‘It's as if PBC didn’t exist’: The illness experience of women affected by primary biliary cirrhosis

This study investigates the illness experience of women who are affected by primary biliary cirrhosis (PBC), a rare chronic liver disease which mostly affects women. Despite the fact that PBC is medically recognised, it shares many characteristics with other chronic and controversial conditions which may lead to delegitimation of the patient's experience of illness, impacting on the construction of the patient's self-identity. Twenty three women took part in semi-structured interviews. Data were analysed using interpretative phenomenological analysis and the analysis identified three themes that are interrelated and characterised by a dynamic of normalisation. The first theme, the delegitimation of women's experience, implies denial of patients’ sick-role, trivialisation of fatigue and lack of consideration of patients’ needs. The second theme, PBC as a challenge to women's social identity refers to how patients face delegitimation and manage the illness's consequences for relationships and social roles. The third theme, the need for biographical continuity, focuses on how patients construct their ill identities as a consequence of both the delegitimation and the challenges posed by PBC. Results are discussed in a gender perspective, highlighting how delegitimation and identity construction processes are influenced by women's social roles and conditions.     

Prejudice expectations moderate preconscious attention to cues that are threatening to social identity

Two studies examined whether chronic and situational expectations about being stigmatized predict attention toward cues that are threatening to social identity. In Study 1, women's chronic expectations about experiencing sexism were positively associated with their attention toward subliminal cues threatening to their social identity. In Study 2, women were vigilant toward subliminal cues threatening to their social identity when the experimental situation conveyed that their gender was devalued, but not when the experimental situation promoted value and respect for their gender. Women were vigilant toward consciously presented cues threatening to their social identity regardless of the attitudes the experimental context conveyed toward their group. These studies have important theoretical and practical implications for understanding the psychological experience of possessing a devalued social identity.     

Depression in Women with Heart Disease: The Importance of Social Role Performance and Spirituality

Compared with men, women are more likely to experience depression, and depression increases risk of morbidity and mortality in individuals with heart disease. Psychosocial interventions have been developed for depressed patients with heart disease; however, women's experience of chronic disease differs from men's and women may benefit from interventions tailored to address their difficulties. Spirituality and social roles have been related to depressive symptoms in other populations. To identify the relationship between depression and spirituality and social role performance (i.e., role concerns, role rewards and confidence in ability to fulfill roles) in women with heart disease, we assessed depressive symptoms, spirituality, social role functioning and medical history in 125 women with heart disease. After controlling for age and severity of medical conditions, spirituality, role confidence and role concerns were significantly associated with depressive symptoms. Consideration of spirituality and aspects of social role performance may be important when developing psychosocial interventions for depressed women with heart disease.     

"I Know Just How You Feel": The Validity of Healthy Women's Perceptions of Breast-Cancer Patients Receiving Treatment

The accuracy of healthy women's perceptions of how breast-cancer patients cope with treatment was assessed in this study. Standardized questionnaires measuring distress, coping, and illness perceptions were completed by 78 women undergoing postsurgical treatment for primary breast cancer. The patients' responses were then compared with assessments made by a matched community sample. The results showed a marked incongruity between healthy women's perceptions and actual patients' experiences of the disease and its treatment. Community women overestimated patients' distress, perceived the consequences of breast cancer to be more severe, and were more likely to believe that patients used denial and disengagement strategies. The discrepancy in findings has implications for the appropriateness of the support offered to patients by healthy women.     

SOCIAL CLASS, SOCIAL CHANGE, AND GENDER

This article explores the implications of social class background in the lives of women who attended Radcliffe College in the late 1940s and in the early 1960s. Viewing social classes as "cultures" with implications for how individuals understand their worlds, we examined social class background and cohort differences in women's experiences at Radcliffe, their adult life patterns, their constructions of women's roles, and the influence of the women's movement in their lives. Results indicated that women from working-class backgrounds in both cohorts felt alienated at Radcliffe. Cohort differences, across social class, reflected broad social changes in women's roles in terms of the rates of divorce, childbearing, level of education, and career activity. There were few social class-specific social changes, but there were a number of social class differences among the women in the Class of 1964. These differences suggested that women from working-class backgrounds viewed women's marital role with some suspicion, whereas women from middle- and upper-class backgrounds had a more positive view. Perhaps for this reason, working-class women reported that the women's movement confirmed and supported their skeptical view of middle-class gender norms.     

“Victims” Versus “Righteous Victims”: The Rhetorical Construction of Social Categories in Historical Dialogue Among Israeli and Palestinian Youth

Informed by social identity theory and a rhetorical approach to the study of social category construction in social interaction, this study analyzed the nature and function of participant utterances in two conditions of intergroup dialogue about history between Israelis and Palestinians. Across conditions that sought to either emphasize recategorization into a common in‐group identity or subcategorization into mutually differentiated identities, Palestinian and Arab Israeli utterances primarily reflected the theme of victimization, while Jewish Israeli utterances primarily reflected themes of justification and victimization. The way in which these utterances produced social competition for victim and perpetrator roles and reproduced master historical narratives of Palestinian victimization versus Jewish Israeli “righteous” victimization is illustrated. Findings are discussed in terms of the role of narrative and rhetoric about social categories in settings of intractable political conflict, and implications for dialogue‐based intervention about history are addressed.     

社会支持对慢性病患者身心健康的影响

慢性疾病已经成为威胁现代人健康的头号问题。社会支持作为影响人们身心健康的重要因素,在减轻疾病压力、帮助人们应对压力以及减少心理不适、增进身体健康等方面发挥着重要的作用。从社会网络理论的视角,考察社会支持对慢性病患者身心健康的影响,提出相应的社会支持对策。     

Do unto others as others have done unto you?: Perceiving sexism influences women's evaluations of stigmatized racial groups

The present research examines how making discrimination salient influences stigmatized group members' evaluations of other stigmatized groups. Specifically, three studies examine how salient sexism affects women's attitudes toward racial minorities. White women primed with sexism expressed more pro-White (relative to Black and Latino) self-report (Studies 1 and 3) and automatic (Study 2) intergroup bias, compared with White women who were not primed with sexism. Furthermore, group affirmation reduced the pro-White/antiminority bias White women expressed after exposure to sexism (Study 3), suggesting the mediating role of social identity threat. Overall, the results suggest that making discrimination salient triggers social identity threat, rather than a sense of common disadvantage, among stigmatized group members, leading to the derogation of other stigmatized groups. Implications for relations among members of different stigmatized groups are discussed.     

Women's health. Review and research agenda as we approach the 21st century

This article reviews past research and projects future research directions regarding women's health. Sex differences in mortality and morbidity, along with evidence that the quality and quantity of these differences are changing, are examined. Over the past decade, concurrent with dramatic changes in lifestyle and social roles for women, mortality rates have shifted, resulting in a decreasing advantage for women. Explaining the consequences of these dynamic changes requires understanding the health effects of such variables as perceived control, the experience of life roles, perceived and actual social support, and redefinition of gender roles. The future portends additional changes that will significantly affect women's health. In establishing an explicit psychological research agenda on women's health, (a) general recommendations for research are provided and (b) important issues that have not yet received a great deal of research attention (e.g., women and AIDS, psychopharmacology, reproductive technologies) are highlighted. This article expands the current discourse in health psychology and raises a number of issues for serious consideration.     

Feminist Challenges to the Social Structure and Sex Roles

A social-psychological and historical context for understanding con-temporary sex roles, fertility, parenting, and the family is provided by reviewing origins and objectives of the Women's Movement. Feminist efforts to change social structures affecting women's choice of roles and fertility require continued attention. Increased voluntary childlessness seriously challenges the concept of motherhood as central to adult feminine identity and legitimization of choice in whether or not to become a parent provides a new context for studying women, sex roles, fertility, and their complex relationships to the social structure. Continued challenges to premises, methodologies, and conclusions of such research are urged.     

College Women��s Feminist Identity: A Multidimensional Analysis with Implications for Coping with Sexism

This study examined components of women's feminist identity and possible relations to their reported coping responses to sexism. A sample of 169 undergraduate women (M?=?19.4?y, SD?=?1.2) from diverse ethnic backgrounds completed surveys assessing their experiences and gender-related views. The first set of analyses revealed that women's social gender identity, exposure to feminism, and gender-egalitarian attitudes independently contributed to feminist identification; moreover, non-stereotyping of feminists further predicted feminist self-identification. A second set of analyses tested the relative contribution of feminist identity components to women's cognitive appraisals of coping responses to sexual harassment. Seeking social support was predicted by self-identification as a feminist (for White European American women only). Confronting was predicted by social gender identity, non-stereotyping of feminists, and public identification as a feminist. Findings highlight possible components of women's feminist identity and their possible impact on coping responses to sexism.     

Clearing the air: identity safety moderates the effects of stereotype threat on women's leadership aspirations

Exposing participants to gender-stereotypic TV commercials designed to elicit the female stereotype, the present research explored whether vulnerability to stereotype threat could persuade women to avoid leadership roles in favor of nonthreatening subordinate roles. Study 1 confirmed that exposure to the stereotypic commercials undermined women's aspirations on a subsequent leadership task. Study 2 established that varying the identity safety of the leadership task moderated whether activation of the female stereotype mediated the effect of the commercials on women's aspirations. Creating an identity-safe environment eliminated vulnerability to stereotype threat despite exposure to threatening situational cues that primed stigmatized social identities and their corresponding stereotypes.     

Denying Diversity: Perceptions of Beauty and Social Comparison Processes Among Latina,Black, and White Women

The purpose of this study was to investigate Latina, Black, and White women's conceptions of beauty and perceptions of cultural standards of beauty, as well as whether or not the participants were engaging in similar social comparison processes, specifically, the denial of personal disadvantage. One hundred and fifty-seven college women participated: 48 Latinas, 52 Black women, 51 White women, and 6 Others. Results indicate that there are significant differences in Latinas', Black women's, and White women's relationships with their bodies, and their relationships to dominant cultural standards of beauty. In addition, there were differences by race in the tendency to engage in the denial of personal disadvantage response. These findings contribute to the understanding of how racial identity affects, or interacts with, the experience of beauty standards among Latina, Black, and White women.     

WOMEN, WORK, AND FAMILY

This essay reviews and synthesizes Jessie Bernard's writings on women, work, and family. Bernard's conceptualization of "two worlds"—one of women and one of men—provides the organizing theme, from which three major issues are derived: (a) the dilemmas of caring, (b) the feminization of work, and (c) work and family roles over the life course. Examining her historical perspective on these issues, her view of the present, and her vision of the future, the article raises unanswered questions in Bernard's work and suggests implications for future research on women's work and family roles.     

THE MIDDLE AGES: CHANGE IN WOMEN'S PERSONALITIES AND SOCIAL ROLES

It has been argued that the predominant focus of midlife personality development is generativity; other research has found that social roles influence both its onset and its expression. In this article, we examine women's midlife personality development and its relationship to career and family commitments. Results for a sample of 90 women indicated that commitment to particular social projects in early midlife was associated with different patterns of identity, intimacy, and generativity levels at age 62. In addition, women who added social projects to existing projects during adulthood expressed similar levels of identity, intimacy, and generativity at age 62 as women whose social project commitments had stayed the same. For smaller subsamples of women in the study, longitudinal analyses assessed changes in personality development within middle age as well as the relationship between personality and the maintenance or addition of social projects. These results highlight important variation among women who followed different adult life paths.     

Work and psychiatric illness in Aotearoa/New Zealand: implications for career practice

ABSTRACT

This paper aims to examine the influence of Māori culture upon psychiatric service provision in Aotearoa/New Zealand and the implications of this for career counselling of people with experience of mental illness in Aotearoa/New Zealand. The research explored the experiences of a group of women in Aotearoa/New Zealand who have been diagnosed with a psychiatric illness, with the aim of gaining some understanding about how they negotiate issues around diagnosis, recovery and resilience development and employment. The women interviewed for the study ranged in age from 17 to late 60s. They displayed academic ability ranging from literacy issues to postdoctoral experience. Their psychiatric illnesses ranged from single episodes to chronic lifetime conditions and from depression to psychotic bi-polar disorder. Their occupations ranged from unemployed status to an acting CEO. All but one of the women identified as Pākehā/tauiwi. One woman had Māori heritage but had been adopted at birth by Pākehā adoptive parents and had no knowledge of her Māori whakapapa [genealogy; descent lines; ancestry] until later in her adult life. The key idea that emerged was the importance of mentors in vocational settings, and the helpfulness of Māori-focused group and family wellness models for renegotiating vocational identity when suffering from a psychiatric illness. Implications for career practitioners are discussed.     

The Effects of Social Roles and Personality Motives on Autobiographical Memory

In the present study we examined how agentic and communal social roles and personality motives were related to the quality (including emotions and agentic and communal themes) and cognitive structure (differentiation and integration) of women's autobiographical memories. One hundred twenty-seven college-aged women were asked to describe a personal memory after being randomly assigned to either agentic or communal task conditions. In the agentic task condition, participants completed a creative building task alone, and in the communal task condition, participants completed the same task with a confederate. Personality motives were measured by both explicit (self-report) and implicit (TAT stories) measures. Following the task, participants wrote about an autobiographical experience in which they were in either agentic or communal social roles. Linear multiple regression analyses indicated that participating in an agentic task, as compared to a communal task, was related to the inclusion of fewer agentic themes as well as to a higher frequency of shame and anger words in autobiographical memories. Congruence between social roles and implicit personality motives (e.g., an agentic task assignment and high agentic motives) yielded less negatively laden autobiographical memories than incongruence between social roles and personality motives (e.g., an agentic task assignment and high communal motives). Furthermore, participants who scored high on both explicit agentic and communal motives included more positive emotion words in their memories than did other groups.     

Être mère dans la famille recomposée : défis de la conciliation des rôles de belle-mère et de mère biologique

This study examines issues related to occupying both the role of stepmother and biological mother in a stepfamily. A sample of twelve participants was interviewed. The central theme of the interviews concerned the psychological state of the women as they tried to reconcile their biological maternity with their role as a stepmother. A qualitative analysis of the interviews enabled us to propose three themes emerging from their experience: a) a comparison of their different parental roles in the stepfamily; b) the issues related to managing stepfamily dynamics; c) the challenges linked to the development of a family identity.     

Contextual Variations in Young Women's Gender Identity Negotiations

This article explores young women's strategies for seeking personal power and resisting gender-based stereotypes in a wealthy, suburban, White community and a working-class, urban, community of color. Semi-structured interviews with 27 young women were used to examine contextual variations in these gender identity negotiation processes. Both groups of young women were acutely aware of women's subordinate social and cultural position and this awareness contributed to some negative feelings about being female. However, their strategies for locating strength in their identities varied by social contexts. Moreover, the two groups of young women encountered distinct sets of stereotypes in their respective communities. Forms of resistance to these stereotypes led to significantly different behavior patterns. These comparisons build a richer theoretical understanding of the contextual dimensions of young women's gender identity negotiations.     

Co-morbid pain conditions and feelings of invalidation and isolation among women with vulvodynia

Many women with vulvodynia also suffer from other chronic co-morbid pain conditions. Alone, these pain conditions are associated with feeling invalidated by others and feeling socially isolated. It is unclear, however, how the presence of additional pain co-morbidities are associated with the psychosocial wellbeing of women with vulvodynia. We used data from a survey administered by the National Vulvodynia Association. Women reported clinician-diagnosed vulvodynia, presence of co-morbid pain, and how often they felt that they felt no one believed their pain existed (invalidated) and isolated. Analyses determined prevalence of feeling invalidated or isolated, and the difference in prevalence when co-morbidities existed. Forty-five percent of these 1847 women with vulvodynia reported having at least one of the following five chronic pain conditions, chronic fatigue syndrome, endometriosis, fibromyalgia, interstitial cystitis, or irritable bowel syndrome. Adjusted baseline prevalence among all women of feeling invalidated was 9% and of feeling isolated was 14%. Having a co-morbid condition with vulvodynia, as well as having an increasing number of co-morbid conditions with vulvodynia, was significantly associated with the presence of feeling both invalidated and isolated. Chronic fatigue syndrome was the co-morbidity most strongly associated with feelings invalidation and isolation. One or more co-morbid pain conditions in addition to vulvodynia were significantly associated with psychosocial wellbeing. However, the temporality of the association could not be elucidated and therefore we cannot conclude that these pain conditions cause poor psychosocial wellbeing. Despite this, future studies should explore the utility of promoting validation of women's pain conditions and reducing social isolation for women with chronic pain.