Note on Thorson and Powell: undertakers' sense of humor

Recently Thorson and Powell reported in this journal that morticians scored significantly lower on a multidimensional sense of humor scale than another group of similarly aged men from other occupations. These findings differ markedly with some in 1991 from a 2-yr. ethnographic study conducted with morticians and funeral directors in four states regarding how they managed the stigma associated with their occupation.     

Cumulative consequences of stigma: Possessing multiple concealable stigmatized identities is associated with worse quality of life

Large health disparities exist between stigmatized and nonstigmatized groups. In addition to experiencing and anticipating greater discrimination, members of stigmatized groups also tend to demonstrate greater ruminative tendencies in response, which may lead to these poor health outcomes. Even among stigmatized groups, differences in the visibility of stigma lead to different mechanisms through which stigma takes its toll. Previous work has primarily focused on the impact of belonging to a single marginalized group; however, people often belong to multiple marginalized groups, and this likely affects both their health outcomes and their anticipation of stigma. In the current study, we focused on individuals with concealable stigmatized identities (CSIs)—socially stigmatized identities that are not immediately apparent to others—and created a measure of concealable marginalization that captures multiple group memberships. We predicted that those possessing a greater number of CSIs would anticipate more stigma from others, and, in turn, ruminate more about the stigma, which would negatively impact the health. Surveying N = 288 adults with CSIs, we found that possessing a greater number of marginalized concealable identities predicted worse self-reported physical quality of life. These relationships were partially mediated by greater anticipated stigma and brooding rumination in regard to their CSI. This work illuminates a more complete picture of how living with CSIs can take its toll on health.     

Understanding another stigma: Comment on Elliott,Ziegler, Altman,and Scott

This paper examines Elliott, et al.’s article on dimensions of stigmata and their effects on social interaction. It is contended that the authors have overlooked an important type of stigma in their classification and definition of stigma — “the stigma of excellence”. The characteristics of this form of stigma are presented, and a call is made for the authors to rework their model so that it may apply to the stigma of excellence as it applies to negative stigmata.     

The Overtaking of Undertaking?: Gender Beliefs in a Feminizing Occupation

How gender beliefs are used to explain the division of labor in an occupation can recreate or disrupt inequality. Our study contributes to the growing body of research examining which narratives about gender segregation in male-dominated occupations are more or less oppressive to women. We asked 13 female and 9 male U.S. funeral directors to account for the shifting gender composition of their field. Most funeral directors explained women’s entry into funeral directing and justified gender segregation in the occupation by drawing on gender beliefs about women’s superior nurturing “natures” and men’s “innate” superior physical strength and scientific ability. Our findings demonstrate the strength of cultural gender beliefs for shaping narratives about gender and work and suggest ways individuals grapple in their everyday interactions with “degendering” skills in feminizing occupations.     

Blasphemous Thoughts

Abstract

The sacred, from the Latin sacer, originally meant both blessed and accursed. This article begins by remembering the intolerable qualities of the sacred as it is imagined, figured and mythed in Western culture. It is then argued that within Western culture there is a significant difference and unresolvable tension between ‘the sacred’ and ‘religion’ — a tension/difference strangely akin to that between the semiotic and the symbolic as theorized by Julia Kristeva. It seems that one of the functions of religions-as-institutions is precisely to control, tame, and make more manageable the sacred. In practice this means controlling sexual, sensual bodies — especially those bodies most closely associated with messy physicality and bloody corporeality.     

Experiences of HIV-related discrimination and consequences for internalised stigma,depression and alcohol use

Objective: HIV stigma undermines health and well-being of people living with HIV (PLWH). Conceptual work on stigma mechanisms suggests that experiences of stigma or discrimination increase internalised stigma. However, not all PLWH may internalise the HIV discrimination they experience. We aimed to investigate the role of stress associated with events of HIV-related discrimination on internalised HIV stigma, as well as the downstream effects on depressive symptoms and alcohol use severity.

Design: 199 participants were recruited from an HIV clinic in the southeastern United States.

Main study measures: HIV-related discrimination was assessed using items adapted from measures of enacted HIV stigma and discrimination. Participants rated perceived stress associated with each discrimination item. Internalised HIV stigma was assessed using the internalised stigma subscale of the HIV Stigma Mechanisms Scale. Depressive symptoms were assessed with the Centre for Epidemiological Studies-Depression Index. Alcohol use severity was assessed with the Alcohol Use Disorders Identification Test.

Results: In serial mediation models, HIV-related discrimination was indirectly associated with both depressive symptoms and alcohol use severity through its associations with stress and internalised HIV stigma.

Conclusions: Understanding the mechanisms through which PLWH internalise HIV stigma and lead to poor health outcomes can yield clinical foci for intervention.     

Unpacking educational athletics: An exploratory study of high school athletic directors' critical praxis

ObjectivesGiven the salience and popularity of interscholastic athletics, whether high school sport serves as a site for inclusive, empowering experiences for youth participants has significant implications. This study examined how U.S. high school athletic directors think about and navigate (i.e., praxis) broader social issues in their work with student-athletes and coaches to promote youth development.DesignA cultural praxis framework informed qualitative study design consisting of semi-structured interviews with 16 athletic directors from various high school community contexts within one Midwestern state.MethodReflexive thematic analysis of interviews with high school athletic directors employed a semantic (explicit, surface level) and latent (implicit, interpretative) focus (Braun & Clarke, 2019; Braun, Clarke, & Weate, 2016).ResultsSemantic analyses indicated that athletic directors used various strategies to navigate matters that arose in their work with student-athletes and coaches. Relevant issues were contextually situated and emerged as (in)congruent with their context. Latent analyses shed light on assumptions that ADs made about student-athlete development and demonstrated that sport leaders' critical praxis varied along a continuum.ConclusionFuture research is needed to more systematically examine how athletic directors engage in a (critical) praxis; student-athletes’ perspectives on the relevance of certain social issues and efficacy of administrators' praxis; and, developmental initiatives to empower youth and adult leaders in athletics.     

First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

Psychological distance reduces the effect of internalized stigma on mental health treatment decisions

Although stigma is a major barrier to treatment for those with mental health concerns, it is poorly understood when stigma is more or less influential in mental health treatment decisions. In the current work, we examined whether psychological distance—the removal of an event from direct experience—reduced the influence of internalized stigma on willingness to seek treatment. Specifically, we tested the hypothesis that psychological distance versus proximity (e.g., seeking treatment in three months vs. in two days, respectively) decreases the negative influence of stigma on willingness to seek treatment. We focused on a population for whom mental health treatment decisions are personally-relevant: individuals who had previously sought mental health treatment. Experiment 1 showed that the extent to which these individuals internalized (i.e., personally endorsed) stigma about mental illness predicted lower intentions to make an appointment with a mental health care provider for themselves (but not another person). Experiment 2 replicated this result using a different measure of psychological distance (temporal distance) and extended this finding to behavior (time spent reading mental health resources). Overall, this research demonstrated that internalized stigma disrupts mental health treatment-seeking intentions and behaviors when they are psychologically proximal, but not when they are distant. Potential applications of these results are discussed.     

The Other Game: A Journey into the World of Warcraft

ABSTRACT

Many people today live out significant aspects of their internal lives online, in a digital world. Rather than analyze these worlds as mere metaphors for real life, it has become increasingly important for psychotherapists to be willing to participate in these worlds as they are described during the clinical hour. It is necessary to work within a paradox: An online fantasy world takes away from living life in the outer world; the world online offers the safety necessary to help the patient approach living his life in any world. This article explores a case in which I learn to work within the parameters of an online gaming experience—World of Warcraft?—to help a patient integrate split-off aspects of himself as he develops the capacity to own his desires. In this case, the game functioned as an “Eden project” (Hollis, 1998, p. 33), an earnest, if severely constricted, search for paradise lost. This article illustrates what was found—not Eden, but true Otherness.     

Independent Female Escort’s Strategies for Coping with Sex Work Related Stigma

Despite the reframing of ??prostitution?? as ??sex work?? in research and advocacy literature, the stigma associated with this activity persists. This study examines how independent female sex workers advertising online as ??escorts?? perceive and manage the stigma associated with their work, and how these coping strategies impact their personal relationships. Thirty escorts participated in semi-structured qualitative interviews; Goffman??s (1963) theory of stigma and information management strategies was used as a theoretical framework to guide the analysis of women??s experiences. Women who engaged in selective disclosure regarding sex work reported greater access to social support, while women who concealed their work from most people often reported feeling lonely and socially isolated. Escorts?? stigma coping strategies may have significant impact on their social relationships and access to social support.     

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.     

Health outcomes resulting from the quality of emotional expression in HIV/AIDS patients

IntroductionStudies on emotional expression and its impact upon health have mainly focused on quantitative aspects of interactions rather than on their quality.ObjectiveThe present study aimed to examine the interpersonal quality of interactions in the social sharing of emotions (SSE) in people living with HIV/AIDS (PLWHA), and its impact on patients’ physical and psychological well-being.MethodOne hundred and one PLWHA answered a questionnaire (Likert scale items) which assessed the following: shame, guilt, perceived stigma, perceived physical health, perceived mental health, SSE and the interpersonal quality of SSE (IQSSE). The main hypotheses were compiled into a theoretical model which was tested by a series of structural equation modeling (SEM) analyses.ResultsThe final solution resulted into a well-fit model which showed that: shame predicted IQSSE, perceived stigma mediated the relationship between IQSSE and guilt, and perceived mental health mediated the relationship between IQSSE and perceived physical health.ConclusionThese results corroborate previous findings which demonstrate that IQSSE is independent from quantitative aspects of SSE and that the way the SSE takes place is crucial to the benefits it induces.     

Individual attitudes and perceived social norms: Reports on HIV/AIDS‐related stigma among service providers in China

This study examined HIV/AIDS‐related stigma among Chinese service providers by comparing their personal attitudes toward people living with HIV/AIDS with their perception of social norms related to people living with HIV/AIDS. We randomly selected three provincial hospitals, four city/prefecture hospitals, 10 county hospitals, 18 township health clinics, and 54 village clinics from Yunnan, China. Doctors and nurses were randomly sampled proportionally to the doctor–nurse ratio of each hospital or clinic. Lab technicians were over‐sampled in order to include an adequate representation in the analysis. A total of 1,101 service providers participated in a voluntary, anonymous survey where demographic characteristics, individual attitude and perceived social norms toward people living with HIV/AIDS, discrimination intent at work, general prejudicial attitude and knowledge on HIV/AIDS were measured. A majority of the sample demonstrated a similarity between their personal views and what they thought most people in society believe. Multiple logistic regressions revealed that participants who were younger or reported personal contact with people living with HIV/AIDS were significantly more likely to report personal attitudes toward the population that were more liberal than their perceived social norms. Holding a more liberal personal attitude toward people living with HIV/AIDS than perceived social norms was significantly and negatively related to the level of discrimination intent at work, perceived discrimination at interpersonal level and the level of general prejudicial attitude toward people living with HIV/AIDS. Results underscored the importance of understanding social norms and personal attitudes in studying HIV‐related stigma and called for the incorporation of existing human capital into future HIV stigma reduction programs.     

Topless dancers: Managing stigma in a deviant occupation

This paper describes and analyzes how topless dancers manage the stigma related to their deviant occupation. It represents approximately nine months of limited participant observation and ethnographic interviewing at seven topless bars in a major metropolitan city in the Southwest with a population of approximately 1 million people. A structured interview schedule was utilized to obtain data from over 40 topless dancers in six different clubs. In addition, free‐flowing interviews were conducted with at least 20 other dancers, numerous waitresses in the clubs, one club manager, two assistant managers, and four former dancers still associated with the clubs (as bartenders, waitresses, or admission takers). This study indicates that two of the most common stigma management techniques used by topless dancers are dividing the social world as outlined by Goffman (1963) and techniques of neutralization described by Sykes and Matza (1957), especially denial of injury, condemnation of the condemners, and appeal to higher loyalties. Dancers further rationalize their participation in a deviant occupation on the basis that it is harmless, temporary, fun, good exercise, and easy money. Suggestions are made for future research on topless and nude dancing and stigma management.     

Simone Weil on Labor and Spirit

This essay argues that Simone Weil appropriates Marx's notion of labor as life activity in order to reposition work as the site of spirituality. Rather than locating spirituality in a religious tradition, doctrine, profession of faith, or in personal piety, Weil places it in the capacity to work. Spirit arises in the activity of living, and more specifically in laboring—in one's engagement with materiality. Utilizing Marx's distinction between living and dead labor, I show how Weil develops a critique of capital as a “force” that disrupts the individual's relation to her own work by reducing it to the mere activity of calculable “production.” Capital reduces labor to an abstraction and thereby uproots human subjectivity, on a systemic scale, from its connection to living praxis, or what Weil calls spirituality. Life itself is exchanged for a simulacrum of life. In positioning living labor as spiritual, Weil's work offers a corrective to these deadening practices.     

Subjectivity as Encounter: Feminine Ethics in the Work of Bracha Lichtenberg‐Ettinger and Anne Enright

The fragility of the subject is a recurring issue in the work of Anne Enright, one of Ireland's most remarkable and innovative writers. It is this specific interest, together with her attempt to make women into subjects, that inevitably links her work to Bracha Lichtenberg‐Ettinger's theory of the matrixial borderspace, a feminine sphere that coexists with the Lacanian symbolic order and that, even before our entrance into this linguistic system, informs our subjectivity. By turning to a point in time before language—the encounter between “self” and “other” during pregnancy—both Enright and Ettinger test the boundaries of and the gaps within the linguistic system. It is the going before language that ultimately enables both to go beyond some of the most persistent dualisms present within the linguistic system and to create room for an alternative—a feminine—understanding of the ethical relationality between self and other.     

Dirty work,dirty worker? Stigmatisation and coping strategies among domestic workers

Domestic work can be perceived to be ‘dirty work’ in several ways: it is associated with dirt handling, low occupational prestige, and domestic workers have a servile relationship to their clients/employers. This stigma may negatively affect domestic workers' sense of self, and thus coping strategies appear to be critical. In this article, we explore the coping strategies that moderate the relation between the stigma of dirty work and domestic workers' sense of self, based on the analyses of 43 interviews with domestic workers in Belgium. By using a social stress approach in which stigma is considered a stressor, our results reveal a range of maladaptive and adaptive coping strategies that contribute to a negative or a more positive sense of self. Four main categories of coping strategies are discussed: confronting or countering perceptions and behaviours, occupational ideologies, social weighting and defensive tactics. The first two categories are adaptive coping strategies; the last two can be adaptive or maladaptive. We also reveal that workers used adaptive and maladaptive coping strategies simultaneously, leading to mixed implications for their sense of self.     

The Christian Funeral: Some Traditions to Note

Abstract

Because funeral practices can vary greatly from place to place as well as from church to church, this makes no attempt to list them all. What follows is simply a reference to some of the more common liturgical customs that are associated with the celebration of a Christian burial service.