First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

A Simulacrum Account of Dispositional Properties

This essay presents a model‐theoretic account of dispositional properties, according to which dispositions are not ordinary properties of real entities; dispositions capture the behavior of abstract, idealized models. This account has several payoffs. First, it saves the simple conditional analysis of dispositions. Second, it preserves the general connection between dispositions and regularities, despite the fact that some dispositions are not grounded in actual regularities. Finally, it brings together the analysis and the explanation of dispositions under a unified framework.     

Face category differentially influences face memories after a delay

ABSTRACT

Faces belonging to the same category as the perceiver are better recognised than faces from different categories when tested immediately. After a delay, the same-category benefit persists and response bias becomes more liberal for other-category but not same-category faces. These effects are typically attributed to better encoding of same-category than other-category faces. To determine whether bias effects after a delay persist when immediate accuracy differences are minimised, Hispanic and Caucasian participants were given more study time for other-category than same-category faces. Memory was tested immediately and after a two-day delay. Discrimination accuracy was higher for other-category than for same-category faces during both test sessions. Bias was equivalent immediately, but after the delay, bias was more conservative for same-category than for other-category faces, especially in Caucasian participants. These results suggest that post-encoding processes differentially influence face memories from different categories, which may have implications for evaluating face memory in everyday situations.