Kathryn B. Williams, MA and Donna B. Woodmansee, MA in Ed, are faculty members in the Department of Medical Social Science and Marital Health at the Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina. John E. Williams, PhD, is a faculty member in the Department of Psychology at Wake Forest University. The first and second authors are members of the ITAA. Appreciation is expressed to Graham Barnes and other colleagues at Southeast Institute, Chapel Hill, North Carolina, for serving as judges.