Katie Wang

Disability and autonomy: Priming alternative identities.

OBJECTIVE Despite the broad stigmatization that people with disabilities experience, the ways they respond as targets of prejudice have received little attention in the psychological literature. The present study examined the reactions of college students with disabilities to being primed with different aspects of their identity and how individual differences in stigma consciousness moderate this effect. DESIGN After being primed with their identity as a person with a disability or a student, college students with disabilities (n = 116) completed measures of autonomy-related thoughts, help-seeking, and stigma consciousness. RESULTS Students primed with their disability status activated autonomy-related thoughts less than the participants primed with their student identity. Moreover, as predicted, the priming manipulation had a stronger impact for participants higher in stigma consciousness. Across all participants, greater activation of autonomy-related thoughts was associated with a lower likelihood of seeking help. CONCLUSION Depending on the aspect of their identity that is most salient in a given context and their level of stigma consciousness, people with disabilities can access autonomy-related thoughts to a greater or lesser extent. The theoretical and practical implications of these findings are discussed.

The Burden of Stigma on Health and Well-Being: A Taxonomy of Concealment, Course, Disruptiveness, Aesthetics, Origin, and Peril Across 93 Stigmas:

Most individuals are stigmatized at some point. However, research often examines stigmas separately, thus underestimating the overall impact of stigma and precluding comparisons across stigmatized identities and conditions. In their classic text, Social Stigma: The Psychology of Marked Relationships, Edward Jones and colleagues laid the groundwork for unifying the study of different stigmas by considering the shared dimensional features of stigmas: aesthetics, concealability, course, disruptiveness, origin, peril. Despite the prominence of this framework, no study has documented the extent to which stigmas differ along these dimensions, and the implications of this variation for health and well-being. We reinvigorated this framework to spur a comprehensive account of stigma’s impact by classifying 93 stigmas along these dimensions. With the input of expert and general public raters, we then located these stigmas in a six-dimensional space and created discrete clusters organized around these dimensions. Next, we linked this taxonomy to health and stigma-related mechanisms. This quantitative taxonomy offers parsimonious insights into the relationship among the numerous qualities of numerous stigmas and health.

The moderating role of internalized homonegativity on the efficacy of LGB-affirmative psychotherapy: results from a randomized controlled trial with young adult gay and bisexual men

OBJECTIVE As empirical evidence for the effectiveness of LGB-affirmative psychotherapy emerges, the question of whether some clients may derive greater benefit than others becomes important. The current study investigated whether internalized homonegativity (IH), both explicit and implicit, moderated the efficacy of a cognitive-behavioral intervention designed to improve the mental and sexual health of young gay and bisexual men through facilitating minority stress coping. METHOD At baseline, young gay and bisexual men (n = 54) experiencing symptoms of depression and anxiety completed measures of explicit and implicit IH. Participants also completed self-reports of mental health and an interviewer-based assessment of past-90-day risk behavior before and after treatment in a 10-session individual LGB-affirmative intervention. RESULTS Moderation analyses showed that participants higher in implicit IH experienced greater reductions in depression (b = -2.99, p = .031, 95% confidence interval [CI] [-5.69, -0.29]), anxiety (b = -3.56, p = .014, 95% CI [-6.35, -0.76]), and past-90-day condomless anal sex with casual partners (b = -1.29, p = .028, 95% CI [-2.44, -0.14]). Participants higher in explicit IH experienced greater reductions in past-90-day heavy drinking (b = -0.42, p = .003, 95% CI [-0.69, -0.15]). CONCLUSIONS These findings indicate that greater gains from LGB-affirmative psychotherapy were observed in gay and bisexual men who were higher in IH, particularly when measured implicitly. As the first study that examines factors moderating the efficacy of LGB-affirmative psychotherapy, the present research has important implications for intervention development and highlights the value of incorporating implicit measures into clinical work. (PsycINFO Database Record

Emotional Clarity as a Buffer in the Association Between Perceived Mental Illness Stigma and Suicide Risk.

Among people living with psychiatric disorders, mental illness stigma has been identified as a major barrier to recovery by contributing to low self-esteem and interfering with treatment-seeking. The present research examined the association between perceived mental illness stigma and suicide risk severity and considered the role of emotional clarity (i.e., the ability to identify and understand ones emotional experiences), a critical component of emotion regulation, as a moderator of this association. A sample of individuals who had experienced recent psychiatric hospitalizations (N = 184) completed self-report measures of perceived stigma associated with their psychiatric diagnoses, deficits in emotional clarity, and behaviors that have been found to confer risk for suicide. A moderation analysis revealed that perceived mental illness stigma was positively associated with suicide risk severity, but only for individuals who have greater deficits in emotional clarity. These findings highlight the role of emotional clarity as a resource for individuals coping with mental illness stigma and underscore the potential utility of targeting deficits in emotional clarity in prevention and intervention efforts for reducing suicide risk.

Gay-Related Rejection Sensitivity as a Risk Factor for Condomless Sex

Gay-related rejection sensitivity has been linked to numerous adverse health outcomes, but its relationship to condomless sex remains unexamined. The present study investigated the role of gay-related rejection sensitivity as a predictor of condomless sex. Gay and bisexual men completed questionnaires measuring rejection sensitivity and condom use self-efficacy as well as a timeline followback interview regarding past 90-day sexual behaviors. Gay-related rejection sensitivity was positively associated with the number of condomless anal sex acts with casual partners, and condom use self-efficacy mediated this association. These findings have important implications for effective HIV prevention efforts among this at-risk population.

Looking on the bright side of stigma: How stress-related growth facilitates adaptive coping among gay and bisexual men

ABSTRACT Stigma has been linked to adverse mental health outcomes among gay and bisexual men, yet how psychological resources facilitate adaptive coping remains unclear. The present study examined the association between stress-related growth and internalizing mental health symptoms and considered emotion regulation as a mechanism mediating this association. Gay and bisexual men completed questionnaires measuring stress-related growth associated with sexual orientation identity development, emotion regulation difficulties, and anxiety and depressive symptoms. The study found that stress-related growth was associated with more effective emotion regulation, which in turn predicted fewer internalizing symptoms. These findings have important implications for understanding and alleviating sexual minority mental health disparities.

Independent or ungrateful? Consequences of confronting patronizing help for people with disabilities

People with disabilities routinely face a dilemma in dealing with patronizing help: While accepting unsolicited assistance may be harmful for its recipients, confronting the helper can lead to negative interpersonal repercussions. Across two studies, participants were presented with a scenario depicting an interaction between a blind target and a sighted pedestrian and asked to evaluate the behaviors of the characters involved. Study 1 showed that, whereas blind participants considered both patronizing and hostile treatment as inappropriate responses to the blind target’s request for information, sighted participants saw patronizing help as significantly more appropriate than openly hostile treatment. Study 2 further demonstrated that, among sighted participants, blind targets were viewed as less warm and more rude when confronting benevolent versus hostile discrimination. These findings highlighted the difficulty of confronting patronizing treatment and have important implications for people with disabilities as well as other patronized minorities more generally.

Perceiving and Confronting Sexism: The Causal Role of Gender Identity Salience

Although many researchers have explored the relations among gender identification, discriminatory attributions, and intentions to challenge discrimination, few have examined the causal impact of gender identity salience on women’s actual responses to a sexist encounter. In the current study, we addressed this question by experimentally manipulating the salience of gender identity and assessing its impact on women’s decision to confront a sexist comment in a simulated online interaction. Female participants (N = 114) were randomly assigned to complete a short measure of either personal or collective self-esteem, which was designed to increase the salience of personal versus gender identity. They were then given the opportunity to confront a male interaction partner who expressed sexist views. Compared to those who were primed to focus on their personal identity, participants who were primed to focus on their gender identity perceived the interaction partner’s remarks as more sexist and were more likely to engage in confrontation. By highlighting the powerful role of subtle contextual cues in shaping women’s perceptions of, and responses to, sexism, our findings have important implications for the understanding of gender identity salience as an antecedent of prejudice confrontation. Online slides for instructors who want to use this article for teaching are available on PWQs website at http://journals.sagepub.com/page/pwq/suppl/index .

Depression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping

ABSTRACT The comorbidity between depression and substance use problems is well-documented, yet little research has investigated how stigma associated with ones depression might relate to alcohol and drug use. The current study examined the association between depression-related stigma and substance use coping and considered the role of emotion dysregulation (i.e., difficulty in monitoring, evaluating, and modulating ones emotional reactions) as a mechanism underlying this association. A sample of individuals who self-identified as having current or remitted depression (N = 218) completed self-report measures of depression-related stigma, emotion dysregulation, and tendency to rely on alcohol or drugs to cope with psychological distress. Depression-related stigma was positively associated with emotion dysregulation, which was in turn associated with a greater tendency to engage in substance use coping. These findings provide initial support for the role of stigma as a contributor to maladaptive coping responses, such as substance use, among people living with depression. Further, they underscored the potential utility of targeting emotion dysregulation in stigma coping and substance abuse prevention intervention efforts.

Does Getting Stigma Under the Skin Make It Thinner? Emotion Regulation as a Stress-Contingent Mediator of Stigma and Mental Health:

Emotion regulation deficits may link stigma to poor mental health, yet authors of existing studies have relied on self-reported stigma and have not considered contextual factors. In the present research, we examined associations among cultural stigma (i.e., objective devaluation of one’s stigmatized status), emotion regulation deficits, and poor mental health. In Study 1, we created an index of cultural stigma by asking members of the general public and stigma experts to indicate desired social distance toward 93 stigmatized attributes. In Study 2, emotion regulation deficits mediated the association between cultural stigma and adverse mental health outcomes, including depressive symptoms and alcohol use problems, among individuals endorsing diverse stigmatized identities. The indirect effect of cultural stigma, via emotion regulation, on these outcomes was stronger among those reporting more life stress. These findings highlight the adverse impact of cultural stigma on mental health and its role in potentiating stigmatized individuals’ susceptibility to general life stress.