While a substantial amount of research has addressed the psychological impact sexual assault has on its victims – as well as subsequent behavioral consequences – little is known regarding the stigma a victim of sexual assault may perceive as a result of her experiences. Perceived stigma may include feelings of shame, exclusion, and self-consciousness. Additionally, there have been no studies to date examining the impact such perceived stigmatization may have on help seeking behavior. To address this lack of data, college undergraduates at East Tennessee State University were recruited and surveyed over the Internet (course credit was provided as compensation for participation). To date, 51 (15%) out of 331 female participants indicated that they had experienced sexual assault (i.e., they had been coerced – physically or otherwise – into engaging in sexual activity against their will). Preliminary results indicated that these women perceived stigma as a result of sexual assault (M=1.40, SD=.87, range=0-3). Although marginally significant, preliminary results further show that with increased levels of perceived stigma women were somewhat less likely to seek help or support from friends and family; for example, participants who perceived themselves as stigmatized were less likely to share details of the incident with others (r=-.284, p=.053) or ask others to share similar experiences (r=-.275, p=.061). Other factors potentially impacting the relationship between perceived stigmatization and help seeking will be addressed; specifically, the impact of religious fundamentalism on perceived stigma and subsequent help seeking behavior. Because these consequences of sexual assault and contributors to help seeking have yet to be addressed in the literature on sexual assault, this study sheds new light on the impact such events have on women.

Gay men living with HIV (MLWH) are often adversely affected by stigma related to both their serostatus and their sexual orientation, and the experience of living with HIV appears to increase feelings of internalized homophobia (IH). Little research attention has focused, however, on factors that may buffer the impact of HIV-stigma and IH on well-being among men living with HIV. Self-compassion, which consists of self-kindness, common humanity, and mindfulness, has been associated with resilience against the negative effects of stigma on well-being. We hypothesized that HIV-stigma would be indirectly related to poorer psychological well-being through increased levels of IH. Moreover, we expected that self-compassion would attenuate the negative effects of HIV-stigma on well-being through IH. Our sample consisted of 90 ethnically diverse gay MLWH. Participants completed an online questionnaire that assessed levels of HIV-stigma, IH, self-compassion, depression, anxiety, and positive and negative affect. After controlling for a variety of sociodemographic, health, and social characteristics, results revealed that more HIV-stigma was indirectly related to more depressive symptoms and anxiety through higher IH. Moreover, self-compassion emerged as a moderator of the indirect association of HIV-stigma on higher negative affect through higher IH, such that this indirect effect was significant for those with low self-compassion, but not for those with high self-compassion. Compassion-focused practices should be explored as a means of increasing resilience among gay MLWH.

After a mastectomy due to breast cancer, a woman faces a choice about whether to undergo cosmetic reconstruction of her breast(s). In choosing reconstruction, women restore not only their bodies but their socially acceptable selves. In spite of this, most choose not to have reconstructive surgery. Though they are in the majority, not much is known about these women, and about what they do to navigate through life with a body that does not meet expectations of femininity. In this project, I use the case of women who choose not to have reconstruction and not to simulate their missing breast(s) to explore the boundaries of the socially acceptable body. Drawing on interviews with women who did not have reconstruction, examination of depictions of bodies on breast cancer organization web sites, and content analysis of their discussion board postings, I analyze women’s choices not to reconstruct their breasts and place those choices in the context of modern breast cancer culture, which promotes an ideal ‘survivor’ body. I find that these women emphasize concerns about stigma and authenticity and that these concerns are expressed through appearance changes that vary across public and private settings. This research extends our understanding of deviant bodies to understanding the stigma of socially incomprehensible bodies. Further, it makes explicit the assumptions about selfhood that are implied by both current popular perception and sociological work on stigmatization.

This thesis explores physical health outcomes of individuals that hold stigma against those with mental illness. The stigmatizer is mentioned in the literature as an individual that holds a stigma towards another group. In this thesis, stigma refers to those that hold prejudice and may express discrimination towards a targeted group. Two studies were conducted that looked at multiple demographic variables as well as symptomology and degree of stigma towards those with mental illness. The first study looked at overall stigma without the stereotypical psychosomatic symptoms (chest pain and abdominal pain). The second study looked at a second dimension of stigma (social distance) and included the psychosomatic symptoms. In the first study, results indicated that stigmatizers were more likely to be male (M = 1.53, SD = .51; r = .216, p < .01) and have higher socioeconomic status (M = 3.06, SD = .91; r = .22, p < .01). Health outcomes were not correlated in the first study. In the second study, results indicated that those with higher levels of stigma (M=45.13, SD=13.52) also had more symptoms (including chest pain and abdominal pain; M = 4.92, SD = 5.64; R2=.06, F(1,98)=6.58, p=.01). This trend was also true for stigma as determined by social distance (M=18.31, SD=7.02) and health (R2=.10, F(1,98)=10.74, p<.01). These results were consistent with the proposed hypothesis and the current literature of the stigmatizer as well as the biopsychosocial model of mental health.

This study explored whether depression is stigmatized, and whether these perceptions of depression vary by gender, a person’s own experience with depression, or knowing other people with depression. These questions were examined through the use of an online survey, which included questions measuring demographics, personal history of depression, tolerance of depression, and stigma toward depression. Responses from 106 participants were analyzed using t-tests. The study found that depression is stigmatizing. There is also more stigma for a male with depression than a female with depression. In regards to personal history with depression and stigma, it was found that personally dealing with depression lessened the amount of stigma imposed on depressed persons. There was no significant difference between men’s ratings of stigma and women’s rating. The study also found no significant difference between knowing people with depression or coming into contact with depressed individuals and the likelihood of stigmatizing those with depression.

There is a need for more psychological studies that inform culture-specific adaptations in psychotherapy among Polynesian Americans. The use of humor has been identified as a potential adaptation in psychotherapy. Humor can be a catalyst for building and strengthening a healthy working alliance between counselor and client. The utilization of humor in therapy has significantly reduced mental health-seeking stigma. Evidence of the use of humor exists among Polynesian people prior to western colonization of Polynesia which suggests humor to be a culturally salient practice. The current study explored attitudes of seeking mental health counseling among Polynesian Americans while investigating the potential predictive relationship of humor coping and humor production on depression, stress, anxiety. The current study reports the findings of Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM). Moreover, the psychometric properties of the Depression Anxiety Stress Scale--21 (DASS-21), the Attitudes Toward Seeking Professional Help (ATSPH), and Multidimensional Sense of Humor Scale (MSHS) among Polynesian Americans were investigated. Overall Polynesian American participants n= 613 reported a significant positive relationship between the level of negative mental health states of depression, anxiety, stress, and the level of willingness toward seeking professional help. Another main finding was the significant relationship between these negative mental health states with and higher levels of skepticism towards seeking professional help. Humor coping was found to be a salient practice among male participants as well as with participants 18 to 29 years of age. Social humor production and personal humor production were marked preferences among participants 18 to 49 years of age. These findings suggest an urgent need for the development and implementation of culture-specific adaptations in psychotherapy among Polynesian Americans.

The study of attitudes towards those with AIDS is relatively recent. Most studies have examined attitudes concerning health and medical concerns. Little research has focused on attitudes toward social and behavior concerns. The few that have focused on such attitudes have employed relatively small samples collected primarily out of convenience. The studies that have used national samples have primarily addressed public policy issues. Using national data from the 1988 General Social Survey, this paper examines the effects of personal knowledge about the AIDS virus and other attitudinal variables on four dimensions of social and behavioral concern for those with AIDS in American society. Sociodemographic variables, which prior studies have demonstrated as important predictors of attitudes toward AIDS, are included as controls in this research that presents findings from a multivariate analysis. Results suggests that the impact of personal knowledge of someone with AIDS does not strongly lead to more supportive attitudes regarding the rights of people with AIDS, except when the economic costs of AIDS care is concerned. Directions for future research are presented and discussed.

Theories of microaggressions have been used in the last decade as a framework for studying subtle forms of discrimination against racial minorities and other marginalized groups. However, there is a dearth of research on the scope and types of microaggressions nontheists face. This qualitative study examines microaggressions against nontheists by interviewing 16 religious Christians on their experiences and opinions of the discrimination Christians and nontheists face. The narratives were analyzed for thematic patterns between the rhetoric used and the type of microaggressions employed. The study revealed nine categories of microaggressions. The findings also showed how experiences of discrimination, political viewpoint, and understanding power structures affected religious Christians’ perceptions of the discrimination nontheists may or may not experience. Knowing how anti-nontheist microaggressions are rhetorically framed contributes to the study of larger patterns of prejudice and discrimination against nontheists.

This study was conducted to examine the perception of others towards individuals with upper limb amputation and to determine how their ratings were affected by the presence of a prosthesis. The survey included 469 participants from a university in the southeastern United States. Participants read a brief background scenario and then rated pictured individuals with or without amputation, and with and without prostheses. Our assumption was that if one type of image was rated more negatively than others, this discrepancy would quantify stigma and stereotype. After viewing the images, participants rated several attributes associated with disability stereotypes and perceived functional ability using a semantic differential and ability rating scale. Multiple significant findings were observed including higher competence, warmth, and ability ratings of amputees with prostheses as compared to both non-amputees and amputees, lower competence and ability ratings in females as compared to males, and higher ability ratings for individuals with myoelectric prostheses as compared to body-powered prostheses. Perceptions of amputees are important in understanding amputees' experience in many areas such as employment opportunities and psychosocial functioning.

Bakgrund: Med en fungerade läkemedelsbehandling kan en person med HIV leva ett fullgott liv. Att leva med HIV medför en livslång kontakt med hälso-och sjukvården. Sjuksköterskan har en betydelsefull uppgift att skapa jämlik vård för alla. Vården skall vara personcentrerad och fokusera på att lindra lidande och främja hälsa. Syfte: Syftet med denna litteraturöversikt var att beskriva vilka erfarenheter patienter med HIV har av möten med sjukvårdspersonal.  Metod: Detta arbete är en litteraturöversikt som utgått från Polit och Becks niostegsmodell. Databaserna som tillämpats var PubMed och CINAHL. Tio originalartiklar har inkluderats i studien. Analysen av resultatartiklarna har gjorts utifrån Graneheim och Lundmans kvalitativa innehållsanalys. Resultat: Två övergripande kategorier kunde identifieras: upplevelse av diskriminering och värdet som människa. Slutsats: Negativa upplevelser av möten med sjukvårdspersonal påverkar såväl patienters förtroende till hälso-och sjukvården som vårdrelationen, hälsobeteenden och den psykiska hälsan, vilket i sin tur orsakar ett lidande. Bekräftande vårdmöten där vårdpersonal behandlade patienter med värdighet bidrar till en god hälsa. Genom att uppmärksamma detta ämne är förhoppningen att öka kunskapen om HIV men även att belysa vikten av jämlika vårdmöten.