Intersecting cultural identities and help-seeking attitudes: the role of religious commitment,gender, and self-stigma of seeking help

ABSTRACT

The current study (N?=?404) used a moderated moderation model to examine how gender, religious commitment, and self-stigma toward seeking psychological help may interact in the prediction of help-seeking attitudes. Bivariate zero-order correlations indicated that help-seeking attitudes was negatively associated with self-stigma of seeking help (r?=??.55) and positively associated with religious commitment (r?=?.14), and self-stigma was not significantly associated with religious commitment. Men reported more negative attitudes than women (ΔM?=??.18). Furthermore, multiple regression results revealed a three-way interaction such that the relationship between gender and help-seeking attitudes was moderated by both self-stigma and religious commitment. Specifically, men with high religious commitment and high self-stigma endorsed the most negative help-seeking attitudes, suggesting that religious men’s help-seeking attitudes may be particularly susceptible to the influence of self-stigma. Implications for research and the development of targeted interventions are discussed.     

Examining Racial Identity and Masculinity as Correlates of Self‐Esteem and Psychological Distress in Black Men

Data presented for 124 young adult Black men indicate that self‐esteem was positively related to participants' Internalization racial identity attitudes, and negatively related to conformity to traditional masculine norms in the dominant culture in the United States. Psychological distress was positively related to Pre‐Encounter and Immersion‐Emersion racial identity attitudes (J. E. Helms, 1995) and to conformity to masculine norms. Los datos se presentan para 124 jovenes adultos Negros, que indican que el autoestima fue relacionado positivamente a la Interiorización actitudes de la identidad racial, y negativamente relacionado a la conformidad a normas masculinas tradicionales en la cultura dominante en los Estados Unidos. La angustia psicológica fue relacionada positivamente al Pre‐Encounter y el Immersion‐Emersion actitudes de la identidad racial (J. E. Helms, 1995), y a la conformidad a las normas masculinas.     

Correlates of African American Men’s Sexual Schemas

Sexual schemas are cognitive representations of oneself as a sexual being and aid in the processing of sexually relevant information. We examined the relationship between sociosexuality (attitudes about casual sex), masculine ideology (attitudes toward traditional men and male roles), and cultural centrality (strength of identity with racial group) as significant psychosocial and sociocultural predictors in shaping young, heterosexual African American men??s sexual schemas. A community sample (n?=?133) of men in a southeastern city of the United States completed quantitative self-report measures examining their attitudes and behavior related to casual sex, beliefs about masculinity, racial and cultural identity, and self-views of various sexual aspects of themselves. Results indicated that masculine ideology and cultural centrality were both positively related to men??s sexual schemas. Cultural centrality explained 12?% of the variance in level of sexual schema, and had the strongest correlation of the predictor variables with sexual schema (r?=?.36). The need for more attention to the bidirectional relationships between masculinity, racial/cultural identity, and sexual schemas in prevention, intervention, and public health efforts for African American men is discussed.     

Role of fresh start mindset framing in reducing stigma and promoting mental health help-seeking behavior

One challenge in promoting mental health help-seeking behaviors is the masculine norm ingrained in the U.S. Using experimental data, this article examines how fresh start mindset (FSM) framing can be effective in helping reduce the stigma associated with mental health help-seeking behaviors and increase the promotion of positive attitudes and word-of-mouth of the mental health messages among men (vs. women). This study uniquely reveals that FSM framing in mental health ad campaigns might help men switch from the mindset that mental health help-seeking behaviors equate to showing weakness to one of help-seeking behaviors as a fresh start. Further, this study demonstrates that males with high issue involvement levels and females with low issue involvement levels respond to FSM framing more favorably. Thus, issue involvement levels form the critical boundary conditions. The authors also reveal that attitudes toward the ads operate as an underlying mechanism in FSM framing effects on responses.     

A latent class regression analysis of men's conformity to masculine norms and psychological distress

How are specific dimensions of masculinity related to psychological distress in specific groups of men? To address this question, the authors used latent class regression to assess the optimal number of latent classes that explained differential relationships between conformity to masculine norms and psychological distress in a racially diverse sample of 223 men. The authors identified a 2-class solution. Both latent classes demonstrated very different associations between conformity to masculine norms and psychological distress. In Class 1 (labeled risk avoiders; n = 133), conformity to the masculine norm of risk-taking was negatively related to psychological distress. In Class 2 (labeled detached risk-takers; n = 90), conformity to the masculine norms of playboy, self-reliance, and risk-taking was positively related to psychological distress, whereas conformity to the masculine norm of violence was negatively related to psychological distress. A post hoc analysis revealed that younger men and Asian American men (compared with Latino and White American men) had significantly greater odds of being in Class 2 versus Class 1. The implications of these findings for future research and clinical practice are examined.     

Stigma in help-seeking: the case of adolescents

Stigma associated with seeking help has been found to be a key help-seeking barrier, however its role is less clear for: (a) adolescents, (b) groups outside the United States and (c) different types of therapy. This study addresses these omissions by examining the relationships between perceptions of public stigma of mental illness and the self-stigma of seeking help, and how they are related to help-seeking attitudes and intentions for both individual and group therapy among adolescents in Israel (N?=?238). Path analysis confirmed that self-stigma of seeking help was negatively related to attitudes towards psychological help which was then positively related to intentions to seek help, across both individual and group therapy. Consistent with the only other study conducted in Israel, but contrasting research from other parts of the world, the relationship between perceptions of public stigma of mental illness and self-stigma of seeking help was not present for either individual or group therapy. However, perceptions of public stigma of mental illness were a direct negative predictor of help-seeking attitudes for group therapy. Overall, participants reported more negative perceptions of group therapy than individual therapy. These results have implications for future interventions to increase help-seeking behaviours for adolescents.     

Do Extenuating Circumstances Influence African American Women's Attitudes Toward Suicide?

African American women commit suicide less than other U.S. women and men, perhaps partly due to strong, anti-suicide attitudes. To see if suicide attitudes might be softened by extenuating circumstances such as terminal illness, 192 African American and European American women imagined themselves in one of four extenuating circumstances, then completed measures of suicide acceptability and religiosity. Both ethnic groups reported a greater likelihood of suicide when imagining depression, regardless of religiosity. Religiosity, but not extenuating circumstances, corresponded with negative attitudes toward suicide and physician assisted suicide. These African American and European American young women remained steadfastly against suicide, regardless of circumstance.     

Understanding the Behavioral Determinants of Mental Health Service Use by Urban, Under-Resourced Black Youth: Adolescent and Caregiver Perspectives

Black adolescents with mental health problems are less likely than non-Black adolescents with mental health problems to receive treatment, primarily for non-financial reasons including negative perceptions of services and providers, and self-stigma associated with experiencing mental health problems. To better understand these obstacles, 16 adolescents and 11 caregivers, recruited from two K-8th grade elementary-middle schools, participated in four focus groups guided by the unified theory of behavior to explore mental health help-seeking behaviors and perceptions of mental health services. In the focus groups, caregivers acknowledged more positive attitudes about seeking mental health services than adolescents, but both expected the experience of actually doing so to be negative. Adolescents and caregivers also acknowledged social norms that inhibit their mental health help-seeking. Therefore, we conclude that interventions targeting expectancies and social norms might increase the connection of urban, under-resourced Black adolescents and their families to mental health services, and be particularly important given the long-term consequences of untreated mental health problems for this group.     

The Impact of Self-Components on Attitudes Toward Sex Among African American Preadolescent Girls: The Moderating Role of Menarche

The purpose of this study was to identify the protective factors that help to prevent attitudes that are tolerant of risky sexual behavior among inner-city, African American, preadolescent girls. It was hypothesized that aspects of the self would significantly predict attitudes toward sexual behavior among this population. It was also expected that the predictive power of the self-components (i.e., ethnic identity, self-concept, and masculine and feminine gender role orientation) would be increased in African American girls following menarche. Two hundred and five African American, preadolescent girls from a northeastern, inner-city community participated in this study. The age for this sample ranged from 10 to 13. Findings of this study lend partial support to the hypotheses. Examination of the predictive relationship between the self-components and attitudes toward sex indicated that self-concept and the masculine and feminine gender role characteristics were significant predictors of attitudes toward sex. In addition, the impact of ethnic identity on functioning was found to be most significant for girls who had experienced menarche.     

Religiosity and Attitudes Toward Lesbians and Gay Men: A Meta-Analysis

Meta-analysis was used to examine the relationships between seven forms of religiosity (fundamentalism; frequency of attendance at religious services; endorsement of Christian orthodoxy; self-ratings of religiosity; and intrinsic, extrinsic, and quest orientations) and attitudes toward lesbians and gay men. All forms of religiosity except quest and extrinsic orientation had at least small negative relationships with these attitudes. Higher quest orientation was related to positive attitudes toward lesbians and gay men and extrinsic orientation had no relationship to these attitudes. In contrast, most forms of religiosity had small relationships with positive racial/ethnic attitudes; the exceptions were fundamentalism and extrinsic orientation, which had small negative relationships with racial/ethnic attitudes. A number of moderator variables of the relationship between religiosity and attitudes toward lesbians and gay men were identified.     

Cultural, contextual, and intrapersonal predictors of risky sexual attitudes among urban African American girls in early adolescence

The role of cultural factors in explaining sexual attitudes among African American urban girls, aged 10-13 years, was investigated in this study. The authors predicted that girls with higher school interest, family cohesion, religiosity, and behavioral self-esteem would endorse less risky sexual attitudes. Also, older girls were expected to have more risky sexual attitudes than younger girls, and girls from 1- rather than 2-parent households were expected to have more risky sexual attitudes. The authors hypothesized that ethnic identity and gender role orientations would contribute to explaining variability in sexual attitudes after controlling for contextual and intrapersonal variables. A questionnaire containing measures of the study constructs was administered to 214 girls who were participants in a substance abuse prevention program. Pretest data were used in analyses. A final regression model accounted for 23% of the variance in sexual attitudes. Age and behavioral self-esteem were significant predictors, with younger teens and teens with higher behavioral self-esteem having less risky sexual attitudes. Cultural variables contributed to explaining variation in sexual attitudes after other variables were controlled for. Higher levels of ethnic identity were associated with less risky sexual attitudes. A masculine gender role orientation was associated with more risky sexual attitudes.     

Male Gender Role Conflict,Depression, and Help Seeking: Do College Men Face Double Jeopardy?

To investigate the previously untested hypothesis that college men with higher levels of male gender role conflict (MGRC) experience both increased risk of depression and more negative attitudes toward seeking counseling services, this study used latent variable modeling to examine these relations. Two components of MGRC were identified: restriction-related MGRC, which predicted 25% of the variance in help-seeking attitudes, and achievement-relatedMGRC, which predicted 21% of the variance in depression. It is suggested that outreach programs designed to increase college men's willingness to use counseling services attempt to counter the option-limiting aspects of male gender roles, whereas counseling with depressed college men incorporate an examination of their perceptions of success and achievement.     

Aggression Toward Gay Men as Gender Role Enforcement: Effects of Male Role Norms, Sexual Prejudice, and Masculine Gender Role Stress

ABSTRACT This study examined sexual prejudice and masculine gender role stress as mediators of the relations between male gender norms and anger and aggression toward gay men. Participants were 150 self-identified heterosexual men who completed measures of adherence to male gender role norms, sexual prejudice, masculine gender role stress, and state anger. Participants then viewed a video depicting intimate relationship behavior between 2 gay men, reported state anger a second time, and competed in a laboratory aggression task against either a heterosexual or a gay male. Results indicated that adherence to the antifemininity norm exerted an indirect effect, primarily through sexual prejudice, on increases in anger. Adherence to the status and antifemininity norms exerted indirect effects, also through sexual prejudice, on physical aggression toward the gay, but not the heterosexual, male. Findings provide the first multivariate evidence for determinants of aggression toward gay men motivated by gender role enforcement.     

Differences in African American and White Women’s Attitudes Toward Lesbians and Gay Men

The aim of the present study was to examine racial differences in women’s attitudes toward lesbians and gay men and to offer an understanding of these differences. Participants were 224 18–30 year old heterosexual African American (64%) and White (36%) female undergraduates from a large urban university in the southeastern United States. Participants completed measures of social demographics, sexual orientation, and sexual prejudice. Results showed that African American, relative to White, women endorsed more negative attitudes toward lesbians and gay men. Also, unlike White women, African American women reported more negative attitudes toward gay men than lesbians. Implications are discussed regarding differences in cultural contexts that exist between African American and White women.     

Thinking about Mutual Influences and Connections across Cultures Relates to More Positive Intergroup Attitudes: An Examination of Polyculturalism

Polyculturalism is an ideology focusing on the many ways that racial and ethnic groups have interacted, exchanged ideas, and influenced each other's cultures throughout history and into the present. In this paper, we first briefly review the introduction of and research on polyculturalism by historians. Then we summarize numerous studies with racially and ethnic diverse college students and adult community members in the United States, which have found that greater endorsement of polyculturalism is significantly associated with more positive racial/ethnic intergroup attitudes (less support for social inequality, greater interest in, appreciation for, and comfort with diversity and differences, greater interest in intergroup contact, and greater support for liberal immigration and affirmative action policies) and lower sexual prejudice (lower affective prejudice toward gay men and lesbians, traditional heterosexism, and denial of discrimination against homosexuals, and more positive attitudes toward gay men and lesbians). We conclude by discussing several future directions of this work.     

Sexual Desire and Depression Following Spinal Cord Injury: Masculine Sexual Prowess as a Moderator

Men’s adherence to masculine norms stressing sexual prowess may contribute to their adjustment to changes in sexual functioning following spinal cord injury. The authors test this hypothesis by examining the moderating role of men’s conformity to gender norms for sexual prowess on the relationship between sexual desire and depression. One hundred and sixteen male citizens of the United States with spinal cord injuries were recruited for participation in the internet-based survey. Results indicated that participants with strong sexual desire evinced higher rates of depression when they conformed to masculine norms emphasizing sexual prowess. Men with little reported sexual desire, by contrast, demonstrated lower rates of depression when they endorsed norms for prowess. Directions for future research and treatment interventions are offered.     

Athletic Identity and Conformity to Masculine Norms Among College Football Players

Sport represent an influential institution of masculinity socialization that impacts the psychosocial development of many men in American society. In order to examine this dynamic, we investigated conformity to masculine norms among 523 college football players. Results indicated that participants’ conformity to traditional masculine norms was influenced by year in school, on-field position played, and athletic identity. Results of this interdisciplinary endeavor between the fields of sport psychology and the psychological study of men and masculinity can assist sport psychologists in designing interventions to help football players better understand messages of masculinity conveyed within the unique socialization context of football.     

Predictors of the change in self-stigma following a single session of group counseling

One of the major obstacles to seeking psychological help is the stigma associated with counseling and therapy. Self-stigma, the fear of losing self-respect or self-esteem as a result of seeking help, is an important factor in the help-seeking process. In the present study, college students meeting a clinical cutoff for psychological symptoms participated in 1 session of group counseling that either contained therapist self-disclosure or did not. In general, participants reported significantly less self-stigma following the session. Working alliance-bond and session depth significantly predicted the change in self-stigma. Furthermore, self-stigma (as well as bond, depth, psychological symptoms, and being female) predicted the intention to seek help following the session. Self-stigma and session depth also predicted interest in continuing with counseling. The therapist self-disclosure condition, however, had no effect on the change in self-stigma, intentions to seek help, or interest in continuing with group counseling.     

What's Gender Got To Do With It: Perceptions of Sexual Coercion in a University Community

This study examines gender differences in attitudes toward sexual coercion among collegians (n =325: 89.0% Caucasian, 6.8% Afican-American, 3.0% Asian,1.0% Hispanic, and .2% Native American) at a state-supported, midwestern university. Undergraduates (64.0% female and 36.0% male) were queried about the degree of their support for the use of sexual coercion across a range of dating-type encounters which varied by relational familiarity and sexual intensity.Their attitudes toward appearance as a sexual cue and traditional versus non-traditonal gender role orientations were also examined in relationship to these scenerios. The results indicate significant gender differences in attitudes regarding the use of sexual coercion in dating encounters across all situations, and in the interpretation of sexual cues in the context of interpersonal interactions. Gender differences were also found in gender role orientations.However, while the results provide support for the contribution of gender to attitudes toward sexual coercion, they also indicate that sexual semitotics and gender role orientations qualify that relationship; both variables are significant predictors of attitudes toward sexual coercion. The results are discussed in terms of the evidence provided for the role of interpretive schemas in the construction of attitudes toward sexual coercion for both men and women.     

Ethnicity and Gender Stereotypes of Emotion

In three studies we investigated gender stereotypes of emotions among four ethnic groups in the U.S., using persons from these groups as informants about their own groups. European Americans’ reports of stereotypes were compared to those of African Americans (Study 1), Hispanic Americans (Study 2), and Asian Americans (Study 3). The examination of group differences was interpreted based on variations across ethnicities in norms concerning emotional expression and gender roles. Overall, gender stereotypes of emotion were evident among all ethnic groups studied, but European Americans’ gender stereotypes were the most gender differentiated. For example, European American stereotypes held that men express more pride than women do, but African Americans’ stereotypes of pride for men and women did not differ. Similarly, whereas among European Americans, women were stereotyped to express much more love than men do, the gender difference was smaller among Hispanic Americans and Asian Americans. These different norms may pose challenges for inter-cultural interactions, and they point to the importance of considering both gender and ethnicity simultaneously in the study of emotions.