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.     

A Review of “The Oxford Handbook of the Economics of Religion”

Online and distance learning are delivery modes in theological education that prompt questions about a library's ability to serve non-resident or occasionally resident students. This bibliometric study of 23 Doctor of Ministry theses completed at Garrett-Evangelical Theological Seminary between 2006 and 2010 includes data about the kind of resources that are being used by distance students. The data is analyzed longitudinally and also by overall sample. Percentages of items cited that are in the library holdings either in hard or e-versions are also provided. Preliminary recommendations are made about how the library might adapt to serve the research needs of distance students.     

Putting yourself in the skin of a black avatar reduces implicit racial bias

Although it has been shown that immersive virtual reality (IVR) can be used to induce illusions of ownership over a virtual body (VB), information on whether this changes implicit interpersonal attitudes is meager. Here we demonstrate that embodiment of light-skinned participants in a dark-skinned VB significantly reduced implicit racial bias against dark-skinned people, in contrast to embodiment in light-skinned, purple-skinned or with no VB. 60 females participated in this between-groups experiment, with a VB substituting their own, with full-body visuomotor synchrony, reflected also in a virtual mirror. A racial Implicit Association Test (IAT) was administered at least three days prior to the experiment, and immediately after the IVR exposure. The change from pre- to post-experience IAT scores suggests that the dark-skinned embodied condition decreased implicit racial bias more than the other conditions. Thus, embodiment may change negative interpersonal attitudes and thus represent a powerful tool for exploring such fundamental psychological and societal phenomena.     

Visual-Field Bias in the Judgment of Facial Expression of Emotion

The left and right hemispheres of the brain are differentially related to the processing of emotions. Although there is little doubt that the right hemisphere is relatively superior for processing negative emotions, controversy exists over the hemispheric role in the processing of positive emotions. Eighty right-handed normal male participants were examined for visual-field (left-right) differences in the perception of facial expressions of emotion. Facial composite (RR, LL) and hemifacial (R, L) sets depicting emotion expressions of happiness and sadness were prepared. Pairs of such photographs were presented bilaterally for 150 ms, and participants were asked to select the photographs that looked more expressive. A left visual-field superiority (a right-hemisphere function) was found for sad facial emotion. A hemispheric advantage in the perception of happy expression was not found.     

Development of the Shape Bias During the Second Year

ABSTRACT. The shape bias is an attentional preference children show for the shape of an object over other aspects of the object in a word-learning context. This bias, which aids in establishing a word-object pairing, was investigated in 12-, 18-, and 24-month-old children (n = 90) across noun, adjective, and no-label conditions. The present research presents evidence of development across this time span; there was a transition from a label reducing the chance of shape extensions to indiscriminate shape extensions to a label increasing the chance of shape extensions. This research supports the notion that children are focusing their extensions more toward shape during the course of development thereby developing a more mature and more specialized shape bias.     

Immediate Movement History Influences Reach-to-Grasp Action Selection in Children and Adults

The authors review studies of mentally simulated movements. In automatic or cyclical movements, actual and motor imagery (MI) durations are similar. When athletes simulate only dynamic phases of movement or perform MI just before competing, however, environmental and time constraints lead to an underestimation of actual duration. Conversely, complex attention-demanding movements take longer to image. Finally, participants can modify the speed of MI voluntarily when they receive specific instructions. To complete the available data, the authors compared imagined and actual durations in tennis and gymnastics. Results showed systematic and disproportionate overestimation of actual duration. The authors found a relationship between complex motor skills and MI duration. They discuss the factors leading to over- and underestimation and the hypotheses that could be tested.     

Company Norms Affect Which Traits are Preferred in Job Candidates and May Cause Employment Discrimination

This study investigated a possible mechanism behind employment discrimination. Participants completed a recruitment task where emphasis on cohesion (employees should “fit in”) versus fairness (everybody should be treated equally) was manipulated by describing the norms of a fictitious company differently. There was a comparatively stronger preference in the cohesion condition for traits and interview questions related to social competence (e.g., friendliness, gregariousness, empathy). Furthermore, participants in the cohesion condition primarily pictured socially competent employees, whereas those in the fairness condition primarily pictured employees possessing productivity-related characteristics (e.g., education, experience, and talent). The norm effect was moderated by participants’ awareness of the applicants’ ethnicity. When expecting applicants with foreign backgrounds, participants in the cohesion condition showed increased preference for selection methods related to social competence. Implications for recruitment practices are discussed.     

Situating Moral Justification: Rethinking the Mission of Moral Epistemology

This is the first of two companion articles drawn from a larger project, provisionally entitled Undisciplining Moral Epistemology. The overall goal is to understand how moral claims may be rationally justified in a world characterized by cultural diversity and social inequality. To show why a new approach to moral justification is needed, it is argued that several currently influential philosophical accounts of moral justification lend themselves to rationalizing the moral claims of those with more social power. The present article explains how discourse ethics is flawed just in this way. The article begins by identifying several conditions of adequacy for assessing reasoning practices designed to achieve moral justification and shows that, when used in contexts of cultural diversity and social inequality, discourse ethics fails these conditions. It goes on to argue that the failure of discourse ethics is rooted in its reliance on a broader conception of moral epistemology that is invidiously idealized. It concludes by pointing to the need to rethink both the mission and the method of moral epistemology.     

Cognitive biases and alcohol use in adolescence and young adulthood: The moderating role of gender,attentional control and inhibitory control

The present study investigated the cross-sectional associations between cognitive biases (i.e., attentional bias and approach bias) and alcohol use and investigated the moderating role of gender, attentional control and inhibitory control. The sample consisted of 94 adolescents and young adults (52.1% boys) between 15.3 and 20.8 years old (M_age = 18.0, SD = 1.1) who reported drinking alcohol in the past three months. A stronger approach bias was related to higher alcohol use, albeit only among boys. Furthermore, the association between attentional bias and alcohol use was moderated by attentional control; the lowest alcohol use was found in adolescents with low attentional bias and high attentional control, suggesting protective effects of both variables. The present study replicates and extends the results of studies on cognitive biases and addiction in adolescence and young adulthood.     

The indirect effect of attention bias on memory via interpretation bias: Evidence for the combined cognitive bias hypothesis in subclinical depression

Little research has investigated functional relations among attention, interpretation, and memory biases in depressed samples. The present study tested the indirect effect of attention bias on memory through interpretation bias as an intervening variable in a mixed sample of non-depressed and subclinically depressed individuals. Subclinically depressed and non-depressed individuals completed a spatial cueing task (to measure attention bias), followed by a scrambled sentences test (to measure interpretation bias), and an incidental free recall task (to measure memory bias). Bias-corrected bootstrapping yielded evidence for the hypothesised indirect effect model, in that an emotional bias in attention is related to a congruent bias in interpretative choices which are in turn reflected in memory. These findings extend previous research and provide further support for the combined cognitive bias hypothesis in depression. Theoretical and clinical implications of our findings are discussed.