The cumulative record of research on “fear of success”

Based on the collected findings of over 100 studies assessing “fear of success,” the following questions were addressed: (a) Do females show more “fear of success” imagery than do males? (b) Do males respond to a cue depicting an achieving female with more “fear of success” imagery than do females? (c) Have the proportions of “fear of success” imagery elicited by men and women in response to verbal cues changed over the last decade? (d) What are the correlates of “fear of success”? (e) What is the relationship between “fear of success” imagery and performance in different kinds of situations (e.g., female achievement behavior in competition with men)? The answers seemed crudely to be (a) no, (b) no, (c) decreased, (d) few, and (e) unclear due to the many differences in the designs used.     

Fear of success revisited: Introducing an ambiguous cue

One criticism of Horner's fear-of-success (FOS) research concerns the fact that she defined success (being number 1 in a medical school class) for her subjects. Two aims of the present investigation were to (a) reinstate the traditional ambiguity of the projective verbal lead: “Anne (John) has succeeded,” and (b) determine the amount of FOS imagery projected by 64 male and 79 female college students to these leads. The low incidence of FOS in this present study was attributed to the opportunity subjects were given to define success for themselves. There were no significant differences in the amount of FOS projected by men and women. School-related success was the most often cited success theme. Results were supportive of the hypothesis that FOS is situationally determined.     

Fear of success in males and females in sex-linked occupations

Two experiments were reported which examined fear of success imagery in men and women in response to three sex-linked occupations. The occupations were engineer, child psychologist, and nurse. Both experiments found clear differences for perceived male dominance. It was also found that engineer and child psychologist did not differ in terms of perceived status, while nurse was significantly lower than the other two occupations. With regard to fear of success imagery the results of both studies indicated an interaction effect for sex of subject and occupations. Males exhibited the most fear of success imagery to the nurse cue, while females exhibited the most to the engineer cue. It was concluded that male dominance of occupations was an important factor in relation to fear of success imagery.     

Gender in the Gym: Evaluation Concerns as Barriers to Women’s Weight Lifting

Four studies examined why women appear to be less likely than men to lift weights, despite the documented health benefits. An archival analysis (“Study 1”) pointed to a cultural dissociation between women and strength-related exercise goals. Furthermore, a study of women in a university in the mid-Atlantic United States who envisioned lifting weights in public expressed greater evaluation concerns than those who envisioned doing aerobic exercise (“Study 2”); moreover, greater evaluation concerns seemed to deter them from weight lifting. These findings helped to shed light upon gender-differentiated patterns of gym equipment use (“Study 3a”) and reports of psychological discomfort in gyms (“Study 3b”). This work begins to illuminate the sociocultural context of women’s avoidance of certain types of exercise.     

Female motive to avoid success

This study interprets female “motive to avoid success” as a normative response to social deviancy. It examines the responses of males and females to a TAT-type verbal cue regarding a female actor's success at an activity depicted as either typical for both sexes or deviant for women. When the activity is described as typical for both sexes, no sex differences in the incidence of reported “motive to avoid success” appear; reports of the “motive” are few. When the activity is described as typical for males but deviant for females, a higher percentage of men than women report negative consequences for female success.     

“TANCRED’S WOUND”:

A recent debate over trauma theory in Holocaust studies has implications for writing by the “generation after.” This article looks at Anne Karpf’s The War After (1996) and the 1998 movie Left Luggage (based on a novel by Carl Friedman), as well as David Grossman’s See Under: Love (1985), as examples of how traumatic knowledge is accessed through literary narratives and the imagination, rather than the historical events. In particular, the trope of “autism” serves to symbolize the difficulty of communicating repressed traumatic memory, while images of containment symbolize the unspeakable contents of the psychic envelope.     

Think Women, Think Warm: Stereotype Content Activation in Women with a Salient Gender Identity, Using a Modified Stroop Task

We examined whether a salient gender identity activates gender stereotypes along the dimensions of sociability and ability (Fiske et al. 2002). A sample of US undergraduates (40 men, 38 women) instructed to think about women subsequently took longer to name the colors of words associated with sociability than ability on a modified Stroop task. Solo women in another sample of US undergraduates (45 women) showed the same response pattern. Women in a third sample of US adults (20 men, 16 women) showed a similar pattern. Meta-analysis of the three samples suggests women with a salient gender identity experience relative activation of only the positive dimension of a stereotype (e.g. “woman” equals warm).     

The strategic control of prospective memory monitoring in response to complex and probabilistic contextual cues

Participants use simple contextual cues to reduce deployment of costly monitoring processes in contexts in which prospective memory (PM) targets are not expected. This study investigated whether this strategic monitoring pattern is observed in response to complex and probabilistic contextual cues. Participants performed a lexical decision task in which words or nonwords were presented in upper or lower locations on screen. The specific condition was informed that PM targets (“tor” syllable) would occur only in words in the upper location, whereas the nonspecific condition was informed that targets could occur in any location or word type. Context was blocked such that word type and location changed every 8 trials. In Experiment 1, the specific condition used the complex contextual cue to reduce monitoring in unexpected contexts relative to the nonspecific condition. This pattern largely was not evidenced when the complex contextual cue was probabilistic (Experiment 2). Experiment 3 confirmed that strategic monitoring is observed for a complex cue that is deterministic, but not one that is probabilistic. Additionally, Experiments 1 and 3 demonstrated a disadvantage associated with strategic monitoring—namely, that the specific condition was less likely to respond to a PM target in an unexpected context. Experiment 3 provided evidence that this disadvantage is attributable to impaired noticing of the target. The novel findings suggest use of a complex contextual cue per se is not a boundary condition for the strategic, context-specific allocation of monitoring processes to support prospective remembering; however, strategic monitoring is constrained by the predictive utility of the complex contextual cue.     

Response styles of a patient population on the fear survey schedule

The 122 Item Fear Survey was administered to 185 patients of a national sample of psychologists and psychiatrists. Psychotics and neurotics scored significantly higher on total fear responses than did a behavioral disorder population. Differences in response styles between men and women were found which indicated that women generally related their fears more easily than men. The data were factor analyzed and three factors were revealed that accounted for 90 per cent of the variance. The factors were named as follows:

1.

1. Fears related to losing status and adequacy socially;     

A developmental exploration of the fear of success phenomenon as cultural stereotype

Given prior research suggesting that fear of success may be a function of cultural expectations rather than an intrapsychic motive held by women, this cultural phenomenon was placed in juxtaposition with reactions to women and men failing. It was expected that women would not be rated negatively for failure. It was also expected that in a sample of third, sixth, ninth, and twelfth graders, younger children would be more dogmatic than older children in applying cultural stereotypes to these situations. The children responded on semantic differential scales to the cue of Anne (John) succeeding (failing) in medical school. The children rated a successful person much happier than one who failed, and the sex of the person succeeding or failing was entirely irrelevant. However, the results were as predicted for niceness: A woman was somewhat less nice than a man when they both succeeded, but a man was much less nice when they both failed. In addition, there were no interactions with the age or sex of the respondents. Thus, sex-role expectations are relevant to some attributes of individuals but not others, and these expectations are well established and easily applied as early as third grade.The authors gratefully acknowledge the assistance of the students, staff, and parents of the DeForest, Wisconsin, school district. The following students were experimenters and coders: Susan Artz, Mark Bouril, Lisa Braun, Debby Callan, Joanne Carlson, Mary Draeger, Linda Fibich, Sam Freedman, Tom Frieder, Patti Gorsky, Mark Jaeger, Cheryl Kent, Rich Nagel, Dave Novak, Jon Olson, Jean Phillips, Jeff Richter, Becky Rogers, Roy Strasburg, Peggy Vlasak, and Rod Witwer. An earlier version of this article was presented as a paper at the biennial meeting of the Society for Research in Child Development, Denver, April, 1975.     

When Do Men and Women Make Attributions to Gender Discrimination? The Role of Discrimination Source

Two experiments examined the effects of discrimination source on men’s and women’s willingness to make attributions to a sexist experimenter or sexist rules. Students (161 male; 171 females) at a US university were exposed to a discriminatory person, discriminatory rule, or no discrimination. “Experiment 1” demonstrated individuals were less likely to make attributions to a sexist person than an unfair rule, and women were especially reluctant to indicate a person was responsible for their discrimination even when a person was the source. “Experiment 2” showed participants were less likely to indicate an experimenter, and even a rule, was sexist when there was a cost to the perpetrator (i.e., advisor would be notified of the perpetrator’s actions) for making such attributions.     

A measure of stereotyping in fear-of-success cues

Prior studies suggest that sex-role stereotypes influence responses to Horner's fear-of-success cue. This study investigates stereotypes about both sex roles and achievement settings. One hundred sixty college males and females wrote stories to different cues, then rated the masculinity-femininity of their characters. Both John and Anne were rated more masculine as medical students than in a neutral setting. Anne was rated more feminine than John in the neutral setting but equally masculine as a medical student. However, Anne's success was not regarded as maladaptive, but competent. Clearly Horner's cue reflects stereotypes; a more ambiguous cue might assess motives more effectively.Portions of this article were presented at the annual meeting of the American Psychological Association in Washington, D.C., 1976. Special thanks to Professor Charles P. Smith for his advice and encouragement throughout this research.     

条件性恐惧泛化的性别差异

恐惧的过度泛化是焦虑障碍的核心症状之一, 表现为患者对与原危险刺激极不相似的中性刺激也有着较高强度的恐惧反应。临床上, 女性比男性更有可能患焦虑障碍, 因而对恐惧泛化进行性别差异研究可以为解释女性有着更高焦虑障碍发病率提供新的角度, 同时为临床治疗提供参考。本研究采用辨别性条件恐惧范式, 以主观预期值和皮电反应值作为测量指标, 从行为和生理两个层面对条件性恐惧泛化程度和恐惧泛化消退的性别差异进行研究。结果发现, 在恐惧泛化程度上, 未出现显著性别差异。在恐惧泛化消退上, 在主观预期值和皮电反应值两个层面均有着显著性别差异, 具体表现为相较于男性, 女性恐惧泛化的消退更慢, 持续时间更长。研究结果表明, 女性焦虑障碍高发病率的潜在影响因素之一可能在于女性对于恐惧泛化刺激的难以消除。     

The moral psychology of rationing among physicians: the role of harm and fairness intuitions in physician objections to cost-effectiveness and cost-containment

Introduction

Physicians vary in their moral judgments about health care costs. Social intuitionism posits that moral judgments arise from gut instincts, called “moral foundations.” The objective of this study was to determine if “harm” and “fairness” intuitions can explain physicians’ judgments about cost-containment in U.S. health care and using cost-effectiveness data in practice, as well as the relative importance of those intuitions compared to “purity”, “authority” and “ingroup” in cost-related judgments.

Methods

We mailed an 8-page survey to a random sample of 2000 practicing U.S. physicians. The survey included the MFQ30 and items assessing agreement/disagreement with cost-containment and degree of objection to using cost-effectiveness data to guide care. We used t-tests for pairwise subscale mean comparisons and logistic regression to assess associations with agreement with cost-containment and objection to using cost-effectiveness analysis to guide care.

Results

1032 of 1895 physicians (54%) responded. Most (67%) supported cost-containment, while 54% expressed a strong or moderate objection to the use of cost-effectiveness data in clinical decisions. Physicians who strongly objected to the use of cost-effectiveness data had similar scores in all five of the foundations (all p-values?>?0.05). Agreement with cost-containment was associated with higher mean “harm” (3.6) and “fairness” (3.5) intuitions compared to “in-group” (2.8), “authority” (3.0), and “purity” (2.4) (p?<?0.05). In multivariate models adjusted for age, sex, region, and specialty, both “harm” and “fairness” were significantly associated with judgments about cost-containment (OR?=?1.2 [1.0-1.5]; OR?=?1.7 [1.4-2.1], respectively) but were not associated with degree of objection to cost-effectiveness (OR?=?1.2 [1.0-1.4]; OR?=?0.9 [0.7-1.0]).

Conclusions

Moral intuitions shed light on variation in physician judgments about cost issues in health care.

     

Patients and agents – or why we need a different narrative: a philosophical analysis

Background

The success of medicine in the treatment of patients brings with it new challenges. More people live on to suffer from functional, chronic or multifactorial diseases, and this has led to calls for more complex analyses of the causal determinants of health and illness.

Methods

Philosophical analysis of background assumptions of the current paradigmatic model.

Results

While these factors do not require a radical paradigm shift, they do give us cause to develop a new narrative, to add to existing narratives that frame our thinking about medical care. In this paper we argue that the increased focus on lifestyle and shared decision making requires a new narrative of agency, to supplement the narrative of “the patient”. This narrative is conceptually linked to the developing philosophy of person-centred care.

Conclusions

If patients are seen also as “agents” this will result in a substantial shift in practical decisions: The development and adoption of this narrative will help practitioners work with patients to their mutual benefit, harnessing the patients’ motivation, shifting the focus from treatment to prevention and preventing unnecessary and harmful treatments that can come out of our preoccupation with the patient narrative. It will also help to shift research efforts, conceptual and empirical, from “treating” and “battling” diseases and their purported “mechanisms” to understanding complex contributing factors and their interplay.

     

Social Dominance and Sexual Self-Schema as Moderators of Sexist Reactions to Female Subtypes

Theoretically, ambivalent sexism maintains gender hierarchy through benevolence toward conforming women but hostility toward nonconforming women. Men have shown ambivalent sexism to sex-typed vignettes describing “chaste” and “promiscuous” women (Sibley and Wilson 2004). This study of 117 Florida male and female undergraduate participants examined whether, benefiting more from gender hierarchy, men respond more extremely. If sexism supports gender hierarchy, social dominance also should moderate ambivalent sexism. Sexual self-schema (detailed, self-confident sexual information-processing) might moderate men’s and women's hostility. Supporting ambivalent sexism theory, women's hostility targeted the promiscuous character, but their benevolence targeted the chaste character, with men unexpectedly differentiating less. Social dominance enhanced Hostile Sexism and its differentiating the two female subtypes. Sexual self-schema moderated women’s but not men’s hostility.     

Moral judgment: Theory and research on differences between males and females

That men and women differ in their moral orientations is a commonly held stereotype. The view that men are morally superior can be found in the writings of philosophers and psychologists (most notably Freud). Recently, Carol Gilligan (Harvard Educational Review, 1977, 47, 431–517) has entered this discussion bringing to it what she calls a “different [woman's] voice.” In this paper, the theory of an ethic of care is described and contrasted with Kohlberg's morality of justice. The empirical support for Gilligan's claim that men and women differ in their moral orientations is examined and a discussion of Gilligan's contribution to an integrated theory of morality is offered.     

Taking People as They Are?

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