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Narita Z, Hazumi M, Kataoka M, Usuda K, Nishi D. Association between discrimination and subsequent psychotic experiences in patients with COVID-19: A cohort study. Schizophr Res 2024; 267:107-112. [PMID: 38531157 DOI: 10.1016/j.schres.2024.03.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 01/20/2024] [Accepted: 03/17/2024] [Indexed: 03/28/2024]
Abstract
Although cross-sectional studies have suggested that discrimination has a negative impact on the mental health of patients with COVID-19, no cohort studies with longitudinal data have established a causal relationship. Therefore, this study aimed to investigate the association between COVID-19-related discrimination and subsequent psychotic experiences in individuals who had contracted the disease. Secondary outcomes were PTSD symptoms, psychological distress, and suicidal ideation. We utilized inverse probability weighting and marginal structural models with robust standard errors to analyze the association, accounting for confounders and loss to follow-up. In a sensitivity analysis, we evaluated the robustness of the estimates to potential unmeasured confounding by analyzing E-values. Of 7760 participants who had contracted COVID-19, 5971 were included after excluding those with missing sociodemographic data. Of these, 1736 (29.1 %) reported experiencing COVID-19-related discrimination. Of the 2559 participants who completed the study, 253 (9.9 %) reported having at least one psychotic experience. Participants who reported experiencing any COVID-19-related discrimination showed a higher risk of subsequent psychotic experiences compared with participants without such discrimination (risk difference 6.6 %, 95 % CI 4.0 %-9.9 %; risk ratio 1.82, 95 % CI 1.42-2.47). A negative impact was also found in suicidal ideation, PTSD symptoms, and psychological distress. E-values demonstrated the robustness of some of the observed associations to unmeasured confounding. The study found that COVID-19-related discrimination was associated with subsequent psychotic experiences and other mental health outcomes in individuals who had contracted the disease. A study focusing on prevention strategies, such as an anti-discrimination campaign, is warranted.
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Affiliation(s)
- Zui Narita
- Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Megumi Hazumi
- Department of Public Mental Health Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Mayumi Kataoka
- Department of Public Mental Health Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Kentaro Usuda
- Department of Public Mental Health Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Daisuke Nishi
- Department of Public Mental Health Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan; Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo, Tokyo, Japan.
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Ayala MC, Webb A, Maldonado L, Canales A, Cascallar E. Teacher's social desirability bias and Migrant students: A study on explicit and implicit prejudices with a list experiment. Soc Sci Res 2024; 119:102990. [PMID: 38609309 DOI: 10.1016/j.ssresearch.2024.102990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 12/26/2023] [Accepted: 01/31/2024] [Indexed: 04/14/2024]
Abstract
Scholarly research has consistently shown that teachers present negative assessments of and attitudes toward migrant students. However, previous studies have not clearly addressed the distinction between implicit and explicit prejudices, or identified their underlying sources. This study identifies the explicit and implicit prejudices held by elementary and middle school teachers regarding the learning abilities of an ethnic minority group: Haitian students within the Chilean educational system. We use a list experiment to assess how social desirability and intergroup attitudes toward minority students influence teachers' prejudices. The findings reveal that teachers harbor implicit prejudices towards Haitian students and are truthful in reporting their attitudes, thereby contradicting the desirability bias hypothesis. We suggest that teachers rely on stereotypes associated with the students' nationality when assessing Haitian students' learning abilities. The implications of these results are discussed in relation to theories grounded in stereotypes and intergroup attitudes.
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Affiliation(s)
- M Constanza Ayala
- Millennium Nucleus for the Study of the Development of Early Math Skills (MEMAT), Vicuña Mackenna 4860, Macul, Santiago, Chile.
| | - Andrew Webb
- Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile; Centre for Intercultural and Indigenous Research (CIIR), Vicuña Mackenna 4860, Macul, Santiago, Chile.
| | - Luis Maldonado
- Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile; Centre for Social Conflict and Cohesion Studies (COES), Diagonal Paraguay 257, Santiago, Chile; National Research Center for Integrated Disaster Risk Management (CIGIDEN), Vicuña Mackenna 4860, Macul, Santiago, Chile.
| | - Andrea Canales
- Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Chile; Millennium Nucleus for the Study of Labor Market Mismatch (LM(2)C(2)), Santiago, Chile.
| | - Eduardo Cascallar
- Center for Professional Learning & Development, Corporate Training and Lifelong Learning, Dekenstraat 2, PB3772, 3000, Leuven, Belgium.
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Adu P, Jurcik T, Demah E, Korang PT, Grigoryev D. Mental health literacy for social phobia in Ghana: Investigation of gender stereotypes and previous experience for recognition rates and prejudice. Int J Soc Psychiatry 2024; 70:271-281. [PMID: 37968913 PMCID: PMC10913351 DOI: 10.1177/00207640231206055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2023]
Abstract
BACKGROUND Mental health literacy (MHL) research has been of substantial interest internationally. Nevertheless, the interplay between beliefs, attitudes, previous experience with mental disorders, and knowledge of Ghanaians on specific mental disorders remains to be understood. The present study explored the interconnectedness between gender stereotypes, prejudice, previous experience with social phobia, and MHL among the general population in Ghana. METHOD Six hundred and one Ghanaians were recruited for an online experimental study design using a survey approach for data gathering. Respondents were randomly assigned to one of the two conditions (i.e., male and female vignettes) depicting symptoms of social phobia for a hypothetical person. Participants further completed self-reported measures including gender stereotypes (based on Ambivalent Sexism Inventory) and prejudice. RESULTS Results revealed a 15.5% recognition rate for social phobia. Recognition rates of social phobia did not differ by the experimental condition or by the gender of participants. However, personal experience of social phobia was positively related to an increased likelihood of correctly labeling social phobia among men in the female vignette condition, whereas correct recognition of social phobia was negatively related to prejudice among women in the male vignette condition. In the male vignette condition, men with more hostile sexism attitudes toward men exhibited more prejudice toward their hypothetical male counterpart. In contrast, women with hostile sexism attitudes toward men exhibited less prejudice, but greater benevolent sexism attitudes toward men was associated with more prejudice toward the hypothetical male in the vignette. CONCLUSION Findings from the current study emphasize the role of the cultural milieu in shaping effective mental health interventions. The results also have implications for promoting MHL to reduce prejudice in Ghana and other developing countries in the region.
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Affiliation(s)
- Peter Adu
- School of Health, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
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Gregson R, Piazza J, Shaw H. Is being anti-vegan a distinct dietarian identity? An investigation with omnivores, vegans, and self-identified "anti-vegans". Appetite 2024; 192:107126. [PMID: 37980954 DOI: 10.1016/j.appet.2023.107126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 11/06/2023] [Accepted: 11/13/2023] [Indexed: 11/21/2023]
Abstract
Adding to research on the form and content of anti-vegan sentiment, recent scholarship has identified a group of individuals who self-subscribe as "anti-vegan". Here, we sought to determine whether anti-veganism might reflect a distinct dietarian identity with its own unique ideological profile. Two-hundred and fourteen vegans, 732 omnivores, and 222 self-identified "anti-vegans" were assessed using a survey methodology that included the Dietarian Identity Questionnaire and ideological markers related to dark humour, social dominance orientation (SDO), speciesism, male-role norms, moral relativism, and attitudes toward science. Our analysis revealed a dietarian identity unique to anti-vegans. The dietary patterns of anti-vegans were more central to their identity than for omnivores, though marginally lower than vegans. Like vegans, anti-vegans scored highly on dietarian measures of private regard and personal dietary motivations, and lower than omnivores on public regard. The diets of anti-vegans were more morally motivated than omnivores. However, anti-vegans scored higher than both omnivores and vegans on a number of ideological measures including dark humour, SDO, speciesism, male-role norms, moral relativism, and distrust of science. Somewhat surprising, anti-vegans held greater trust than omnivores in the science of plant-based nutrition. We discuss the unique dietarian identities of anti-vegans, considering both intra-group differences of omnivores and anti-vegans (e.g., in right-wing ideology), and inter-group similarities of vegans and anti-vegans (e.g., in diet centrality).
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Affiliation(s)
- Rebecca Gregson
- Lancaster University, Department of Psychology, Lancaster, LA1 4YF, UK.
| | - Jared Piazza
- Lancaster University, Department of Psychology, Lancaster, LA1 4YF, UK
| | - Heather Shaw
- Lancaster University, Department of Psychology, Lancaster, LA1 4YF, UK
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Hoskin RA, Blair KL, Holmberg D. Femmephobia Is a Uniquely Powerful Predictor of Anti-Gay Behavior. Arch Sex Behav 2024; 53:127-140. [PMID: 37783952 PMCID: PMC10794376 DOI: 10.1007/s10508-023-02704-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2018] [Revised: 09/04/2023] [Accepted: 09/05/2023] [Indexed: 10/04/2023]
Abstract
The current study explored a form of femmephobia (specifically, negative attitudes toward femininity in men) as a predictor of anti-gay behaviors among a sample of heterosexual men (N = 417). Additional predictor variables included hierarchical worldviews (i.e., social dominance orientation, right-wing authoritarianism, narcissism) and prejudicial attitudes (i.e., old-fashioned and modern homonegativity). Femmephobia emerged as a robust predictor, accounting for 23% of the variance in anti-gay behavior, surpassing the explanatory power (15%) of all other considered variables combined. Moreover, social dominance only predicted anti-gay behavior when femmephobia levels were high. Future research on discrimination and violence related to sexual identity and gender expression should incorporate femmephobia as a key predictive factor.
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Affiliation(s)
- Rhea Ashley Hoskin
- Departments of Sociology & Legal Studies, Sexuality Marriage, & Family Studies, University of Waterloo and St. Jerome's University, Waterloo, ON, Canada
| | - Karen L Blair
- Department of Psychology, Trent University, 1600 West Bank Drive, Peterborough, ON, K9L OG2, Canada.
| | - Diane Holmberg
- Department of Psychology, Acadia University, Wolfville, NS, Canada
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Freeman A, Graham T. Discourses of Involuntary Care in the South African Psy-Complex. Cult Med Psychiatry 2023; 47:857-877. [PMID: 36348264 DOI: 10.1007/s11013-022-09809-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/14/2022] [Indexed: 11/09/2022]
Abstract
In 2014, the United Nations Convention on the Rights of Disabilities adopted recommendations advising the replacement of involuntary care with supported care. This has polarised many about how best to provide for People living with Mental Conditions (PLPCs). Notwithstanding the contentions of this debate, we find on a personal discursive level that involuntary care is concealed as a self-evident and unquestionable response to the treatment of PLPCs. This can mean that policy-makers and professionals reproduce approaches to PLPCs uncritically. Considering these complexities, we used Critical Discourse Analysis (CDA) to examine what current norms surround involuntary care in the South African psy-complex, and how these are reproduced. We interviewed nine members of the South African psy-complex, including review board members, psychologists, and psychiatrists, and found several discourses maintaining current psychiatric norms. These include biomedical and techno-disciplinary discourses of treatment, clinico-legal disciplinary and danger discourses, and paternalistic discourses of institutional care. Each of these uniquely highlights the ways in which involuntary care is maintained and normalised, revealing that careful consideration is required to prevent potential human rights violations on behalf of professionals and policy-makers, regardless of whether in involuntary or support paradigms.
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Affiliation(s)
- Alex Freeman
- UNISA Institute for Social and Health Sciences, P.O. Box 1087, Lenasia, 1820, South Africa.
| | - Tanya Graham
- Department of Psychology, University of the Witwatersrand, Johannesburg, South Africa
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Ciesielski P. Predictors of prejudice towards childfree individuals in Poland. Scand J Psychol 2023. [PMID: 38037481 DOI: 10.1111/sjop.12985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 10/27/2023] [Accepted: 10/30/2023] [Indexed: 12/02/2023]
Abstract
Individuals who choose to be childfree often face misunderstanding and a lack of acceptance from others. In many cases, this results in negative attitudes, followed by discrimination and prejudice. There have been few studies that would allow us to determine which features are responsible for treating childfree individuals with prejudice. This study aimed to explore the effect of five possible features that could influence others' prejudice towards childfree individuals: collective narcissism, right-wing authoritarianism, religiosity, political beliefs, and generativity. The study was conducted in Poland among 229 participants (age 19-59, M = 30.23; SD = 6.72). Commonality analysis was performed which allowed us to isolate both unique and common effects of possible predictors on the dependent variable (prejudice). Right-wing authoritarianism, political beliefs, and collective narcissism had both a unique and common effect on the dependent variable. Religiosity only had a common effect on prejudice, whereas generativity had no effect (neither common nor unique) on the dependent variable. The total explained variance of the dependent variable was R2 = 0.46. The study isolated four predictors of prejudice towards childfree individuals: right-wing authoritarianism, political beliefs, collective narcissism, and religiosity. This provides a better understanding of the possible origin of prejudice towards childfree individuals and allows us to explore the relation between these predictors in the future. These results can be used to promote more positive attitudes towards childfree individuals as well as create more targeted actions to tackle the prejudice towards them.
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Affiliation(s)
- Paweł Ciesielski
- Doctoral School of Social Sciences, Adam Mickiewicz University, Poznan, Poland
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Rajagopal V, Stephenson J, Ousey K. Mental illness stigmatisation among Malaysian adults: a systematic review. Br J Nurs 2023; 32:988-994. [PMID: 37938989 DOI: 10.12968/bjon.2023.32.20.988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
BACKGROUND Stigmatisation is considered a 'second illness' for people with a mental illness and is highly prevalent in Malaysia. Stigmatisation negatively impacts wellbeing, recovery and productivity. Addressing stigmatisation is integral towards people attaining a higher quality of life. AIM To explore mental illness stigmatisation in Malaysian adults. METHOD A systematic literature review was conducted using thematic analysis to synthesise and categorise evidence. Five key themes emerged, providing insight into mental health stigmatisation. FINDINGS Cultural beliefs, limited knowledge of mental health and lack of education on mental health were factors influencing stigmatisation. Stigmatisation significantly affected the wellbeing and functioning of people with a mental illness. Interventions such as contact-based education effectively reduce stigmatising attitudes manifested by healthcare providers. CONCLUSION Establishing mental health literacy, encouraging patient contact, promoting mental health awareness and strengthening mental health policies could reduce mental illness stigmatisation and its impact in Malaysia. Future research is warranted to investigate the impact on physical wellbeing and anti-stigmatising strategies targeting the general public.
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Affiliation(s)
| | | | - Karen Ousey
- Professor of Skin Integrity and Director for the Institute of Skin Integrity and Infection Prevention, University of Huddersfield
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9
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Amir I, Eguchi Y, Saotome K, Ogawa S, Kojima Y, Tamaki T, Tsubokura M. The "GU-GU-RU" project to eliminate discrimination related to the health effects of the Fukushima nuclear accident. BMC Public Health 2023; 23:2050. [PMID: 37858066 PMCID: PMC10588131 DOI: 10.1186/s12889-023-16883-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 10/03/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND Although 12 years have passed since Great East Japan Earthquake and following Fukushima nuclear accident, approximately 40% of Japanese citizen still believe that the current radiation exposure in Fukushima residents will likely/ very likely to cause genetic effects of radiation. This incorrect understanding could continue unexpected discrimination and prejudice towards those from Fukushima now and in the future. In order to provide updated knowledge and eliminate rumors related to radiation, Japanese Ministry of the Environment has launched "GU-GU-RU" project in 2021 with consisting of five sections. OBJECTIVE (1) To discuss the objectives and effects of the "GU-GU-RU" project (results after the first year), (2) to present administrative measures that may be effective in the long-term to prevent unjustified discrimination and prejudice, and (3) to eliminate rumors in the event of future large-scale disasters, including radiation disasters. METHODS We showed the contents of each sections carried out under the project and observed the result of first-year activities in each section. RESULTS Among the programs, the "Radiation College" has steadily produced positive results, with nearly 1,300 students participating and 50 students sharing their thoughts and ideas. In addition, the project has adopted strategies such as creating and broadcasting a TV program and collaborations with manga, which are expected to have a significant impact on society. CONCLUSIONS Compared to previous efforts on disseminating information related to health effect of radiation exposure, the "GU-GU-RU" project has taken a different approach in providing primary data of radiation and its health effects, which could become a better understanding of health effects of radiation for the general public, in order to eliminate rumors that may lead unjustified discrimination and prejudice.
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Affiliation(s)
- Isamu Amir
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-city, 960-1295, Fukushima, Japan.
| | - Yuichiro Eguchi
- Loco-Medical General Institute, 1178-1 Kanada, Mikatsuki-cho, Ogi-city, 845-0032, Saga, Japan
| | - Kousaku Saotome
- Department of Radiological Sciences, Fukushima Medical University School of Health Sciences, 10-6 Sakae-machi, 960-8516, Fukushima-city, Fukushima, Japan
| | - Soichiro Ogawa
- Department of Urology, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-city, 960-1295, Fukushima, Japan
| | - Yoshiyuki Kojima
- Department of Urology, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-city, 960-1295, Fukushima, Japan
| | - Tomoaki Tamaki
- Department of Health Risk Communication, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-city, 960-1295, Fukushima, Japan
| | - Masaharu Tsubokura
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-city, 960-1295, Fukushima, Japan
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Werner P, AboJabel H. The Conceptual and Methodological Characteristics of Ageism During COVID-19: A Scoping Review of Empirical Studies. Gerontologist 2023; 63:1526-1535. [PMID: 35932468 PMCID: PMC9384679 DOI: 10.1093/geront/gnac118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Printed and social media, as well as professional and scholarly platforms, have extensively discussed the proliferation of ageism during the coronavirus disease 2019 (COVID-19) pandemic. However, no study has systematically examined the body of knowledge on the topic. Framed around the characteristics of ageism in general, the aim of this review was to identify and characterize the conceptual and methodological underpinnings of the global, peer-reviewed, and empirical literature on ageism during COVID-19. RESEARCH DESIGN AND METHODS We conducted a scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using PubMed, CINAHL, AgeLine, and PsycINFO. Quantitative and/or qualitative, English-language, and peer-reviewed articles were included. Data were tabulated and synthesized. RESULTS Thirty six articles examining ageism during the COVID-19 pandemic met inclusion criteria. Most were quantitative (64%) and cross-sectional (81%). The level, correlates, and consequences of ageism during the pandemic were similar to the ones reported before it. Studies about ageism during COVID-19 had similar conceptualization and measurement problems to those before the pandemic. DISCUSSION AND IMPLICATIONS Empirical studies did not find ageism during COVID-19 to be a unique phenomenon, as suggested by the media. More theoretically sound and methodologically rigorous studies, using longitudinal designs and validated unique measures are needed to examine this unique phenomenon.
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Affiliation(s)
- Perla Werner
- Department of Community Mental Health, University of Haifa, Mt. Carmel, Haifa, Israel
| | - Hanan AboJabel
- Department of Community Mental Health, University of Haifa, Mt. Carmel, Haifa, Israel
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Hagiwara N, Harika N, Carmany EP, Shin Y, Eggly S, Jones SCT, Quillin J. Racial disparities in cancer genetic counseling encounters: study protocol for investigating patient-genetic counselor communication in the naturalistic clinical setting using a convergent mixed methods design. BMC Cancer 2023; 23:983. [PMID: 37845629 PMCID: PMC10578042 DOI: 10.1186/s12885-023-11486-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 10/06/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND Despite decades of effort to reduce racial cancer disparities, Black people continue to die at higher rates from cancer than any other U.S. racial group. Because prevention is a key to the cost-effective and long-term control of cancer, the potential for cancer genetic counseling to play a central role in reducing racial cancer disparities is high. However, the benefits of genetic counseling are not equitable across race. Only 2% of genetic counselors self-identify as Black/African American, so most genetic counseling encounters with Black patients are racially discordant. Patients in racially discordant medical interactions tend to have poorer quality patient-provider communication and receive suboptimal clinical recommendations. One major factor that contributes to these healthcare disparities is racial bias. Drawing on findings from prior research, we hypothesize that genetic counselor providers' implicit racial prejudice will be associated negatively with the quality of patient-provider communication, while providers' explicit negative racial stereotypes will be associated negatively with the comprehensiveness of clinical discussions of cancer risk and genetic testing for Black (vs. White) patients. METHODS Using a convergent mixed methods research design, we will collect data from at least 15 genetic counseling providers, from two different institutions, and their 220 patients (approximately equal number of Black and White patients per provider) whose appointments are for a hereditary cancer condition. The data sources will include two provider surveys, two patient surveys, video- and/or audio-recordings of genetic counseling encounters, and medical chart reviews. The recorded cancer genetic counseling in-person and telehealth encounters will be analyzed both qualitatively and quantitatively to assess the quality of patient-provider communication and the comprehensiveness of clinical discussion. Those data will be linked to pre- and post-encounter survey data and data from medical chart reviews to test our hypotheses. DISCUSSION Findings from this multi-site study will highlight specific aspects of cancer genetic counseling encounters (patient-provider communication and clinical recommendations) that are directly associated with patient-centered outcomes (e.g., satisfaction, trust, genetic testing completion). Patient-provider communication and clinical recommendations are modifiable factors that can be integrated into current genetic counseling training curricula and thus can have immediate impact on genetic counseling training and practice.
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Affiliation(s)
- Nao Hagiwara
- Department of Public Health Sciences, University of Virginia, 200 Jeanette Lancaster Way, Charlottesville, VA, 22903, USA.
| | - Nadia Harika
- Department of Pediatrics, Virginia Commonwealth University, 1008 East Clay Street, B-011 Box 980270, Richmond, VA, 23219, USA
| | - Erin P Carmany
- Center for Molecular Medicine and Genetics, Wayne State University, 3127 Scott Hall, 540 E. Canfield Ave, Detroit, MI, 48201, USA
| | - Yongyun Shin
- Department of Biostatistics, Virginia Commonwealth University, 830 East Main Street, One Capitol Square 718, Richmond, VA, 23298, USA
| | - Susan Eggly
- Department of Oncology, Wayne State University, Karmanos Cancer Institute, 4100 John R, Detroit, MI, 48201, USA
| | - Shawn C T Jones
- Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, 23284, Richmond, VA, USA
| | - John Quillin
- Department of Pediatrics, Virginia Commonwealth University, 1008 East Clay Street, B-011 Box 980270, Richmond, VA, 23219, USA
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Michelson MR, Harrison BF. Ties that Bind: The Effects of Transgender Contact on Transphobia. J Homosex 2023; 70:2848-2900. [PMID: 35700383 DOI: 10.1080/00918369.2022.2081524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Allport's Theory of Interpersonal Contact suggests that coming into contact with a member of an outgroup should increase support for that outgroup. Previous studies find mixed results when applying Allport's theory to reported contact with transgender people. We posit that this is due to imprecise and aggregated measures of contact and a lack of attention to the differences between contact that is ephemeral or ongoing and voluntary or obligatory. We explore our theories with data from a large, high-quality survey conducted in early 2020. We find that while various forms of contact (including voluntary and obligatory) predict warmer ratings on feeling thermometers, only close personal friendships-contact that is voluntary and ongoing-predicts attitudes toward transgender-inclusive policies.
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Affiliation(s)
- Melissa R Michelson
- Dean of Arts and Sciences & Professor of Political Science, Menlo College, Atherton, California, USA
| | - Brian F Harrison
- Department of Political Science and International Relations, Carleton College, Northfield, Minnesota, USA
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13
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Benfer N, Howell MK, Lucksted A, Romero EG, Drapalski AL. Self-Stigma and PTSD: Conceptualization and Implications for Research and Treatment. Psychiatr Serv 2023; 74:1081-1083. [PMID: 36935625 DOI: 10.1176/appi.ps.20220397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/21/2023]
Abstract
Preliminary empirical evidence suggests that self-stigma may be a significant problem for those with posttraumatic stress disorder (PTSD). Although research on self-stigma for persons with PTSD is limited, some PTSD symptoms, such as negative thoughts about oneself, feelings of shame, and avoidance-particularly of social interactions-may be conceptually related to self-stigma, potentially explaining the co-occurrence and relevance of self-stigma in PTSD. This Open Forum reviews how the social cognitive model may explain the co-occurrence of self-stigma and PTSD, considers how this model may inform treatment approaches for self-stigma in PTSD, and identifies next steps to empirically test the proposed theory.
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Affiliation(s)
- Natasha Benfer
- Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski)
| | - Mary Katherine Howell
- Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski)
| | - Alicia Lucksted
- Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski)
| | - Erin G Romero
- Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski)
| | - Amy L Drapalski
- Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski)
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Kalichman SC, Kalichman MO, Shkembi B, Eaton LA. COVID-19 health information trust and prejudicial attitudes predict healthcare disruptions in the first year of COVID-19 among people living with HIV. J Behav Med 2023; 46:812-820. [PMID: 36881251 PMCID: PMC9989585 DOI: 10.1007/s10865-023-00399-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 02/09/2023] [Indexed: 03/08/2023]
Abstract
Cross-sectional studies have reported that people living with HIV experienced disruptions to social relationships and healthcare during the first year of the COVID-19 pandemic. Furthermore, individuals with less trust in public health sources of COVID-19 information as well as those who held greater COVID-19 prejudicial attitudes experienced greater healthcare disruptions in the early months of COVID-19. To examine changes in trust and prejudicial attitudes in relation to healthcare disruptions during the first year of COVID-19, we followed a closed cohort of 115 men and 26 women ages 18 to 36 living with HIV over the first year of the COVID-19 pandemic. Findings confirmed that a majority of individuals continued to experience disruptions to their social relationships and healthcare over the course of the first year of COVID-19. In addition, trust in COVID-19 information from the CDC and state health department diminished over the year as did COVID-19 prejudicial attitudes. Regression models showed that lower trust in the CDC and health department and greater prejudicial attitudes toward COVID-19 early in the pandemic predicted greater healthcare disruptions over the year. In addition, greater trust in the CDC and health department early in COVID-19 predicted better antiretroviral therapy adherence later in the year. Results support an urgent need to regain and sustain trust in public health authorities among vulnerable populations.
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Affiliation(s)
- Seth C Kalichman
- Institute for Collaborative Health Intervention and Policy, University of Connecticut, InCHIP 2006 Hillside Road, 06269, Storrs, CT, USA.
| | - Moira O Kalichman
- Institute for Collaborative Health Intervention and Policy, University of Connecticut, InCHIP 2006 Hillside Road, 06269, Storrs, CT, USA
| | - Bruno Shkembi
- Institute for Collaborative Health Intervention and Policy, University of Connecticut, InCHIP 2006 Hillside Road, 06269, Storrs, CT, USA
| | - Lisa A Eaton
- Institute for Collaborative Health Intervention and Policy, University of Connecticut, InCHIP 2006 Hillside Road, 06269, Storrs, CT, USA
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15
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Murakami M, Hiraishi K, Yamagata M, Nakanishi D, Ortolani A, Mifune N, Li Y, Miura A. Differences in and associations between belief in just deserts and human rights restrictions over a 3-year period in five countries during the COVID-19 pandemic. PeerJ 2023; 11:e16147. [PMID: 37790627 PMCID: PMC10542388 DOI: 10.7717/peerj.16147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 08/30/2023] [Indexed: 10/05/2023] Open
Abstract
Discrimination, which arose during the coronavirus disease 2019 outbreak, is a global public health issue. This study aimed to provide fundamental knowledge in proposing control measures to mitigate discrimination. We focused on two psychological variables: belief in just deserts (BJD, i.e., the belief that the infected individual deserves to be infected), a psychological factor that potentially promotes discrimination and prejudice, and human rights restrictions (HRR; i.e., the degree of individuals' agreement with government restrictions on citizens' behavior during emergencies). Differences in these items, as well as their annual trends from 2020 to 2022, were examined in Japan, the United States (US), the United Kingdom (UK), Italy, and China. In addition, the associations between BJD and HRR by country and year and the direction of the associations between them in Japan and Italy were analyzed. Online surveys were conducted annually, with 392-518 participants per country and year. The BJD was higher in Japan and lower in the UK. BJD increased significantly from 2020 to 2021 in all countries, except in China. Meanwhile, HRR was higher in China and lower in Japan. The HRR decreased from 2020 to 2021 in Japan and decreased from 2020 to 2022 in the US, the UK, and Italy. There were significant positive associations between BJD and HRR in Japan and Italy. Cross-lagged panel models revealed positive bidirectional associations between BJD and HRR in Japan and Italy, respectively, indicating that the HRR declined among those with weak BJD and that the BJD increased among those with high HRR. In Japan and Italy, the dissemination of public messages targeting those with a high HRR in the early stages of an infectious disease outbreak could potentially mitigate the adverse impact of the BJD, eventually reducing discrimination, especially when the infection is not attributed to the fault of the infected individuals.
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Affiliation(s)
- Michio Murakami
- Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
| | - Kai Hiraishi
- Faculty of Letters, Keio University, Minato-ku, Tokyo, Japan
| | - Mei Yamagata
- Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
- Faculty of Culture and Information Science, Doshisha University, Kyotanabe, Kyoto (Current Address), Japan
| | - Daisuke Nakanishi
- The Faculty of Health Sciences, Hiroshima Shudo University, Hiroshima, Hiroshima, Japan
| | - Andrea Ortolani
- Faculty of Law and Political Science, Rikkyo University, Toshima-ku, Tokyo, Japan
- Institute of Humanities and Social Sciences, University of Tsukuba, Tsukuba, Ibaraki (Current Address), Japan
| | - Nobuhiro Mifune
- School of Economics & Management, Kochi University of Technology, Kochi, Kochi, Japan
| | - Yang Li
- Graduate School of Informatics, Nagoya University, Nagoya, Aichi, Japan
| | - Asako Miura
- Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
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16
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Silva L, Bonomi Bezzo F, Laurence J, Schmid K. Effects of absolute levels of neighbourhood ethnic diversity vs. changes in neighbourhood diversity on prejudice: Moderation by individual differences in personality. Soc Sci Res 2023; 115:102919. [PMID: 37858365 DOI: 10.1016/j.ssresearch.2023.102919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 07/03/2023] [Accepted: 08/10/2023] [Indexed: 10/21/2023]
Abstract
This paper examines drivers of prejudicial attitudes among adults in the UK, focusing on the interaction between ethnic out-group size and personality traits. Leveraging data from the National Child Development Study (NCDS), we use two survey waves carried out in 2000 and 2008, just before and after the EU enlargement policy that drove a wave of immigration in the UK. We test the extent to which personality traits moderate the relationship between both absolute levels and changes in ethnic diversity at the local level, respectively, and prejudice. Key findings suggest that personality traits, in particular one's agreeableness, are important for conditioning how the proportion of non-white British in one's neighbourhood affects out-group attitudes. We observe a tendency towards polarisation in prejudicial attitudes between low-/high-agreeableness residents as their neighbourhoods become more diverse. These findings have important implications for theorising how contextual and individual characteristics jointly affect intergroup relations.
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Affiliation(s)
- Laura Silva
- Sciences Po, Center for Research on Social Inequalities (CRIS), Paris, CNRS, France
| | - Franco Bonomi Bezzo
- Department of Social and Political Science, La Statale, University of Milan, Italy; Institut national d'etudes demographiques (INED), Paris, France.
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17
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Schwab SM, Silva PL. Intellectual Humility: How Recognizing the Fallibility of Our Beliefs and Owning Our Limits May Create a Better Relationship Between the Physical Therapy Profession and Disability. Phys Ther 2023; 103:pzad056. [PMID: 37265361 DOI: 10.1093/ptj/pzad056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 01/09/2023] [Accepted: 05/27/2023] [Indexed: 06/03/2023]
Abstract
Despite the many advancements over the history of the profession, physical therapy remains in a somewhat paradoxical relationship with disability. The physical therapist profession values disability as diversity but continues to focus on the normalization of body functions as the primary means to promote functionality in people with disability. This focus, consistent with a medicalized view of disability, may prevent physical therapists from empowering individuals with disability to explore alternative, yet effective, perceptual-motor strategies to achieve their functional goals. Additionally, recent research documents implicit, negative biases of physical therapists and physical therapist assistants toward people with disability, again consistent with the medicalized view that disability is the product of an imperfectly functioning body. Dominant underlying beliefs in any profession are often difficult to counter because they are so pervasive, and those beliefs can be reinforced and made stronger when challenged. The purpose of this Perspective article is to introduce physical therapists to a rising construct in psychology-intellectual humility-that may help to facilitate the profession's relationship with disability. Intellectual humility is predicated on recognizing the fallibility of one's beliefs and related practices. Intellectual humility is a promising construct for physical therapy to address the disability paradox and confront implicit attitudes that have served as the basis for many dominant ideas about disability. This Perspective synthesizes views and evidence from the behavioral and social sciences, philosophy, and critical disability studies to contribute to the ongoing evolution of the profession with respect to disability. IMPACT The development of enhanced intellectual humility in physical therapy may help to challenge long-held beliefs among physical therapists about disability-many of which are unnoticed, unquestioned, and difficult to counter.
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Affiliation(s)
- Sarah M Schwab
- Department of Rehabilitation, Exercise, and Nutrition Sciences, University of Cincinnati, Cincinnati, Ohio, USA
| | - Paula L Silva
- Department of Psychology, Center for Cognition, Action, & Perception, University of Cincinnati, Cincinnati, Ohio, USA
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18
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Sheppard H, Bizumic B, Calear A. Prejudice toward people with borderline personality disorder: Application of the prejudice toward people with mental illness framework. Int J Soc Psychiatry 2023; 69:1213-1222. [PMID: 36794515 PMCID: PMC10338706 DOI: 10.1177/00207640231155056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
BACKGROUND People living with borderline personality disorder (BPD) face high levels of prejudice and discrimination from both the community and medical professionals, but no measure of prejudice toward people living with BPD exists. AIMS The current study aimed to adapt an existing Prejudice toward People with Mental Illness (PPMI) scale and investigate the structure and nomological network of prejudice toward people with BPD. METHODS The original 28-item PPMI scale was adapted to create the Prejudice toward People with Borderline Personality Disorder (PPBPD) scale. The scale and related measures were completed by three samples: 217 medical or clinical psychology students, 303 psychology undergraduate students, and 314 adults from the general population. RESULTS The original four-factor structure of the PPMI was supported in the PPBPD scale. Reported prejudice toward people with BPD was more negative than prejudice toward people with mental illness in general. The association of the PPBPD scale with antecedents and consequences was assessed, including social dominance orientation, right-wing authoritarianism, ethnocentrism, personality traits, empathy, prior contact, and feelings toward other stigmatized groups and mental illnesses. CONCLUSIONS This study provided evidence for the validity and psychometric properties of the PPBPD scale across three samples and investigated anticipated relationships with theoretically related antecedents and consequences. This research will help improve understanding of the expressions underlying prejudice toward people with BPD.
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Affiliation(s)
- Hannah Sheppard
- Research School of Psychology, the Australian National University, Canberra, ACT, Australia
| | - Boris Bizumic
- Research School of Psychology, the Australian National University, Canberra, ACT, Australia
| | - Alison Calear
- Research School of Psychology, the Australian National University, Canberra, ACT, Australia
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19
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Rodrigues CFDA, Rodrigues TA, de Oliveira EJSG, Garcia JBS, Cartágenes MDSDS. Prejudice impairing quality of life in sickle cell disease patients in a developing country: faces of suffering. Hematol Transfus Cell Ther 2023; 45 Suppl 2:S3-S10. [PMID: 34294599 PMCID: PMC10433304 DOI: 10.1016/j.htct.2021.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/17/2021] [Accepted: 06/13/2021] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION The perception of prejudice against, and stigmatization of, sickle cell disease (SCD) leads the patient to perceive a different treatment, due to the disease stigma and may be related to a worse quality of life (QoL). OBJECTIVES Describe and evaluate the perception of the prejudice against the disease and its impact on the quality of life of patients with sickle cell disease. METHODS This is a cross-sectional study conducted between March 2019 and February 2020, with patients diagnosed with SCD. Patients were questioned about the perception of prejudice in any kind of situation, choosing between "Yes" or "No", not differentiating situations related to prejudice. To assess the QoL and impact of the disease, the volunteers answered a version of the SF-36 questionnaire translated and validated into Brazilian Portuguese. RESULTS In this study, 113 patients with SCD were followed up, 92% were classified as HbSS and the rest, divided between HbSC and HbS-β-0. Regarding the SF-36, the worst scores were in the summary of the physical components (mean 48.19 ± 21.51) and the physical aspect had the lowest mean (30.75 ±€42.65). When questioned if they had already perceived any kind of prejudice, including the SCD, 32.74% answered "Yes". For this comparison, there was a significant difference in the summary of the physical and mental components, with worse QoL for those who had already suffered prejudice. CONCLUSION Patients diagnosed with SCD who reported perception of prejudice had statistically significant worse QoL, revealing the negative impact, that might lead to sadness and social isolation.
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Affiliation(s)
| | - Thiago Alves Rodrigues
- Centro de Ciências Biológicas e da Saúde, Universidade Federal Universal do Maranhão (CCBS UFMA), São Luís, MA, Brazil
| | | | - João Batista Santos Garcia
- Centro de Ciências Biológicas e da Saúde, Universidade Federal Universal do Maranhão (CCBS UFMA), São Luís, MA, Brazil
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20
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Brown M, Brown SM. Functional Heuristics of Disease Transmission from Physical Deformities in Food Preferences. Evol Psychol Sci 2023; 9:1-7. [PMID: 37362225 PMCID: PMC10244852 DOI: 10.1007/s40806-023-00367-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/01/2023] [Accepted: 05/02/2023] [Indexed: 06/28/2023]
Abstract
Ostensibly serving to restrict contact with disease vectors, humans exhibit aversion toward cues heuristically inferred as pathogenic. This restriction could lead perceivers to downregulate their interest in food consumption, even if such cues may not connote actual disease threats. This proclivity to avoid disease led us to consider how heuristic disease cues inform interest in foods. Participants evaluated a hypothetical food preparer that varied in the presence of heuristic cues to disease transmission (i.e., physical deformities versus healthy control). Individuals with low levels of perceived infectability were more discerning of the social target as a function of disease cues, whereas heightened levels of this trait fostered an overall aversion to targets regardless of health status. Results provide continued evidence for how pathogen avoidance motives compete with other somatic motives.
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Affiliation(s)
- Mitch Brown
- Department of Psychological Science, University of Arkansas, Fayetteville, AR 72701 USA
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21
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Etchezahar E, Ungaretti J, Yepes TG, Genol MÁA. Validation of the subtle and blatant prejudice towards Bolivian immigrants scale in Argentina. Psicol Reflex Crit 2023; 36:15. [PMID: 37266837 DOI: 10.1186/s41155-023-00257-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 05/19/2023] [Indexed: 06/03/2023] Open
Abstract
Even though prejudice towards Bolivian immigrants is one of the main reasons for discrimination in Argentina, there is no valid measure to assess it. The aim of this study was to explore the psychometric properties of the subtle and blatant prejudice towards Bolivian immigrants scale. In addition, we tested correlations with right-wing authoritarianism, social dominance orientation, feelings towards Bolivian immigrants, and ideological self-placement. Data was collected through a convenience sample of 431 undergraduate students from Buenos Aires, with an age range from 18 to 45 years old (38.75% men and 61.25% women). Results showed adequate psychometric properties for the scale. Moreover, significant correlations between subtle and blatant prejudice and the other psychosocial variables tested were found. Implications of these findings are discussed.
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Affiliation(s)
- Edgardo Etchezahar
- Faculty of Education, International University of Valencia, 46002, Valencia, Spain.
- Faculty of Psychology, University of Buenos Aires - CONICET, Buenos Aires, Argentina.
- National Scientific and Technical Research Council, 1428, Buenos Aires, Argentina.
| | - Joaquín Ungaretti
- Faculty of Education, International University of Valencia, 46002, Valencia, Spain
- Faculty of Psychology, University of Buenos Aires - CONICET, Buenos Aires, Argentina
- National Scientific and Technical Research Council, 1428, Buenos Aires, Argentina
| | - Talía Gómez Yepes
- Faculty of Education, International University of Valencia, 46002, Valencia, Spain
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22
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Zivony A, Reggev N. Beliefs About the Inevitability of Sexual Attraction Predict Stereotypes About Asexuality. Arch Sex Behav 2023:10.1007/s10508-023-02616-4. [PMID: 37212956 DOI: 10.1007/s10508-023-02616-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 11/07/2022] [Accepted: 12/10/2022] [Indexed: 05/23/2023]
Abstract
Similar to other sexual minorities, asexual individuals often face prejudice and stereotyping. However, the source of these attitudes and beliefs is not well understood. We hypothesized that asexual stereotypes stem from the belief that sexual attraction is an inevitable part of human development. This attraction inevitability assumption can lead to the deduction that people who identify as asexual do so because they are going through a transitory stage or excusing socially avoidant tendencies. To test this stereotype deduction account, we examined whether specific asexual stereotypes (immaturity and non-sociality) were associated with adherence to the attraction inevitability assumption. Heterosexual participants (N = 322; 201 women, 114 men; mean age 34.6 yrs.) from the UK and the US read vignettes describing a target character that was either asexual or heterosexual. People who assumed that attraction is inevitable were more likely to evaluate asexual targets (but not heterosexual targets) as immature and non-social. The impact of the sexual inevitability assumption was present even when social dominance orientation, an attitude closely related to negativity toward all sexual minorities, was accounted for. Participants who adhered to the attraction inevitability assumption also showed a reduced inclination to befriend asexual individuals. These findings suggest that generalized negativity toward sexual minorities does not fully explain stereotypes and prejudice against asexual people. Instead, the current study highlights how perceived deviation from the shared understanding of sexuality uniquely contributes to anti-asexual bias.
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Affiliation(s)
- Alon Zivony
- Department of Psychological Sciences, Birkbeck College, University of London, Malet Street, London, WC1E 7HX, UK.
| | - Niv Reggev
- Department of Psychology, University of Sheffield, Sheffield, UK
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23
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Neikirk K, Barongan T, Rolle T, Lopez EG, Marshall A, Beasley HK, Crabtree A, Spencer EC, Shuler H, Martinez D, Murray S, Vang C, Jenkins F, Damo S, Vue Z. Using quotients as a mentor to facilitate the success of underrepresented trainees. Pathog Dis 2023:7157100. [PMID: 37156509 DOI: 10.1093/femspd/ftad008] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
Choosing a mentor requires a certain level of introspection for both the mentor and the mentee. The dynamics of mentorship may change depending on the academic status of the mentee. Regardless, mentors should help their trainees grow both academically and professionally. The success of an individual in the fields of science, technology, engineering, mathematics, and medicine (STEMM) depends on more than intellectual capacity; a holistic view encompassing all factors that contribute to scientific achievement is all-important. Specifically, one new method scientists can adopt is quotients, which are scales and techniques that can be used to measure aptitude in a specific area. In this paper, we focus on these factors and how to grow one's adversity quotient (AQ), social quotient (SQ), and Personal Growth Initiative Scale (PGIS). We also look at how mentors can better understand the biases of their trainees. In addressing this, mentors can help trainees become more visible and encourage other trainees to become allies while increasing the visibility of their peers.
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Affiliation(s)
- Kit Neikirk
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
| | - Taylor Barongan
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
| | - Tiffany Rolle
- American Society of Human Genetics, Rockville, MD, 20852USA
- National Genome Institute, National Human Research Institute, Rockville, MD, 20892USA
| | | | - Andrea Marshall
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
| | - Heather K Beasley
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
| | - Amber Crabtree
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
| | - Elsie C Spencer
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
- Teachers College, Columbia University, NY, NY, 10027USA
| | - Haysetta Shuler
- Department of Biological Sciences, Winston-Salem State University, Winston-Salem, NC, 27110USA
| | - Denise Martinez
- University of Iowa Carver College of Medicine, Department of Family Medicine, Iowa City, IA, 52242USA
| | - Sandra Murray
- Department of Cell Biology, University of Pittsburgh, Pittsburgh, PA, 15261USA
| | - Chia Vang
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
- Counseling and Guidance, New Mexico Highlands University, Las Vegas, NM 87701, USA
| | - Felysha Jenkins
- Department of Basic Sciences, Office of Diversity, Equity, and Inclusion, Vanderbilt School of Medicine, Nashville, TN, 37232USA
| | - Steven Damo
- Department of Life and Physical Sciences, Fisk University, Nashville, TN 37208USA
| | - Zer Vue
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, 37232USA
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Swami V, Voracek M, Furnham A, Robinson C, Tran US. Support for weight-related anti-discrimination laws and policies: Modelling the role of attitudes toward poverty alongside weight stigma, causal attributions about weight, and prejudice. Body Image 2023; 45:391-400. [PMID: 37116305 DOI: 10.1016/j.bodyim.2023.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 03/31/2023] [Accepted: 04/20/2023] [Indexed: 04/30/2023]
Abstract
In the present study, we sought to position support for weight-related anti-discrimination laws and policies within a broader political and socioeconomic context. Specifically, we hypothesised that individualistic (rather than structural) anti-poverty attitudes would provide the basis for negative weight-related dispositions. To test this hypothesis, we asked 392 respondents from the United Kingdom to complete measures of support for weight-related anti-discrimination laws and policies, attributions about the causes of being larger-bodied, and weight-related stigma and prejudice. Path analysis with robust maximum likelihood estimation indicated that greater individualistic anti-poverty attitudes were significantly and directly associated with lower support for weight-related anti-discrimination laws and policies. This direct association was also significantly mediated by weight-related stigma and via a serial mediation involving both weight-related stigma and prejudice. Although greater individualistic anti-poverty attitudes were significantly associated with greater personal attributions for being larger-bodied, the latter did not emerge as a significant mediation pathway. The present findings highlight the importance of considering broader political and socioeconomic contextual factors that may provide a basis for the development, maintenance, and manifestation of negative weight-related dispositions.
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Affiliation(s)
- Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia.
| | - Martin Voracek
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Adrian Furnham
- Department of Leadership and Organizational Behaviour, Norwegian Business School, Oslo, Norway
| | | | - Ulrich S Tran
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
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25
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Antunes RDA, Gonçalves EDS, Bernardino LG, Casalecchi JGS, Grebot IBDF, de Moraes R. Influence of Economic Scarcity on Race Perception. Psychol Rep 2023:332941231169666. [PMID: 37058602 DOI: 10.1177/00332941231169666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Abstract
Racial socioeconomic gaps are widened in periods of economic recession. Besides social and institutional factors, black people also struggle with many psychological factors. The literature reports racial-biased complex behaviors and high-level processes that are influenced by economic scarcity. A previous study found a bias at the perceptual level: an experimental manipulation of scarcity (a subliminal priming paradigm) lowered the black-white race categorization threshold. Here we present a conceptual replication in a higher ecological setup. In our main analysis we compared the categorization threshold of participants that received the Brazilian government's emergency economic aid in the context of the COVID-19 pandemic (n = 136) and participants that did not receive the economic aid (n = 135) in an online psychophysical task that presented faces in a black-white race continuum. Additionally, we analyzed the economic impact of COVID-19 on household income, and in cases of family unemployment. Our results do not support the claim that perception of race is influenced by economic scarcity. Interestingly, we found that when people differ greatly in terms of racial prejudice, they encode visual information related to race differently. People with higher scores on a prejudice scale needed more phenotypic traits of the black race to categorize a face as black. We discuss the results in terms of differences in method and sample.
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Affiliation(s)
| | | | | | | | | | - Rui de Moraes
- Department of Basic Psychological Processes, University of Brasília, Brasília, Brazil
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Schafer ES. Perceived Discrimination in School: a Longitudinal Look at the Impact on Expectations and Health. J Racial Ethn Health Disparities 2023; 10:743-50. [PMID: 35226349 DOI: 10.1007/s40615-022-01262-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 02/08/2022] [Accepted: 02/09/2022] [Indexed: 10/19/2022]
Abstract
The purpose of the study was to look at levels of perceived discrimination in school among students of different races and to assess whether there are significant short- or long-term effects as they develop. This study analyzed data from the National Longitudinal Study of Adolescent Health, which is a multi-stage nationally representative study of individuals who were in 7th-12th grade during the 1994-1995 school year. Responses on teacher discrimination items showed that Black students reported the highest levels of perceived teacher discrimination. Educational expectations were lowest for Hispanic students. At wave three, participants who identified their race/ethnicity as Hispanic or other reported the worst overall health, whereas at wave four, White participants had significantly better overall health than the other three groups. Teacher discrimination was found to be a significant predictor for educational expectations, income expectations, and overall health eight and 15 years later. When stratified by race, higher teacher discrimination predicted lower educational expectations and poorer overall health eight years later for Black, Hispanic, and White students.
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Reiman AK, Ocasio TS, Mezzapelle JL. How Cisgender People Define "Transgender" Is Associated with Attitudes Toward Transgender People. Arch Sex Behav 2023; 52:991-1007. [PMID: 36287302 DOI: 10.1007/s10508-022-02454-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 10/12/2022] [Accepted: 10/13/2022] [Indexed: 05/11/2023]
Abstract
Prior work suggests that some cisgender people do not consider gender identity when thinking about what being transgender means, and that exposure to a definition of transgender can reduce negative attitudes toward transgender people. In two studies, we sought to integrate these lines of research by examining whether anti-transgender attitudes are associated with how cisgender people define the term transgender. In Study 1, 293 participants (132 female and 157 male; four participants did not report their sex/gender) recruited via Mechanical Turk were randomly assigned to one of two conditions. Participants in one condition first read a definition of "transgender" that referred to gender identity and then reported their attitudes toward transgender people. Participants in the other condition did not read the definition and instead simply reported their attitudes toward transgender people. Contrary to predictions, exposure (vs. lack thereof) to the definition did not affect attitudes. However, participants who identified gender identity as a central component of the definition of transgender on a manipulation check endorsed more positive attitudes. In Study 2, 295 cisgender participants (165 women and 130 men; recruited via Mechanical Turk) wrote down their own definitions of transgender. Participants who spontaneously included (vs. did not include) gender identity in their definitions reported distinctively positive attitudes. Observed effects held over and above individual differences in cognitive style, gender identification, contact with transgender people, and participant gender. How cisgender people think about gender identity may thus index their attitudes toward transgender people.
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Affiliation(s)
- Anna-Kaisa Reiman
- Department of Psychology, University at Albany, State University of New York, 1400 Washington Avenue, Albany, NY, 12222, USA.
| | - Tianny S Ocasio
- Department of Psychology, University at Albany, State University of New York, 1400 Washington Avenue, Albany, NY, 12222, USA
| | - Jennifer L Mezzapelle
- Department of Psychology, University at Albany, State University of New York, 1400 Washington Avenue, Albany, NY, 12222, USA
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Parma V, Arceneaux K. Science interrupted Our attempt to study disgust sensitivity and the development of political attitudes among children and their parents. Politics Life Sci 2023; 41:3-14. [PMID: 36877104 DOI: 10.1017/pls.2022.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Recent research contends that the behavioral immune system, operating largely outside conscious awareness, motivates individuals to exhibit higher levels of prejudice toward unfamiliar out-groups. This research finds that individual variance in disgust sensitivity correlates with support for political policies that facilitate the avoidance of out-groups. We were interested in developing less intrusive indicators of disgust sensitivity via olfactory measures (i.e., ratings of disgusting odors) and behavioral measures (e.g., willingness to touch disgusting objects) and studying the association between measures of disgust sensitivity and in-group bias among children and adults. We submitted a registered report to conduct this research and received an in-principle acceptance. Unfortunately, unforeseen events impaired our data collection, leaving us with a limited sample (nchildren = 32, nadults = 29) and reducing our ability to draw reliable conclusions from our results. In this essay, we describe our motivation and plan of research, the events that made completing the research impossible, and our preliminary results. In doing so, we hope to offer support for studying the effects of the behavioral immune system, even in ways that we did not originally plan. We conclude with a reflection on the value of registered reports for advancing science.
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McGhie-Fraser B, Lucassen P, Ballering A, Abma I, Brouwers E, van Dulmen S, Olde Hartman T. Persistent somatic symptom related stigmatisation by healthcare professionals: A systematic review of questionnaire measurement instruments. J Psychosom Res 2023; 166:111161. [PMID: 36753936 DOI: 10.1016/j.jpsychores.2023.111161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 01/16/2023] [Accepted: 01/18/2023] [Indexed: 01/22/2023]
Abstract
OBJECTIVE Patients with persistent somatic symptoms (PSS) experience stigmatising attitudes and behaviours by healthcare professionals. While previous research has focussed on individual manifestations of PSS related stigma, less is known about sound ways to measure stigmatisation by healthcare professionals towards patients with PSS. This review aims to assess the quality of questionnaire measurement instruments and make recommendations about their use. METHODS A systematic review using six databases (PubMed, Embase, CINAHL, PsycINFO, Open Grey and EThOS). The search strategy combined three search strings related to healthcare professionals, PSS and stigma. Additional publications were identified by searching bibliographies. Three authors independently extracted the data. Data analysis and synthesis followed COSMIN methodology for reviews of outcome measurement instruments. RESULTS We identified 90 publications that met the inclusion criteria using 62 questionnaire measurement instruments. Stereotypes were explored in 92% of instruments, prejudices in 52% of instruments, and discrimination in 19% of instruments. The development process of the instruments was not rated higher than doubtful. Construct validity, structural validity, internal consistency and reliability were the most commonly investigated measurement properties. Evidence around content validity was inconsistent or indeterminate. CONCLUSION No instrument provided acceptable evidence on all measurement properties. Many instruments were developed for use within a single publication, with little evidence of their development or establishment of content validity. This is problematic because stigma instruments should reflect the challenges that healthcare professionals face when working with patients with PSS. They should also reflect the experiences that patients with PSS have widely reported during clinical encounters.
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Affiliation(s)
- Brodie McGhie-Fraser
- Radboud University Medical Center, Radboud Institute for Health Services Research, Department of Primary and Community Care, Nijmegen, the Netherlands.
| | - Peter Lucassen
- Radboud University Medical Center, Radboud Institute for Health Services Research, Department of Primary and Community Care, Nijmegen, the Netherlands.
| | - Aranka Ballering
- University of Groningen, University Medical Center Groningen, Department of Psychiatry, Groningen, the Netherlands.
| | - Inger Abma
- Radboud University Medical Center, Radboud Institute of Health Sciences, IQ Healthcare, Nijmegen, the Netherlands.
| | - Evelien Brouwers
- Tranzo, Scientific Center for Care and Wellbeing, Tilburg University, Tilburg, the Netherlands.
| | - Sandra van Dulmen
- Radboud University Medical Center, Radboud Institute for Health Services Research, Department of Primary and Community Care, Nijmegen, the Netherlands; Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands; Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
| | - Tim Olde Hartman
- Radboud University Medical Center, Radboud Institute for Health Services Research, Department of Primary and Community Care, Nijmegen, the Netherlands.
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Granjon M, Doignon-Camus N, Popa-Roch M, Rohmer O. Neural empathic response to disability: An ERP study of prejudice. Biol Psychol 2023; 177:108507. [PMID: 36706863 DOI: 10.1016/j.biopsycho.2023.108507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 01/03/2023] [Accepted: 01/23/2023] [Indexed: 01/26/2023]
Abstract
While social neuroscience has already provided evidence for a deficit of affective empathy in racial prejudice, little is known about other less visible social categories when considered as an outgroup. We studied the process of empathy through event-related brain potentials (ERPs). We focused on the group "people with disabilities" as they are the target of a large amount of prejudice. Twenty-six participants performed a pain decision task. The mean amplitudes of N1, P2, N2-N3 and P3 components were recorded. Our results are consistent with previous work on prejudice, showing that the pain detection is modulated by group membership (with disabilities vs. without disabilities) on N2-N3, suggesting a better neural decoding of pain vs. non-pain in the without-disability condition. Critically, no effect of early sensory components (N1, P2) was found, and P3 was not moderated by disability. These findings indicate a different time course of empathic responses depending on the condition, suggesting that people with disabilities trigger specific empathic responses. Our results contribute to disentangling perceptual processes from affective empathy reactions.
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Affiliation(s)
- Marine Granjon
- University of Strasbourg, Laboratoire de Psychologie des Cognitions, France.
| | - Nadège Doignon-Camus
- University of Strasbourg, Laboratoire Interuniversitaire des Sciences de l'Education et de la Communication, France
| | - Maria Popa-Roch
- University of Strasbourg, Laboratoire Interuniversitaire des Sciences de l'Education et de la Communication, France
| | - Odile Rohmer
- University of Strasbourg, Laboratoire de Psychologie des Cognitions, France
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Leiderman EA, Agnessi C, Balbiani B, Cedeño C, Evangelista L, Ghea I, Repetto C, Saravia E. Differences in opinions and positions about psychiatric practice topics between undergraduate medical and psychology students. Vertex 2022; 33:20-29. [PMID: 36626609 DOI: 10.53680/vertex.v33i158.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Indexed: 01/13/2023]
Abstract
Introduction Due to the prevalence of the model of interdisciplinary attention in mental health it is necessary to establish common views about therapeutic practices of the different disciplines that intervene in mental attention. Our objective was to determine if there are differences in opinions and positions with respect to psychiatric practice topics between undergraduate students of the last years of medicine and psychology. Methods An ad hoc survey with different statements about psychiatric hospitalization, electroconvulsive therapy and psychotropics was done. One hundred eighteen medical students and 122 psychology students answered the online survey on February 2022. Results One third of the opinions were statistically different between the students. Medical students had positions a little more positive towards electroconvulsive therapy and psychiatric hospitalization than psychology students. The prejudice towards psychiatric practices is important in both groups. Discussion and conclusionss There are no important differences on the opinions of medical and psychology students. The prejudice and stigma towards mental health should be addressed since the first years of both carreers.
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Affiliation(s)
- Eduardo A Leiderman
- Médico especialista en psiquiatría, Doctor en psicología. Profesor titular de Clínica y Psicofarmacología, Facultad de Ciencias Sociales, Universidad de Palermo (UP). Argentina.
| | - Camila Agnessi
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Barbara Balbiani
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Cindy Cedeño
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Lucía Evangelista
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Iaacob Ghea
- Alumno de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Catalina Repetto
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
| | - Emma Saravia
- Alumna de la carrera de Psicología de la Facultad de Ciencias Sociales, Universidad de Palermo (UP), Argentina.
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32
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Cruz-Torres CE, Martín del Campo-Ríos J. Stigmatization towards healthcare personnel during the first COVID-19 wave in Central and Northern Mexico. PeerJ 2022; 10:e14503. [PMID: 36530390 PMCID: PMC9756860 DOI: 10.7717/peerj.14503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 11/11/2022] [Indexed: 12/15/2022] Open
Abstract
The evidence all over the world shows an alarming increase in the stigmatization of health personnel during the COVID-19 pandemic. We sought to explore possible psychological factors that help explain the disposition to stigmatize health personnel in the central and northern regions of Mexico. Two studies explore possible psychological factors to explain the disposition to stigmatize healthcare personnel (HP) in Mexico during the COVID-19 pandemic. In study one, 520 participants responded to three instruments that measure the disposition to stigmatize, the perceived contagion risk, and the positive beliefs towards HP. Results showed a generalized low disposition to stigmatization, where only a small percentage obtained high scores. A regression analysis identified that stigmatization towards HP can derive mainly from the perception of risk of contagion, although positive beliefs of HP decrease this disposition. The second study extends this finding by analyzing responses of 286 participants to seven instruments measuring factors hypothesized as predictors towards stigmatization: uncertainty generated by the pandemic, selfish strategies to face off the pandemic, social capital, trust in institutions, perceived vulnerability of contagion, perceived risk of contagion, and positive beliefs towards HP. A path analysis reveals that the main predictor of stigmatization is the perceived risk of contagion, increased by the strategy of selfishness, and the uncertainty generated by the pandemic. These results are discussed emphasizing the importance of cooperation and community ties to prevent the stigmatization of HP in the context of sanitary emergencies generated by contagious diseases.
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Affiliation(s)
| | - Jaime Martín del Campo-Ríos
- Instituto de Ciencias Sociales y Administración, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Chihuahua, México
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33
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Uddin LQ, De Los Reyes A. Developmental Considerations for Understanding Perceptions and Impacts of Identity-Related Differences: Focusing on Adolescence. Biol Psychiatry Cogn Neurosci Neuroimaging 2022; 7:1209-1214. [PMID: 35525409 DOI: 10.1016/j.bpsc.2022.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 04/06/2022] [Accepted: 04/25/2022] [Indexed: 12/24/2022]
Abstract
Biological psychiatry, similar to many other scientific fields, is grappling with the challenge of revising its practices with an eye toward promoting diversity, equity, and inclusivity. One arena in which much of this work will have significant impact is in developmental science generally and the study of adolescence specifically. Adolescence is a critical period during human development during which important social, neural, and cognitive maturation processes take place. It is also a time marked by risky behaviors and the onset of a range of mental disorders. Social and developmental research has provided insight into the cognitive and neural processes by which perceptions of identity-related differences emerge. Clinical research aimed at understanding how individuals from diverse backgrounds navigate the transition period of adolescence is critical for identifying the unique factors underlying risk and resilience in minoritized populations. Taking a developmental perspective, we review processes by which the brain understands group differences and how the developmental timing of this can influence antecedents of psychological distress. We close with a call to action, pointing to important understudied areas within the field of biological psychiatry that are critical for supporting mental health among diverse adolescent populations.
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Affiliation(s)
- Lucina Q Uddin
- Department of Psychiatry and Biobehavioral Sciences (LQU), University of California, Los Angeles, Los Angeles, California.
| | - Andres De Los Reyes
- Department of Psychology (ADLR), University of Maryland, College Park, Maryland.
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Rösler IK, Amodio DM. Neural Basis of Prejudice and Prejudice Reduction. Biol Psychiatry Cogn Neurosci Neuroimaging 2022; 7:1200-1208. [PMID: 36402739 DOI: 10.1016/j.bpsc.2022.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 09/18/2022] [Accepted: 10/14/2022] [Indexed: 11/06/2022]
Abstract
Social prejudices, based on race, ethnicity, gender, or other identities, pervade how we perceive, think about, and act toward others. Research on the neural basis of prejudice seeks to illuminate its effects by investigating the neurocognitive processes through which prejudice is formed, represented in the mind, expressed in behavior, and potentially reduced. In this article, we review current knowledge about the social neuroscience of prejudice regarding its influence on rapid social perception, representation in memory, emotional expression and relation to empathy, and regulation, and we discuss implications of this work for prejudice reduction interventions.
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Affiliation(s)
- Inga K Rösler
- Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands
| | - David M Amodio
- Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands; Department of Psychology and Center for Neural Science, New York University, New York, New York.
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35
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Flicker SM, Sancier-Barbosa F. Personality Predictors of Prejudicial Attitudes, Willingness to Engage, and Actual Engagement in Consensual Non-Monogamy. Arch Sex Behav 2022; 51:3947-3961. [PMID: 36036872 DOI: 10.1007/s10508-022-02393-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 06/28/2022] [Accepted: 07/26/2022] [Indexed: 06/15/2023]
Abstract
Personality variables, including sensation-seeking, interpersonal trust, avoidance of uncertainty, endorsement of social conformity, and love styles (Ludus, Eros, Pragma, Storge, Mania, and Agape), were examined as predictors of prejudicial attitudes toward individuals who practice polyamory and personal interest in engaging in consensual non-monogamy (CNM) among 1831 participants who completed anonymous surveys online. Personality characteristics were also compared between individuals who currently practice CNM (n = 67) and case-matched controls involved in monogamous relationships. As predicted, prejudicial attitudes and willingness to engage in CNM were positively and moderately correlated and there was substantial overlap in the predictors of both variables. However, the strongest predictors differed: prejudicial attitudes were best predicted, in a positive direction, by endorsement of social conformity and, to a lesser extent, Pragma love style, while willingness to engage in CNM was best predicted by the Ludus (positive) and Eros (negative) love styles. Individuals who practice monogamy and CNM were more similar than different: only two of the 12 variables tested significantly differed. CNM individuals are more ludic and more tolerant of cognitive uncertainty. Difficulty interpreting some of the results laid bare the need for relationship measures that are valid for individuals who practice CNM. Improving our understanding of the relation between personality traits and CNM may help us develop better interventions for clients who seek to transition from monogamy to CNM but struggle to adapt to the new challenges as well as design better efforts to increase acceptance and reduce discrimination against those who practice CNM.
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Affiliation(s)
- Sharon M Flicker
- Department of Psychology, California State University, Sacramento, Amador Hall 353B, MS 6007, 6000 J Street, Sacramento, CA, 95819, USA.
| | - Flavia Sancier-Barbosa
- Department of Mathematics and Computer Science, Colorado College, Colorado Springs, CO, USA
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36
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Bizumic B, Gunningham B, Christensen BK. Prejudice towards people with mental illness, schizophrenia, and depression among mental health professionals and the general population. Psychiatry Res 2022; 317:114817. [PMID: 36122536 DOI: 10.1016/j.psychres.2022.114817] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 08/29/2022] [Accepted: 08/30/2022] [Indexed: 11/27/2022]
Abstract
The aim of the study was to measure and compare prejudice towards people with specific mental illnesses between mental health professionals and the general population, and examine personality, ideological, and attitudinal antecedents of prejudice. To do so, we also aimed to validate three shortened scales of prejudice. A sample of mental health professionals (N = 299) and a sample from the general population (N = 427) completed shortened versions of the Prejudice towards People with Mental Illness, Prejudice towards People with Schizophrenia, and Prejudice towards People with Depression scales. They also completed measures of validity criteria and demographics. The scales demonstrated construct validity in both samples. Although prejudice was highest towards people with schizophrenia and lowest towards people with depression, mental health professionals demonstrated significantly less prejudice overall than the general population. Prejudice was associated with higher social dominance orientation, right wing authoritarianism, ethnocentrism, conservatism, and generalized prejudice, and lower agreeableness, openness to experience, and contact. These antecedents of prejudice were better predictors than any demographic or profession-related variables examined. This study contributes increased knowledge of the structure and correlates of prejudice towards people with mental disorders. This knowledge should inform more nuanced and effective interventions, therapy, and training.
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Affiliation(s)
- Boris Bizumic
- Research School of Psychology, the Australian National University, Canberra, ACT 2601, Australia.
| | - Beth Gunningham
- Research School of Psychology, the Australian National University, Canberra, ACT 2601, Australia
| | - Bruce K Christensen
- Research School of Psychology, the Australian National University, Canberra, ACT 2601, Australia
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Ozaydin T, Kaya Tuncbeden MM. An investigation of the prejudice and stigmatization levels of nursing students towards obese individuals. Arch Psychiatr Nurs 2022; 40:109-114. [PMID: 36064233 DOI: 10.1016/j.apnu.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 05/23/2022] [Accepted: 06/02/2022] [Indexed: 11/02/2022]
Abstract
AIM The study was conducted to determine the prejudice and stigmatization levels of nursing students towards obese individuals. DESIGN AND METHODS This descriptive and correlational study was conducted in Turkey in 2021 with 233 students in the nursing department of a state university. The data were collected using the Information Form, GAMS-27 Obesity Prejudice Scale, and the Stigma Scale. Independent sample t-test, One-way ANOVA, Pearson correlation and multiple regression analysis were used to analyze the data. RESULTS The findings suggest that the students are prone to prejudice and their tendency to stigmatize is high. It was found that the difference between the student's year of study and obesity prejudices, and between family types and stigmatization levels was significant. It was determined that the stigmatization levels of the students were a determining factor on the obesity prejudice levels and there was a weak positive correlation between them. CONCLUSIONS Nursing students are prone to showing prejudice towards obese individuals and their stigmatization levels are high. In this respect, it is recommended that prejudice and stigmatization issues regarding obesity should be included in the nursing curriculum before students start their professional life.
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Affiliation(s)
- Tuba Ozaydin
- Selcuk University Faculty of Nursing, Konya, Turkey.
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Menezes A, Henry S, Agarwal G. It's high time Canada started collecting race-based performance data on medical training and careers. Lancet Reg Health Am 2022; 14:100326. [PMID: 36777392 PMCID: PMC9904144 DOI: 10.1016/j.lana.2022.100326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Anjali Menezes
- Differential Attainment REsearch Group (DARe), Assistant Clinical Professor (Adjunct), Department of Family Medicine, McMaster University, Hamilton, Canada
| | - Shayna Henry
- Differential Attainment REsearch Group (DARe), Assistant Clinical Professor (Adjunct), Department of Family Medicine, McMaster University, Hamilton, Canada
| | - Gina Agarwal
- Differential Attainment REsearch Group (DARe), Professor, McMaster Family Medicine Levitt Scholar, Department of Family Medicine, McMaster University, Hamilton, Canada
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Gleicher ST, Chalmiers MA, Aiyanyor B, Jain R, Kotha N, Scott K, Song RS, Tram J, Vuong CL, Kesselheim J. Confronting implicit bias toward patients: a scoping review of post-graduate physician curricula. BMC Med Educ 2022; 22:696. [PMID: 36175856 PMCID: PMC9520104 DOI: 10.1186/s12909-022-03720-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 08/03/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Physicians' behavior may unknowingly be impacted by prejudice and thereby contribute to healthcare inequities. Despite increasingly robust data demonstrating physician implicit bias (The Office of Minority Health. Minority Population Profiles, 2021; COVID-19 Shines Light on Health Disparities, National Conference of State Legislatures 2021), the evidence behind how to change this with training programs remains unclear. This scoping review therefore reports on the implementation, outcomes, and characteristics of post-graduate physician implicit bias curricula. METHODS The authors conducted a literature review using scoping review methodology. They searched 7 databases in February and November 2020 for English-language academic and gray literature on implicit bias curricula for physicians at all levels of post-graduate training. Ten reviewers screened studies for eligibility independently, then extracted data from these studies and compiled it into a chart and analytical summary. RESULTS Of the 4,599 articles screened, this review identified 90 articles on implicit bias interventions for post-graduate physicians. Inductive data analysis revealed a spectrum of educational approaches, which were categorized int o 4 educational models called Competence, Skills-Based, Social Contact, and Critical Models. The most commonly reported strength was the interactive nature of the curricula (26%), and the most frequently identified challenges were related to time and resources available (53%). Half of the interventions discussed facilitator preparation, and the majority (62%) evaluated outcomes using pre and post self-assessments. CONCLUSIONS This review provides a comprehensive synthesis of the literature on physician implicit bias curricula. It is our goal that this supports medical educators in applying and improving aspects of these interventions in their own programs.
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Affiliation(s)
- S T Gleicher
- Neurology, University of Washington, Seattle, USA.
| | - M A Chalmiers
- School of Medicine, University of California San Diego, San Diego, USA
| | - B Aiyanyor
- Pediatric Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, USA
| | - R Jain
- Pediatric Hematology/Oncology, University of California San Francisco, San Francisco, USA
| | - N Kotha
- School of Medicine, University of California San Diego, San Diego, USA
| | - K Scott
- Neonatal Intensive Care, Children's Hospital of Philadelphia, Philadelphia, USA
| | | | - J Tram
- School of Medicine, University of California San Diego, San Diego, USA
| | - C L Vuong
- Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, USA
| | - J Kesselheim
- DFCI/BCH Cancer and Blood Disorders Center, Harvard Medical School, Boston, USA
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Harwood A, Carter D, Eliott J. A public health framework for reducing stigma: the example of weight stigma. J Bioeth Inq 2022; 19:511-520. [PMID: 35857213 PMCID: PMC9463314 DOI: 10.1007/s11673-022-10199-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 04/01/2022] [Indexed: 05/15/2023]
Abstract
We examine stigma and how it operates, then develop a novel framework to classify the range of positions that are conceptually possible regarding how stigma ought to be handled from a public health perspective. In the case of weight stigma, the possible positions range from encouraging the intentional use of weight stigma as an obesity prevention and reduction strategy to arguing not only that this is harmful but that weight stigma, independent of obesity, needs to be actively challenged and reduced. Using weight stigma as an illustrative example, we draw on prior theoretical work on stigma mechanisms and intervention strategies to develop a framework for improving the understanding, evaluation, and planning of anti-stigma interventions. This framework has the potential to help public health actors to map out how protest, contact, education, and regulation strategies can be used to reduce direct discrimination, structural discrimination, and internalized stigma (self-stigma).
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Affiliation(s)
- Alison Harwood
- The Office of Research Ethics, Compliance and Integrity, The University of Adelaide, Adelaide, South Australia 5005 Australia
| | - Drew Carter
- Adelaide Health Technology Assessment, School of Public Health, The University of Adelaide, Adelaide, South Australia 5005 Australia
| | - Jaklin Eliott
- Associate Professor, School of Public Health, The University of Adelaide, Adelaide, South Australia 5005 Australia
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FitzGerald C, Mumenthaler C, Berner D, Schindler M, Brosch T, Hurst S. How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? BMC Med Ethics 2022; 23:86. [PMID: 36002822 PMCID: PMC9400557 DOI: 10.1186/s12910-022-00815-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 07/20/2022] [Indexed: 11/29/2022] Open
Abstract
Background Implicit prejudice can lead to disparities in treatment. The effects of specialty and experience on implicit obesity and mental illness prejudice had not been explored. The main objective was to examine how specializing in psychiatry/general medicine and years of experience moderated implicit obesity and mental illness prejudice among Swiss physicians. Secondary outcomes included examining the malleability of implicit bias via two video interventions and a condition of cognitive load, correlations of implicit bias with responses to a clinical vignette, and correlations with explicit prejudice.
Methods In stage 1, participants completed an online questionnaire including a clinical vignette. In stage 2, implicit prejudice pre- and post- intervention was tested using a 4 × 4 between-subject design including a control group. In stage 3, explicit prejudice was tested with feeling thermometers and participants were debriefed. Participants were 133 psychiatrists and internists working in Geneva, hospital-based and private practice. Implicit prejudice was assessed using a Weight IAT (Implicit Association Test) and a Mental Illness IAT. Explicit feelings towards the obese and the mentally ill were measured using Feeling Thermometers. A clinical vignette assessed the level of concern felt for a fictional patient under four conditions: control, obese, depression, obese and depression. Linear regression was conducted to test for association of gender, experience, and specialty with responses to vignettes, pre-intervention IATs and explicit attitudes, and to test for association of interventions (or control) with post-intervention IATs and explicit attitudes. Reported effect sizes were computed using Cohen’s d. Two-tailed p < 0.05 was selected as the significance threshold. Results Compared to internists, psychiatrists showed significantly less implicit bias against mentally vs. physically ill people than internists and warmer explicit feelings towards the mentally ill. More experienced physicians displayed warmer explicit feelings towards the mentally ill and a greater level of concern for the fictional patients in the vignette than the less experienced, except when the patient was described as obese. Conclusions Specialty moderates both implicit and explicit mental illness prejudice. Experience moderates explicit mental illness bias and concern for patients. The effect of specialty on implicit prejudice seems to be based principally on self-selection. Supplementary Information The online version contains supplementary material available at 10.1186/s12910-022-00815-7.
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Affiliation(s)
- Chloë FitzGerald
- iEH2 (Institute for Ethics, History and the Humanities), Faculty of Medicine, University of Geneva, Geneva, Switzerland.
| | - Christian Mumenthaler
- Department of Information Science, Geneva School of Business Administration, Geneva, Switzerland.,University of Applied Sciences and Arts, Western Switzerland, Delémont, Switzerland
| | - Delphine Berner
- iEH2 (Institute for Ethics, History and the Humanities), Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Mélinée Schindler
- iEH2 (Institute for Ethics, History and the Humanities), Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Tobias Brosch
- CISA (Swiss National Centre for Affective Sciences), University of Geneva, Geneva, Switzerland.,Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Samia Hurst
- iEH2 (Institute for Ethics, History and the Humanities), Faculty of Medicine, University of Geneva, Geneva, Switzerland.
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Huys ACML, Haggard P, Bhatia KP, Edwards MJ. No exaggerated tremor severity perception in functional tremor. J Neurol 2022; 269:6043-6048. [PMID: 35857138 DOI: 10.1007/s00415-022-11265-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 06/25/2022] [Accepted: 06/29/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Symptoms of functional neurological disorder tend to be variable, yet patients often report them being present constantly and of permanently severe intensity. Furthermore, they typically worsen when they are mentioned or during clinical examination. Such phenomena are sometimes interpreted as indicating symptom exaggeration or even fabrication. METHODS To test the notion of inaccurate symptom perception or reporting, we directly compared subjective to objective tremulousness of reaching movements in people with a functional action tremor, people with an organic action tremor and healthy controls. Identical subjective and objective measures were used, thus eliminating any potential metacognitive confounders. Furthermore, we assessed both immediate perceptual experience with a real-time perceptual task, offering the most direct comparison; and near-time retrospective reports as the latter contribute to peoples' overall judgement of their condition. RESULTS There was no significant difference in subjective compared to objective tremor severity between the three groups for either the real-time or retrospective conditions. CONCLUSION People with functional tremor do not perceive or report their tremor in an exaggerated manner, compared to people with an organic tremor or healthy controls. We propose that symptom exacerbation through attentional mechanisms provides an alternative explanation for findings that are frequently attributed to 'exaggeration'.
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Affiliation(s)
- Anne-Catherine M L Huys
- Department of Clinical and Movement Neurosciences, University College London Queen Square Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK.
| | - Patrick Haggard
- Institute of Cognitive Neuroscience, University College London, London, UK
| | - Kailash P Bhatia
- Department of Clinical and Movement Neurosciences, University College London Queen Square Institute of Neurology, 33 Queen Square, London, WC1N 3BG, UK
| | - Mark J Edwards
- Neuroscience Research Centre, Institute of Molecular and Cell Sciences, St George's University of London, London, UK
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Abstract
Racial attitudes, beliefs, and motivations lie at the center of many influential theories of prejudice and discrimination. The extent to which such theories can meaningfully explain behavior hinges on accurate measurement of these latent constructs. We evaluated the validity properties of 25 race-related scales in a sample of 910,066 respondents using various tools, including dynamic fit indices, item response theory, and nomological nets. Despite showing adequate internal reliability, many scales demonstrated poor model fit and had latent score distributions showing clear floor or ceiling effects, results that illustrate deficiencies in these measures' ability to capture their intended latent construct. Nomological nets further suggested that the theoretical space of "racial prejudice" is crowded with scales that may not capture meaningfully distinct latent constructs. We provide concrete recommendations for both scale selection and scale renovation and outline implications for overlooking measurement issues in the study of prejudice and discrimination.
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Gordon SL. Who Helps Refugees in South Africa? An Examination of Cultural and Social Factors. Voluntas 2022; 34:1-13. [PMID: 35789636 PMCID: PMC9244032 DOI: 10.1007/s11266-022-00504-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/17/2022] [Indexed: 06/15/2023]
Abstract
Pro-refugee philanthropy is beneficial for refugee integration and an important contributor to intergroup relations in a South African context. No study, however, has provided an in-depth quantitative analysis of what factors drive this type of behaviour. This article investigates what cultural, social and religious factors may predict participation in charitable behaviour towards refugees in South Africa. Three types of behaviours were examined: (i) material donations; (ii) volunteer activities; and (iii) information sharing. Using data from a 2019 Ipsos Migration Survey, the study found that intergroup threat was a robust predictor of charitable behaviour of all kinds. Friendship contact with a pro-refugee volunteer was also positively associated with philanthropic behaviour. Institutional trust and religious orientation were correlated with volunteer activities and information sharing but not donations. Study findings can be utilised to design interventions that increase public participation in actions that help refugees in an African context.
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Affiliation(s)
- Steven Lawrence Gordon
- Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa
- Developmental, Capable and Ethical State, Human Sciences Research Council, Pretoria, South Africa
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Yang OK, Kim SW, Hyun J, Lee K, Paik JW, Lee YR. Structural Model Analysis of Discriminatory Behavior Toward People With Severe Mental Illness. Psychiatry Investig 2022; 19:480-487. [PMID: 35753687 PMCID: PMC9233951 DOI: 10.30773/pi.2021.0364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 04/28/2022] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE This study aimed to determine how prejudice and attitude toward people with severe mental illness, formed through exposure to the mass media, affect discriminatory behavior toward them. METHODS Between September and November 2019, demographic data were collected using an online survey of 622 adults residing in South Korea. The scales used in this study were taken from the 2008 survey by the National Human Rights Commission of Korea. Structural equation modeling was performed for a comparative analysis of the direct and indirect effects. RESULTS Virtual experience through mass media exposure had a statistically significant effect on prejudice against people with severe mental illness. Direct experience had a positive influence on reducing prejudice and discriminatory behavior. The direct effects of prejudice on discriminatory behavior were significant. In terms of indirect effects, the full mediating effect of prejudice was significant for the virtual experience through the mass media-prejudice-discriminatory behavior path, and the partial mediating effect of prejudice was significant on the direct experience-prejudice-discrimination behavior path. CONCLUSION This study recommends more careful reporting of mental illness in the media, promoting anti-stigmatization programs that provide opportunities for direct contact between the public and people with severe mental illness.
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Affiliation(s)
- Ok Kyung Yang
- Department of Social Welfare, Ewha Womans University, Seoul, Republic of Korea
| | - Sung-Wan Kim
- Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
| | - Jinhee Hyun
- Department of Social Welfare, Daegu University, Gyeongsan, Republic of Korea
| | - KiYeon Lee
- Korea Human Resource Development Institute for Health & Welfare, Cheongju, Republic of Korea
| | - Jong-Woo Paik
- Department of Psychiatry, Kyung Hee University College of Medicine, Seoul, Republic of Korea
| | - Yu-Ri Lee
- Department of Social Welfare, Nambu University, Gwangju, Republic of Korea
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Calabrese SK, Kalwicz DA, Modrakovic D, Earnshaw VA, Edelman EJ, Bunting SR, Del Río-González AM, Magnus M, Mayer KH, Hansen NB, Kershaw TS, Rosenberger JG, Krakower DS, Dovidio JF. An Experimental Study of the Effects of Patient Race, Sexual Orientation, and Injection Drug Use on Providers' PrEP-Related Clinical Judgments. AIDS Behav 2022; 26:1393-1421. [PMID: 34750695 PMCID: PMC9434708 DOI: 10.1007/s10461-021-03495-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2021] [Indexed: 01/16/2023]
Abstract
Social biases may influence providers' judgments related to pre-exposure prophylaxis (PrEP) and patients' consequent PrEP access. US primary and HIV care providers (n = 370) completed an experimental survey. Each provider reviewed one fictitious medical record of a patient seeking PrEP. Records varied by patient race (Black or White) and risk behavior (man who has sex with men [MSM], has sex with women [MSW], or injects drugs [MID]). Providers reported clinical judgments and completed measures of prejudice. Minimal evidence of racially biased judgments emerged. Providers expressing low-to-moderate sexual prejudice judged the MSM as more likely than the MSW to adhere to PrEP, which was associated with greater PrEP prescribing intention; sexual prejudice was negatively associated with anticipated MSM adherence. Providers judged the MID to be at higher risk, less likely to adhere, less safety-conscious, and less responsible than both the MSM and MSW; adverse adherence and responsibility judgments were associated with lower prescribing intention.
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Affiliation(s)
- Sarah K Calabrese
- Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA.
- Department of Prevention and Community Health, George Washington University, Washington, DC, USA.
| | - David A Kalwicz
- Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA
| | - Djordje Modrakovic
- Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA
| | - Valerie A Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA
| | - E Jennifer Edelman
- Department of General Internal Medicine, Yale University, New Haven, CT, USA
| | - Samuel R Bunting
- Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA
| | - Ana María Del Río-González
- Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA
| | - Manya Magnus
- Department of Epidemiology, George Washington University, Washington, DC, USA
| | - Kenneth H Mayer
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA
| | - Nathan B Hansen
- Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| | - Trace S Kershaw
- Department of Social and Behavioral Sciences, Yale University, New Haven, CT, USA
| | - Joshua G Rosenberger
- Department of Biobehavioral Health, Penn State University, University Park, PA, USA
| | - Douglas S Krakower
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA
| | - John F Dovidio
- Department of Social and Behavioral Sciences, Yale University, New Haven, CT, USA
- Department of Psychology, Yale University, New Haven, CT, USA
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Ching BHH, Chen TT. Effects of Biological Determinism on Beliefs and Attitudes About Transgender People: Psychological Essentialism and Biased Assimilation. Arch Sex Behav 2022; 51:1927-1942. [PMID: 35459970 DOI: 10.1007/s10508-021-02262-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 12/07/2021] [Accepted: 12/07/2021] [Indexed: 06/14/2023]
Abstract
This experimental study examined the effects of biological attributions on individuals' beliefs and attitudes toward transgender people and the moderating role of right-wing authoritarianism (RWA). We randomly assigned 183 Chinese university students (men: n = 85, women: n = 98) to read one of three fictitious articles. The first article suggested that transgender identity was causally linked to biology (biological determinist condition), the second one highlighted the interplay between biological and environmental factors (epigenetic condition), whereas the third article did not mention the origins of transgender identity (control condition). Consistent with the biased assimilation hypothesis, the effects of biological attributions depended on individual differences in RWA. Low-RWA participants showed higher levels of naturalness and discreteness/homogeneity beliefs about transgender identity in the biological determinist condition than those in the control condition. By contrast, high-RWA participants displayed higher levels of discreteness/homogeneity beliefs but similar levels of naturalness beliefs when they read the biological determinist message compared with the control group. Low-RWA participants showed higher levels of naturalness but similar levels of discreteness/homogeneity beliefs in the epigenetic condition compared with the control, whereas high-RWA participants exhibited lower levels of naturalness and higher levels of discreteness/homogeneity beliefs when they read the epigenetic message compared with the control group. This study also suggests that, contrary to attribution theory, presenting information regarding the biological basis of transgender identity does not necessarily lead to more positive attitudes because (a) it triggers essentialist thinking and (b) the effects of biological attributions depend on recipients' authoritarian dispositions.
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Affiliation(s)
- Boby Ho-Hong Ching
- Faculty of Education, University of Macau, Avenida da Universidade, Taipa, 999078, Macau.
| | - Tiffany Ting Chen
- Faculty of Education, University of Macau, Avenida da Universidade, Taipa, 999078, Macau
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Abstract
Despite a recent increase in academic attention, little is known about how the general population perceives BDSM practitioners. Though the gay/lesbian community has undergone de-medicalization and de-stigmatization over time, the same process for BDSM practitioners is in its infancy. Past research suggests that BDSM practitioners do expect to be stigmatized by others, especially in the healthcare system; however, little is known about how the general population currently perceives and stigmatizes the BDSM community. In the current study, we found that the general population (N = 257) does stigmatize BDSM practitioners more than the gay/lesbian population, and both are stigmatized more than a low-stigma comparison group (people in romantic relationships), F(2, 253) = 21.70, p < .001,η 2 = 0.15. These findings help to inform mental healthcare providers and the general population about BDSM practitioners, with the goal of inspiring additional research and activism aimed at combating misinformation and reducing stigma toward this population.
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Howard S. Exploring White individuals' perceptions of Black atheists' trustworthiness, racial identity, and feelings of warmth. Int J Psychol 2022; 57:652-659. [PMID: 35174490 DOI: 10.1002/ijop.12837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 01/16/2022] [Indexed: 11/10/2022]
Abstract
Anti-atheist bias in the United States is both persistent and pervasive. However, most experimental psychological research demonstrating anti-atheist bias have used White targets or targets whose race is not explicitly mentioned. Thus, it is unknown whether atheists of colour, who have two stigmatised identities (e.g., their race and atheist identification), are perceived differently from their ingroup counterparts with one stigmatised identity (e.g., Black Christian). Using a between-subjects experimental design we examined White Americans' (n = 286; Mage = 39.91, SD = 13.17) perceptions of Black atheists' trustworthiness and racial identification relative to Black non-atheists. We also explored whether exposure to Black atheists versus Black Christians would influence White individuals' feelings of warmth towards Black Americans in general. There was no evidence that White individuals perceive Black atheists as less trustworthy or less racially identified than non-atheist Black individuals (i.e., Black Christians and Black individuals whose religious identity was not explicitly mentioned). Results did reveal, however, that White individuals had higher feelings of warmth towards Black Americans in general (and several other stigmatised groups) after exposure to a Black Christian versus Black individuals who were not Christian. Implications and future research directions are discussed, particularly focused on atheists who are multiply stigmatised.
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Affiliation(s)
- Simon Howard
- Department of Psychology, University of Miami, Coral Gables, FL, USA
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Abstract
Social justice refers to promoting fairness, equality, equity and rights across multiple aspects of society, including economic, educational, and workforce opportunities. A number of scholars across academia have called for a greater incorporation of social and racial justice approaches to the field of human development, and have asserted that social justice constitutes both a theoretical framework as well as a set of hypotheses to investigate and understand the human condition. The emergence, experience, and awareness of social injustice has to be much better understood from a psychological and developmental perspective. Four areas that reflect theoretical changes in human development research are discussed: a) socialization theories about race, b) ethnic/racial identity and development, c) developmental social identity and moral reasoning, and d) lay theories and social essentialism. Childhood is a period of intense change and development; human development research is uniquely positioned to promote change that will contribute to challenging social and racial injustice.
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