Implicit biases held by professionals, functioning outside conscious awareness, can negatively affect client outcomes and professional well-being. Purpose: This systematic review evaluated evidence in the literature of Implicit Relational Assessment Procedure (IRAP) utility for assessing implicit biases held by professionals toward client populations. Method: Included studies were those published 2000 through 2020 using IRAP to measure implicit biases in professionals toward consumers. Results: Eight studies met inclusion criteria, with two meeting borderline requirements. Results support IRAP reliability and validity for identifying implicit biases. Variation presents across studies in reporting and analysis of IRAP effects. Discussion: Convergence and divergence between implicit and explicit measures are discussed in terms of relational responding. Results are limited by the relative paucity of studies meeting inclusion criteria and by inconsistencies in data reporting and analysis. Methods for selecting IRAP stimuli are discussed, with a call for a more function-driven approach. Standardization of IRAP methodology is recommended to facilitate extension.
A professional’s response to a client’s disclosure of intimate partner violence (IPV) is shown to significantly impact client outcomes. The quality of a professional’s response is largely influenced by that professional’s beliefs or biases surrounding IPV. This systematic review examined empirical studies conducted in North America and published between 2000 and 2020 evaluating training effects on biases held by professional groups toward victim-survivors of IPV. Search and extraction were conducted in accordance with preferred reporting items for systematic reviews and meta-analyses standards across seven electronic databases. A total of 17 studies met inclusion criteria. Participant groups included professionals from medical, academic, and social/community service disciplines. All included studies reported significant gains on at least one measure of bias. Upon visual inspection, we found no correlations between characteristics of training interventions and reported outcomes on measures of bias. We discuss results in terms of challenges to measuring bias and functional relationships between training interventions, measures of bias, and professional behavior. Variation presented across studies within and between disciplines in regards to training methodology and measurement of bias. Experts in the field of IPV call for a more cohesive approach. We propose the behavior analytic conceptualization of bias as a framework through which interdisciplinary efforts might be unified toward addressing IPV-related biases. Through this lens, we discuss environmental cues within professional settings that might be influencing problematic IPV-related bias. We offer preliminary recommendations for curricular enhancements. We advocate for revision of terms commonly used in IPV-related research and intervention to better reflect and honor diversity across persons experiencing IPV.
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