The Costs of Silencing the Self and Divided Self in the Context of Physical Abuse,Racial/Ethnic Identity,and Medication Adherence in Women Living with HIV

Racial/ethnic minority status and physical abuse history are risk factors for higher mortality rates and lower adherence to antiretroviral therapy (ART) in women living with HIV (WLWH) in the United States. The current study tested the hypotheses that minority status and physical abuse history might lead women to silence the self (minimize and hide thoughts and feelings in order to avoid relational conflict, loss, and/or abuse) as measured by the Silencing the Self Scale (STSS), and that STSS might mediate and moderate relationships of physical abuse and racial/ethnic minority status with ART adherence. Divided Self (DS; acting in ways inconsistent with inner thoughts and feelings), an STSS subscale, was targeted for study along with the total STSS score. Participants were 513 women from the U.S. Women’s Interagency HIV Study (M_age?=?46; 387, 75%, Black; 66, 13%, Hispanic; 60, 12%, White). Multiple logistic regressions indicated that across all racial/ethnic groups, physical abuse history related to higher DS and lower adherence. DS significantly mediated relationships between abuse and adherence. Compared to White women, Black women demonstrated worse ART adherence, but had lower total STSS. Racial/ethnic minority women and women with a physical abuse history who had higher DS had lower adherence than other groups. Results indicate that being a racial/ethnic minority or having a history of physical abuse may increase vulnerability to the deleterious effects of DS on ART adherence, findings that can help inform interventions to decrease health disparities in WLWH.

     

SILENCING THE SELF

Silencing the self theory (Jack, 1991) holds that women's depression is closely related to experiences in close relationships, especially if women conform with societal norms for feminine relationship roles. In conforming, Jack believes that women develop relationship schema that heighten vulnerability to loss of self-esteem and depressive symptomatology. An exploratory study addressed relationships among self-report measures of silencing the self, dyadic adjustment, demographic variables, and depressive symptomatology in a community sample of 155 cohabiting women and men, including 37 heterosexual couples from which both partners provided data. Although relationship adjustment was no more closely associated with depressive symptomatology for women than for men, silencing the self was. Demographic variables (number of children, employment status, and income) accounted for a significant proportion of variance in depressive symptomatology for men but not for women. Women's self-reported silencing was related to both their own and their partner's relationship adjustment.     

Silencing the self in college settings and adjustment

The correlations among several measures of silencing the self and scores on the College Adjustment Scale were assessed for male and female students at a midwestern university (N = 143). Analysis showed that high scores on Jack's 1991 Silencing the Self Scale and on one of three new measures designed to extend silencing the self to social group settings were associated with scores indicating poorer college adjustment. Also, men scored higher than women on Jack's 1991 measure, and no significant interactions were found for sex and adjustment for any of the silencing the self measures. Thus, silencing the self was generally associated with poorer adjustment scores and similarly for both women and men.     

DERIVED IDENTITY AND DEPRESSIVE SYMPTOMATOLOGY IN WOMEN DIFFERING IN MARITAL AND EMPLOYMENT STATUS

Derived identity, defined as a sense of self that is overly influenced by and dependent upon relationships with significant others, and depressive symptomatology, measured by the CES-D scale, were assessed in a sample of 564 adult women classified into one of six marital-employment status groups: married professional, single professional, married nonprofessional, single nonprofessional, married nonemployed, and single nonemployed. Married women were found to report more derived identity than single women and when age effects were controlled, married women also had higher CES-D scores than single women. Employment status results in aggregate indicated that for women of equal education: (1) employment outside the home, whether it be professional or non-professional, is related to a more autonomous sense of self than nonemployment and (2) employment outside the home is not associated with lower CES-D scores than nonemployment. Derived identity and depression were also found to be significantly correlated within the total sample and within each marital-employment status group.     

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.     

Social determinants of subjective well-being among young adults living in the Eastern Cape,South Africa

We investigated the relationships between certain social determinants (age, gender, marital status, education, income, and employment) and subjective well-being (SWB) in a young adult population in the Eastern Cape Province in South Africa. The participants consisted of 977 persons aged 18 to 40 years living in the historically deprived Eastern Cape, South Africa (females = 48%; age range = 18 to 40; rural dwellers = 15%). We measured their SWB utilising the World Health Organization (Ten) Well-Being Scale. Results following analysis of variance showed that age, education, and income were predictors of SWB. Higher SWB was associated with being older, having a higher level of formal education, and having a higher level of income. However, employment status did not have a significant relationship with SWB, suggesting the relative importance of other social indicators of social functioning in this population.     

SILENCING THE SELF AND DEPRESSION AMONG WOMEN

The purpose of this study was to assess the validity and provide normative data for the Silencing the Self Scale, a newly devised instrument for measuring cognitive schemas hypothesized to be related to depression in women. The study also tested the hypothesis that race would moderate the relationship between silencing the self and depression. The sample consisted of 80 women: 40 African Americans and 40 Caucasians. Controlling for income and socially desirable response bias, a significant relationship between silencing the self and depression was found only for Caucasian women. It was suggested that differing values and socialization practices may be responsible for the findings.     

THE RELATIONSHIP OF GENDER AND ETHNICITY TO SELF-SILENCING AND DEPRESSION AMONG COLLEGE STUDENTS

This study expands on the initial work with the Silencing the Self Scale (STSS; Jack, 1991) by presenting data using a more diverse, nonclinical sample. Included were both men and women ( n = 604) who were African American, Asian, Caucasian, and Hispanic. It was expected that women would be more self-silencing than men, and that there would be ethnic differences. There were three principal findings: (a) men were more self-silencing than were women on the STSS; (b) there was a main effect for ethnicity on the STSS, with Asians expressing the highest levels of self-silencing; and (c) there was a positive correlation between self-silencing and depression for all ethnic/gender groups.     

Self‐Objectification and Lower Income Pregnant Women's Breastfeeding Attitudes1

The purpose of this exploratory study was to examine self‐objectification as a correlate of pregnant women's concerns about public breastfeeding and the impact of breastfeeding on body shape and sexuality. Fifty‐two pregnant women enrolled in the Women, Infants, and Children Program responded to telephone questions regarding concerns about breastfeeding, attitudes toward breastfeeding, and self‐objectification. Women who scored higher on measures of self‐objectification reported more concern about the impact of breastfeeding on their bodies and sexuality and were less comfortable with the idea of breastfeeding in public than were women with lower self‐objectification scores. Self‐objectification was not associated with more negative attitudes toward breastfeeding or weaker intentions to breastfeed. Implications for the promotion of breastfeeding for low‐income women are discussed.     

Procrastination's Impact in the Workplace and the Workplace's Impact on Procrastination

Procrastination is a self‐regulatory failure, whose costs are debated. Here, we establish its impact in the workplace. Using an Internet sample, we assessed 22,053 individuals in terms of their sex, employment status, employment duration, income, occupational attainment and level of procrastination. High levels of procrastination is associated with lower salaries, shorter durations of employment, and a greater likelihood of being unemployed or under employed rather than working full‐time. Also, procrastination partially mediates sex's relationship with these work variables. Women tend to procrastinate less than men, evidently giving women an employment advantage. If women procrastinated the same as men, there should be 1.5 million fewer women in full‐time employment in the US. alone. Determining the causes of procrastination in the workplace, we also examined it at an occupational level. The results strongly support the gravitational hypothesis: jobs that require higher levels of motivational skills are less likely to retain procrastinators. However, there was some support that jobs can foster procrastination. Procrastinators tend to have jobs that are lower in intrinsically rewarding qualities.     

Impact of Self Monitoring and Gender on Coping Strategies in Intimate Relationships Among Turkish University Students

The purpose of this study was to investigate the effects of self monitoring and gender on coping strategies in intimate relationships. The Self Monitoring Scale and Multidimensional Intimate Coping Questionnaire were given to 224 heterosexual Turkish undergraduate students. Results showed that high self monitors had higher scores on focusing on relationship, seeking external support, alcohol and drug use, self-bolstering, and humor coping than low self monitors. Females reported greater negative and passive coping, positive and active coping, self-bolstering, religious coping and seeking external support than males did. Males reported greater alcohol and drug use than females did. Consequently, this study showed that both self monitoring (high–low) and gender affect on coping strategies among Turkish undergraduate sample.     

“I Am My Own Gender”: Resilience Strategies of Trans Youth

Nineteen trans youth participated in a phenomenological study of their resilience strategies for navigating stressors in their lives. The authors identified 5 supports and 6 threats to participants’ resilience. The 5 themes of resilience were: (a) ability to self‐define and theorize one's gender, (b) proactive agency and access to supportive educational systems, (c) connection to a trans‐affirming community, (d) reframing of mental health challenges, and (e) navigation of relationships with family and friends. The 6 major threats to participants’ resilience were: (a) experiences of adultism, (b) health care access challenges, (c) emotional and social isolation, (d) employment discrimination, (e) limited access to financial resources, and (f) gender policing.     

Level of emotional awareness in the general French population: Effects of gender,age, and education level

The Levels of Emotional Awareness Scale (LEAS) developed by Lane et al. ( 1990 1990) measures the ability of a subject to discriminate his or her own emotional state and that of others. The scale is based on a cognitive‐developmental model in which emotional awareness increases in a similar fashion to intellectual functions. Because studies performed using North American and German populations have demonstrated an effect of age, gender, and level of education on the ability to differentiate emotional states, our study attempts to evaluate whether these factors have the same effects in a general French population. 750 volunteers (506 female, 244 male), who were recruited from three regions of France (Lille, Montpellier, Paris), completed the LEAS. The sample was divided into five age groups and three education levels. The results of the LEAS scores for self and others and the total score showed a difference in the level of emotional awareness for different age groups, by gender and education level. A higher emotional level was observed for younger age groups, suggesting that emotional awareness depends on the cultural context and generational societal teachings. Additionally, the level of emotional awareness was higher in women than in men and lower in individuals with less education. This result might be explained by an educational bias linked to gender and higher education whereby expressive ability is reinforced. In addition, given the high degree of variability in previously observed scores in the French population, we propose a standard based on our French sample.     

An examination of gender differences in the construct validity of the silencing the self scale

Jack’s (1991) theory of self-silencing was originally designed to explain higher rates of depression in women in comparison to men. However, research finding that men score equal or even higher than women on measures of self-silencing has lead theorists to speculate that self-silencing tendencies may be driven by different motivations and have different consequences for women versus men (Jack & Ali, 2010). Using a sample of 247 college students, we examined gender differences in the construct validity of the Silencing the Self Scale (STSS; Jack & Dill, 1992). We hypothesized that women would score higher on the Externalized Self-Perception subscale, but not the other three subscales. Gender differences in the relationship between the STSS subscales and theoretically-relevant constructs were also explored. The results indicated that women on average scored higher than men on the Externalized Self-Perception subscale, whereas men scored higher on the Care as Self-Sacrifice subscale. Further, there was a significant Gender × Care as Self-Sacrifice subscale interaction in the prediction of depression, such that this subscale was negatively correlated to depression in men, and uncorrelated in women. These results clarify how self-silencing might translate into different mental health outcomes for women and men.     

Can a manager have a life and a career? International and multisource perspectives on work-life balance and career advancement potential

The present study was the first cross-national examination of whether managers who were perceived to be high in work-life balance were expected to be more or less likely to advance in their careers than were less balanced, more work-focused managers. Using self ratings, peer ratings, and supervisor ratings of 9,627 managers in 33 countries, the authors examined within-source and multisource relationships with multilevel analyses. The authors generally found that managers who were rated higher in work-life balance were rated higher in career advancement potential than were managers who were rated lower in work-life balance. However, national gender egalitarianism, measured with Project GLOBE scores, moderated relationships based on supervisor and self ratings, with stronger positive relationships in low egalitarian cultures. The authors also found 3-way interactions of work-life balance ratings, ratee gender, and gender egalitarianism in multisource analyses in which self balance ratings predicted supervisor and peer ratings of advancement potential. Work-life balance ratings were positively related to advancement potential ratings for women in high egalitarian cultures and men in low gender egalitarian cultures, but relationships were nonsignificant for men in high egalitarian cultures and women in low egalitarian cultures.     

Stigma,Disclosure and Relationship Agency in Black Women’s Sexual Relationships with Behaviorally Bisexual Black Men

The health needs and relationships of Black women partnered with behaviorally bisexual Black men are under addressed in the public health literature. This paper explores the relationship dynamics of Black women’s sexual relationships with behaviorally bisexual Black men. We conducted thirty qualitative interviews with a group of HIV negative and HIV positive women partnered with behaviorally bisexual Black men in the San Francisco Bay Area. Women took part in a one-time qualitative interview that addressed relationships, bisexual partners, sexuality, HIV risk behaviors, and disclosure. Women described experiences of their own and their partner’s experiences of disclosure and sexual stigma, along with structural racism and masculine cultural norms that contribute to men’s non-disclosure of sex with men. The paper identifies the ways in which disclosure and stigma are experienced by a sample of women in relationships with behaviorally bisexual Black male partners, pointing to the ways in which these women demonstrate sexual agency in these relationships. These sexual narratives emphasize the ways in which Black women are at once agentic and also navigate gendered vulnerability in their relationships with bisexual men. These findings of Black women’s sexual agency present a call to develop health interventions resonant with Black women’s relationship experiences and structures of bisexual relationships.     

Agentic and Communal Personality Traits: Their Associations with Depression and Resilience among Transgender Women

Research reports the perpetuation of communal traits by transgender women, possibly to affirm their core gender identity. Transgender women in the United States are nearly 6 times more likely than the general population to experience significant depressive symptoms. Studies among non-transgender individuals in the United States demonstrate that agentic traits are associated with less depressive symptoms, while studies on communal traits are more inconsistent in their association with indicators of depression. Our study’s central objective was to examine the associations of agency and communion with depression and resilience (i.e., personal competence and acceptance of self and life) among transgender women living part-time and full-time in the female gender role. Participants in the United States were recruited through online and offline purposive sampling. One hundred and twenty-two transgender women (primarily Caucasian; ages ranging from 22 to 75) completed a web-based questionnaire. Results indicated that agentic and communal traits were significantly associated with decreased symptoms of depression and increased levels of resilience. One component of resilience – acceptance of self and life – mediated the relationship between agentic/communal traits and depression, however, for communal traits this pattern was only found for transgender women living in the female role full-time. There were no significant differences on depressive symptoms and one component of resilience - personal competence – among transgender women living full-time compared to transgender women living in the female role part-time. Transgender women living full-time in the female gender role reported higher levels of agentic/communal traits and acceptance of self and life compared to those living part-time in the female gender role. Our findings are discussed in the context of mental health among transgender women.     

Credentialism Across Creeds: Clergy Education and Stratification in Protestant Denominations

In this paper, we explore how Protestant denominations use education to stratify their pastors among lower and higher income jobs and how this use of education intersects with gender. We assume that reliance on education as anindication of job qualification ultimately reflects accommodation to secular norms and hypothesize that it will be practiced most strongly in theologically liberal contexts. Next, we hypothesize that women will benefit from education more than men, a pattern that is typical of secular labor markets. And we predict that education will have a stronger effect on income in denominations where regional clergy administrators have influence in matching pastors to jobs. Data are taken from the 1994 "Ordained Women and Men Study"and consist of career information on clergy in fifteen denominations. Contrary to expectations, clergy degrees have a stronger effect on income in conservative than in liberal denominations. We further find that women clergy receive lower income returns to their degrees in denominations requiring a Master of Divinity for ordination but receive higher returns in the others. Finally, results show that seminary prestige is more beneficial in denominations where pastors are hired directly by congregations rather than placed in congregations by regional clergy administrators.     

GENDER DIFFERENCES IN DEPRESSIVE SYMPTOMS

Large community studies of depressive symptomatology provide mixed evidence concerning gender differences. The present paper investigates the effect of the high skewness typically present in distributions of depressive symptom scores on findings of a gender difference in depression. Because of this skewness, a few extreme scores among women (or in any subgroup) can produce a significant between-groups difference in untransformed scores even when the two groups' distributions are otherwise similar. Data from a community survey ( n = 1316) are consistent with this hypothesis. The data also suggest that gender increases depression scores indirectly, rather than directly, for the few women scoring in the extreme upper tail of the distribution. It is concluded that the gender difference in depressive symptoms lacks robustness, and that when it does occur, the effect of gender on depression can be understood as ndirect, i.e., as mediated by gender differences in rate of employment, job status, education, and income.     

Predictors of individual,community and national resiliencies of Israeli Jews and Arabs

The contribution of individual characteristics to predicting individual, community and national resilience of Israeli Jews and Arabs was investigated. Psychological resilience refers to people's assessment of their ability to withstand negative psychological consequences of major afflictions, and to keep functioning despite these adversities. The following hypotheses were examined: 1. The Jewish sample would score higher than the Arab sample on indices of individual, community and national resilience. 2. Men of both groups would score higher compared with women on these resilience indices. 3. Exposure to terror and fear of upcoming war would negatively predict the resilience of both groups. 4. Higher level of religiosity, right wing political attitudes, higher income, higher education, older age and higher sense of coherence will positively predict the investigated resiliencies. The random sample included 1100 Jews and 350 Arabs who participated in an internet survey. Resilience was defined in this study as the balance of individual, community and national strength (protective factors) to vulnerability (risk factors). The results supported the first three hypotheses whereas the fourth hypothesis was supported only for the Jewish sample. The present study indicated that some predictors had universal effect on resilience, whereas others seemed to be culture specific predictors.