Social capital and PTSD among PLWHA in China: the mediating role of resilience and internalized stigma

Post-traumatic Stress Disorder (PTSD) is frequent among people living with HIV/AIDS (PLWHA). Few studies have investigated social-psychological predictors of PTSD in China. This study aimed to examine relationships between social capital, stigma, resilience and PTSD among PLWHA in China, and to provide effective suggestions for PTSD intervention. A cross-sectional study of 520 PLWHA was conducted from November 2015 to January 2016. Survey data were collected using anonymous self-reported questionnaire. Multivariable analyses were used to examine related factors of PTSD, and causal mediation analyses were conducted to assess whether stigma and resilience were mediators. Results indicated that higher risk of PTSD was independent associated with stronger stigma, decreasing social capital and lower resilience. There was an indirect relationship of social capital on PTSD mediated through resilience and HIV-related stigma. Therefore, PTSD intervention programs should not only pay attention to the role of social capital on PTSD, but also attach importance to stigma and resilience on PTSD symptoms.     

Beliefs About Psychological Services Among Guatemalan College Students

This mixed-methods study identified the help-seeking attitudes of Guatemalan college students. A random sample of 248 students across 2 universities responded to a cultural adaptation of the Beliefs About Psychological Services (BAPS; Ægisdóttir & Gerstein, 2009) survey. The directors of both universities and a subsample of participants were also interviewed. Quantitative findings demonstrated low levels of stigma and positive help-seeking attitudes among students. Qualitative findings indicated that psychological services were limited, financially out of reach, or failed to address students’ gender-specific concerns. Recommendations to address these challenges are presented. Este estudio de métodos mixtos identificó las actitudes de búsqueda de ayuda de estudiantes universitarios guatemaltecos. Una muestra aleatoria de 248 estudiantes de dos universidades respondió a una adaptación cultural de la encuesta Creencias sobre Servicios Psicológicos (BAPS, por sus siglas en inglés; Ægisdóttir & Gerstein, 2009). También se entrevistó a los directores de ambas universidades y a una submuestra de participantes. Los hallazgos cuantitativos demostraron bajos niveles de estigma y actitudes de búsqueda de ayuda positivas entre los estudiantes. Los hallazgos cualitativos indicaron que los servicios psicológicos eran limitados, no eran lo bastante asequibles o no abordaban las preocupaciones relativas al sexo de los estudiantes. Se presentan recomendaciones para abordar estos desafíos.     

The stigma of having a parent with mental illness: Genetic attributions and associative stigma

Children often report associative stigma because they are ‘contaminated’ by association with a parent who has a mental illness. An exploratory study was conducted to investigate the role of genetic attributions in the aetiology of associative stigma. The first hypothesis was that genetic attributions would predict associative stigma over and above the contribution of biochemical and stressful‐event attributions, while the second hypothesis was that the relationship between genetic attributions and associative stigma would be mediated by the perceived likelihood that children would develop the same disorder as their parents. Two‐hundred‐and‐two individuals were asked to read a hypothetical scenario describing a teenage girl whose mother had been diagnosed with either schizophrenia or depression. Both hypotheses were supported. The findings of the study have implications for a number of professions working in the community such as teachers and psychologists. Additional avenues for future research are also explored.     

Attitudes of adolescents toward adolescent psychiatric treatment

Perceptions held by adolescents about the value and social stigma of both psychiatric hospitalization and outpatient therapy for adolescents are examined. Perceptions about preferred forms of treatment for specific adolescent problems are also analyzed. The results indicate that attitudes are significantly influenced by proximity to treatment setting, i.e., adolescents currently being treated are more positive than adolescents who have been previously or never treated. Contextual and attributional explanations are considered.     

Stigmatized‐Identity Cues and Consumer Applications Revisited

This article responds to thoughtful commentaries provided by Lamberton (2019–this issue) and Wooten & Rank‐Christman (2019—this issue) on Chaney, Sanchez, & Maimon (2019—this issue), an article in which we discussed the implications of social psychological research on stigmatized‐identity safety cues for consumer behavior. In Chaney, et al. (2019–this issue), we contend that stigmatized‐identity cues can signal belonging to marginalized groups via the ideological assumptions made about companies. In this article, we first clarify our definition of stigmatized identities beyond the limitation assumed by Wooten & Rank‐Christman (2019—this issue). In addition, we join the conversation regarding when cues lead to divergent responses in social groups. We also consider how using identity cues can “backfire” and the importance of using marketing goals to assess the extent to which strategies using such cues succeeded. Lastly, we integrate Lamberton's (2019–this issue) framework of dignity architecture and related empirical findings to discuss some of the challenges of research on stigmatized‐identity cues.     

‘Sometimes,it's not just about the food': The social identity dynamics of foodbank helping transactions

Food insecurity in developed countries has increased rapidly. Research has suggested that stigma may inhibit food-aid help-seeking, but has failed to determine how such barriers might be overcome. Adopting a social identity perspective, this study explored the processes involved in food-aid helping transactions and sought to identify conditions that facilitate positive helping outcomes. Interviews were conducted with 18 clients and 12 volunteers at two English foodbanks, and a theoretically guided thematic analysis was conducted. Two primary themes were identified: ‘Here to Help’ and ‘The Legitimate Recipient’. This article offers a distinct and novel contribution by applying a social identity perspective to foodbank helping transactions, thereby demonstrating how group dynamics and behaviours are integral to these interactions, and by moving beyond the typical ‘Social Curse’ focus on barriers to help-seeking to explore how such obstacles may be overcome. Suggestions for addressing stigma-laden helping transactions and promoting successful delivery of aid are provided.     

Examining associations among factor-analytically derived components of mental health stigma, distress, and psychological flexibility

Mental health stigma can be detrimental not only for the recipient, but also for the stigmatizer. As mental health stigma is often conceptualized as a multidimensional construct, Study 1 first examined the factor structure of mental health stigma as assessed by the Stigmatizing Attitudes-Believability (SAB; Masuda, Price, Anderson, Schmertz, & Calamaras, 2009). Study 2 investigated differential relations between the factor-analytically derived components of mental health stigma and psychological distress and psychological flexibility. Results of Study 1 revealed that mental health stigma consisted of two related, yet separable components: Exclusion and Course/Origin. The Exclusion component was characterized by negative emotions and cognitions associated with an increased desire for social distance. Course/Origin was marked by pessimistic views toward treatment prognosis and recovery. Results of Study 2 suggested that these two components have differential associations with psychological distress and flexibility. The Course/Origin component of stigma, but not Exclusion, was associated with psychological distress of the stigmatizer. Furthermore, this association was fully mediated by lower levels of psychological flexibility. These findings suggest the importance of conceptualizing mental health stigma multidimensionally.     

Familiarity with and social distance from people with mental illness: Testing the mediating effects of prejudiced attitudes

The purpose of this study was to examine prejudiced attitudes as a factor associated with social distance from people with mental illness. A total of 289 university students from Greece completed written measures assessing social distance from, prejudiced attitudes about, and familiarity with mental illness. A structural equation model with manifest variables was tested. Participants who reported to be more familiar with mental illness held stronger social care and weaker prejudiced beliefs, and consequently expressed a less strong desire for social distance. Implications of the results and suggestions for future research are outlined. Copyright © 2011 John Wiley & Sons, Ltd.     

Doing Psychotherapy with Patients with Genital Herpes: Issues and Interventions

Abstract

This article presents issues that the psychotherapist is likely to have to deal with in treating patients with genital herpes. A review of medical issues, clinical manifestations and pharmacotherapy of herpes infections is presented. Common psychological reactions and psychopathology related to herpes simplex virus infection, a discussion of the patient's dilemma of disclosing his or her herpes simplex positive status to others and a list of cognitive-logical distortions often encountered in, and negatively affecting, patients with genital herpes are presented in detailed examples. A practical model (SANE) conceptualizing psychotherapy for patients with genital herpes in 4 intervention stages (Stabilization-crisis intervention, Acceptance, Normalization and social-personal Empowerment-evolution) is suggested for use. The use of cognitive-behavioral therapeutic strategies in facilitating the patient's assumption of a healthier psychosocial perspective in each stage is comprehensively detailed. Ethical and legal concerns in working with herpes simplex positive patients are also discussed.     

The stigma of making a living from garbage: Meta‐sterotypes of trash‐pickers in León (Nicaragua)

The article analyzes various aspects related to the meta‐stereotype of 99 trash pickers who made their living from the garbage dumps in León (Nicaragua). This group is difficult to access, heavily stigmatized, and lives in extreme poverty. All the pickers in the city were interviewed using a heteroapplied structured interview. The results show that people who obtained their livelihood from garbage in the city of León had a mainly negative meta‐stereotype, albeit one to which was some extent indulgent, which could have a negative impact on their processes of social inclusion. The content of the meta‐stereotype had a high degree of uniformity, with few variations between the respondents. However, some differences were observed in the use of some attributes in the meta‐stereotype according to age, cohabitation with a partner and/or with parents, income level, engagement in paid work apart from picking garbage and the respondents' expectations for the future.