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Query: UMLS:C0277787 (stigma)
 13,352 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study aimed at (1) examining how women's attachment representations influence their intentions to seek formal help for their emotional problems, either directly or by affecting attitudes towards professional help-seeking (stigma and psychological openness), and (2) examining whether these effects are moderated by the presence of clinically significant psychopathological symptoms. A cross-sectional online survey including 226 women during the perinatal period was conducted. Results showed that, when clinically significant psychopathological symptoms were present, women's more insecure attachment representations were associated with lower intentions to seek professional help, and this influence occurred throughout a decrease in women's indifference to stigma associated with mental healthcare. These results support both the intra and interpersonal nature of the help-seeking process, and highlight the importance of implementing stigma reduction strategies (e.g., awareness campaigns, health professional's non-judgmental questioning of emotional difficulties), particularly in women with clinically significant psychopathological symptoms.
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PMID:Attachment and Mental Help-Seeking in the Perinatal Period: The Role of Stigma. 2845 43

Psoriasis is a chronic, inflammatory scaling dermatosis. The marked visible appearance of the lesions have a negative impact on body image that leads to decreased self-esteem, hence seriously compromising the patient's quality of life. The clinical picture critically affects the social well-being of the patient since the disease is commonly misunderstood and feared by the social environment as being contagious. The patient feels stigmatized and this further intensifies their lack of self-confidence and self-esteem. Feelings of shame and guilt increase the tendency toward suicidal ideation. The poor quality of life of psoriatic patients has been associated with excessive alcohol consumption, increased smoking and greater use of tranquilizers, sedatives and antidepressants. As far as mental impairment is concerned, a correlation has been found between psychological stress and the clinical severity of symptoms: the more mentally affected the patient, the more severe the dermatologic lesions. Similarly, stressful life events constitute a major risk for the occurrence and recurrence, exacerbating the severity and duration of the symptoms. Depression and anxiety can worsen the disease or cause resistance to treatment or patient's indifference, which in turn can lead to expensive and prolonged treatment. Not least, the disease itself contributes to anxiety, depression and psychological stress, thus creating a "vicious circle" that is difficult to manage. Given that women seem to invest more in their personal appearance than men, it is hardly surprising that female psoriatic patients report higher levels of depression. Similarly, the risk of mental disorders is also higher in younger patients for whom body image plays an equally significant role. The severity of the disease, side effects of therapy and mental disorders are among the causes that have been attributed to sexual dysfunction reported by some psoriatic patients. At the social level, stigma, social rejection, feelings of shame, embarrassment and lack of confidence provoked by the disease often lead to the discontinuation of daily activities and social withdrawal. This review attempts to describe the prevalence of psychological stress and its negative social impact on patients with psoriasis. The recognition and treatment of these psychosocial problems may contribute to improving the quality of life for patients and reduce treatment costs. The collaboration between the psychiatrist and the dermatologist is a fundamental prerequisite toward addressing these issues.
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PMID:Psychological parameters of psoriasis. 2854 Dec 39

Breast cancer survival rates in lower-income countries like Bangladesh are approximately 50%, versus over 80% in high income countries. Anecdotal reports suggest that, beyond economic and health system barriers, sociocultural factors may influence a woman's care-seeking behavior and resultant early stage diagnoses. To understand these barriers, we conducted 63 interviews (43 women with breast cancer symptoms and 20 men) in Khulna, Bangladesh. We identified socio-cultural barriers like neglect and indifference toward women, women's lack of power to use resources, and reduced support from family due to stigma. Interventions must address these barriers and improve the status of women in Bangladesh.
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PMID:Barriers to care for women with breast cancer symptoms in rural Bangladesh. 2950 92

[Correction Notice: An Erratum for this article was reported in Vol 126(5) of Psychological Review (see record 2019-58645-001). In the article, the following citation was omitted: Goff, P. A., Thomas, M. A., & Jackson, M. C. (2008), "Ain't I a Woman?": Towards an intersectional approach to person perception and group-based harms. Sex Roles, 59, 392-403. All versions of this article have been corrected.] A growing body of research shows that older adults, Black women, and other groups often encounter stigmatization that manifests not as negative prejudice, but as indifference and inattention-that is, interpersonal invisibility. We propose an affordance-management theory to explain who is interpersonally invisible, to whom, and with what consequences. A social affordance-management perspective suggests that people seek to detect and strategically engage with those who facilitate or obstruct achievement of important goals. We argue that invisibility emerges from the perception that another person neither helps nor hurts one's ability to achieve chronically or acutely active goals. We thus distinguish among phenomena commonly subsumed under the term stigmatization: invisibility-based stigmatization of those perceived to be irrelevant, and threat-based stigmatization of those perceived to obstruct one's goals. Invisibility and threat-based stigmatization are theorized to differ in origin, manifestation, and impact. Furthermore, rather than being a static property of particular target groups, interpersonal invisibility dynamically emerges from perceiver goals, target cues, and situational features. Nonetheless, some perceivers, targets, situations, and goals are more likely to lead to invisibility than others. This affordance-based theory of invisibility helps to organize the heterogeneous field of stigma research; unifies a diverse array of social, cognitive, motivational, and affective phenomena; and suggests numerous novel directions for future stigma research from both perceiver and target perspectives. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:The stigma of perceived irrelevance: An affordance-management theory of interpersonal invisibility. 3158 Jan 43

Research shows that smokers feel stigmatized, but does stigmatizing smokers do more harm than good? The model of stigma-induced identity threat was used to experimentally examine how U.S. and Danish smokers respond to stigma-relevant cues. Heavy smokers (112 Americans, 112 Danes) smoked a cigarette while giving a speech that was either video (stigma-visible condition) or audio recorded (stigma-concealed condition). Smokers high in self-concept reacted to the stigma-visible (as opposed to the stigma-concealed) condition with greater physiological reactivity (b = -2.80, p = .05), cognitive depletion (U.S. smokers, b = -0.06, p = .11), self-exempting beliefs (b = 0.32, p < .001), and less interest in stopping smoking (b = 0.28, p = .02). Thus, stigmatization led smokers toward emotional, cognitive, and attitudinal reactions that might make them less likely to quit. Future research should examine when smokers respond to stigmatization by quitting rather than with resistance or indifference.
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PMID:DOES IT HELP SMOKERS IF WE STIGMATIZE THEM? A TEST OF THE STIGMA-INDUCED IDENTITY THREAT MODEL AMONG U.S. AND DANISH SMOKERS. 3130 88

Reports an error in "The stigma of perceived irrelevance: An affordance-management theory of interpersonal invisibility" by Rebecca Neel and Bethany Lassetter (Psychological Review, Advanced Online Publication, Jan 28, 2019, np). In the article, the following citation was omitted: Goff, P. A., Thomas, M. A., & Jackson, M. C. (2008), "Ain't I a Woman?": Towards an intersectional approach to person perception and group-based harms. Sex Roles, 59, 392-403. All versions of this article have been corrected. (The following abstract of the original article appeared in record 2019-03858-001.) A growing body of research shows that older adults, Black women, and other groups often encounter stigmatization that manifests not as negative prejudice, but as indifference and inattention-that is, interpersonal invisibility. We propose an affordance-management theory to explain who is interpersonally invisible, to whom, and with what consequences. A social affordance-management perspective suggests that people seek to detect and strategically engage with those who facilitate or obstruct achievement of important goals. We argue that invisibility emerges from the perception that another person neither helps nor hurts one's ability to achieve chronically or acutely active goals. We thus distinguish among phenomena commonly subsumed under the term stigmatization: invisibility-based stigmatization of those perceived to be irrelevant, and threat-based stigmatization of those perceived to obstruct one's goals. Invisibility and threat-based stigmatization are theorized to differ in origin, manifestation, and impact. Furthermore, rather than being a static property of particular target groups, interpersonal invisibility dynamically emerges from perceiver goals, target cues, and situational features. Nonetheless, some perceivers, targets, situations, and goals are more likely to lead to invisibility than others. This affordance-based theory of invisibility helps to organize the heterogeneous field of stigma research; unifies a diverse array of social, cognitive, motivational, and affective phenomena; and suggests numerous novel directions for future stigma research from both perceiver and target perspectives. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:"The stigma of perceived irrelevance: An affordance-management theory of interpersonal invisibility": Correction to Neel and Lassetter (2019). 3068 73

Purpose: Assistive devices (ADs) are an essential component for people with disability to achieve functional independence and improved quality of life. The current study explored lived experiences of adults with mobility related disability using ADs, with reference to access to ADs, facilitators and barriers in access, use and adaptation of devices and whether any changes experienced after use of ADs.Materials and methods: Data were collected through interviews using narrative inquiry approach with 25 individuals having mobility related disabilities and who had experience of using one or more ADs for minimum 12 months. Transcripts were analyzed using thematic analysis procedure.Results: The analysis resulted in four main themes. The first theme of "access to ADs" revealed apathy of and disappointment towards public health service providers. The second theme "life with ADs" described personal and social adaptation of ADs. Third important theme was "barriers to use of ADs" which brought out physical barriers in public places, lack of home modification, and inaccessible built environment. Major concern was economic dependence, out of pocket expenditure and lack of services for maintenance and upgradation of ADs. The last theme "achieving a better life" described a sense of achievement with ease of mobility, relief of agony and gaining independence.Conclusion: In spite of the challenging experiences of disability, usage of ADs has increased social participation, independence and self-esteem. These major components helped participants to achieve "normalcy" in life.Implications for rehabilitationEarly identification of need of AD is necessary to support disabled individualAvailability, accessibility and affordability of appropriate devices at public health centres will improve rehabilitationRaising awareness and removing stigma about ADs will improve utilization of rehabilitative servicesTimely use and use of appropriate devices are necessary to improve quality of lifeUpgradation and maintenance of devices is a major concern which need to be linked with rehabilitation service provision.
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PMID:Lived experiences of people with mobility-related disability using assistive devices. 3183 35

The recent and unfortunate death of George Floyd in the United States (U.S.) has sparked the age-old debate and discourse on racism. The discrimination, stereotyping and othering based on skin color, ethnicity, caste, etc. have given rise to the 'social evil' of racism throughout the evolution of humankind. Irrespective of the numerous legal petitions, organizational and personal protests, media uproar and globalization, racism has continued to perpetuate in various communities across the world, amplifying the 'we versus they' dichotomy. The racist 'identity', the racist 'constructs', within group favoritism, stigma based on physical attributes, self-stigma and administrative apathy help in maintaining the vicious cycle of racist discrimination. The implications are immense and can be transgenerational, in socioeconomic, biological and psychological dimensions. Public awareness about the presence and effects of racism are still overshadowed by myths and misinformation. Several questions have been theorized in available literature, namely what leads to the perpetuation of racism and how does it affect generations altogether, in spite of the constant proponents of collectivism and humanity that try to fight it. This article attempts to answer some of these questions, by comprehensively evaluating racism from varied angles. It reviews theories in the genesis of racism, its biopsychosocial offshoots, the global problem statement and finally proposes 'minority stress' as a probable common pathway in mediating the vicious effects of discrimination based on race. The multi-pronged strategies possible to mitigate these effects are subsequently discussed.
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PMID:'Beyond the Floyd Narrative': Reviewing racism through the lens of social psychiatry. 3281 42

Suicide is a social evil that is considered to be a global epidemic. Mental healthcare professionals (MHP) (psychiatrists, clinical psychologists, psychiatric social work, etc.) are often involved as 'gatekeepers' in the management of suicidality and suicide prevention. Even though the risk of suicide in medical profession has received attention in research, there has been scarcity of literature related to the same in MHPs. They are not immune to the perils of psychological distress and its cascading consequences including suicide, contrary to the popular societal myths. The intrinsic and extrinsic pressures of the profession, persistent discourse in managing the psychological distress of others, professional burnout, self-stigma, societal apathy and easy access to psychotropics are certain factors making the MHPs more vulnerable. This disengagement and stress can contribute to depression, anxiety and complex trauma in the MHPs. The situation is furthermore compounded in developing countries with resource constraints, low MHP: patient ratio and inflexibility of work schedules. This makes tailored interventions, peer counselling, periodic mental health screenings and administrative understanding and accountability necessary at all levels. Keeping this in background, the review glances at the risk factors of suicide related to MHPs, highlights the problem statement and discusses the possible interventions.
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PMID:"Guarding the Gatekeepers": Suicides among Mental Health Professionals and Scope of Prevention, A Review. 3306 73


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