The effect of personal and group discrimination on the subjective well-being of people with mental illness: the role of internalized stigma and collective action intention

The goal of this study is to test a model in which personal discrimination predicts internalized stigma, while group discrimination predicts a greater willingness to engage in collective action. Internalized stigma and collective action, in turn, are associated to positive and negative affect. A cross-sectional study with 213 people with mental illness was conducted. The model was tested using path analysis. Although the data supported the model, its fit was not sufficiently good. A respecified model, in which a direct path from collective action to internalized stigma was added, showed a good fit. Personal and group discrimination appear to impact subjective well-being through two different paths: the internalization of stigma and collective action intentions, respectively. These two paths, however, are not completely independent, as collective action predicts a lower internalization of stigma. Thus, collective action appears as an important tool to reduce internalized stigma and improve subjective well-being. Future interventions to reduce the impact of stigma should fight the internalization of stigma and promote collective action are suggested.     

Coping with Sexual Identity Stigma in the U.S. Military: An Examination of Identity Management Practices Prior to and After the Repeal of “Don’t Ask,Don’t Tell”

This study assesses the identity management strategies employed by gays, lesbians, and bisexuals in the U.S. military prior to and after the repeal of “Don’t Ask, Don’t Tell.” In-depth interviews were conducted with gay, lesbian, and bisexual service members and veterans. Data were analyzed using constant comparative analysis. Findings revealed that these service members made thoughtful and deliberate decisions about whether or not, and to whom, they would reveal their sexual identities. Identity concealment was practiced most often, even after the repeal, which was found to incite feelings of self-reproach, isolation, and stress. However, several new identity management strategies emerged after the repeal of “Don’t Ask, Don’t Tell” (i.e., strategies of openness) that stimulated positive self-feelings. By engaging in some level of openness, participants in this study were able to overcome some of the adverse effects of their minority stress.     

Identity Horizons Among Finnish Postsecondary Students: A Comparative Analysis

This article examines the identity horizons of postsecondary students in Finland—a country in which social welfare provisions buffer education-to-work transitions—comparing their identity horizons to those previously reported for U.S. and Japanese students. Confirmatory factor analyses revealed scalar invariance of the Finnish version of the Identity Horizons Scales with the English and Japanese versions. Latent mean comparisons found that Finnish students had the broadest educational and work horizons, and the lowest education-to-work identity anxiety. Finnish men reported lower levels of educational horizons and higher levels of identity anxiety than Finnish women, replicating previous findings. Social class differences were also detected, with higher levels of identity anxiety and narrower educational horizons among those whose parents had no postsecondary education. Based on the apparent impacts on identity development of the different educational policies in the three countries, results are discussed in terms of policy implications supporting more effective education-to-work transitions.     

Assessment of a “Transgender Identity Stigma” scale among trans women in India: Findings from exploratory and confirmatory factor analyses

Background: Sexual minority stigma has been shown to influence mental health and sexual risk, but limited research is available on measuring transgender-identity stigma among trans women in India. We adapted an Exposure to Transphobia scale to the Indian context and tested a 14-item Transgender Identity Stigma Questionnaire (TGISQ) among trans women in India. We aimed to assess and validate the factor structure of the TGISQ and to assess its reliability.

Methods: Data were from a cross-sectional survey among 300 trans women (including hijras/thirunangais) from six urban/semi-urban sites in India. The TGISQ consisted of self-reported ratings on 14 items. We initially conducted exploratory factor analysis, using principal axis factoring (PAF) and promax rotation, and assessed reliability (internal consistency) using Cronbach's alpha; we then conducted confirmatory factor analysis to assess construct validity (factorial validity). Construct validity of the final 13-item Transgender Identity Stigma Scale (TGISS) was also examined by computing Pearson's correlations between TGISS and relevant theoretical constructs (e.g., depression, social support).

Results: PAF identified two factors: enacted stigma (5 items) and felt normative stigma (8 items). The final 13-item TGISS had high reliability and acceptable construct validity.

Conclusions: The TGISS was found to have adequate psychometric properties, making it the first valid and reliable scale to measure stigma and discrimination faced by trans women in India. Future studies can further refine TGISS, which might help in comparing the differences in stigma experiences among diverse subgroups of trans women, and in monitoring and evaluating the success of stigma reduction programs.     

Promoting Translational Research Among Movement Science,Occupational Science,and Occupational Therapy

Integration of research in the fields of neural control of movement and biomechanics (collectively referred to as movement science) with the field of human occupation directly benefits both areas of study. Specifically, incorporating many of the quantitative scientific methods and analyses employed in movement science can help accelerate the development of rehabilitation-relevant research in occupational therapy (OT) and occupational science (OS). Reciprocally, OT and OS, which focus on the performance of everyday activities (occupations) to promote health and well-being, provide theoretical frameworks to guide research on the performance of actions in the context of social, psychological, and environmental factors. Given both fields’ mutual interest in the study of movement as it relates to health and disease, the authors posit that combining OS and OT theories and principles with the theories and methods in movement science may lead to new, impactful, and clinically relevant knowledge. The first step is to ensure that individuals with OS or OT backgrounds are academically prepared to pursue advanced study in movement science. In this article, the authors propose 2 strategies to address this need.     

Ignoring biased feedback: Membership in a stigmatized group as a moderator of mnemic neglect

A personal history of being the target of biased negative evaluation may lead individuals to habitually divert attention from negative feedback when it is possible to do so. Two studies tested for the first time the hypothesis that people belonging to a stigmatized group (Black students on a predominantly White campus) will, relative to non-stigmatized people, be more likely to engage in mnemic neglect—that is, they will reveal a greater tendency to insulate themselves from the effects of negative self-relevant feedback by means of motivated forgetting. The results of Study 1 supported that hypothesis. In Study 2, priming the concept of egalitarianism reduced the tendency of Black participants to engage in higher levels of mnemic neglect, consistent with the idea that the higher observed levels of mnemic neglect among stigmatized individuals derives from expecting biased, discriminatory responses from other people.     

Long-Term Follow-Up of an Occupation-Based Group Addressing Occupational Performance and Satisfaction in University Freshmen

The long-term impact of a 5-week, occupation-based intervention to address the life transition of university students into young adulthood is presented here. Study participants showed statistically significant gains from baseline to long-term follow-up in both occupational performance and performance satisfaction. In post hoc analyses, occupational performance maintained a level of significance. During a time of rapid change, occupation-based interventions have the potential to provide transitioning university freshmen students the skills that they need for a successful transition into a university. Changes in the structure, timing, and focus of the intervention and studies using more diverse and larger samples are warranted.     

The Impact of Social Anxiety on Occupational Participation in College Life

Social anxiety is a reality for many college students. This study explored the impact of social anxiety on the occupational participation in daily life of six Irish students. Semi-structured interviews were used to explore participants’ daily routines, coping mechanisms, and interaction with the environment. The study aims to inform occupational therapists, academics, and other healthcare professionals of the impact of the condition on the daily life of college students. Qualitative data analysis showed that participants described negative beliefs about themselves and had concerns about how they were perceived by others. This affected their ability to fully participate in the student role.     

Amotivation and the occupational decision: an investigation of Australian senior high school students

This exploratory study investigated the occupational decision-related processes of senior high school students, in terms of the extent to which they may be amotivated in choosing a future occupation. Data were gathered using a newly developed questionnaire, which was largely adapted from a number of psychometrically proven instruments, and administered to 492 Grade 11 students attending a stratified random sample of six independent high schools in Sydney, Australia. Structural equation modelling was used to analyse the data. The major findings of the study include the development of a new empirically supported model that relates amotivation and vocational decision-related processes. The findings may be used by career advisors, psychologists, educators, and family members to advise and assist amotivated senior high school students to make occupational decisions.