Consumer Vulnerability

Consumer vulnerability affects billions of consumers worldwide, yet there is no consensus about what constitutes this state or about its consequences for consumers. Indeed, while consumer vulnerability is often invoked in consumer research, it is usually discussed informally, with little conceptual anchoring. The goal of the current work was to advance the field's understanding of consumer vulnerability by (a) reviewing and integrating existing research, (b) extracting common features to develop a comprehensive framework for the concept of consumer vulnerability, and (c) charting paths forward for future research. We begin by defining consumer vulnerability as a state in which consumers are subject to harm because their access to and control over resources are restricted in ways that significantly inhibit their ability to function in the marketplace. We then introduce two lenses through which to identify this state: experience and observation. Next, we delineate the antecedents and consequences of consumer vulnerability and discuss the merits of adopting a view of this state as more global and dynamic. Finally, we use our framework to offer future research considerations.     

“Heartbreaking” Referrals,Professional “Disgrace”: The Impact of Medicare Ineligibility on the Counseling Profession

To better understand the impact of the Medicare mental health coverage gap, the authors analyzed survey data provided by 1,859 members of the American Counseling Association using a conventional qualitative content analysis. One overarching theme, direct impact of Medicare policy on the counseling profession, is presented, along with 3 thematic categories: emotional impact on providers, economic toll on providers, and negative influence on profession's credibility. Implications for the counseling profession are discussed.     

Life events stress and chronic pain

Stress in life has been found to play a role in triggering, maintaining and exacerbating chronic pain, yet, direct empirical evidence of the mechanism of such a role is limited. In the present study 120 non-selected chronic pain patients and an equal number of matched healthy normals were investigated with regard to life events stress. The investigation revealed that although, patients and controls did not differ in terms of number of events experienced during the last 1 year, however, patients reported significantly higher frequency of occurrence on a distinctive set of events belonging to personal, interpersonal and familial life and events related to change in eating and sleeping habits. Our results emphasize the importance of studying the life events beyond the simple count of number of event occurrence but to explore the specific events those cluster around pain disorders.     

Exploring the temporal dynamics of social facilitation in the Stroop task

The importance of social context in affecting attention has recently been highlighted by the finding that the presence of a passive, nonevaluative confederate can improve selective attention. The underlying mechanism, however, remains unclear. In this paper, we argue that social facilitation can be caused by distractor inhibition. Two distinct sources of evidence are provided from an experiment employing the Stroop task with and without social presence. First, analysis of the response time (RT) distribution indicates that interference is reduced at relatively long RTs. This is consistent with an inhibitory mechanism, whose effects build up slowly. Further support is provided by showing that social facilitation is prevented by using short response-to-stimulus intervals that are thought to reduce cognitive control processes.     

Influence of Profession as Risk of STIs in Intimate Partner Relationship in South Asian Countries

Mixing of sexual partners as part of the profession of female sex workers (FSWs) can be a risk in intimate partner relationship, which is primarily based on love and affection. Sexual relation with one partner provides emotional and psychological support. However, when it is a web of partners, it often results in unprotected sex, consequently creating a pathway for disease and increasing the vulnerability of FSWs to sexually transmitted infections (STIs). This paper analyses the subtleties of sexual behavior of FSWs and their vulnerability toward STIs in intimate partner relationship in South Asian countries. The basic data used in this paper have been taken from 3 countries, 1271 FSWs from Bangladesh, 1404 FSWs from Nepal, and 7399 FSWs from India. The data were collected through modified time location cluster sampling as a part of mapping and size estimation of most-at-risk populations (MARPs) in Nepal and key affected populations (KAPs) in Bangladesh during the period of 2010–2016. The data for India are taken from the integrated behavioral and biological assessment (IBBA), which assesses the prevalence of high risk population in India. The findings reveal that the majority of the FSWs were married, which reveals dynamics of sexual activity placing them at higher risk of STIs. About half of the FSWs had more than 15 coituses in the last 30 days in Nepal, which is a high risk factor. Unprotected sex is reported high across all three countries irrespective of all background characteristics. Condom use during intercourse in Bangladesh is less likely in older FSWs and more likely among educated FSWs who had coital frequency of 7 or more in the last 30 days. Interestingly, unmarried FSWs in Nepal are less likely to use condom in their last sex as against India where FSWs are more likely to use condom in their last sex. The prevalence of STI among uneducated FSWs is found higher in Bangladesh as compared to Nepal and India. The socio-demographic background characteristics showed a significant association with unprotected sex, coital frequency and prevalence of STI across all three countries.     

South Asian American Daughter–Father Relationships in the Aftermath of Maternal Loss

ABSTRACT

In this transcendental phenomenological study, we interviewed five South Asian American daughter–father dyads regarding their experiences of coping and resiliency in the aftermath of maternal/spousal loss. Mothers play a crucial role in immigrant families as they serve not only as caregivers, but also as the main people who facilitate the transmission of culture. An untimely death of mothers in immigrant families can lead to confusion of roles within the family subsystems. Three main themes emerged for daughters from the interviews: (a) re-grieving, (b) coping/resiliency, and (c) daughter’s relationship with father following maternal loss. Three themes also emerged from the interviews with the fathers: (a) lack of traditional sources of familial support, (b) coping/resiliency, and (c) relationship with daughter following spousal loss. We utilized dyadic analysis to examine the dynamics of the daughter–father relationship. Overall, in the aftermath of maternal loss, the families experienced significant reorganization in its structure and reassignment of roles. For many of the daughters, cultural norms of patriarchy and traditional gender roles explained their pattern of assuming more responsibility in the household after the death of their mothers. Findings also showed how the intersection of gender, culture, and immigration status contributed to the process of complicated grief following maternal loss and the struggles experienced with reorganization of familial roles, rules, and expectations for South Asian American daughters and their fathers. Results from this study have implications for future research and clinical practice.