Cumulative consequences of stigma: Possessing multiple concealable stigmatized identities is associated with worse quality of life

Large health disparities exist between stigmatized and nonstigmatized groups. In addition to experiencing and anticipating greater discrimination, members of stigmatized groups also tend to demonstrate greater ruminative tendencies in response, which may lead to these poor health outcomes. Even among stigmatized groups, differences in the visibility of stigma lead to different mechanisms through which stigma takes its toll. Previous work has primarily focused on the impact of belonging to a single marginalized group; however, people often belong to multiple marginalized groups, and this likely affects both their health outcomes and their anticipation of stigma. In the current study, we focused on individuals with concealable stigmatized identities (CSIs)—socially stigmatized identities that are not immediately apparent to others—and created a measure of concealable marginalization that captures multiple group memberships. We predicted that those possessing a greater number of CSIs would anticipate more stigma from others, and, in turn, ruminate more about the stigma, which would negatively impact the health. Surveying N = 288 adults with CSIs, we found that possessing a greater number of marginalized concealable identities predicted worse self-reported physical quality of life. These relationships were partially mediated by greater anticipated stigma and brooding rumination in regard to their CSI. This work illuminates a more complete picture of how living with CSIs can take its toll on health.     

Examining children's ability to delay reward: Is the delay discounting task a suitable measure?

Discounting the value of delayed rewards has primarily been measured in children with the delay of gratification task and in adolescents and adults with the delay discounting task. In the present study, we assessed the suitability of the delay discounting task as a measure of temporal discounting in children. A sample of 7- to 9-year-olds (N = 98) completed a delay discounting task, a delay of gratification task, a sensation seeking measure, and IQ measures. In addition, teacher-based assessments of attention-deficit/hyperactivity disorder traits were measured. The results indicated that the majority of children produced meaningful data on the discounting task and discounted rewards hyperbolically. Children with an elevated risk of attention-deficit/hyperactivity disorder showed a trend towards discounting future rewards on the delay discounting task more steeply than did those at low risk. However, delay discounting was unrelated to either delay of gratification or sensation seeking. We interpret these results as providing some support for the use of delay discounting as a measure of intertemporal choice in children, although the results also suggest that delay discounting and delay of gratification tasks may tap different processes in this population.     

A benevolent conceptualization of marital power: The case of depression

Treatment of the depressed client with low self-esteem, external locus of control, and an absent spouse often is frustrating due to the limitations of modifying the social context. An approach to the problem using a systemic view which is based on examining the notion of power and examining the problems in their context is presented. Interventions which sidestep the temptation of emphasizing self-esteem of the client and, instead, utilize client strengths and interactional dynamics within the marriage are presented.     

Body image,dieting tendencies,and sex role traits in urban black women

The present study examined body image satisfaction, dieting tendencies, and sex role traits among a sample of black urban women. While women who felt “too fat” were more likely than other women to engage in both restrictive and nonrestrictive dieting tendencies, in general, the women's body weight and body image did not compel them to utilize extremely restrictive dieting practices. A sizable proportion of the sample reported body image dissatisfaction and weight concerns, yet this did not appear to exert an overwhelmingly negative influence over other aspects of their lives, such as participation in sports, exercise, and sexual activity. Body image satisfaction and sex role traits were related. Dieting tendencies were also related with body image satisfaction. These findings and implications for further research are discussed.     

Actions, intentions, and consequences: the doctrine of double effect

One interpretation of the doctrine of double effect (DDE) holds that in situations in which good can be secured for some only if others suffer harm, the pursuit of a good tends to be less acceptable when a resulting harm is intended as a means rather than when it is merely foreseen. The doctrine captures certain moral intuitions about pairs of cases which have the same consequential profiles but in which the character of the intention differs. Quinn examines the DDE using three pairs of contrasting cases, two of which are medical examples: the "Direction of Resources" case and the "Guinea Pig" case, both involving allocation of life-saving resources, and the "Craniotomy" case and the "Hysterectomy" case, both involving fetal vs. maternal life. He concludes that the DDE "embodies our sense that certain forms of forced strategic subordination are especially inappropriate among free and equal agents."     

Attention deficit disorder with hyperactivity and methylphenidate: The effects of dose and mastery level on children's learning performance

This investigation examined the relationship between methylphenidate (MPH) and the learning and recall of paired associations by children with attention deficit disorder with hyperactivity (ADDH). Forty-five children with ADDH were randomly assigned to one of three groups (novel, partial mastery, and mastery learning) that varied in the amount of previous learning of paired associations and participated in a double-blind, placebo-control, repeated-measures-across-dose (crossover) design. Each child received four doses of MPH (5 mg, 10 mg, 15 mg, and 20 mg) and a placebo in a random, counterbalanced sequence. The results indicated that both the rate of acquisition and accuracy in learning paired associations were significantly, but differentially, affected by MPH dose and the degree of learning mastery. The implications of these results for psychopharmacological research and the monitoring of psychostimulant effects on children's learning performance in academic settings are discussed.The authors wish to acknowledge and express their sincere appreciation to the graduate and undergraduate student members of the Children's Learning Clinic.     

Delayed recognition memory for orientation by human infants

The familiarization/novelty preference paradigm was employed to study the effect of a delay (between the end of the familiarization phase and the beginning of the test phase) on discrimination of the orientation of square-wave gratings by 2- and 3-month-old human infants. Three stimulus pairs were studied: horizontal-vertical, non-mirror-image obliques, and mirror-image obliques. The data indicate that the members of the oblique-oblique stimulus pairs are confused in memory to a greater extent than the members of the horizontal-vertical stimulus pair. These findings are consistent with P.C. Bomba's (1984, Journal of Experimental Child Psychology, 37, 609-636) recent report that infants respond to the orientation of a visual stimulus in a categorical-like manner.     

Achromatic color categories

Sternheim and Boynton’s (1966) continuous judgmental color-naming technique was used to assess the elemental nature of achromatic colors. Results from three subjects indicate that the names “black” and “white” are necessary and sufficient to describe achromatic test lights associated with the name “gray.” On the basis of the criteria that establishes a color as elemental, black and white were confirmed as elemental, whereas gray was not. These findings support the assumption of various opponent processing models that there are only two elemental achromatic sensations. In addition, the results support Hering’s (1920) view that black and white differ from the paired-chromatic opponent colors in that they are not mutually exclusive.     

Comparing the effects of two correction procedures on human acquisition of sequential behavior patterns

Thirty-one college undergraduates learned to touch abstract stimuli on a computer screen in arbitrarily designated “correct” sequential orders. Four sets of seven stimuli were used; the stimuli were arrayed horizontally on the screen in random sequences. A correct response (i.e., touching first the stimulus designated as first) resulted in that stimulus appearing near the top of the screen in its correct sequential position (left to right), and remaining there until the end of the trial. Incorrect responses (i.e., touching a stimulus out of sequence) terminated the trial. New trials displayed either the same sequence as the one on which an error had occurred (same-order correction procedure), or a new random sequence (new-order correction procedure). Whenever all responses occurred in the correct sequence, the next trial displayed a new random sequence. Each phase ended when five consecutive correct response sequences occurred. Initially, the same-order correction procedure increased control by the position as well as by the shape of the stimuli; also, it produced more errors, more total trials, more trials to mastery, and more individual patterns of reacquisition than were produced by the new-order procedure.     

Evidence for a general category of oblique orientations in four-month-old infants

Recent work on orientation perception and memory in infants suggest that oblique stimulus orientations are treated as members of a category. The two studies in this report support this hypothesis and extend previous findings by demonstrating that this category includes obliques on either side of vertical even when infants are previously exposed to obliques on only one side.