The role of disgust propensity in blood-injection-injury phobia: comparisons between Asian Americans and Caucasian Americans

There is a growing body of evidence suggesting the potential role of disgust propensity in blood-injection-injury (BII) phobia. The current study examined associations between disgust propensity and BII phobia symptom severity in Caucasian Americans (n=310) and Asian Americans (n=223). Asian Americans typically scored higher than Caucasian Americans on the BII and disgust measures. The present study also examined the structural relations between gender, cultural background, disgust propensity, and BII phobia symptom severity. According to the structural equation model, disgust propensity was significantly related to levels of BII phobia symptom severity and fully mediated the relationships between BII phobia symptom severity and the demographic variables of gender and cultural background. The implications of the results for cultural refinements to our understanding of disgust propensity and BII phobia are discussed.     

Fear and disgust processing during repeated exposure to threat-relevant stimuli in spider phobia

Although disgust plays a significant role in the etiology of spider phobia, there remains a paucity of research examining the role of disgust in the treatment of spider phobia. Spider fearful participants (N = 46) were randomly assigned to a disgust (view vomit images) or neutral activation (view inanimate objects) condition. They were then repeatedly exposed to a videotaped tarantula, during which time their fear, disgust, and physiological levels were assessed repeatedly. Growth curve analyses indicated that repeated exposure led to significant declines in fear and disgust with no statistically significant differences between the two conditions. However, there was marginal evidence for decreased physiological arousal during repeated exposure among spider fearful participants in the disgust activation condition compared to those in the neutral condition. Reduction in disgust during exposure in the disgust activation condition remained significant after controlling for change in fear, whereas change in fear was no longer significant after controlling for change in disgust. However, the opposite pattern of relations between change in fear and disgust was observed in the neutral activation condition. Higher fear and disgust activation during exposure was also associated with higher fear and disgust responding on a subsequent behavioral task and higher spider fear and disgust at 3-month follow-up. Baseline trait disgust propensity also predicted fear and disgust parameters during repeated exposure. The implications of these findings for the role of disgust in the treatment of spider phobia are discussed.     

Being American, being Asian: the bicultural self and autobiographical memory in Asian Americans

Studies of autobiographical memory have shown that the degree to which individuals focus on themselves vs. social relations in their memories varies markedly across cultures. Do the differences result from differing cultural self-views (i.e., an autonomous vs. a relational sense of self), as often suggested in the literature? Experimental evidence is required to answer this question. In the present study, Asian American participants (N=118) were primed to focus on their American or Asian self prior to recalling important autobiographical events, and participants in a control group described things in nature prior to the memory recall. Those whose American self was activated recalled more self-focused and less socially oriented memories than those whose Asian self was made salient, with the control group falling in between. The findings shed light on the mechanism underlying cultural influences on autobiographical remembering. They further highlight the dynamic nature of the memory-self interplay in cultural contexts.     

Selective effects of excessive engagement in health-related behaviours on disgust propensity

The present study examined the extent to which engagement in health-related behaviours modulate disgust propensity, a purportedly stable personality trait. Participants were randomised into a health behaviour (n = 30) or control condition (n = 30). After a baseline period, participants in the health behaviour condition spent one week actively engaging in a clinically representative array of health-related behaviours on a daily basis, followed by a second week-long baseline period. Participants in the control condition monitored their normal use of health behaviours. Compared to control participants, those in the health behaviour condition reported significantly greater increases in disgust propensity after the health behaviour manipulation. This effect was most robust for contamination disgust propensity and remained significant when controlling for changes in health anxiety and disease fear. In contrast, self-disgust and anxiety sensitivity did not significantly differ between the two groups as a function of the health behaviour manipulation. Mediational analyses were consistent with the hypothesis that changes in the frequency of health-related behaviours, but not changes in health anxiety and disease fear, mediated the effects of the experimental manipulation on changes in contamination disgust propensity. These findings suggest that the purportedly stable personality trait of disgust propensity can be modulated by excessive engagement in health-related behaviours.     

Positioning Asian Americans in social cognition

Asian Americans are increasingly positioned at the center of current events, yet extant theories and approaches in social psychology (and social cognition specifically) may not adequately capture how Asian Americans are perceived and treated in the current American racial landscape. We propose three directions to propel social cognition research on Asian Americans. First, research emphasizes Asian Americans' perceived high status (e.g., the model minority stereotype) while often overlooking their perceived foreignness. The two-dimensional Racial Position Model elucidates the consequences of being stereotyped as perpetual foreigners for Asian Americans and their relations with other racial and ethnic groups. Second, research and laypeople alike consider East Asian Americans to be the prototypical Asian Americans, thereby excluding subgroups such as South and Southeast Asian Americans. Considering the ethnic diversity of Asian Americans challenges and extends existing social psychological theories. Lastly, much of psychological research approaches race in isolation without considering its intersection with other identities such as gender. An intersectional framework offers insights into how Asian Americans' gender and race overlap in our social cognition. More nuanced research on Asian Americans is needed to fully understand race relations in the 21st century and we hope these three interconnected directions can guide researchers who are interested in the topic.     

A new threat in the air: Macroeconomic threat increases prejudice against Asian Americans

Macroeconomic conditions have long been suspected of increasing hostility toward ethnic outgroups. Integrating prior work on macroeconomic threat with recent threat-based models of prejudice, the current work employs an experimental approach to examine the implications of economic threat for prejudice toward ethnic outgroups. In Study 1, participants primed with an economic threat (relative to a non-economic threat and neutral topic) reported more prejudice against Asian Americans, an ethnic group whose stereotype implies a threat to scarce employment opportunities. In addition, economic threat led to a heightened state of anxiety, which mediated the influence of economic threat on prejudice against Asian Americans. Study 2 replicated and extended these findings by demonstrating that economic threat heightened prejudice against Asian Americans, but not Black Americans, an ethnic group whose stereotype does not imply a threat to economic resources. These findings are discussed in terms of their implications for understanding the role of macroeconomic conditions in potentiating antisocial responses to particular outgroups.     

Structural differentiation of disgust from trait anxiety in the prediction of specific anxiety disorder symptoms

Research has begun to implicate the role of disgust in the etiology of specific phobias and obsessive–compulsive disorder (OCD). However, it remains unclear if the association between disgust and specific anxiety disorder symptoms is an artifact of trait anxiety or a potential mechanism through which trait anxiety effects specific anxiety disorder symptoms. The present study employed structural equation modeling to differentiate disgust from trait anxiety in the prediction of four types of specific anxiety disorder symptoms in a non-clinical sample (N=352). Results indicate that disgust and trait anxiety latent factors were independently related to spider fears, blood-injection-injury (BII) fears, general OCD symptoms, and OCD washing concerns. However, when both variables were simultaneously modeled as predictors, latent disgust remained significantly associated with the anxiety disorder symptoms, whereas the association between latent trait anxiety and the anxiety disorder symptoms became non-significant or was substantially reduced. Statistical tests of intervening variable effects converged in support of disgust as a significant intervening variable between trait anxiety and spider fears, BII fears, and OCD symptoms (particularly washing concerns). The relevance of these findings for future research investigating the role of disgust in specific anxiety disorders is discussed.     

The mediating role of disgust sensitivity and thought‐action fusion between religiosity and obsessive compulsive symptoms

Psychological theories of obsessions and compulsions have long recognised that strict religious codes and moral standards might promote thought‐action fusion (TAF) appraisals. These appraisals have been implicated in the transformation of normally occurring intrusions into clinically distressing obsessions. Furthermore, increased disgust sensitivity has also been reported to be associated with obsessive compulsive (OC) symptoms. No research, however, has investigated the mediating roles of TAF and disgust sensitivity between religiosity and OC symptoms. This study was composed of 244 undergraduate students who completed measures of OC symptoms, TAF, disgust sensitivity, religiosity and negative effect. Analyses revealed that the relationship between religiosity and OC symptoms was mediated by TAF and disgust sensitivity. More importantly, the mediating role of TAF was not different across OC symptom subtypes, whereas the mediating role of disgust sensitivity showed different patterns across OC symptom subtypes. These findings indicate that the tendency for highly religious Muslims to experience greater OC symptoms is related to their heightened beliefs about disgust sensitivity and the importance of thoughts.     

Communication Styles,Cultural Values,and Counseling Effectiveness With Asian Americans

This study examined counseling intervention designed for Asian Americans. Participants (N = 158) rated session effectiveness after viewing a videotape of a counselor using a culturally congruent or incongruent communication style. Analyses of variance showed that the incongruent style was viewed as more satisfying and credible than the congruent style. Factor analysis showed that participants perceived “being direct” and “maintaining harmony” styles, and multiple regression analyses revealed that these perceptions had a positive relationship with effectiveness.     

Active-imaginal exposure: examination of a new behavioral treatment for cynophobia (dog phobia)

The aims of this study were to investigate exposure-based treatments for cynophobia (dog phobia) and to test a newly developed hybrid imaginal exposure treatment that we have named active imaginal exposure. The treatment introduces an in vivo coping component to imaginal exposure whereby the patient physically performs coping responses to an imagined feared stimulus. Eighty-two participants meeting DSM-IV criteria for specific phobia (animal subtype) were randomly assigned to one of three 30-min. treatments: (a) active-imaginal exposure (AI), (b) imaginal exposure alone (IE), or (c) graduated in vivo exposure (IV). Participants completed a behavioral approach test at pre, post, and four-week follow-up. Significant pre- to posttreatment improvement was observed in all three treatment conditions. Response rates at posttreatment were 51.9, 62.1, and 73.1% for the IE, AI, and IV groups respectively. Likewise, effect sizes at posttreatment were 0.76, 1.41, and 1.55 for the IE, AI, and IV groups respectively. Although in the predicted direction, the between group differences were not significant. A similar pattern of results was observed at follow-up. Further, safety behavior utilization during treatment was associated with less improvement--particularly in the two imaginal treatment conditions. Exposure treatments of dog phobia appear feasible and effective in reducing phobic fear and avoidance associated with dog phobia. Furthermore, preliminary evidence suggests that our active-imaginal exposure treatment may be a viable alternative to in vivo exposure.     

Culturally Attuned Behavior Therapy for Anxiety and Depression in Asian Americans: Addressing Racial Microaggressions and Deconstructing the Model Minority Myth

Extant research has shown that racial discrimination and microaggressions can have negative effects on anxiety and depression among Asian Americans. However, not much has been published regarding how to process and integrate experiences of racism into culturally attuned behavior therapy specifically for Asian Americans. In this article, I describe the process of culturally attuned behavior therapy for two Asian American clients, with an emphasis on integrating racial microaggressions into exposures for social anxiety, and deconstructing the model minority stereotype through value-driven behavioral activation for depression. Cultural attunements common to both case examples are then summarized, alongside practical recommendations for clinicians. Limits to generalizability are also discussed. Finally, the article closes by addressing the importance of cultural humility in effective culturally attuned behavior therapy with Asian Americans.     

The relationship between disgust sensitivity, anxiety and obsessions

Three hundred participants, including volunteers from an obsessional support group, filled in questionnaires relating to disgust sensitivity, health anxiety, anxiety, fear of death, fear of contamination and obsessionality as part of an investigation into the involvement of disgust sensitivity in types of obsessions. Overall, the data supported the hypothesis that a relationship does exist between disgust sensitivity and the targeted variables. A significant predictive relationship was found between disgust sensitivity and total scores on the obsessive compulsive inventory (OCI; Psychological Assessment 10 (1998) 206) for both frequency and distress of symptomatology. Disgust sensitivity scores were significantly related to health anxiety scores and general anxiety scores and to all the obsessional subscales, with the exception of hoarding. Additionally, multiple regression analyses revealed that disgust sensitivity may be more specifically related to washing compulsions: frequency of washing behaviour was best predicted by disgust sensitivity scores. Washing distress scores were best predicted by health anxiety scores, though disgust sensitivity entered in the second model. It is suggested that further research on the relationship between disgust sensitivity and obsessionality could be helpful in refining the theoretical understanding of obsessions.     

Experienced disgust causes a negative interpretation bias: a causal role for disgust in anxious psychopathology

This paper reports the results of an experiment investigating the effect of induced disgust on interpretational bias using the homophone spelling task. Four groups of participants experienced a disgust, anxiety, happy or neutral mood induction and then completed the homophone spelling task which requires the participant to interpret ambiguous words presented through headphones. Both the disgust and anxiety groups interpreted significantly more threat/neutral homophones as threat than both the happy and neutral groups; the disgust group also interpreted significantly fewer positive/neutral homophones as positive than the happy group. These findings are consistent with the view that induced disgust causes a negative interpretational bias which is similar to that reported for anxiety. The results could not be interpreted in terms of the disgust induction concurrently raising levels of self-reported anxiety, but could be interpreted in terms of disgust maintaining existing levels of anxiety. The effect of disgust was to facilitate negative interpretations rather than emotional interpretations regardless of valence. These findings provide the basis for a causal role for disgust in anxious psychopathology. Because the effect is a non-specific emotion-congruent one, elevated disgust levels will result in a predisposition to interpret information in a threatening way across a broad range of anxious- and threat-relevant domains.     

A historical and contemporary overview of Asian American and Pacific Islander experiences: Immigration, racialization, and liminality

When various contemporary issues of crime, violence, and gangs confronting Asian American and Pacific Islander (AAPI) communities are presented, they are often explained from an ahistorical perspective. This leads to a decontextualized understanding of the communities and the challenges they face. The first part of this article will provide a general historical overview of selected AAPI communities that examines salient aspects of immigration and racialization, resulting in generations living a circumscribed life on the margins of mainstream society. The balance of the article will draw on U.S. Census datasets from 1990 to 2000 to capture the size and growth of Asian American and Pacific Islander communities, and provide population, language, citizenship, education, income, and poverty data to contextualize emerging crime, violence, and gang issues that affect these communities. Data will show commonalities across AAPI communities, but will also reveal information specific to AAPI subgroups, shedding more light on the state of AAPI communities and their diversity.     

Perspective taking and emotion: The case of disgust and sadness

In a recent study (Gilead et al., 2016), perspective taking (PT) was found to have a significant effect on affect ratings of negative pictures compared to neutrals. The current study explores the question whether PT would be affected equally by distinct negative emotions. We used neutral pictures and pictures classified as provoking sadness or disgust, matched for their intensity and arousal. Participants were asked to rate the pictures (on a scale from 1—no emotional reaction, to 5—very strong reaction) from 3 different perspectives - tough, sensitive, or their own – “me”. In Experiment 1, all pictures were mixed in the same blocks. In Experiment 2, the sad and disgust pictures were separated into two different blocks (each including neutrals). Both experiments showed significant interaction between PT and emotion. PT was found to be influenced by valence; however, distinct negative emotions were found to affect PT similarly.     

The relationship between physical appearance concerns,disgust, and anti-fat prejudice

This study examined relationships between physical appearance concerns (fear of fat, body image disturbance; BIDQ), disgust, and anti-fat prejudice (dislike, blame), and tested whether disgust mediates relationships between physical appearance concerns and anti-fat prejudice. Participants (N = 1649; age = 28 years) provided demographic data and completed measures of anti-fat prejudice, tendency to feel disgust, and physical appearance concerns. Univariate, multivariate, and mediation analyses were conducted. Univariate and multivariate associations were found between fear of fat, BIDQ, disgust, and anti-fat prejudice for women. For women only, mediation analyses showed that disgust partially mediated relationships between physical appearance concerns and dislike of fat people. For men, univariate and multivariate relationships were found between fear of fat, and dislike and blame of fat people, but disgust was not related to anti-fat prejudice. Newer constructs centering on physical appearance concerns and disgust appear promising candidates for understanding anti-fat prejudice.     

The politics of disgust and shame

This is a critical study of Martha Nussbaum’s Hiding from Humanity. Central to Nussbaum’s book are arguments against society’s or the state’s using disgust and shame to forward the aims of the criminal law. Patrick Devlin’s appeal to the common man’s disgust to determine what acts of customary morality should be made criminal is an example of how society might use disgust to forward the aims of the criminal law. The use of so-called shaming penalties as alternative sanctions to imprisonment is an example of how society might use shame for this purpose. I argue that despite Nussbaum’s own view to the contrary, her arguments against such uses of disgust and shame are best understood as criticisms of programs of conservative political philosophy like Devlin’s and not of the emotions themselves.     

From hierarchy to rivalry: Asian candidate evaluation in changing racial contexts

Existing studies on candidate evaluation have posited that racial cues would invoke negative attitudes toward outgroups, thus lowering support for minority candidates. However, recent studies have found that even implicit racial cues show no negative effect but actually work positively in favor of the minority candidates. In this study, I explore this puzzle by setting up a survey experiment that pairs an Asian candidate against competitors with varying racial backgrounds. Consistent with the existing evidence, I found that White voters tend to support an Asian candidate to a greater degree than a co‐ethnic, White competitor. However, departing from the previous studies that have explained this tendency as a reward for model minority, I argue that such a pattern is associated with reaffirming Whites’ ingroup identity in a racial hierarchy by compensating minorities. When the apparent racial hierarchy—White versus non‐White—is replaced with a minority‐only context, Whites no longer need to favor an Asian candidate and divide their support more evenly to the two minority candidates. I further show that this tendency is moderated by the intensity of their ingroup attitudes.     

Conservative protestants and engagement with sexual minorities living with HIV: the role of disgust and recategorizing contact

Conservative Protestants in the United States have historically distanced themselves from gay men, lesbians, and transgender persons living with HIV based largely on fears of moral contamination which are propagated by disgust. We argue how disgust can implicitly reify social divides that engender condemnation and subjugation. However, we will propose that it is achievable to safeguard the traditional tenets of sexuality and gender among conservative Protestants and actively oppose misapplications of those tenets to exclude persons living with HIV. We will support our thesis by describing the work of a medical clinic founded on conservative Protestant ideology that serves hijras and kotis living with HIV in India. We will introduce how applications of recategorizing contact, cognitive consistency, and cultural scaffolding are formative in maintaining one’s ideological integrity without enacting exclusion based on fear and disgust.