Psychology Commons^™

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 …

“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 …

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 …

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 …

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 = …

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 …

Causal Attribution, Personal Responsibility, And Regret In Lung Cancer Survivors, Justin Ulland, Anthony Cortez-Morales, Kevin R. Criswell

2022 Symposium

Introduction: Lung cancer is the second-most common cancer for males and females and the leading cause of cancer-related deaths in the United States. Ninety percent of lung cancer cases are associated with a smoking history. Less is known about (a) how lung cancer survivors with and without smoking histories attribute their cancer to secondhand smoke and (b) how those attributions may be associated with personal responsibility, regret, and stigma from medical staff/professionals. This secondary data analytic study examined 196 lung cancer survivors.

Method: Paper surveys included (a) whether secondhand smoking caused their cancer, (b) whether they perceived control …

How Positive And Negative Emotions Are Regulated By And Associated With Stigma In University Students With And Without Mental And Physical Chronic Health Conditions, Katherine Crisp, Zlata Krisyuk, Kevin R. Criswell

2022 Symposium

Introduction: Over one-third of undergraduate students report having at least one mental or physical chronic health condition (CHC). Stigma is associated with undesirable emotion/mood, worse quality of life, and diminished academic performance. Less is known about (a) whether emotional experiences may be regulated differently between students with and without CHCs and (b) whether negative and positive emotion regulation are differentially associated with stigma awareness and internalized stigma in students with CHCs. The present study examines cross-sectional survey data from Fall 2020 quarter.

Method: Students without CHCs (n = 51) and students with CHCs (n = 150) …

Commending Rather Than Condemning: Moral Elevation And Stigma For Male Veterans With Military Sexual Trauma, Gracie Staley, Ana Clara Vieira Zaidan, Lucas G. Childers, Ray Daniel, Sean A. Lauderdale, Adam P. Mcguire

Psychology Faculty Publications and Presentations

Background

Using an experimental study, we examined the link between state moral elevation and stigmatic beliefs surrounding male veterans with military sexual trauma (MST).

Methods

Undergraduate students were presented with a video or written narrative of a male veteran self-disclosing how they struggled with and overcame MST (n = 292). Participants completed measures regarding trait and demographic characteristics at baseline, then measures immediately after the disclosure stimulus to assess immediate elevation and stigma-related reactions.

Results

Results suggest state-level elevation in response to a veteran self-disclosing their experience with MST was negatively correlated with harmful stigmatic beliefs about MST. A …

Disrupting Social Order: Proposed Mechanisms To Altering Societal Perceptions On The Outcomes Of Trauma In Veterans Diagnosed With Ptsd, Clairiz Nel

WWU Honors College Senior Projects

The lives of individuals are affected by the narrative created by the majority. This societal narrative is oftentimes distorted, reflecting the attitudes showcased in the media, resulting in the alienation of certain populations. Veterans diagnosed with Post-traumatic Stress Disorder (PTSD) is one such group and the focus of this activist essay. Despite the grievous sacrifices made in the name of honor, freedom, and national security, American veterans continue to wage a war closer to home as they struggle to reintegrate into society. The portrayal of war experiences in traditional media (i.e. News networks) and productions media (i.e. cinema) propagates stigmatization …

It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary

Antioch University Full-Text Dissertations & Theses

Attorneys who specialize in family practice may experience significant rates of mood disorders and substance reliance. Law schools typically do not provide supportive coursework or mentoring to help students learn to manage their feelings and those of crisis-impacted clients. Lawyers may well consider that understanding emotional needs and providing emotional support does not fall within their codes of practice. Societal stigma may prevent family attorneys and their clients from seeking therapy. Small-town attorneys may be particularly vulnerable to professional stress and safety concerns. The purpose of this study was to explore and understand the lived experiences of family attorneys practicing …