mothers placed their child, the less overall satisfaction some birth mothers felt. Some prior research suggests birth mothers’ grief and adjustment attenuates with the passage of time. However, the researchers note “the findings of this analysis highlight the importance of not confusing birth mother’s satisfaction with her decision and the feelings of loss that she may feel about the placement.” A birth mother may feel she made the right decision regarding placement and yet still experience ongoing feelings of loss and grief even years later, Madden said. 2. Age had an inverse relationship with satisfaction. “As with time since the relinquishment, age of the respondents predicted an incremental decrease in satisfaction for every year they have aged,” researchers wrote. “It may be that the distance afforded by time, along with the internal resources and perspective that often comes with age, may have provided an opportunity for birth mothers to look back and reflect on what could have been.” 3. Higher education and higher income led to decreased satisfaction. “It is possible that birth mothers who have achieved educational and/or financial success may now feel dissatisfaction with their decision to place their child as they now believe, in retrospect, that they would have been able to acquire sufficient resources necessary to successfully parent their child,” researchers wrote. Additionally, the researchers noted that some birth mothers may feel that educational and financial success may have been achieved “at the expense of their opportunity to parent their child.” 4. Birth mothers who have current contact with their child were more likely to express satisfaction with their decision. “Prior research suggests that for some birth mothers, having contact with the child helps reduce feelings of anxiety about the child’s life and well-being, worries they may be having about the child feeling abandoned, and/or guilt about their decision,” the researchers wrote. 5. Birth mothers who work full-time were more likely to express increased satisfaction. “While the rationale for this finding is not immediately clear,” the researchers wrote, “it is possible that birth mothers who are employed full-time have achieved personal fulfillment or otherwise found success through their employment. It is also possible that for some birth mothers, there is recognition that they have less time or perhaps fewer resources for parenting and thus are more satisfied with their decision to place their child.” What are the implications of this research? Madden said there are long-term consequences for all members of the adoption triad – birth mothers, those seeking to adopt, and adoptees. She said, specifically, that adoption professionals need to be well-versed in the positive and negative repercussions for birth mothers. “Adoption professionals must be especially attuned to the needs and concerns of expectant mothers who seek their counsel, as many lack a full understanding of their options,” Madden said, reflecting on her earlier research. Madden and her fellow researchers believe this study and others like it could lead to changes in the adoption process. They suggest: Annual “grief and loss” training for adoption professionals State and federal policies ensuring birth mothers have access to ongoing post-relinquishment support services Free grief support groups for all birth mothers Adoption of national standards to ensure that expectant mothers and prospective adoptive parents receive standardized information detailing the benefits of ongoing post-adoption contact Stipends for expectant mothers to hire independent legal counsel to represent the mothers at the relinquishment and during sensitive discussion regarding post-adoption contact ABOUT THE STUDY "The Relationship Between Time and Birth Mother Satisfaction with Relinquishment" is published in the journal Families in Society. Authors are Elissa Madden, Ph.D., associate professor, Diana R. Garland School of Social Work, Baylor University; Scott Ryan, Ph.D., professor and dean, School of Social Work, University of Texas at Arlington; Donna M. Aguiniga, Ph.D., associate professor, School of Social Work, University of Alaska – Anchorage; Michael Killian, Ph.D., assistant professor, School of Social Work, University of Texas at Arlington; and Brenda Romanchik, L.C.S.W., independent practitioner. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT DIANA R. GARLAND SCHOOL OF SOCIAL WORK Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.), a Master of Social Work (M.S.W.) degree and three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary, and a Ph.D. program. Visit www.baylor.edu/social_work to learn more.

Elissa Madden
5 min. read

Bad Behavior Toward Significant Other in Tough Times Has More Impact than Positive Gestures

Refraining from criticism or abandonment is better than simply being encouraging, Baylor University study finds Refraining from bad behavior toward a significant other during stressful life events is more important than showing positive behavior, according to a Baylor University study. Compared with positive gestures, negative ones tend to trigger more intense and immediate responses, according to the study. And how a couple works together during stressful times is associated with individual well-being as well as satisfaction with the relationship. “When people face stressful life events, they are especially sensitive to negative behavior in their relationships, such as when a partner seems to be argumentative, overly emotional, withdrawn or fails to do something that was expected,” said researcher Keith Sanford, Ph.D., professor of psychology and neuroscience in Baylor’s College of Arts & Sciences. “In contrast, they’re less sensitive to positive behavior — such as giving each other comfort,” he said. The study also found that low doses of a behavior are most important, and over time, more extreme levels have less impact. “Because people are especially sensitive to negative relationship behavior, a moderate dose may be sufficient to produce a nearly maximum effect on increasing life stress,” Sanford said. “After negative behavior reaches a certain saturation point, it appears that stress is only minimally affected by further increases in the dose of relationship problems.” The study — “Negative Relationship Behavior Is More Important Than Positive: Correlates of Outcomes During Stressful Life Events” — is published in the Journal of Family Psychology. Sanford and co-researcher Alannah Shelby Rivers, doctoral candidate in psychology and neuroscience, surveyed couples experiencing stressful life events to measure their behavior, relationship satisfaction, personal well-being and quality of life. The research consisted of two studies done using data from Internet samples. In the first study, 325 couples who were married or living with a partner all reported experiences of at least one of six possible stressful events within the past month, including: losing a job, becoming a primary caregiver of an older relative, experiencing a parent’s death, experiencing a child’s death, not having enough resources to afford basic necessities, and experiencing bankruptcy, foreclosure or repossession of a house or car. The second study included 154 people who were either married or living with a partner and experiencing a serious medical issue meeting one or more of these criteria: a condition requiring hospitalization or a trip to the emergency room, a serious chronic condition and a life-threatening condition. All participants reported that they had visited a medical practitioner within the past year for treatment of their conditions. Researchers used a scale that included 18 items — nine for negative and nine for positive behavior. Participants were asked to remember the past month, then write a few words describing different memories of interactions occurring in their relationships and indicate how often specific types of interactions occurred in their relationships. All participants also were asked questions about how rewarding their relationships were, their general well-being (such as being active and vigorous) and their quality of life (such as health). Those in the first study also were asked about stress, their coping strategies in general and their coping style in the relationship. The second study, examining couple’s behavior during stressful medical events, showed lower levels of negative behavior than the first study dealing with other types of stressful issues. “It is possible that couples facing stressful medical situations are less likely to blame each other,” researchers wrote. “When people face stressful life events, it’s common to experience both positive and negative behavior in their relationships,” Sanford said. “When the goal is to increase feelings of well-being and lessen stress, it may be more important to decrease negative behavior than to increase positive actions.” ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines. Visit www.baylor.edu/artsandsciences.

Keith Sanford, Ph.D.
4 min. read

Surveying Patients about Health Care Providers Is Likely of Little Use

But a newly developed questionnaire delves more deeply and may provide valuable information, Baylor University study finds For anyone who has ever taken a survey after a medical appointment and wondered whether the effort was worthwhile, the answer is probably “No,” says a Baylor University psychologist and researcher. Health care providers are pushing to assess patient satisfaction, and many companies charge millions of dollars to assess patients for the providers. But while the intentions are great, “when I started looking at the instruments currently being used to assess doctor-patient relationships, it became apparent they were highly problematic and not providing useful information,” said Keith Sanford, Ph.D. professor of psychology and neuroscience in Baylor’s College of Arts & Sciences. After conducting a series of studies to clarify problems with existing scales, Sanford — a scholar of psychometrics who develops assessment instruments — has created a new tool to measure patient experience during consultations, and research findings suggest it works better than others. The research — “Medical Consultation Experience Questionnaire: Assessing Perceived Alliance and Experienced Confusion During Medical Consultations” — was published in Psychological Assessment, a journal of the American Psychological Association, and funded in part by a grant from Baylor College of Medicine. Working with Baylor University psychologists were physicians with Texas Children’s Hospital and Baylor College of Medicine. The new instrument — the Medical Consultation Experience Questionnaire (MCEQ) — measures two aspects of patient experience — “alliance” and “confusion.” Researchers stressed that it addresses the consultation, not treatment results. Practitioners strive for a good alliance, in which the patient sees the practitioner as committed, competent and dedicated to understanding patient desires and views. Another goal is good exchange of information to avoid confusion. But in attempting to measure how well those goals are being met, some questionnaires have limited options that may result in skewed results, Sanford said. For example, one survey offers respondents a 4-point scale in which the answers range from “always” to "never” to such questions as “How often did doctors listen carefully to you?” Another existing assessment instrument asks respondents to use a 5-point scale — from “poor” to “excellent” — to rate practitioner communication in such areas as whether they were treated with respect. The problem is that most respondents choose the top response for each item, with fewer than 5 percent choosing the bottom option, previous research has shown. While such a scale can identify “highly disgruntled” patients, “it cannot make reliable distinctions between patients having experiences ranging from marginally acceptable to extremely positive,” researchers wrote. “The key question is whether a ‘good doctor’ is a single thing or whether there is a range of goodness,” Sanford said. “If you ask the right questions, you’re able to get results that show that range.” To evaluate the new questionnaire, researchers conducted three studies with a total of 576 participants. They compared responses to the new survey with those participants’ responses to other questionnaires. Respondents ranged from adults with diabetes and/or hypertension to parents of children requiring plastic surgery (for such conditions as a cleft palate or facial injury) to parents of children with medical conditions meeting one or more of such criteria as having to go to an emergency room, spend time in a hospital, cope with a chronic condition or deal with a life-threatening condition. The study results support the validity of the new questionnaire in several important ways. It allows for measuring a wider range of patient experiences with more extensive and specific responses, making for better assessment of “alliance” and “confusion” — rather than merely identifying only the most dissatisfied or angry patients, Sanford said. “One of the reasons this is so important is if you don’t form an alliance with your practitioner, they may give you all the wonderful advice in the world, but you might not follow it, or you might be skeptical,” Sanford said. “And if you don’t quite understand what you are supposed to do, that will interfere with your doing the recommended actions.” Sanford noted that because the study relied on self-reported data and sampled only three groups with varying medical conditions, future research on patients with other health issues could be valuable. Tracking such outcomes as physiological measurements or frequency of attending rehabilitation sessions also could be of value, he said. “My hope is that people who use these surveys might realize that just as there is a science behind medical treatment, there is a science behind getting good survey reports,” Sanford said. “We want to make this available freely to anyone who wants to administer it.” *Co-researchers were Alannah Shelby Rivers, doctoral candidate in psychology and neuroscience at Baylor University; Dr. Tara L. Braun and Kelly P. Schultz, Division of Plastic Surgery at Baylor College of Medicine; and Dr. Edward P. Buchanan, Division of Plastic Surgery, Department of Surgery, Texas Children’s Hospital in Houston and Division of Plastic Surgery at Baylor College of Medicine. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines. Visit www.baylor.edu/artsandsciences.

Keith Sanford, Ph.D.
4 min. read

Environmental Scientists Identify Most Pressing Issues Posed by Chemicals in the Environment in Europe

Environmental scientists have identified 22 key research questions surrounding the risks associated with chemicals in the environment in Europe. Chemicals released into the environment by human activity are resulting in biodiversity loss; increased natural hazards; threats to food, water and energy security; negative impacts on human health and degradation of environmental quality. Now an international study, coordinated by scientists from the University of York, Wageningen University and Baylor University, has identified the most important research questions that need to be answered to fill the most pressing knowledge gaps over the next decade. They include questions about which chemicals we should be most concerned about and where the hotspots of key contaminants are around the globe, as well as how we can develop methods to protect biodiversity and ecosystems. The research, which resulted from a recent "big questions" exercise involving researchers from across Europe, aims to serve as a roadmap for policymakers, regulators, industry and funders and result in a more coordinated approach from the European environmental science community to chemicals in the environment. “Our research has highlighted international scientists' research priorities and our key knowledge gaps when it comes to the risks and impacts of chemicals,” said one of the lead authors of the study Alistair Boxall, Ph.D., with the University of York’s environment department. “The study aims to help focus scientific effort on the questions that really matter and inform decisions about the type of research needed to update policies and regulations.” Bryan W. Brooks, Ph.D., Distinguished Professor of Environmental Science and Biomedical Studies at Baylor University, who also coordinates a much larger global horizon scanning exercise, said the project is “intentionally transparent, inclusive of multiple sectors and multidisciplinary.” “Though this paper focuses on critical research needs for Europe, we partnered with the Society for Environmental Toxicology and Chemistry to perform similar studies in North America, Africa, Asia, Australia and Latin America,” Brooks said. “In fact, output from the Latin American study was recently published. This unprecedented exercise, which also includes a key partnership with the American Chemical Society in North America, is for the first time identifying global research priorities from academic, government and industry scientists and engineers to understand, avoid and manage adverse outcomes of chemicals in the environment.” A key suggestion in the report is that the basic and translational research is needed to advance robust assessments of chemical risks to the environment and human health. “These big research questions aim to reduce uncertainty during scientific evaluations of environmental contaminants and to advance innovation and sustainability through development of less hazardous chemicals to public health and the environment. Such research recommendations from our European colleagues are thus timely, necessary and internationally important if we are to achieve the United Nation’s Sustainable Development Goals,” Brooks said. Towards Sustainable Environmental Quality: Priority Research Questions for Europe is published in the journal Environmental Toxicology and Chemistry. It is one of six papers in a global horizon scanning study. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines.

Bryan W. Brooks, Ph.D.
3 min. read

Study: Discuss Religion, Spirituality When Treating Young Adults with Severe Mental Illness

Baylor researcher and expert says it’s “critical” that mental health providers be equipped to assess clients’ religion/spirituality A majority of young adults with severe mental illness – bipolar disorder, schizophrenia or major depression – consider religion and spirituality relevant to their mental health, according to a new study from Baylor University’s Diana R. Garland School of Social Work. Holly Oxhandler, Ph.D., associate dean for research and faculty development in the Garland School of Social Work, served as lead author on the study, which was published in the journal Spirituality in Clinical Practice. Researchers examined data from 55 young adults (ages 18-25) with serious mental illness who had used crisis emergency services. Of the 55 young adults interviewed, 34 “mentioned religion or spirituality in the context of talking about their mental health symptoms and service use with little-to-no prompting,” researchers wrote. The sample for the study was racially diverse and gender-balanced. Not all of those interviewed considered themselves religious, as 41 percent answered “other,” “I don’t know” or “none” when asked their religious preference. However, researchers found that religion and spirituality emerged as a unique way in which this sample was able to make sense of their difficult life situations and mental health struggles. “Not only did these young adults struggle with serious mental illness, but they had also experienced extreme adversity – including abuse, poverty, homelessness, addiction, near-death experiences, loss and an overwhelming lack of access to medical and mental health services,” researchers wrote. “Yet, many attempted to explain, make sense of or organize their circumstances through their religious/spiritual perspective and talked about God as a source of comfort and support.” The young adults expressed both positive and negative views of God, prayer and support from religious and spiritual communities. Regardless of their views, the important thing to note, Oxhandler explained, is that they’re talking about these topics – something social workers and counselors traditionally are not often equipped or trained to assess or discuss. “It’s the elephant in the room,” Oxhandler said of discussions of religion and spirituality. “If we continue to ignore it, we’re ignoring a huge component of peoples’ lives that may be tied to the clinical issue.” Oxhandler, who has researched this area extensively, said such discussions can help drive subsequent treatment options. “As mental health care providers discern what mental health services to provide or coping strategies to recommend, it’s especially important they understand the role of religion/spirituality in the lives of the vulnerable young adults they serve,” she said. Researchers also found that those surveyed described using positive religious coping, negative religious coping or experiences, discussed their relationship with God/Higher Power and unpacked the role of their support systems and faith. Positive religious coping included prayer, reading religious texts, support from their religious and spiritual communities and identifying religious and spiritual meaning in difficult situations. Negative religious coping or experiences included having a negative experience with a religious organization not being supportive or receiving hurtful messages from the religious community. “Those who discussed their relationship with God or a higher power discussed God providing a sense of comfort or protection, accepting them for who they are or positively intervening in their lives,” Oxhandler said. “Among those who unpacked the role of their support systems and faith, they often described family and friends referencing religion or God for support, and some even offered recommendations for others struggling with mental illness that involve religion and spirituality.” Some of those interviewed shared that they found the mention of God or religion by family and friends less than helpful. For example, a 22-year-old white female with no religious identification mentioned in her interview that a family member “tries to tell me that going to church will be better for me because it will help me find peace, and it really does quite the opposite.” Interestingly, researchers noted that nearly all participants who reported negative experiences with religion and spirituality also reported utilizing positive religious and spiritual coping or having a positive relationship with God. Oxhandler said such complexity highlights the importance of including religion and spirituality during the initial assessment with a client. “It’s critical that mental health care providers be well equipped and trained to assess for the complex role of religion and spirituality in the lives of young adults with serious mental illness, recognizing that it could appear to be a tremendous source of support and resilience and/or a source of pain and discomfort, if even a part of their lives at all,” she said. ABOUT THE STUDY “Religion and Spirituality Among Young Adults With Severe Mental Illness,” published in the journal Spirituality in Clinical Practice, is authored by Holly K. Oxhandler, Ph.D., L.M.S.W., assistant professor and associate dean for research and faculty development, Diana R. Garland School of Social Work, Baylor University; Sarah C. Narendorf, Ph.D., L.C.S.W., assistant professor, Graduate College of Social Work, University of Houston; and Kelsey M. Moffatt, M.S.W., Diana R. Garland School of Social Work, Baylor University. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT DIANA R. GARLAND SCHOOL OF SOCIAL WORK Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.), a Master of Social Work (M.S.W.) degree and three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary, and a Ph.D. program. Visit www.baylor.edu/social_work to learn more.

Holly Oxhandler, Ph.D.
5 min. read