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.     

Impulsivity and Nonsuicidal Self-Injury: Examining the Role of Affect Manipulation

The assessment of impulsivity is complicated by the construct’s multi-faceted nature and poor correspondence between self-report and behavioral measures. These complications extend to populations anecdotally described as impulsive, including individuals who engage in nonsuicidal self-injury (NSSI). Research suggests that self-injurers report impulsivity, primarily negative urgency. Thus, negative affect may be an important prerequisite for increased impulsive behaviors. The present laboratory study examined self-report impulsivity differences between individuals with and without a history of NSSI and if self-injurers demonstrated behavioral impulsivity when experiencing negative affect. Undergraduates with (N?=?54) and without (N?=?61) a history of NSSI participated in a two-part laboratory-based study that investigated the role of affect manipulation in impulsivity and NSSI. Participants were randomly assigned to either a negative or a neutral-relaxing mood induction. Participants completed self-report measures of impulsivity, NSSI, and negative affect. A behavioral measure of impulsivity was administered during Session 1 (prior to a mood induction task) and again during Session 2 (following a mood induction task) to determine whether affect had an effect on behavioral impulsivity task performance. Self-injurers reported higher negative urgency and lack of perseverance but did not display impulsivity on the behavioral task, even under conditions of negative affect.     

When the customer shouldn't be king: antecedents and consequences of sexual harassment by clients and customers

Much of the work in today's service industries requires women to deal with people outside of their organizations, namely, customers and clients, yet research on sexual harassment has focused almost exclusively on sexual harassment within organizations. Because the threat of harassment also operates at the boundaries of organizations, our existing models based solely on harassment inside organizations may be too restricted to adequately explain the harassment experiences of women in today's economy. To address this, the authors introduce a theoretical model of the antecedents and consequences of sexual harassment by clients and customers (CSH) and describe 2 field studies conducted to test components of the model. In Study 1, they developed a model of antecedents and consequences of CSH and illustrated that certain contextual factors (client power and gender composition of the client base) affect levels of CSH and that CSH is related to a number of job and psychological outcomes among professional women. Study 2 revealed that CSH is related to lower job satisfaction among nonprofessional women, above and beyond that which is accounted for by internal sexual harassment. Theoretical and practical implications are discussed.     

The Worthwhileness of Meaningful Lives

Philosophia - The M?→?W thesis that a meaningful life must be a worthwhile life follows from an appealing approach to the axiology of life. Yet one of the most prominent voices in...     

Trouble in Eden

In response to the Wild-Anderson Report, Little Children are Sacred (June 2007) that outlined a pattern of widespread sexual abuse of small children and chronic alcoholism among aboriginals in the Australians' N.T. (Northern Territory), the federal government launched a major Intervention there sending in teams of doctors and health workers to examine all aboriginal children for abuse and special police and army units to stabilise the situation in remote communities. Moving beyond the recommendations contained in the Report the Howard government announced it would use compulsory acquisition powers and appoint administrators over aboriginal townships and centres (about 73 of them) for five years. These officials would be charged with building up local infrastructures and could assign individuals to work for their welfare payments at jobs assigned to them. More disturbing to aboriginal leaders and communities was a government plan to allow individual aboriginals to lease small plots of land on traditional community owned reserves for the purpose, it was said, of owning their home and/or to start a small business. Furthermore, traditional owners would be allowed to enter into long term leases (for 99 years) on their lands in order to attract outside investment and capitol. There was considerable fear among aboriginals that these unilateral moves by the government would undermine the basis of aboriginal culture and lead inevitably to the loss by aboriginal people of real control over their traditional land.     

Anger and shame elicited by discrimination: Moderating role of coping on action endorsements and salivary cortisol

Discrimination often elicits anger, and yet group members typically do not take actions to confront their situation. It may be that other emotions that run contrary to action‐taking also arise (e.g., shame), limiting the active expression of anger. Indeed, Study 1 (N = 36) revealed that, using a failure feedback paradigm, women expressed greater shame when their failure was due to discrimination, compared to a lack of personal merit. In contrast to anger, self‐reported shame was not associated with action‐taking. In Study 2, women (N = 91) were emotionally primed to feel either anger or shame (vs. a no mood prime control), and the moderating influence of coping styles on the link between emotions, actions, and salivary cortisol levels following discrimination were assessed. Among women primed to feel anger, problem‐focused coping predicted reduced self‐reported shame, lower cortisol reactivity, and greater individualistic confrontational action endorsements. In contrast, priming shame increased cortisol reactivity, but diminished the relation between particular coping styles and their capacity to facilitate action. Findings are discussed in terms of the interactive influence of emotions and coping on responses to discrimination. Copyright © 2008 John Wiley & Sons, Ltd.     

Evaluating wraparound services for seriously emotionally disturbed youth: pilot study outcomes in Georgia

Since the early 1990s, intervention strategies designed to preserve the family system while serving children diagnosed with severe emotional disturbances (SED) have been on the rise. Many of these strategies sought to provide families with comprehensive approaches that link various agencies and services, thus providing a complete system of care. The term wraparound services was coined to describe these approaches. However, evaluation studies of the outcomes of these programs remains limited. In order to assess the impact of wraparound services, outcome evaluation programs need to be implemented and their feasibility assessed. This paper focuses on the feasibility and implementation of a computer-based field assessment system and the ability to provide empirically based feedback to the programs. In addition, an assessment of 15 participating children and families, comparing selected aspects of clinical functioning at intake and 6-month follow-up, is presented and discussed.     

Undermining Reasonableness: Expert Testimony in a Case Involving a Battered Woman Who Kills

Student participants  ( N = 316)  viewed a videotaped simulated case involving a woman who had entered a self-defense plea in the shooting death of her abusive husband. As successful claims of self-defense rest on the portrayal of a defendant who has responded reasonably to his/her situation, the implications of various forms of expert testimony in constructing this narrative were examined. Jurors were presented with either expert testimony regarding the battered woman syndrome (BWS), the BWS framed within post-traumatic stress disorder (PTSD) nomenclature, or a no-expert control condition. As the BWS classification may support a stereotypical victim, the degree to which the defendant fit the stereotype in terms of her access to a social support network (family, friends, employment outside of the home) was varied within the expert testimony conditions to reflect either a high or low degree of stereotype fit. Although jury verdicts failed to differ across expert testimony and stereotype fit conditions, perceptions of her credibility and mental stability did. Although affording jurors a framework from which the defendant's experiences as a battered woman may be acknowledged, this portrayal, as advanced within PTSD nomenclature, endorsed a pathological characterization of the defendant. Implications of this discourse for battered women within the context of self-defense are discussed.