Feeling grateful to God: A qualitative inquiry

There is an expanding literature on the psychological and relationship effects of positive disclosure, whereby people who disclose about good things that happen to them benefit from this disclosure. Extending this research, we focused on what people identify as positive information about themselves and why they disclose this content to others. College students (190 men and 219 women) described what they considered to be a positive experience, feeling, or private aspect of themselves and whether or not they had disclosed this information to close others (mother, father, same-sex friend, and dating/intimate partner). They also described their reasons for disclosing and/or not disclosing to these relationship targets. Based on participants’ open-ended responses, we constructed taxonomies of positive information about the self and the reasons for and against disclosing this content. The research documents how different relationship contexts affect the disclosure of positive information and the reasons for these disclosure decisions.     

Disclosing Sexual Assault Within Social Networks: A Mixed‐Method Investigation

Most survivors of sexual assault disclose their experiences within their social networks, and these disclosure decisions can have important implications for their entry into formal systems and well‐being, but no research has directly examined these networks as a strategy to understand disclosure decisions. Using a mixed‐method approach that combined survey data, social network analysis, and interview data, we investigate whom, among potential informal responders in the social networks of college students who have experienced sexual assault, survivors contact regarding their assault, and how survivors narrate the role of networks in their decisions about whom to contact. Quantitative results suggest that characteristics of survivors, their social networks, and members of these networks are associated with disclosure decisions. Using data from social network analysis, we identified that survivors tended to disclose to a smaller proportion of their network when many network members had relationships with each other or when the network had more subgroups. Our qualitative analysis helps to contextualize these findings.     

Empirical Support for the United States Supreme Court's Protection of the Psychotherapist-Patient Privilege

This study explored relations between willingness to disclose in 5 psychotherapy scenarios and 2 independent variables (privilege condition and previous therapy experience). Scenarios involved suicidal, gravely disabled, physically abusive, and sexually abusive patients, and a police officer patient who shot a suspect. For each of the 5 scenarios, participants in the privilege condition had significantly higher willingness-to-disclose scores than participants in the no-privilege condition. There were no significant differences between willingness-to-disclose scores of participants with and without therapy experience; neither was there a significant interaction between privilege condition and therapy experience. Privilege condition was more predictive of willingness to disclose than personal characteristics or therapy experience. Results provide empirical support for the U.S. Supreme Court's recognition of the psychotherapist-patient privilege in Jaffee v. Redmond (1996).     

Characteristics of secrets and the frequency,reasons and effects of secrets keeping and disclosure

This longitudinal study examines secrets keeping and disclosure. College students filled in two questionnaires, with a 4 months time span in between. Their psychological and physical wellbeing was investigated, together with self‐esteem, the topic and some characteristics of their most important secret (if they had a secret), reasons for having the secret, to whom they confide the secret, how they felt about confiding, and whether they thought that their behaviour would reveal that they kept a secret when they talked with someone who is not aware of their secret. The findings showed that total secrecy was rare, and that most secret‐holders had informed at least one other person about their secret. Moreover, the findings challenge the view that secrets keeping has negative effects on secret‐holders. Results revealed some negative effects, but only when the secret was serious. No positive effects were found for secrets disclosure. Secret‐holders confided information to those with whom they felt emotionally close; were more reluctant to confide when they kept the secret to avoid disapproval, and more likely to confide when they believed that others would find out about their secrets by paying attention to their (secret‐holders) behaviour. Copyright © 2002 John Wiley & Sons, Ltd.     

Empirical support for the United States Supreme Court's protection of the psychotherapist-patient privilege

This study explored relations between willingness to disclose in 5 psychotherapy scenarios and 2 independent variables (privilege condition and previous therapy experience). Scenarios involved suicidal, gravely disabled, physically abusive, and sexually abusive patients, and a police officer patient who shot a suspect. For each of the 5 scenarios, participants in the privilege condition had significantly higher willingness-to-disclose scores than participants in the non-privilege condition. There were no significant differences between willingness-to-disclose scores of participants with and without therapy experience; neither was there a significant interaction between privilege condition and therapy experience. Privilege condition was more predictive of willingness to disclose than personal characteristics or therapy experience. Results provide empirical support for the U.S. Supreme Court's recognition of the psychotherapist-patient privilege in Jaffee v. Redmond (1996).     

The Psychological Impact of Prenatal Diagnosis and Disclosure of Susceptibility Loci: First Impressions of Parents’ Experiences

Genomic microarray may detect susceptibility loci (SL) for neurodevelopmental disorders such as autism and epilepsy, with a yet unquantifiable risk for the fetus. The prenatal disclosure of susceptibility loci is a topic of much debate. Many health care professionals fear that reporting susceptibility loci may put a psychological burden on pregnant couples. It is our policy to disclose prenatal susceptibility loci as we recognize them as actionable for prospective parents. The aim of this report was to evaluate the psychological impact of disclosing a prenatal diagnosis of susceptibility loci. The psychological impact of disclosing susceptibility loci was evaluated in the first patients who received such results. Eight out of 15 women who had a susceptibility locus disclosed and four of their partners consented to share their experiences through a telephonic evaluation (n?=?12). Follow-up time ranged from 3 to 15 months after their prenatal test result. The reporting of susceptibility loci was initially ‘shocking’ for five parents while the other seven felt ‘worried’. Ten out of 12 participants indicated they would like to be informed about the susceptibility locus again, two were unsure. Most had no enduring worries. Participants unanimously indicated that pregnant couples should have an individualized pre-test choice about susceptibility loci (non)disclosure. We observed no negative psychological impact with the prenatal diagnosis and disclosure of SL on participants. A key factor in mitigating parental anxiety with SL disclosure appears to be post-test genetic counseling. Our report confirms that pregnant women and their partners prefer an individualized choice regarding the scope of prenatal testing.     

The Complexity of Women’s Lives: Decision-making about Maternal HIV Disclosure

HIV/AIDS has reached epidemic levels in Washington, D.C. and mothers living with HIV increasingly have to make difficult decisions about whether or not to disclose their HIV status to their children. Focus groups were conducted with a sample of women (N = 15) living in Washington, D.C. to investigate maternal decision-making about HIV disclosure, the factors that influenced disclosure, challenges to disclosure, and children’s reactions to disclosure. This was a first step towards the larger goal of developing a culturally sensitive disclosure decision-making intervention. Participants were asked to identify elements to include in such an intervention. We also quantitatively examined participants’ psychosocial outcomes of depression, perceived social support, quality of life, and parenting challenges. Our preliminary findings showed that most participants experienced intense emotional distress after receiving an HIV diagnosis and this distress prevented them from disclosing their HIV status to family members and children. Several specific parenting concerns (e.g., age and gender of child, relationship to child, and number of children) influenced their decisions to disclose. All participants reported that HIV related stigma and discrimination as significant disclosure-related challenges. Health providers were not always perceived as being able to support participants in making a decision about whether or not to disclose their HIV status to their children.     

Willingness to express emotion depends upon perceiving partner care

Two studies document that people are more willing to express emotions that reveal vulnerabilities to partners when they perceive those partners to be more communally responsive to them. In Study 1, participants rated the communal strength they thought various partners felt toward them and their own willingness to express happiness, sadness and anxiety to each partner. Individuals who generally perceive high communal strength from their partners were also generally most willing to express emotion to partners. Independently, participants were more willing to express emotion to particular partners whom they perceived felt more communal strength toward them. In Study 2, members of romantic couples independently reported their own felt communal strength toward one another, perceptions of their partners’ felt communal strength toward them, and willingness to express emotions (happiness, sadness, anxiety, disgust, anger, hurt and guilt) to each other. The communal strength partners reported feeling toward the participants predicted the participants’ willingness to express emotion to those partners. This link was mediated by participants’ perceptions of the partner’s communal strength toward them which, itself, was a joint function of accurate perceptions of the communal strength partners had reported feeling toward them and projections of their own felt communal strength for their partners onto those partners.     

Preimplantation Genetic Diagnosis: Understanding What Parents Plan to Tell Their Children About Their Conception

Over 10,000 babies have been born by PGD and PGS worldwide (Simpson, Prenatal Diagnosis 30(7): 682–695 2010). The experience of parents who have undergone this procedure and their children’s well-being are documented, but no research to date has explored whether parents intend to tell their children how they were conceived and whether this raises special issues for them. PGD practitioners recommend research in this area as parents of children born by PGD increasingly ask questions pertaining to disclosure. We conducted 30 in-depth interviews with couples who have had a baby conceived by PGD. We explored what couples plan to tell their children about how they were conceived, when they plan to do this, and issues they anticipate may arise. The couples had a family history of a monogenic disorder or chromosome rearrangement. Six themes emerged which highlight key issues: (1) To tell or not to tell? (2) Primary reason for undergoing PGD, (3) The ideal time to tell, (4) Situations which may warrant earlier disclosure, (5) Words which parents might choose, and (6) Issues which parents anticipate may arise. We conclude that parents are likely to inform their children about PGD because there is an affected sibling or relative about whom they ask questions, and/or their children are carriers of a condition their parents feel obliged to tell them about. Parents felt they would benefit from access to a genetic counsellor at the time of disclosure and are optimistic about the future of reproductive technology for their children.     

The effects of infant simulators on early adolescents

The researchers examined the effects of infant simulators (computerized dolls designed to simulate normal infants) on 236 eighth-grade students. As part of their health and sex education curriculum, students had to provide care--24 hours a day, over several days--to dolls that cried when they "were hungry," "needed a diaper change," or "needed attention." The dolls enabled teachers to evaluate the care given by students. Students kept daily charts and journals, and wrote essays about their experiences. One to two years later, the students were surveyed, along with 461 comparison students who did not have the infant simulator experience. The findings indicated that the doll experience had a significant impact on the students, especially the females. It helped them to learn about the challenges of infant care, and to think of the implications before engaging in sexual intercourse. The comparison group felt less knowledgeable about what it takes to care for an infant, and judged infant care as less time consuming, difficult, and expensive than did those who had the infant simulator experience.     

Shameful secrets and shame-prone dispositions: How outcome expectations mediate the relation between shame and disclosure

Shame may be a deterrent to disclosing secrets to a counselor, and shame-proneness may be associated with generalized tendencies to avoid disclosure of distress. If so, the mechanism explaining these relations might be the expected outcomes about disclosure. College students in the United States (N?=?312) thought of a shameful secret of theirs, and they rated the degree of shame they felt about the secret, their willingness to disclose the secret to a potential counselor, and their expected support from a potential counselor (i.e. outcome expectation). Participants also completed dispositional measures of shame-proneness, generalized outcome expectations about disclosure, and disclosure tendencies. Mediation analyses revealed that participants’ experiences of shame regarding their secrets predicted lower anticipated support from the counselor which predicted lower willingness to disclose the secret. This effect largely replicated at the dispositional level, such that anticipated risks of disclosure mediated the relationship between shame-proneness and disclosure tendencies. These findings suggest that counselor efforts to promote healthy client disclosure could target the client’s outcome expectations about disclosure rather than the client’s degree of shame.     

Sexual identity development among ethnic sexual-minority male youths

The current research explores how ethnicity influences sexual identity development. Among 139 sexual-minority male youths, measures of sexual identity development assessed the timing and sequencing of developmental milestones, disclosure of sexual identity to others, internalized homophobia, and same- and opposite-sex relationship histories. Findings demonstrated that participants, regardless of ethnicity, experienced most identity milestones at developmentally appropriate ages, had moderately low levels of internalized homophobia, and became romantically and sexually involved with other males during adolescence. Differences across ethnic groups were found in the timing and sequencing of certain milestones, disclosure of sexual identity to family members, and romantic and sexual involvement with females.     

Self-efficacy and disclosure of HIV-positive serostatus to sex partners.

HIV-positive persons face significant challenges to disclosing their HIV serostatus, and failure to disclose can place their sex partners at risk. The current study examined HIV serostatus disclosure in 266 sexually active HIV-positive persons recruited from the community. Results showed that 41% had not disclosed their HIV serostatus to sex partners. Men who had not disclosed to partners indicated lower rates of condom use during anal intercourse and scored significantly lower on a measure of self-efficacy for condom use compared to individuals who had disclosed. Emotional distress was also greatest among persons who had not recently disclosed. Having not disclosed to sex partners was closely associated with lower self-efficacy for disclosing, with women who had not disclosed reporting the lowest disclosure self-efficacy. As people living with HIV-AIDS are encouraged to disclose their HIV status, interventions are needed to facilitate disclosure decision making.     

Virtual voices: social support and stigma in postnatal mental illness Internet forums

Many women with postnatal mental illness do not get the treatment they need and this is often because stigma prevents disclosure. The purpose of this study was to explore online social support for postnatal mental illness, how women experience stigma and potential disadvantages of using Internet forums. Interviews were conducted with fifteen participants who had suffered postnatal mental illness and had used forums. Systematic thematic analysis identified common themes in relation to social support, stigma and disadvantages of using forums. Most women felt they benefited from visiting forums by developing a shared understanding and discourse about their illness. Findings suggest future research should investigate if women benefit from using online social support provided by forums, if use challenges stigma and further explore potential concerns about using forums.     

No Man's Land?: The Role of Men Working with Sexually Abused Children

Most sexual abusers of children are men. It is argued that sexually abused children may be anxious about contacts with men, especially when these include discussions of sexuality or of their abusive experiences. The implications of this for the role of men working with sexually abused children are explored. It is suggested that disclosure interviews should not usually be carried out by men, but that men do have a role to play in the post-disclosure therapeutic process.     

Are sexualized women complete human beings? Why men and women dehumanize sexually objectified women

Focusing on the dehumanization of sexually objectified targets, study 1 tested the extent to which objectified and non‐objectified male and female publicity photos were associated with human compared to animal concepts. Results confirmed the hypothesis that, among all targets, only objectified women were associated with less human concepts. This pattern of results emerged for both male and female participants but likely for different reasons. Study 2 directly looked at female and male participants' affinity with sexually objectified women. Results indicated that the more women distanced themselves from sexually objectified women the more they dehumanized them, whereas men's sexual attraction moderated their tendency to dehumanize female targets. In study 3, this latter motivation was operationalized as the activation of a sex goal and showed to trigger man's but not woman's dehumanization of female targets. Overall, the present set of studies show that only sexually objectified women are dehumanized by both men and women but for different reasons. Whereas sexual attraction shifts a men's focus of a female target away from her personality onto her body triggering a dehumanization process, women are more inclined to dehumanize their sexually objectified counterparts the more they distance themselves from these sexualized representations of their gender category. Copyright © 2011 John Wiley & Sons, Ltd.     

GENDER AND THE USE OF SEXUALLY DEGRADING LANGUAGE

Based on feminist social constructionist theory, it was proposed that the sexual language women and men used would reflect male sexual power over women through degradation and objectification. In the first study, 79 women and 88 men (36 of whom were fraternity members) reported anonymously on the sexual language they used. The strongest effects found were that men (particularly those in a fraternity) were likely to use sexually degrading terms to refer to female genitals. Men were more likely than women to use aggressive terms to refer to copulation. In a second study, 56 women and 47 men college participants listened to a conversation between either two women or two men in which they were talking about having sex with someone they just met the night before. The speaker either used more degrading or less degrading language. In general, people judged anyone who used degrading language negatively. The person who was the object in the more degrading conversation compared to the less degrading conversation was judged as less intelligent and less moral. The results suggest that gender is associated with the sexual language people use, and that the degradation and objectification present in the sexual language men sometimes use might have harmful consequences on the person being objectified.     

Friendship trumps ethnicity (but not sexual orientation): comfort and discomfort in inter-group interactions

An experience sampling study tested the degree to which interactions with out-group members evoked negative affect and behavioural inhibition after controlling for level of friendship between partners. When friendship level was statistically controlled, neither White nor Black participants reported feeling more discomfort interacting with ethnic out-group members compared to ethnic in-group members. When partners differed in sexual orientation, friendship level had a less palliating effect. Controlling for friendship, both gay and straight men - but not women - felt more behaviourally inhibited when interacting with someone who differed in sexual orientation, and heterosexual participants of both genders continued to report more negative affect with gay and lesbian interaction partners. However, gay and lesbian participants reported similar levels of negative affect interacting with in-group (homosexual) and out-group (heterosexual) members after friendship level was controlled. Results suggest that much of the discomfort observed in inter-ethnic interactions may be attributable to lower levels of friendship with out-group partners. The discomfort generated by differences in sexual orientation, however, remains a more stubborn barrier to comfortable inter-group interactions.     

Belief in the Controllability of Weight and Attributions to Prejudice Among Heavyweight Women

The perceived controllability of weight is a central feature of prejudice against heavyweight people, but its role in the experience of prejudice is not well established. Heavyweight women (N=66, mean age = 38 years) were exposed to information about cardiovascular health or the uncontrollability of weight and then wrote a persuasive health-related essay. All participants received a negative evaluation on the essay quality from a male evaluator whom they believed could see them or not. Belief in the uncontrollability of weight led to more attributions for the feedback to the evaluator's prejudice but only when the participants thought that they were visible. The results are discussed in terms of the stigma of overweight.     

Damaged goods: women managing the stigma of STDs

This article uses interview data to explore how 28 women diagnosed with chronic sexually transmitted diseases (STDs) managed the impact of stigma on how they saw themselves as sexual beings.Constant comparative analysis reveals the ways in which they manage the stigmatized sexual health status of genital herpes and human papillomavirus infections. Findings from this study indicate that the women engaged in a three-stage process of reconciling their spoiled sexual selves. First, the majority of them passed for healthy; some covered by lying about what was happening to their bodies.Second, almost all used stigma transference to deflect the blame onto real and imaginary others. In the end, all of the women preventively or therapeutically disclosed to intimate others. The data suggest, through a narrative model of the self, that the women viewed their sexual selves as ''damaged goods'' yet prevented the stigma from infecting their core self-narratives.