“Taking charge” of stigma: Treatment seeking alleviates mental illness stigma targeting men

This research provided a novel experimental test of mental illness stigma and reactions to treatment seeking decisions for male and female targets. In Experiment 1 (N = 420), robust stigma emerged for targets exhibiting major depressive disorder; they were rated as less likeable, competent, and hirable than comparable normatively functioning targets. These results were unaffected by target gender. In Experiment 2 (N = 322), moderated mediation analysis revealed that a depressed male target embodying masculine stereotypes by seeking professional treatment experienced less stigma than an identical male target who did not seek treatment (and respect mediated this difference). For female targets, treatment seeking did not impact respect or stigma. Implications for the gender gap in treatment seeking and relevant interventions are discussed.     

Stigma modifies the association between social support and mental health among sexual violence survivors in the Democratic Republic of Congo: implications for practice

Background and Objectives: The aim of this study was to further understanding of the relationship between social support, internalized and perceived stigma, and mental health among women who experienced sexual violence in the eastern Democratic Republic of Congo (DRC).

Methods: Drawing from baseline survey data collected in eastern DRC, researchers conducted a secondary cross-sectional analysis using data from 744 participants. Regression and moderation analyses were conducted to examine associations between social support variables, felt stigma, and depression, anxiety and posttraumatic stress disorder (PTSD).

Results: Emotional support seeking and felt stigma were positively associated with increased symptom severity across all three mental health variables. Stigma modified associations between emotional support seeking and depression (t?=??2.49, p?=?.013), anxiety (t?=??3.08, p?=?.002), and PTSD (t?=??2.94, p?=?.003). Increased frequency of emotional support seeking was associated with higher mental health symptoms of anxiety and PTSD among women experiencing all levels of stigma.

Conclusions: Enhancing understanding of social support and stigma may inform research and intervention among Congolese forced migrant populations across circumstances and geographic locations. Implications for practice and research are discussed.     

I'm more driven now: Resilience and resistance among transgender and gender expansive youth and young adults experiencing homelessness

ABSTRACT

Background: Little is known about the resilience strategies of transgender and gender expansive youth and young adults (YYA) experiencing homelessness. In addition to difficulties accessing trans-affirming supports and services, transgender and gender expansive YYA must contend with structural constraints and oppressive messages about who they are and who they can become. Despite these challenges, transgender and gender expansive YYA experiencing homelessness are finding innovative ways to resist the multiple and overlapping institutionalized challenges they face.

Methods: This qualitative study examined the ways a group of transgender and gender expansive YYA demonstrate resilience and resist dominant narratives about what it means to be young, transgender and experiencing homelessness.

Results: Two primary themes were identified through which transgender and gender expansive YYA experiencing homelessness demonstrated resilience in the midst of structural constraints and oppressive narratives about who they are and who they can become: personal agency and future orientation. Participants exercised personal agency through self-definition and making their own choices. They oriented themselves to future possibilities through positive meaning-making and re-visioning the meaning of home. Participants engaged in these acts of resilience and resistance despite receiving negative messages about themselves.

Conclusions: Study findings illustrate the capacity of transgender and gender expansive YYA experiencing homelessness to reframe their challenges as positive experiences, integral to the people they have become or will be in the future. Findings point to the need to expand conceptualizations about people experiencing homelessness, and to utilize a strengths-based framework in practice and research.     

Self‐Stigma of Mental Illness and Help Seeking Among School Counselors

The authors reported the findings from a correlational investigation examining the relationship between school counselors' (N = 333) self‐stigma of mental illness, help‐seeking behaviors, burnout, stress, and life satisfaction. The authors used a path analysis to test a hypothesized causal framework that self‐stigma of mental illness contributed to help‐seeking behaviors, which contributed to stress and burnout. The findings showed that the data fit the hypothesized model. The authors discuss the implications of the findings.     

Spirituality and Homelessness: Implications for Pastoral Counseling

This article presents a limited number of findings from a larger research project that explores spiritual themes related to the experience of homelessness as reported by 16 research participants following their residence in a 90-day emergency shelter program in Los Angeles County, California. By utilizing interpretive phenomenological analysis, the study focuses solely on three spiritual themes present in the experience of homelessness. Participants noted experiencing the presence of hope and motivation while homeless, the challenges of coping with the homeless stigma, and times in which they felt (and did not feel) “human.” Implications for pastoral counselors and others offering spiritually-integrated counsel in the context of homelessness are discussed.     

Identifying and understanding gaps in services for adults experiencing homelessness

Gaps between service needs and availability often prevent individuals with a history of homelessness from accessing services and reestablishing permanent housing. This paper examines self‐identified service utilization and service needs based on data collected from an urban sample (N = 577) of adults experiencing homelessness. This study found that individuals differ in their use and continued need of services depending on the reasons they identified as contributing to their homelessness. The majority reported that they learned of services through word of mouth, had difficulty accessing services due to limited transportation options, and were most likely to use services that were in convenient locations that fulfilled their needs and where they were treated with respect. These findings have implications for developing coordinated intakes and the development and dissemination of services aimed at assisting individuals experiencing homelessness.     

A paradox of support seeking and rejection among the stigmatized

Individuals perceiving stigma may be unwilling to seek support directly. Instead, they may use indirect strategies due to fear of rejection. Ironically, indirect seeking leads to unsupportive network responses (i.e., rejection). In Study 1, data collected from structured interviews of a sample of U.S. women in poverty (N= 116) showed that perceived poverty‐related stigma was related to increased fear of rejection, which in turn partially mediated perceived stigma and indirect seeking. In Study 2, data gathered from structured interviews of a sample of U.S. abused women (N= 177) revealed that perceived abuse‐related stigma was linked to increased indirect seeking, which in turn related to increased unsupportive network responses. By contrast, direct support seeking was related to increased supportive and decreased unsupportive responses.     

Self‐Stigma,Mental Health Literacy,and Attitudes Toward Seeking Psychological Help

This study examined self‐stigma of seeking psychological help and mental health literacy as predictors of college students’ (N = 1,535) help‐seeking attitudes, with additional attention to psychological and demographic correlates. Results indicated that mental health literacy predicted help‐seeking attitudes above and beyond self‐stigma. Asian American race/ethnicity, male gender, current psychological distress, and help‐seeking history were also significant predictors. Implications for addressing mental health literacy and self‐stigma while attending to demographic and psychological variations in help seeking are discussed.     

Attitudes toward seeking professional psychological help among Chinese students at a UK university

Aim: In this study we aimed to investigate whether Chinese international and British home students at a university in the United Kingdom differed in their attitudes towards seeking psychological help. Method: The total sample comprised 323 participants. Participants completed measures to assess their attitudes toward seeking professional psychological help (recognition of need for psychological help, stigma tolerance, interpersonal openness, confidence in mental health practitioners). Results: Chinese students reported significantly less interpersonal openness than that reported by British students. Contrary to prediction, however, no significant group differences were found on any of the other mental health attitudes (i.e. recognition of need for psychological help, confidence in mental health practitioners or stigma tolerance). Within‐group contrasts also showed that Chinese students reported lower scores on interpersonal openness than on stigma tolerance and confidence in mental health practitioners. In contrast, British participants reported less confidence in mental health practitioners and recognition of the need for psychological help than reported for stigma tolerance and interpersonal openness. Conclusion: The findings highlight the need for a greater understanding of students' cultural inclinations toward mental health issues and cultural attitudes that may hinder and/or facilitate students' access and engagement with psychological services in higher education institutions.     

Examination of the Stigmas Toward Help Seeking Among Turkish College Students

This study builds on previous help‐seeking research in the United States by examining the role of counseling stigma in Turkey. Undergraduate students in Turkey (N = 520) completed self‐report measures of attitudes and intentions to seek counseling and 3 forms of help‐seeking stigma. Results indicated that perceptions of public and social network stigma each uniquely contributed to the experience of self‐stigma, which, in turn, influenced attitudes toward seeking counseling and then help‐seeking intentions.     

Organizational trust among job seekers: The role of information‐seeking and reciprocation wariness

This study explores job seekers’ information‐seeking and pre‐hire trust, and the role of reciprocation wariness in the development of pre‐hire trust. Individuals seeking a job with a technology company (N = 192) reported their perceptions of the organization’s website usability and perceived similarity to their recruiter, organizational trustworthiness and trust, and intent to accept a job offer. Wariness moderated the relationship between website usability perceptions and trustworthiness. Unexpectedly, the interaction was in the opposite direction of what we predicted. In addition, job seekers’ perceived similarity to their recruiter related to trustworthiness, and trust related to intent to accept a job offer. Our findings suggest that to some extent, recruiting organizations can encourage trust perceptions in the pre‐hire context.     

Stigma,Attitudes, and Help‐Seeking Intentions for Psychological Problems in Relation to Regional Suicide Rates

In this ecological study, we investigated whether help‐seeking related to stigma, intentions, and attitudes toward suicide are associated with the suicide rates of 20 regions within the Netherlands and Belgium. Significant associations were found between regional suicide rates and the intention to seek informal help (β = ?1.47, p = .001), self‐stigma (β = 1.33, p = .038), and shame (β = .71, p = .030). The association between self‐stigma and suicide rate was mediated by intentions to seek informal help. These results suggest that to promote suicide prevention at the level of the regional population, stigma, shame, and intentions to seek help should be targeted in the public domain.     

Influence of social stigma on subjective well‐being of persons with albinism in Ghana

Previous studies have shown that social stigma adversely affects quality of life. However, little research has assessed the influence of social stigma on subjective well‐being (SWB) of persons with albinism (PWA) in Ghana, and the role that perceived social support plays in this relationship. This study investigated the SWB of PWA in Ghana. Participants (N = 105) completed a survey questionnaire on social stigma, social support, and SWB. Results from structural equation modelling showed a significant negative association between social stigma and SWB. Perceived social support partially mediated the negative effect that social stigma has on SWB, with significant other support emerging as a reliable predictor of SWB in this sample. Results suggest that the population with albinism in Ghana is experiencing high levels of social stigma, which is adversely affecting its SWB. Social stigma seems to be preventing PWA from being accorded the needed social support by family and friends. The results highlight the importance of designing stigma‐reduction educational interventions that target social stigma at family, community, and societal levels.     

Who Seeks Job Resources,and Who Avoids Job Demands? The Link Between Dark Personality Traits and Job Crafting

Although job crafting has been linked repeatedly to positive employee and organizational outcomes, its detrimental side has not been well explored. To understand the way dark personality traits affect the type of crafting in which employees engage, this research focuses on two frameworks: the PEN (psychopathy, extraversion, and neuroticism) framework and the Dark Triad (narcissism, psychopathy, and Machiavellianism). In Study 1, we collected data on the PEN traits and job crafting from 155 individuals in various occupations. We found that neuroticism was negatively related to seeking structural job resources, whereas psychoticism was negatively related to seeking social job resources. We also found that extraversion was positively related to seeking structural and social job resources and to seeking challenging job demands. In Study 2, we examined how the Dark Triad traits predicted job crafting among police officers (N = 135). The results showed that narcissism was positively related to seeking social job resources and challenges, whereas psychopathy was negatively related to seeking social resources. Age and narcissism were positive predictors of reducing job demands. We conclude that personality plays an important role when choosing how to craft one's job. We discuss the practical implications of these findings.     

Enhancing Well‐being of Homeless Individuals by Building Group Memberships

There is growing recognition that social isolation and a lack of connectedness with social groups is one of the reasons why the subjective well‐being of homeless individuals is generally worse than the rest of the population. Past research amongst a range of populations suggests that the ability of an individual to take on new group memberships and/or their ability to maintain their memberships in meaningful groups is an important predictor of well‐being. In a mixed method study (N = 119), we examined the extent to which experiences at homeless accommodation form building blocks for the formation of multiple group memberships and to what extent this predicts positive well‐being. Qualitative analysis reveals the importance of feeling connected to the homeless service and supported by homeless accommodation staff. Linking these data to quantitative data from a second wave, we found that these experiences predicted well‐being. These findings provide further support for a strength‐based approach to homelessness, by providing insights into the ways that experiences at homeless accommodation can contribute to the development of multiple group memberships (i.e. social capital), and enhance the well‐being of those experiencing, and exiting, homelessness. Copyright © 2016 John Wiley & Sons, Ltd.     

The crossover of job crafting between coworkers and its relationship with adaptivity

This daily diary study among 55 dyads of co-workers working within the same unit examined the crossover of expansive job crafting which, framed within the Job-Demands Resources Model, consists of two distinct behaviours: seeking challenges and seeking resources. We hypothesized that seeking resources and seeking challenges are transferred from one employee (actor) to the other (partner) on a daily basis and that there is more crossover of job crafting from actor to partner when the partner is high in empathy. Moreover, job crafting was expected to relate positively to daily adaptation to changes as measured both by self-reports and peer-reports. Multilevel analyses confirmed the crossover of seeking challenges and partly confirmed the crossover of seeking resources. Empathy of the partner acts as a moderator in this latter crossover process: there is more crossover of seeking resources from actor to partner when the partner is high in empathy. Moreover, day-level seeking resources and seeking challenges were both positively related to self-rated day-level adaptivity. Day-level seeking resources was also positively related to other-rated day-level adaptivity. These results imply that stimulating job crafting within organizations is valuable because it spreads around and can help in the adaptivity to changes.     

Youth Homelessness and Vulnerability: How Does Couch Surfing Fit?

Youth homelessness is a problem characterized by high levels of vulnerability. The extent to which couch surfing — moving from one temporary housing arrangement to another — is part of youth homelessness is not well understood. Chapin Hall's Voices of Youth Count, a national research initiative, involves a multicomponent approach to studying youth homelessness. This study reports emerging findings regarding couch surfing and homelessness primarily from a national survey of 13,113 adults with youth ages 13–25 in their households or who are themselves ages 18–25. Findings suggest that couch surfing is relatively common, particularly among the older age group. Among households with 13‐ to 17‐year‐olds and 18‐ to 25‐year‐olds, 4.0% and 20.5%, respectively, reported that any of them had couch surfed in the last 12 months. There are notable social, economic, and educational differences, on average, between youth reporting homelessness and those reporting only couch surfing. However, most youth who report experiencing homelessness also report couch surfing, and these youth who experience both circumstances present high levels of socioeconomic vulnerability. Couch surfing encompasses a range of experiences, some of which likely include need for services. Interviews currently in the field, and expanded analysis of data, will contribute more nuanced policy insights.     

Managing a stigmatized identity—evidence from a longitudinal analysis about people with mental illness

Previous research about coping with the stigma of mental illness mostly relied on cross‐sectional or qualitative research designs. In the present study, the consequences of ten identity management strategies for mental illness stigma were observed in a longitudinal design. Cross‐lagged analyses were used to describe the influence of the strategies on the frequency of stigma experiences and on mental health in a two‐wave panel of people with mental illness (n = 367, 79% repeated response rate). Selective disclosure and information seeking emerged as adaptive identity management strategies, whereas overcompensation and withdrawal led to lower mental health. Results were mostly unaffected by demographic and psychiatric variables. The results support an empowerment model of stigma resilience that portrays stigmatized people as active constructors of their social world.     

Job‐seeking,adaptation and re‐employment experiences of the unemployed: a 3‐year follow‐up

The aim was to find predictors of employment status (Employed, Active Job‐Seeker, Not a Job‐Seeker) with a 3‐year longitudinal design. Also predictors of the quality of re‐employment were studied. Initially unemployed Finnish men and women were followed‐up. Of the original sample (n=559), 318 (56.9%) responded to the questionnaire. Baseline health and participation in labour market interventions were not predictive of employment status. Passive baseline job‐seeking and female gender were predictive of being a passive job‐seeker 3 years later. Good vocational education was central for high‐quality re‐employment. Long duration of unemployment and high baseline level of psychological distress were predictive of a perceived need for adjustment in the new job. Copyright © 1999 John Wiley & Sons, Ltd.     

You're Just Saying That Because I'm a Woman: Stigma Consciousness and Attributions to Discrimination

This study adds to tests of the construct validity of stigma consciousness by asking if people high in stigma consciousness demonstrate a greater tendency than people low in stigma consciousness to make attributions to discrimination. In a study that approached this question from both an individual difference and a situational perspective, women high or low in stigma consciousness made attributions for a negative evaluation, ostensibly written by a male peer. Under control conditions, women low in trait stigma consciousness demonstrated less of a tendency to make attributions to discrimination than women high in trait stigma consciousness. When they experienced a situationally induced increase in stigma consciousness, however, participants low in trait stigma consciousness demonstrated just as great a tendency to make attributions to discrimination as their high stigma conscious counterparts. The results provide further validation for the stigma consciousness construct, and raise questions about who benefits from attributions to discrimination.