Ear asymmetry in recognition of unfamiliar voices

Female right-handed subjects were presented with a memory set consisting of five unfamiliar female voices. They were then tested with a recognition procedure in which samples of voice, memory set or novel, 2 or 4 sec in duration, were heard in one ear and a competing noise stimulus was heard in the other ear. There was an overall left-ear advantage in accuracy of recognition. This advantage held particularly for identifications of memory-set voices in the second half of trials. Internal analyses indicated that the left-ear advantage could not be attributed to greater retroactive interference during right-ear presentation. Congruent with studies of recognition of unfamiliar faces, the findings suggested right-hemisphere superiority in the recognition of unfamiliar voices.     

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.