Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members

Sexual minority women (SMW) experience an elevated risk of mental health problems compared to heterosexual women. However, knowledge gaps remain regarding whether cognitive-behavioral therapy (CBT) interventions meet SMW’s mental health needs. Further, virtually no studies have integrated stakeholder (i.e., researchers with content expertise in SMW’s health and clinical providers who work with SMW) and community member (i.e., SMW) perspectives to identify CBT approaches that address SMW-specific issues. This study used qualitative data gathered from 39 SMW who reported depression, anxiety, suicidality, and heavy drinking in the past 3 months and 16 content experts and clinical providers to obtain information relevant to enhancing CBT for SMW. In addition, we used thematic analysis to identify themes related to the adaptation and delivery of CBT for SMW. Building on prior literature, this study’s findings revealed seven considerations for delivering mental health services to SMW: (1) attending to SMW’s diverse gender identities and expressions; (2) focusing on SMW’s nonbinary stressors; (3) formulating SMW’s gender-based stressors within a feminist framework; (4) applying intersectionality frameworks; (5) incorporating issues of diversity, multiculturalism, and social justice; (6) addressing the role of trauma exposure; and (7) addressing the role of alcohol use in SMW’s lives. These considerations are reviewed in terms of their implications for clinical practice, with a focus on enhancing applications of existing CBT interventions to best respond to the unique needs of this population.     

Concealability beliefs facilitate navigating intergroup contexts

Living in a diverse world requires the ability to navigate intergroup contexts. However, interacting with outgroup members can cause anxiety that leads to lower-quality interactions and avoidance of future contact. One reason people experience this anxiety is the concern that others will judge them on the basis of an identity. These concerns may be reduced among people who believe the identity is unperceivable by others. The belief that one's identity is concealable may therefore reduce intergroup anxiety and ease people's experiences in intergroup contexts. The present work tests this proposition in two studies and finds that individual differences in concealability beliefs are negatively associated with intergroup anxiety and positively associated with the propensity to initiate intergroup contact and with the quantity and quality of people's cross-group friendships. Materials, data, and code for both studies and a pre-registration for Study 2 are available online ( https://osf.io/4cjhg/ ).     

Distancing from a stigmatized social identity: State of the art and future research agenda on self-group distancing

Despite equal rights, minority groups such as ethnic minorities, LGBTQ + people, and people with mental or physical disabilities face discrimination on a day-to-day basis in subtle and hard-to-recognize forms. As discrimination slips beneath the surface, it becomes difficult to fight the stigma using collective social identity coping mechanisms. Instead, individual mobility responses such as distancing the self from the stigmatized identity (“self-group distancing”) become more viable as a way to improve one's individual standing. In this overview of the state of the art, we take a social identity lens to reflect on the current empirical knowledge base on self-group distancing as a coping mechanism and provide a framework on what self-group distancing is; when, where and why self-group distancing likely occurs; and what its consequences are at the individual and the collective level. The contributions in this special issue provide novel insights into how these processes unfold, and serve as a basis to set a future research agenda, for example on what can be done to prevent self-group distancing (i.e., interventions). Together, the insights highlight that while self-group distancing may seem effective to (strategically and temporarily) alleviate discomfort or to improve one's own position, on a broader collective level and over time self-group distancing tends to keep the current unequal social hierarchy in place.     

污名化对被污名个体人际互动的影响

污名是指个体所具有不受欢迎的特征, 这种特征会导致个体在一定社会背景下被主流文化群体贴负性标签、贬低、侮辱而遭受到污名化。污名化对个体或群体本身会有消极影响, 不仅会使个体遭受到来自他人的歧视、排斥或拒绝等这些直接作用于自身的外部影响, 还会进一步消极影响被污名个体在人际互动中的表现和行为反应。被污名个体与主流文化群体之间的消极互动又会进一步加剧主流文化对被污名个体或群体的排斥, 形成恶性循环。从被污名个体的角度出发, 有助于更加深入地探讨污名化对被污名个体人际互动方面的影响以及被污名个体采取的应对方式。     

心理疾病污名形成理论述评

心理疾病污名是加诸于患者身上的耻辱标记,妨碍患者的治疗和康复。心理疾病污名的成因理论包括功能主义和生物文化两个派别,污名的发展模型解释了污名的形成过程,身份威胁模型对污名的作用机制进行了阐述。通过抗议、教育和接触可以有效地减少污名。在中国开展相关研究应注重分析传统文化、心理疾病类型与污名的关系,探讨各种减少污名策略的可行性     

Sacrifice and Stigma: Managing Religious Risk

This article develops a theoretical explanation for the incidence of sacrifice and stigma or “strictness” that—unlike the extant literature—explicitly incorporates a supernatural motive for religiosity. This innovation permits a precise delineation of religious risks and leads to the critical insight that “strictness” is an instrument of mutually beneficial risk mitigation. The theory yields alternative explanations for all empirical regularities on the incidence of strictness that the club model explains, including the seemingly anomalous labor market behavior of Ultra‐Orthodox Jews in Israel, the high lethality of extremist religious sects, and the positive correlation between strictness and social service provision. Among the attributes that distinguish the risk mitigation approach from the club model are: its explanation of observed income dispersion within strictness categories that is substantially greater than that implied by the club model; its prediction that the positive correlation between strictness and exclusivity is a causal relationship in which exclusivity is causally prior to strictness; and its demonstration that variation in the risk mitigation benefits members derive from strictness is at least as important as variation in the opportunity costs of strictness in explaining variation in the levels of strictness employed across denominations and sects.     

Recasting Stigma as a Dialogical Concept: A Case Study of Rural‐to‐Urban Migrants in China

The present study explores stigma against rural‐to‐urban migrants in China, drawing on a dialogical approach. It investigates the processes of stigmatization from two sides: that of the stigmatizer and that of the stigmatized. Open‐ended individual interviews were conducted with 138 participants (60 urban residents and 78 rural‐to‐urban migrants) in Tianjin, China. Findings from this study indicate that migrants were stigmatized by urban residents as having an unattractive physical appearance, potential perils of disease or crime, and discredited places of origin. Such stigma was embedded in China's unique hukou system and generated from a social categorization of superior and inferior groups. Migrants reported a number of coping strategies to counter such stigma: blaming fate, stigma reversal and upward mobility. However, migrants did not view themselves contemptuously and expressed positive feelings about their lives as migrants. They regarded internal migration as a way of pursuing happiness. Overall, urban residents stigmatized migrants legitimated by the hukou system, while migrants were surprisingly resilient against stigma, and did not internalize it, due to their economics‐driven internal migration. This study underscores that stigma in a given society is dialogically interdependent with its socio‐cultural context and that the perspectives of both the stigmatizer and the stigmatized need to be taken into consideration. Copyright © 2013 John Wiley & Sons, Ltd.     

Good intentions gone awry? Effects of weight-related social control on health and well-being

A negative body image has been associated with a variety of negative health and well-being outcomes. Social pressures from others, in the form of weight-related social control, may serve to exacerbate this effect, especially for college-aged women. Undergraduate students (N = 399) completed a variety of questionnaires assessing weight-related social control, well-being, and diet and exercise behaviors. The results suggest that weight is associated with a variety of negative health and well-being outcomes and particularly for women, weight-related social control is also associated with these negative effects. In addition, men of higher body mass indexes (BMIs) or higher self-perceived weight did not experience negative health and well-being outcomes to the same degree that overweight women did. Parents in particular seem to instigate weight-related social control to change students’ diet and exercise behaviors. These results help clarify the effects of weight-related social control in a college population, where weight may be especially important.