Social and Behavioral Sciences Commons^™

The Hurt And The Healing: An Artistic Investigation Into The Stigma Surrounding Substance Use Disorder, Kenny Kelley

Undergraduate Theses

This interdisciplinary, creative thesis aims to deconstruct the stigma directed towards individuals who struggle with substance use disorder (SUD) through the use of a solo art exhibit on Bellarmine University's campus. This exhibit features two large-scale installation sculptures and curated art pieces created by individuals at Crossroads Recovery Center in Cincinnati, Ohio. In addition to the gallery exhibition, this research-based written reflection is also included. One of the sculptures portrays the “hurt” that stigma causes for those who struggle with SUD. In contrast, the second sculpture represents the “healing” that can be achieved for people struggling with SUD when stigma …

Mental Illness Labeling In Justice-Involved People, Elena Therese Vaudreuil

Open Access Theses & Dissertations

While it cannot be denied that there is a strong correlational relationship between justice-involvement and mental illness, research has demonstrated that severe mental illness is rarely the direct cause of criminal activity. However, stigmatizing attitudes towards people with mental illness are often rooted in incorrect generalizations regarding the link between mental illness and unpredictable, dangerous behavior, which can be magnified by labels (e.g., "schizophrenic" or "criminal"). This reduction of a person to a label results in a number of negative outcomes, ranging from the prejudice and inequitable treatment one may experience from groups such as justice workers, police, and employers …

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …

Survey For Caregivers Of People With Autism Spectrum In Chile: Access To Health And Education Services, Satisfaction, Quality Of Life And Stigma [Encuesta Para Cuidadores De Personas Del Espectro Autista En Chile. Acceso A Servicios De Salud Y Educación, Satisfacción, Calidad De Vida Y Estigma], Ricardo Garcia, Matías Irarrázaval, Isabel Lopez, Sofia Riesle, Marci Cabezas Gonzalez, Andrea Moyano, Gabriela Garrido, Daniel Valdez, Cristiane S. De Paula, Cecilia Montiel-Nava

Psychological Science Faculty Publications and Presentations

People on the Autism Spectrum (AS) face multiple health, education, social, and economic problems. There is limited available information in Chile. \

Objective: To describe the access and satisfaction with health and education services, family and economic impact, stigma, and quality of life of people with AS and their families in Chile.

Subjects and Method: Parents/caregivers of AS persons completed the Caregiver Needs Survey, developed by Autism Speaks, which includes demographic information, characteristics of AS persons (previously published), use of health and education services, parents/caregivers' perceptions of satisfaction, impact, stigma, and quality of life.

Results: 291 caregivers (86% mothers) of …

Ethical Hiv Research With Transgender And Non-Binary Communities In The United States, Augustus Klien, Sarit Golub

Publications and Research

Introduction: Because transgender individuals experience disproportionately high rates of HIV infection, this population is an increasing focus of epidemiological and implementation science research to combat the epidemic. However, study participants, providers and other advocates have become increasingly concerned about research practices that may alienate, objectify, exploit or even re-traumatize the communities they are designed to benefit. This commentary explores the common pitfalls of HIV research with transgender communities and provides a potential framework for ethical, community-engaged research practice.

Discussion: We review some of the critical challenges to HIV research with transgender and non-binary communities that limit the potential for such …

Evaluating The Stigma Toward Counseling In The African American Community, Jamaica Chapman

Doctoral Projects

Self-stigma is an important factor that hinders help seeking through the use of mental health services. “Self-stigma is the reduction of an individual’s self-esteem or self-worth caused by the individual self-labeling herself or himself as someone who is socially unacceptable” (Vogel et al., 2006, p. 325). Attitudes have suggested both men and women struggle with depression in this population, and that they are reluctant to addressing psychological problems. Most are overly concerned about the stigma associated with mental illness. Though some are open to seeking treatment through mental health services, religious coping in this community is the most preferred method …

Experiences Of Stigma, Social Support, And Anxiety In People Living With Hiv In South Carolina, Sarah J. Miller

Theses and Dissertations

People living with HIV (PLHIV) experience numerous psychosocial stressors, including HIV-related stigma and heightened prevalence of mental health disorders such as depression, substance use disorders, and anxiety. However, limited research has investigated predictors of anxiety within this population. This study aimed to explore the relationship between HIV-related stigma and anxiety symptoms among PLHIV in South Carolina (SC) and to examine the role of social support as a mediator for this relationship. A total of 402 PLHIV receiving HIV care at large immunology center in SC completed a paper and pencil survey, reporting sociodemographic variables, as well as experiences of HIV-related …

Examining Culturally Adapted, Values Based, Mental Health Stigma Reduction And Help-Seeking Messages For Asian Americans, Anna M. Ying

Graduate Doctoral Dissertations

Mental health stigma is a ubiquitous concern impacting help-seeking in the United States and worldwide, including in college students. Insufficient attention has been given to the cultural context of stigma and help-seeking in Asian Americans, constructs in which culture has inherent relevance. The current study was the first to develop and test the acceptability of an online culturally adapted, values-based stigma and help-seeking intervention for Asian American college students, intentionally framing the benefits of therapy and mental wellness as congruent with values-based behaviors, intending to reduce the social costs and stigma of impaired functioning. A sample of 115 East, South, …

Potential Causes Of Stigma Toward Autism Spectrum Disorder In The Hispanic/Latin Community, Jill Morales

Psychology and Counseling Theses

The goals of this study were to (a) examine if stigma against ASD is predicted by high levels of acculturation, low socioeconomic status, low levels of education, and the lack of intention to seek help from a mental health professional, and (b) examine potential differences between Hispanics and Non-Hispanics on these predictors. I predicted higher levels of acculturation and lower levels of education among Hispanic/Latin individuals than non- Hispanic/Latin individuals, and that mature Hispanic/Latin individuals will have higher levels of acculturation and lower levels of education compared to their younger counterparts.

The data were collected via a Qualtrics survey distributed …

“I’M Not Just A Sex Robot”: Perceptions Of Stigma In Online Sex Workers, Clover Stutz

Honors Program Theses and Projects

The purpose of this qualitative study was to investigate online sex workers’ perceptions of stigma. Due to the increase in OnlyFans creators associated with the COVID-19 pandemic, these creators’ perceptions of stigma were of particular interest. Fifteen participants were interviewed, and themes were developed using thematic analysis. Three themes were identified, corresponding with findings regarding societal, interpersonal, and internalized stigma: ‘Persistent Judgement,’ ‘Strengthened and Severed Ties,’ and ‘Levels of Shame.’ Much of these findings echoed past research, but participants experienced unique manifestations of stigma as well—notably, participants reported navigating strict censorship on social media and often faced the misconception that …

Understanding Help-Seeking In Rural Counties: A Serial Mediation Model Of Self-Reliance, Stigma, And Attitudes Toward Psychologists, Emily M. Keller

Doctoral Dissertations

Rural areas in the Southern United States are characterized by certain cultural values, including self-reliance. Prior research has shown that cultural values can affect stigmatizing beliefs about mental health needs and service utilization. The present study examined a four-stage chain of serial mediation where higher levels of general self-reliance would be related to increased levels of public stigma, which would, in turn, be related to greater levels of self-stigma, followed by higher self-reliance about managing mental health problems, and finally, more negative attitudes toward seeking out help from psychologists. Community members who lived in rural counties in the Southern United …

Examining Dehumanization Of Individuals With Schizophrenia, Brianna Drake

USC Aiken Psychology Theses

Objective: Previous literature examines dehumanization of marginalized groups; though, most of this work focuses on ethnic and racial groups. Currently, there is a gap in the literature examining the extent to which people with mental illness are dehumanized. This study examined whether people with schizophrenia are dehumanized (relative to other marginalized groups, such as drug addicts). Furthermore, this research will investigate if using “person-first” language can attenuate dehumanization.

Method: Participants (n = 310) were recruited from Amazon Mechanical Turk to complete a measure of dehumanization and demeaning needs for each of the nine targets (i.e., self, close friend, lawyer, elderly, …

Cultural, Contextual, And Individual Determinants Of Mental Health Service Utilization Among Latinx Emerging Adults, Kenia Carrera Diaz

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Despite being at an increased risk of experiencing mental health problems, Latinx emerging adults underutilize professional psychological services compared to other ethnic/racial groups. It is important for researchers to understand this mental health disparity to improve Latinx emerging adults’ use of quality mental health services (MHS). The current project investigated factors that might influence Latinx emerging adult’s use of MHS through two separate studies. In the first study, I systematically reviewed research published in the past decade that examined predictors of MHS use among Latinx emerging adults. A total of 9 studies were found and included in this review. This …

Recognizing And Disrupting Stigma In Implementation Of Hiv Prevention And Care: A Call To Research And Action, Sarit A. Golub, Rachel A. Fikslin

Publications and Research

Introduction: There is robust evidence that stigma negatively impacts both people living with HIV and those who might benefit from HIV prevention interventions. Within healthcare settings, research on HIV stigma has focused on intra-personal processes (i.e. knowledge or internalization of community-level stigma that might limit clients’ engagement in care) or inter-personal processes (i.e. stigmatized interactions with service providers). Intersectional approaches to stigma call us to examine the ways that intersecting systems of power and oppression produce stigma not only at the individual and interpersonal levels, but also within healthcare service delivery systems. This commentary argues for the importance of analysing …

Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li

Faculty Publications

We utilized an exploratory analytic approach to examine predictors of children's future beliefs, an internal asset associated with resilience among children affected by HIV, with emphasis on complex interactions among multisystem factors. Children (N = 1221) affected by parental HIV in China reported on psychosocial functioning, as well as internal, familial, and community resilience assets. Exploratory data analysis was conducted using a binary segmentation program. Six binary splits on predictors accounted for 22.78% of the variance in future expectation, suggesting interactions between children's perceived control of their future, loneliness, caregiver trust, and social support. Four binary splits accounted for …

Factors Influencing Community Responses To Hoarding: Evaluating Operational Culture Of Hoarding Task Forces, Stigma, And Successful Outcomes, Leslie Gail

Dissertations

Hoarding is generally recognized as a pervasive need to acquire and retain items past the point of maintaining safe living spaces. Ushered into popular culture through television shows highlighting conflict, awareness of hoarding has increased. Experts report this condition affects 2-5% of the adult population, but this figure does not include children, family, neighbors, and community members (Buscher et al., 2013; Minor and Youth Children of Hoarding Parents, 2021). A unique feature of hoarding is the myriad of ways it is discovered.” People who hoard may keep conditions a secret due to a lack of awareness, concerns about forced remediation, …

Stigma Related To Criminal Justice History: The Role Of Offense Type, Mental Health Treatment, Mental Illness, And Race From Formerly Incarcerated Persons’ Perspective, Lindsey Ryan-Jones

Student Theses

Research has shown that offenders perceive stigma and anticipate stigma once they are released from incarceration, especially regarding employment and housing (LeBel et al., 2012). However, there is limited information about offense type, mental health treatment, mental illness and race affect how formerly incarcerated persons perceive, anticipate and experience stigma. While research has shown that those with mental illness are more likely to have recidivate and sex offenders are viewed negatively by the public, there are gaps in understanding reasons why this occurs (Bureau of Justice Statistics, 2017; Sample & Bray, 2006; Levinson et al., 2007; Rade, Desmarais & Mitchell, …

Mental Health Stigma And Law Enforcement Officers, Moses Park

Dissertations

Purpose: The purpose of this phenomenological research was to describe the perception of law enforcement officers (LEOs) about the stigmatizing behavior they experienced from fellow officers in their organization, after they sought mental health services, following a traumatic event they were involved in.

Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. Data was collected via semi-structured interviews with a purposive sample of 12 active and retired LEOs who served in southern California.

Findings: After the analysis, seven major findings were yielded. The major findings of the study are: (a) Within the law enforcement …

Impacts Of Diabetes Stigma On Acute Healthcare Engagement Among Adults With Type 2 Diabetes, Kate Camillo

Honors Theses

Introduction: Individuals frequently experience public and self-stigma stemming from type 2 diabetes. Prior studies have linked stigma with higher levels of poorer diabetes outcomes such as greater disease-related distress and worse glycemic control. However, few if any studies have examined the association between diabetes-related stigma and healthcare utilization. This gap in the literature is critically important given the importance of proactive disease management and preventive care as well the high costs of acute service use in this population. Therefore, the purpose of the present study was to examine the relationship between type 2 diabetes stigma, patient activation, and acute medical …

Healthcare Access, Satisfaction, And Health‑Related Quality Of Life Among Children And Adults With Rare Diseases, Amanda Hemmesch, Kathleen Bogart, Erica Barnes, Thomas Blissenbach, Arthur Beisang, Patti Engel, Chloe Barnes Advisory Council On Rare Diseases

Psychology Faculty Publications

Background: Research in a variety of countries indicates that healthcare access and health-related quality of life are challenged among people with a variety of rare diseases (RDs). However, there has been little systematic research on the experiences of children and adults with RDs in the American healthcare system that identifies commonalities across RDs. This research aimed to: (1) Describe demographics, disease characteristics, diagnostic experiences, access to healthcare, knowledge about RDs, support from healthcare professionals, and patient satisfaction among people with RDs and their caregivers; (2) examine predictors of patient satisfaction among adults with RDs; (3) compare health-related quality of life …

Helping Our Heroes: An Evaluation Of Mental Health And Organizational Policies Surrounding Suicide Prevention And Postvention Strategies For Nebraska First Responders, Maria S. Mickles

Capstone Experience

Suicide is ranked as one of the leading causes of death in the United States. Over 40,000 individuals die by suicide each year (Stanley, Hom, & Joiner, 2016; Vigil et al, 2021), and, in 2020, it was ranked in the top 9 causes of death for all ages (10-64), and second for those 10-14 and 25-34 years of age (Centers for Disease Control and Prevention, 2022). These statistics disproportionately reflect first responders (i.e., firefighters, dispatchers, law enforcement, EMS, paramedics, etc.), as they die by suicide more than the general public (National EMS Management Association, 2016). Within their line of work …

Stigma And Anxiety As Barriers To Help-Seeking Among University Of Richmond Students, Allison Walters

Honors Theses

There is a growing need for mental health services in the United States due to increased rates of psychopathology. Emerging adults, ages ranging from 18 to 24 years, experience high rates of psychopathology and thus have a strong need for available mental health treatments (Eisenberg et al., 2007). Despite this need and the efficacy of mental health treatment as a whole, there are many barriers to treatment utilization, including stigma. This study examines level of anxiety and stigma as barriers to help-seeking using data collected through the Healthy Minds Survey at the University of Richmond. Moderation analyses revealed that anxiety …

Shifting Weight Attitudes? A Look At Stigma And Implicit Bias, Carolyn H. Decicco, Sarah L. Capen-Becerra, Sophie K. Louis

Psychology Presentations

The goal of the current study is to investigate students’ perceptions of controllability and biases against individuals who smoke and individuals who present as ‘overweight’ in the workplace. Participants (N = 69) were randomly assigned to read an article describing either weight-based (n = 35) or smoking-based discrimination in the workplace (n = 34). Participants were tasked with writing open-ended responses to the articles. Participants in the smoking group were more likely to endorse (n = 16; 47.1%) discriminatory workplace practices than those in the weight group (n = 4; 11.4%), who showed more conflicted justification responses (weight n = …

Making Mental Health Information Accessible To Latinxs Through The Use Of Internet Forums, April Martinez

Undergraduate Distinction Papers

This study was conducted to explore the use of Internet memes as a way to address mental health stigma within the Latinx community. The study measured participants’ mental health prejudice both before and after exposure to a series of memes over a two-week span. The control group was shown memes that did not relate to mental health and the experimental group was shown mental health memes. The results were analyzed both quantitatively, for significant between group differences in posttest prejudice, and qualitatively for emerging themes in the participants’ comments on the memes. Results showed no significant decrease of stigma between …

The Influence Of Integrated Behavioral Health Primary Care Setting On The Utilization Of Mental Health Services And Depression Treatment Response Among Men, Tendai Masiriri

Dissertations

The 2010-2013 National Health Interview Survey showed that nearly 9% of men had daily feelings of anxiety or depression, yet less than 41% sought help for their symptoms (Blumberg et al., 2016). Men are more reluctant than women to seek help (Angst et al., 2002; Brownhill et al., 2005). The failure to seek help among men is associated with multiple factors related to stigma and gender, yet male suicide rates are approximately 3-5 times higher than their female counterparts. However, they have a higher likelihood of seeking help from a medical provider rather than a mental health provider. If men …

A Resilience-Based Intervention To Mitigate The Effect Of Hiv-Related Stigma: Protocol For A Stepped Wedge Cluster Randomized Trial, Xiaoming Li, Shan Qiao, Xueying Yang, Sayward Harrison, Cheuk Chi Tam, Zhiyong Shen, Yuejiao Zhou

Faculty Publications

Background: Despite decades of global efforts to tackle HIV-related stigma, previous interventions designed to reduce stigma have had limited effects that were typically in the small- to-moderate range. The knowledge gaps and challenges for combating HIV-related stigma are rooted both in the complexity of the stigma and in the limitations of current conceptualizations of stigma reduction efforts. Recent research has shown the promise of resilience-based approaches that focus on the development of strengths, competencies, resources, and capacities of people living with HIV (PLWH) and their key supporting systems (e.g., family members and healthcare providers) to prevent, reduce, and mitigate the …

Barriers To Mental Health Help-Seeking Among The Latinx Population In The United States: Primary Care, Family Influences, And Cultural Stigmas, Taylor Percival

Undergraduate Honors Theses

This thesis explores the disparity between the incidence of mental illness and help-seeking and resource utilization among the Latinx population. Research supports that the incidence of mental health issues is as high among this population as it is among any other, but help-seeking behaviors and resource utilization among this population are significantly lower. It is proposed that this difference is caused by family influence, cultural stigma, and lack of access to education and resources. Based on these factors, this thesis will discuss potential solutions that are culturally appropriate and empirically supported. These include family support interventions (psychoeducation, family-centered treatments, and …

Society’S Responsibility To Prevent Rising Mental Illness In Youth, Spencer Smith

Intuition: The BYU Undergraduate Journal of Psychology

The increasing rates of mental illness in the world is becoming an issue that has been ignored for too long. Stigma and ableism, “discrimination against individuals with disabilities or the tendency to be prejudiced against and to stereotype them negatively,” are contributing factors to the delay of seeking mental health treatment and worse prognosis (VandenBos & American Psychological Association, 2007). Preventing mental illness in youth requires changes in education. By increasing education at school, from parents, and understanding personal responsibility, it may be possible to prevent or mitigate mental illness development. Though there seems to be no one best practice …

Investigation On How Access To Insurance And Different Mental Health Services Impact Stigmatized Beliefs On Mental Health, Ashley Rossi, Barbie Hubner, Jordan Sferrazza

The Graduate Review

The current study aimed to investigate how access to insurance impacts mental health-related stigma and help-seeking attitudes, along with public and self-stigmatized views on seeking professional mental health services. Participants (N = 192) were recruited via Bridgewater State University Student Announcements and through convenience sampling. Individuals completed a survey consisting of five self-created questions and three different scales related to insurance coverage, mental health services, stigma, and help-seeking attitudes. We expected to find those with public insurance coverage would have higher self-stigmatized beliefs and lower help-seeking attitudes, but this hypothesis was not supported. We also expected that those with …

Stigma And Criminalization Of Mental Health In An Inpatient Versus Jail Setting, Zachary C. B. Dumay, Jessica T. Harnais, Christina M. Cerminara

The Graduate Review

Stigmatization is the perceived, negative stereotype assigned to a group of individuals. This stigmatization has contributed to the criminalization of mental health, meaning that individuals with mental health issues are more likely to be arrested for behaviors that are not criminal. This project examines mental health stigma toward an individual in a psychiatric setting and a correctional setting. We hypothesized that when reading a vignette about an individual experiencing a mental health crisis, participants will stigmatize them more if they are incarcerated than if they are in a psychiatric facility. Results showed that participants exhibited a higher level of discrimination …