A paradox of support seeking and support response among gays and lesbians

Individuals that perceive stigma surrounding their identity and fear rejection of support requests may experience a paradox whereby they seek support indirectly from support networks (friends and family) to avoid rejection and are met with unsupportive responses. This study extended this paradox to sexual minorities using survey data from a sample of 133 individuals self‐identified as gay and lesbian. Results of structural equation modeling showed self‐stigma and fear of support rejection linked to increased indirect support seeking, which in turn explained unsupportive network responses, providing support for a paradox among gays and lesbians. Findings may have implications for interventions to improve support exchanges in the lives of sexual minorities.     

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.     

Help seeking for alcohol problems in a college population

Despite the availability of effective treatments for problem drinkers, only a minority seek professional assistance. The authors investigated the influences on help seeking for alcohol-related difficulties in two separate studies. In Study 1, 59 men and 74 women completed questionnaires regarding their alcohol use, related problems, readiness to change, and help-seeking interest. The authors also developed a measure of stigma related to alcohol help seeking. Problem recognition, anxiety symptoms, and stigma predicted a global rating of help-seeking. Students (22 men and 60 women) participated in Study 2, which incorporated a multi-item measure of help-seeking intentions as well as attitude and personality measures. Positive attitudes, less perceived stigma, and greater self-efficacy increased help seeking. The findings highlight the importance of both approach and avoidance factors that affect help-seeking decisions, and the authors suggest directions for further research.     

The stigma of seeking help for mental health issues: mediating roles of support and coping and the moderating role of symptom profile

A key factor to the prevalence of mental illness might be the disinclination to seek help, perhaps owing to the stigma of mental illness. In two studies, the contribution of severity of depressive symptoms, social support, and unsupport, coping strategies, and salience of psychological versus biological features of depression in relation to perceived self‐ and other‐stigma of help‐seeking for mental health issues were examined. Participants were first year students experiencing a transitional stressor, namely entry to university. Together, the findings point to the contribution of social support and unsupportive interactions, and coping methods to the prediction of perceived stigma of seeking help, but that the framing of mental illness can limit or strengthen these relations.     

The Effect of Stigma on Criminal Offenders’ Functioning: A Longitudinal Mediational Model

Research has rarely considered criminal offenders’ psychological responses to stigma, but these responses may significantly influence behavior after release from jail/prison. Jail inmates’ perceived and anticipated stigma was assessed prior to release from jail/prison (N = 163), and outcomes were assessed one year post-release (N = 371). We hypothesized that perceived stigma would predict poor adjustment in several domains (i.e., recidivism, substance dependence, mental health symptoms, community adjustment) through anticipated stigma. Results showed that perceived stigma predicted worse community adjustment through anticipated stigma, and this varied by race. Results are explored from an interdisciplinary perspective.     

Evidence for blatant dehumanization of mental illness and its relation to stigma

ABSTRACT

People with mental illness face stigma, and due to their low social status, they may also face blatant dehumanization that denies their status as fully evolved human beings. In the current research, three studies documented the existence of blatant dehumanization of mental illness. Study 1 (N = 112) showed that participants rated people with mental illness in general as being significantly less human than other dehumanized social groups such as Mexican immigrants and Muslims. Study 2 (N = 158) showed that dehumanization occurs for specific mental disorders but that the level of dehumanization varies widely among disorders. Study 3 (N = 223) documented significant correlations between dehumanization of mental illness and standard measures of stigma such as fear, pity, and social distance. Overall, the results establish the relevance of blatant dehumanization to mental illness stigma and suggest new directions for understanding stigma.     

Understanding public stigma toward substance dependence

This study examined the mechanisms of stigma toward individuals diagnosed with substance‐related disorders. The applicability of a mental health model of stigma extended to substance dependence was tested. Undergraduates completed a modified version of stigma questionnaires previously used to measure mental health stigma models. Questionnaires captured familiarity, perceived dangerousness, fear, and desired social distance toward individuals dependent to alcohol, marijuana, and heroin. Path analysis assessed the direct and indirect effects within this theoretical model for each substance. For marijuana and heroin, path models suggested that familiarity indirectly predicted desired social distance through perceived dangerousness and fear. For alcohol, familiarity did not indirectly or directly predict desired social distance. Implications for applying mental health models to substance disorder stigma are discussed.     

Does witnessing gender discrimination predict women's collective action intentions for gender justice? Examining the moderating role of perceived female support

Previous research has indicated that witnessing gender discrimination may instigate women's participation in collective action for gender justice. However, relatively little is known about the role of perceived female support in motivating collective action among women who witness gender discrimination in public life. This study aims to analyse whether and when perceived support from feminist-minded women moderates the association between women's witnessing gender discrimination and their willingness to engage in collective action for gender justice. We argue that the association between witnessing gender discrimination and willingness to engage in collective action depends on the support women perceive from their female friends and family members. In studies of women in the U.S. (Study 1; N = 271) and Ukraine (Study 2; N = 256), witnessing gender discrimination predicted greater willingness to participate in collective action for gender justice, and this association was stronger when female support was perceived to be lower. Study 3 (N = 1,304) replicated the findings of Studies 1 and 2 with self-identified feminist women in Turkey. Our research offers novel insights regarding why perceived lack of female support may encourage women to engage in collective action for gender justice.     

The impact of emotion-based mass media campaigns on stigma toward cervical screening non participation

Numerous studies have demonstrated the positive impact of mass media coverage of cancer on screening rates. In this online experiment, we assessed the influence of different types of mass media news articles (factual vs. emotive narratives) on cervical cancer screening intentions. We also tested the process through which mass media news articles influence screening intention. Participants (N = 141) were randomly allocated to receive either a news article containing factual information about screening, a news article containing an emotive narrative about a nonfamous woman who died after not being screened, or no information about screening. Participants, then, completed measures of stigma, fear, shame, and screening intention. Stigma toward people who had not been screened (i.e., public stigma) was greater when participants received an emotive narrative rather than factual information or no information. Moreover, we found a significant indirect effect of the manipulation on screening intention via public stigma. These results indicated that the emotive news article increased public stigma, which in turn predicted screening intention. Based on this, we argue that it is important to carefully consider the type of narrative that is included in mass media articles to ensure that it does not stigmatize people who have not been screened.     

When seeking influences believing and promotes posttraumatic adaptation

Background: Theory and evidence link social support processes and self-efficacy appraisals in the promotion of adaptation following traumatic events. Dynamic causal processes, however, have not been examined longitudinally or in the context of mass-violence. This study tested whether quantity of social support seeking indirectly reduced distress severity among student survivors of mass university shootings. Hypotheses specified that the indirect effects of social support seeking on distress severity would occur through positively influencing perceived social support and self-efficacy, and that these effects would emerge and become stronger as posttraumatic stress symptom severity increased. Design: Path analysis via Mplus 7.2 was used to test the hypothesized moderated-serial-mediation model (conditional indirect effects). Methods: The sample (N = 1191) consisted of students enrolled at Virginia Tech during the 16 April 2007 shootings. Data were collected via online surveys at two time points, 3–4 months and 1-year post-shootings. Results: Hypotheses were supported, showing that the indirect effects of social support seeking on distress reduction occurred through perceived social support, which in turn influenced self-efficacy. These effects emerged and grew in strength as PTS severity increased. Conclusions: Clinical implications, including the need to consider contextual determinants of posttraumatic recovery, are discussed.     

Online Hate and Zeitgeist of Fear: A Five-Country Longitudinal Analysis of Hate Exposure and Fear of Terrorism After the Paris Terrorist Attacks in 2015

Acts of terror lead to both a rise of an extended sense of fear that goes beyond the physical location of the attacks and to increased expressions of online hate. In this longitudinal study, we analyzed dynamics between the exposure to online hate and the fear of terrorism after the Paris attacks in November 13, 2015. We hypothesized that exposure to online hate is connected to a perceived Zeitgeist of fear (i.e., collective fear). In turn, the perceived Zeitgeist of fear is related to higher personal fear of terrorism both immediately after the attacks and a year later. Hypotheses were tested using path modeling and panel data (N = 2325) from Norway, Finland, Spain, France, and the United States a few weeks after the Paris attacks in November 2015 and again a year later in January 2017. With the exception of Norway, exposure to online hate had a positive association with the perceived Zeitgeist of fear in all our samples. The Zeitgeist of fear was correlated with higher personal fear of terrorism immediately after the attacks and one year later. We conclude that online hate content can contribute to the extended sense of fear after the terrorist attacks by skewing perceptions of social climate.     

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.     

Infant feeding and internalized stigma: The role of guilt and shame

Globally the rates of breastfeeding duration are extremely low and postnatal mental health issues are common. As a result, it is important to examine the emotions that underlie these matters. Across two studies (one correlational study N = 160 and one experimental study N = 118), we examined participants’ experiences of shame and guilt when feeding their baby, and the relationship between these emotions with breastfeeding behaviors and internalized stigma. We also examined the psychosocial factors that predict internalized stigma, and whether shame and guilt mediate these relationships. We focused on three factors that have been shown to be associated with internalized stigma in other domains: self-esteem and social support (Study 1), as well as self-efficacy (Study 2). Multiple regression revealed that experienced guilt uniquely predicted a shorter duration of exclusive breastfeeding (Study 1). Higher self-efficacy (Study 2), self-esteem, and perceived social support (Study 1) predicted lower internalized stigma of feeding choice. We found that shame was a mediator for the self-esteem and internalized stigma relationship (Study 1), while guilt was a mediator for the self-efficacy and internalized stigma relationship (Study 2). Our findings highlight the importance of experienced shame and guilt in mothers’ infant feeding experiences. The current results can inform future research and the design of interventions to improve breastfeeding rates and reduce feelings of stigma.     

Employee voice at work: the role of employees’ gender,self-efficacy beliefs,and leadership

ABSTRACT

Building on social role theory, we investigated the association between gender and employee voice (employees’ speaking up in a challenging but constructive way about work-related issues) in a typically male-dominated sector. In two field studies in the logistics context, we tested how and when gender is related to employee voice. In Study 1 (N = 132), we examined whether the gender-voice association is mediated by general self-efficacy beliefs. In Study 2 (N = 99), we replicated the indirect effect of gender on employee voice via general self-efficacy beliefs and investigated whether this indirect effect is contingent on supportive leadership. Using path analytical procedures, we found a significant indirect effect moderated by supportive leadership: At low and medium levels of supportive leadership, women reported less self-efficacy than men, which in turn resulted in less voice. At high levels of supportive leadership, the indirect effect was nonsignificant. Our studies contribute to research on the mechanisms and boundary conditions of gender’s influence in the employee voice process and have practical implications for leaders in male-dominated working contexts who want to encourage their female employees to speak up about work-related issues.     

Relationships Between Treatment Attitudes,Psychological Symptoms,Emotional Competence,and Help‐Seeking Intentions

The authors examined whether emotional competence (i.e., awareness, coping strategies) predicted help‐seeking intentions above and beyond previously identified factors (i.e., attitudes and perceived stigma toward professional help, psychological symptom severity) in an undergraduate sample (N = 531). Emotional awareness predicted help‐seeking intentions for personal/emotional problems and suicidal thoughts. Emotional coping strategies predicted help‐seeking intentions for suicidal thoughts and moderated the relationship between symptom severity and help‐seeking intentions for suicidal thoughts. Efforts to increase help‐seeking should address students' emotional competence.     

Beliefs Contributing to HIV‐related Stigma in African and Afro‐Caribbean Communities in the Netherlands

Thirty years after the first diagnosis, people living with HIV (PLWH) around the world continue to report stigmatizing experiences. In this study, beliefs contributing to HIV‐related stigma in African and Afro‐Caribbean diaspora communities and their cultural context were explored through semi‐structured interviews with HIV‐positive (N = 42) and HIV‐negative (N = 52) African, Antillean and Surinamese diaspora community members in the Netherlands. Beliefs that HIV is highly contagious, that HIV is a very severe disease, and that PLWH are personally responsible for acquiring their HIV infection were found to contribute to HIV‐related stigma, as did the belief that PLWH are HIV‐positive because they engaged in norm‐violating behaviour such as promiscuity, commercial sex work, and, for Afro‐Caribbean diaspora, also homosexuality. These beliefs were found to be exacerbated and perpetuated by cultural taboos on talking about HIV and sexuality. HIV‐related stigma reduction interventions should focus on changing these beliefs and breaking cultural taboos on HIV and sexuality in a manner that is participatory and consistent with the current theory and empirical findings. Copyright © 2011 John Wiley & Sons, Ltd.     

Gender inequality and gender differences in authoritarianism

Authoritarianism may be endorsed in part as a means of managing and buffering psychological threats (e.g., Duckitt & Fisher, 2003; Henry, 2011). Building on this research, the authors postulated that authoritarianism should be especially prevalent among women in societies with high levels of gender inequality because they especially face more psychological threats associated with stigma compared with men. After establishing that authoritarianism is, in part, a response to rejection, a psychological threat associated with stigma (Study 1), the authors used multilevel modeling to analyze data from 54 societies to find that women endorsed authoritarian values more than men, especially in individualistic societies with high levels of gender inequality (Study 2). Results show that the threats of stigma for women are not uniform across different cultures and that the degree of stigma is related to the degree of endorsement of psychologically protective attitudes such as authoritarianism.     

Investigating the role of E-contact and self-disclosure on improving Turkish-Kurdish interethnic relations

While recent research has started to pay more attention to the role of contact strategies on promoting intergroup harmony between Turkish and Kurdish communities, the effectiveness of a novel form of indirect contact strategy, E-contact—where participants engage in a cooperative and structured online interaction with an individual from the outgroup—has not yet been tested. Across two studies (N_{Study 1} = 110, N_{Study 2} = 176), we investigated the effects of E-contact among Turks on promoting positive attitudes and behavioral tendencies toward Kurds, testing outgroup trust and intergroup anxiety as mediators and incorporating a distinction between lower and higher self-disclosure conditions. As expected, E-contact led to more positive outgroup attitudes, as well as greater approach tendencies and decreased avoidance tendencies through increased outgroup trust (Studies 1 and 2) and reduced intergroup anxiety (Study 2). Study 2 also found that E-contact produced lower perceived interethnic conflict through increased outgroup trust. While both lower and higher personal disclosure conditions provided similar effects in the two studies, E-contact with heightened self-disclosure was especially effective at promoting more positive outgroup attitudes and reducing avoidance tendencies. Findings highlight potential benefits of using E-contact as a prejudice-reduction strategy in conflict settings.     

Societal Threat to Safety,Compensatory Control,and Right‐Wing Authoritarianism

We analyzed directly and indirectly the relationships between societal threat to safety, perceived control, and the increase in right‐wing authoritarianism (RWA) in two studies. In Study 1 (national sample of the Italian population, N = 1,169), we performed a longitudinal analysis structured into three waves (January 2003, September 2004, and January 2005). A moderated regression analysis showed that RWA increased from 2003 to 2005 as a function of perceived societal threat to safety more among low‐ than among high RWA scorers. In experimental Study 2 (Italian university students, N = 131) a moderated mediation model showed loss of perceived control to mediate the relation between societal threat to safety and the increase in RWA, but among low authoritarians only. Limitations, implications, and possible developments of this research are discussed.