Racial healthcare disparities: A social psychological analysis

Around the world, members of racial/ethnic minority groups typically experience poorer health than members of racial/ethnic majority groups. The core premise of this chapter is that thoughts, feelings, and behaviours related to race and ethnicity play a critical role in healthcare disparities. Social psychological theories of the origins and consequences of these thoughts, feelings, and behaviours offer critical insights into the processes responsible for these disparities and suggest interventions to address them. We present a multilevel model that explains how societal, intrapersonal, and interpersonal factors can influence ethnic/racial health disparities. We focus our literature review, including our own research, and conceptual analysis at the intrapersonal (the race-related thoughts and feelings of minority patients and non-minority physicians) and interpersonal levels (intergroup processes that affect medical interactions between minority patients and non-minority physicians). At both levels of analysis, we use theories of social categorisation, social identity, contemporary forms of racial bias, stereotype activation, stigma, and other social psychological processes to identify and understand potential causes and processes of health and healthcare disparities. In the final section, we identify theory-based interventions that might reduce ethnic/racial disparities in health and healthcare.     

Embedding irony and the semantics/pragmatics distinction

This paper argues that we need to re-think the semantics/pragmatics distinction in the light of new evidence from embedding of irony. This raises a new version of the old problem of ‘embedded implicatures’. I argue that embedded irony isn’t fully explained by solutions proposed for other embedded implicatures. I first consider two strategies: weak pragmatics and strong pragmatics. These explain embedded irony as truth-conditional content. However, by trying to shoehorn irony into said-content, they raise problems of their own. I conclude by considering how a modified Gricean model can explain that irony embeds qua implicature. This leads us to prefer a local implicature model. This has important consequences for how we draw the semantics/pragmatics distinction.     

Disentangling the belief in God and cognitive rigidity/flexibility components of religiosity to predict racial and value-violating prejudice: A Post-Critical Belief Scale analysis

Past research indicates that being religious is associated with prejudice toward racial and value-violating out-groups. However, this past research treated religiosity as a unidimensional construct without taking into account how different components of religiosity—belief in a higher power and the rigidity/flexibility of religious beliefs—are associated with measures of prejudice. Two studies examined the relationship between these two components of religiosity, as measured by the Post-Critical Beliefs Scale, and racial (African Americans, Arabs) and value-violating prejudices (atheists, gay men). As the flexibility of religious beliefs increased (literal vs. symbolic dimension), attitudes toward racial and value-violating out-groups became more positive (Study 1). As belief in God strengthened (exclusion vs. inclusion of transcendence dimension), attitudes toward value-violating out-groups became more negative. Study 2 demonstrated that these two components of religiosity fully mediated the relationship between general religiosity and prejudice toward African Americans, Arabs, and gay men and partially mediated the relationship between religiosity and prejudice toward atheists. Results are discussed in light of reexamining the conclusion that simply being religious is associated with prejudice.     

Personality and social attitudes: Evidence for positive-approach motivation

Extensive research has linked general personality factors to social attitudes, but there has been comparatively little work on the roles played by specific approach-avoidance personality factors, especially positive-approach ones. Here we relate such factors to the two main clusters of social attitudes (Right-Wing Authoritarianism, RWA; and Social Dominance Orientation, SDO), and related cognitive constructs (Need for Cognition and Need for Closure). Results revealed: (a) positive-approach motivation is consistently related to both RWA and SDO, with little contribution from negative-avoidance motivation; and (b) negative-avoidance motivation played a part in Need for Cognition (negatively related) and Need for Closure (positively related). These data challenge previous theorizing concerning the role of fear/anxiety in social attitude formation and prejudice more generally. We conclude that, to a larger extent than previously thought, approach-related personality factors underpin the positive reinforcement of social attitudes and prejudice. Our results may help to account for the failure of programmes designed to reduce prejudice which have been based on the reduction of negative emotion and motivation.     

Coping mediates relationships between reinforcement sensitivity and symptoms of psychopathology

Limited research has evaluated whether coping strategies mediate the relationships between reinforcement sensitivity theory (RST) and symptoms of psychopathology. Undergraduates (n = 293) completed questionnaires assessing RST, coping, and symptoms of psychopathology. Consistent with our hypotheses, bootstrapping analyses indicated that emotion- and avoidance-focused coping mediated the relationship between high Behavioral Inhibition System (BIS) and depression, anxiety, and worry. Less problem-focused coping mediated the relationship between low Behavioral Approach System (BAS) and depression. Avoidance-focused coping mediated the effects of high BIS on drug and alcohol use whereas high BAS directly predicted alcohol and drug use. Unexpectedly, emotion-focused coping mediated the relationship between BAS and anxiety and worry. These results provide support for the hypothesis that personality variables are associated with psychopathology partially through coping.     

The relationship between Revised Reinforcement Sensitivity Theory (rRST), handedness and indecision

Indecisiveness is an inability to make a decision, manifest across a number of behaviours. We explore the influence that both direction and strength of hand preference may have on this construct, examining it in relation to the revised Reinforcement Sensitivity Theory (rRST). Frost and Shows’ (1993) Indecisiveness Scale was administered to 328 undergraduates (221 females), alongside the Edinburgh Handedness Inventory (Oldfield, 1971) and Carver and White’s (1994) BIS/BAS scales. Simple correlations showed left-handers had a positive relationship between strength of handedness and BIS. In right-handers, strength and aversive indecision were positively correlated. Regression analysis demonstrated no significant relationship between hand strength and indecision, but that indecision was related to all three measures of rRST. Consistent with previous work, BIS was positively related to all indecision but particularly aversive, while BAS was negatively related to indecision but most strongly the avoidant category. We found that FFFS is more closely related to aversive than avoidant indecision. The relationship between rRST and indecision may be influenced by handedness; for right-handers the same pattern was found, but in left-handers BAS was not a significant predictor of indecision, BIS only predicted aversive indecision and FFFS predicted all three categories.     

Expecting More in Relationships – Implications of Relational Entitlement

Abstract

Sense of relational entitlement refers to what individuals’ believe they “should” expect from their romantic partner. When expectations are both unrealistic and not met by one’s partner, there is a potential for adverse consequences. Researchers surveyed 195 female participants between the ages 18-60. The study examined the influence of one’s sense of relational entitlement with varying conflict strategies. The findings revealed that extreme forms of one’s sense of relational entitlement was associated with conflict strategies like verbal aggression, and control & domination. Thus, one’s sense of relational entitlement appears to play a significant role in how individuals handle conflict.     

Toward an Understanding of the Connections in Creating Lasting Family Connections

Abstract

The Creating Lasting Family Connections^® (CLFC) program is designed to help improve relationship skills and reduce antisocial behaviors. Strader and colleagues propose that prosocial connectedness is responsible for program outcomes. We propose that the intersection of high agreeableness and low impulsivity represent an operational definition. We examined this definition in the context of a RCT with 246 men in prison reentry. CLFCFP increased the number of connected individuals. Being connected and the program independently impacted relationship skills, but no evidence was found to support the hypothesis that the program impacts would be more pronounced among those who were connected.     

Anticipación semántica e interferencia de tipo Stroop en tareas de denominación de palabras

Resumen

Una relación semántica entre los componentes de estímulo relevantes e irrelevantes facilita la ejecución en tareas de anticipación pero parece inhibir la ejecución en tareas de tipo Stroop. Se estudiaron las causas de esta discrepancia. En una serie de tareas de denominación de palabras, se analizaba el efecto del número de dominios semánticos (que covariaba con el número de alternativas de respuesta) presentando a un grupo de estudiantes un conjunto idéntico de estímulos en forma bloqueada o mixta. El experimento 1 muestra que la presentación bloqueada produce un efecto de interferencia de tipo Stroop, mientras la presentación mixta produce facilitación semántica. Los experimentos 2 y 3 muestran que la variante palabra-palabra de la tarea de Stroop y la variante denominación de palabra de la tarea de anticipación semántica pertenecen a una misma familia de tareas. Ambas tareas muestran: a) un efecto de facilitación cuando el anticipador se relaciona con el objetivo y b) un efecto de interferencia cuando el anticipador es miembro del conjunto de respuesta. En la tarea de Stroop, la competición de respuestas aumenta el efecto de facilitación; en la tarea de anticipación, el efecto de facilitación semántica aumenta el efecto de competición de respuestas.     

Efectos de los cambios cognitivos y del esfuerzo de procesamiento sobre los juicios de duración prospectivos y retrospectivos

Resumen

El objetivo de esta investigación ha sido someter a prueba en un mismo diseño las variables representativas de cada uno de los tres principales modelos contemporáneos que tratan de explicar la experiencia humana sobre la duración. Además, se ha efectuado una comparación entre los paradigmas experimentales prospectivo y retrospectivo igualados en el tiempo que transcurre hasta la realización del juicio, así como una medición directa mediante un índice independiente del esfuerzo cognitivo involucrado en la realización de las tareas experimentales. El experimento realizado ha sido aplicado a 192 estudiantes de Psicología de la Universidad de Salamanca. Los resultados muestran que cuando se atiende de forma intencional al tiempo, los cambios ocurridos en el contexto cognitivo son utilizados como los indicios primordiales para la configuración de los juicios de tiempo más precisos. Sin embargo, cuando la atención al tiempo es tan sólo incidental, el esfuerzo cognitivo es el factor que mejor explica la estimación temporal mediante una relación inversa con el tamaño de la reproducción efectuada.