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  "Conditions in society which are not defined as a problem and for which alternatives are never proposed, never become policy issues. Government does nothing and conditions remain the same."
 T.R.Dye, Policy Analyst
(From the book "Understanding Public Policy"
 

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Chronic Diseases & Stereotypes Imagines

Topics and/or research reports can be found near the bottom of this page. Thank you

     

"Stereotype threat, in contrast, refers to the strictly situational threat of negative stereotypes, the threat that does not depend on cuing an internalized anxiety or expectancy. It is cued by the mere recognition that a negative group stereotype could apply to oneself in a given situation. How threatening this recognition becomes depends on the person's identification with the stereotype-relevant domain. For the domain identified, the situational relevance of the stereotype is threatening because it threatens diminishment in a domain that is self-definitional. For the less domain identified, this recognition is less threatening or not threatening at all, because it threatens something that is less self-definitional.

Stereotype threat, then, as a situational pressure "in the air" so to speak, affects only a sub-portion of the stereotyped group and, in the area of schooling, probably affects confident students more than unconfident ones. Recall that to be identified with schooling in general, or math in particular, one must have confidence in one's domain-related abilities, enough to perceive good prospects in the domain. This means that stereotype threat should have its greatest effect on the better, more confident students in stereotyped groups, those who have not internalized the group stereotype to the point of doubting their own ability and have thus remained identified with the domain-those who are in the academic vanguard of their group."

A Threat in the Air How Stereotypes Shape Intellectual Identity and Performance

 

Document Name & Link to Document

Description

Type

AIDS-related stigma among adolescents

The primary goal of this study is to examine and determine factors influencing stigmatization and discrimination among adolescents towards people living with HIV/AIDS in Botswana.

Pdf 75 kb

An analysis of the policies, pronouncements and programmes on HIV-related stigma and discrimination in Nigeria

The international community had long recognized the limiting effect of HIV-related stigma and discrimination on the control of HIV/AIDS. It is known to undermine the ability of individuals, families and societies to protect themselves and provide support and reassurance to those affected

 

An Investigation of HIV Knowledge and Self-Perceptions of Behavior At present, young adults and college students are at a substantial risk for contracting HIV/AIDS. Some college students often perceive personal autonomy as freedom from their family of origin and lack of responsibility. Many experiment with alcohol and drugs, and this behavior can increase HIV risk factors. A large number of students do not accurately perceive their risk of infection and remain unaware of the seriousness of the HIV/AIDS epidemic  

Aspects of Stigma

Until we can define what we are dealing with when we talk of stigma and discrimination we may not be able to do anything very much.

 

Closing the inequality gap in access to primary health care for women living with Hepatitis C

One of the major challenges facing women diagnosed with hepatitis C is overcoming the stigma attached to this illness which frequently acts as a barrier to appropriate and timely primary health care.

 

Consequence of Stigma

The impact of stigma on the affected individual can lead to feelings of depression, guilt and shame, as well as to behaviour that limits participation within communities and access to services intended to assist them. Additionally, the fear of being stigmatised can lead to individual behaviour that heightens the risk of transmission.

 

COPING MECHANISMS OF THE STIGMATIZED: METHODS OF PROTECTING SELF-WORTH

Stigmatized person possesses and exhibits an attribute that conveys a devalued personal and social identity within a particular social context . Stigmatized individuals are commonly the targets of stereotyping, prejudice and discrimination face social rejection, and perceive considerable threat from the nonstigmatized or outgroup

 

DISABILITY AWARENESS AND CHANGING ATTITUDES

Public attitudes toward disability are often the greatest barrier for people with disabilities. Since the publication of the reference bibliography "Attitudes toward Handicapped People, Past and Present" in 1984, however, the emphasis in the literature on disability has been shifting from a focus on differentness and limitation to a focus on abilities and potential.

 

Don’t treat me like I have leprosy We all have prejudices.  Even the most fair-minded of us will at times harbour irrational stereotypes of people who are in some way different. 422 kb pdf
Evolved Disease-Avoidance Processes and Contemporary Anti-social Behavior: Prejudicial attitudes and avoidance of People with Physical Disabilities Drawing on evolutionary psychological logic, we describe a model that links evolved mechanisms of disease-avoidance to contemporary prejudices against individuals with physical disabilities.  Because contagious diseases were often accompanied by anomalous physical features, humans plausibly evolved psychological mechanisms that respond heuristically to the perception of these features, triggering specific emotions (disgust, anxiety), cognitions (negative attitudes), and behaviours (avoidance). 136kb pdf
Fighting Stigma There are many ways we all can fight stigma. The simplest way is to "come out of the closet" and present "positive visibility" in the community and the media. Positive visibility is loosely translated as "your best foot forward." When you let people in your community know that you, who have been leading a blameless life right next door, have a mental illness, it will make them question and (we hope) ultimately reject the stigmatizing myths.  

HIV/AIDS-related Stigma and Discrimination: A Conceptual Framework and an Agenda for Actions—Horizon Report

Jonathan Mann identified three phases of the HIV/AIDS epidemic: the epidemic of HIV, the epidemic of AIDS, and the epidemic of stigma, discrimination, and denial

511 kb pdf

Illness, Stigma and AIDS Imagine a disease that arouses great fear throughout the United States, especially in New York and other large cities where it is rampant.  Imagine that the disease has no cure and is fatal to most people who manifest its symptoms.  Physicians prescribe a variety of treatments but with little success Pdf 119 kb

Interventions: Research on Reducing Stigma

The term stigma has many associations and implications rooted in history, social science, and public health, but the historical concept of physical stigmata and the sociological framework of deviance and social interactions fall short of research needs for guiding desirable public health interventions to reduce stigma. For that, a working definition of stigma is required that recognizes the distinctive features of particular diseases and particular social and cultural contexts. Research needs include documenting the burden from the stigma of various health problems; comparing both the magnitude and character of stigma for different conditions and in different social and cultural settings; identifying distinctive features of stigma that may guide intervention programs; and evaluating changes in the magnitude and character of stigma over time and in response to interventions and social changes.

 

Out of sight and out of mind

Stigma is probably the biggest barrier to combating the HIV epidemic - creating and supporting an environment that fosters new infections, reluctance to testing and disclosing status and reluctance to access treatment, care and support, subsequently impacting at both an individual and societal level.

 

Overcoming the stigma of chronic illness-Strategies for ‘straightening out’ a spoiled identity This paper addresses the concept of chronic illness as a socially constructed experience of stigma.  The stigma of having a chronic illness affects the person’s self-concept, capacity to adapt to the illness and the quality of his/her social networks.  Social stigma is a de-legitimizing social process derived from both popular and medical views of chronic illness.  Based on research into the coping strategies of a range of people with long-term, serious chronic illnesses, the paper argues that Government health policies and services in Australia can best help people with chronic illness by supporting their self-help groups and community-based activities. 106 kb pdf

Polarization: Concepts. Measurement, Estimation

There has been a recent upsurge of interest in the measurement of polarization and in the use of such measures as a correlate of different aspects of socioeconomic performance.

445 kb pdf

Positive Stigma: Examining Resilience and Empowerment in Overcoming Stigma

 

Considering the weight of the consequences associated with stigma, stigma research has understandably focused on the detrimental effects of stigmatization, paying attention to how stigmatized individuals are devalued, exposed to prejudices, and negatively stereotyped (Crocker and Quinn 2000). As a result, this body of work paints a grim picture suggesting that targets of stigma are doomed to lives of rejection, despair, and failure. Pdf 71 kb
Prejudice from Thin Air: The effect of Emotion on Automatic Intergroup Attitudes Two experiments provide initial evidence that specific emotional states are capable of creating automatic prejudice toward outgroups.  Specifically, we propose that anger should influence automatic evaluations of outgroups because of its functional relevance to intergroup conflict and competition, whereas other negative emotions less relevant to intergroup relations should not. 162 kb pdf
Social Stigma-A comparative qualitative study of integrated and vertical care approaches to leprosy Leprosy has been associated with stigma and social exclusion throughout history and on all continents, although there are wide variations in the ways in which this is worked out in different communities.  Stigma can be defined as an attribute that is deeply discrediting, and the stigmatized individual is one who is not accepted and is not accorded the respect and regard of his peers; one who is disqualified from social acceptance Pdf 78 kb

Stigma

What constitutes stigma?

Pdf 107 kb

Television and the Press: Purveyors of Prejudice or Slayers of Stigma?

"Stigma is the single most serious obstacle to progress in the field of psychiatry". This is not the impulsive outburst of some misguided crank

 

The Language Of Disability: Problems Of Politics And Practice

Language. . .has as much to do with the philosophical and political conditioning of a society as geography or climate. . .people do not realise the extent to which their attitudes have been conditioned since early childhood by the power of words to ennoble or condemn, augment or detract, glorify or demean. Negative language inflicts the subconscious of most people from the time they first learn to speak. Prejudice is not merely imparted or superimposed. It is metabolised in the bloodstream of society.

 

The Normal and the Abnormal--Historical and cultural perspectives on norms and deviations

Several different articles concerning this topic

 

The tendency to stigmatise This time-honoured propensity has probably served humankind and its ancestors well in the service of species and related personal survival. Such biological mechanisms as those subserving immediate survival, the quest for food, reproduction and related territorial needs are presumably its foundation. Moreover, the crudity of categorisation and labelling of related perceived possible threats needs, constitutionally, to be safely over-inclusive, before juggling the consequent options of relating to, coming to dominate, fleeing from or ignoring the source  
Understanding and Challenging HIV Stigma-a toolkit The Toolkit is a resource collection of participatory educational exercises for use in raising awareness and promoting action to challenge HIV stigma 99 kb pdf

When Family Members just can't Understand

There are probably few things in life that are more hurtful than being rejected by family members when we need them most. Unfortunately, many patients find that a diagnosis of hepatitis C not only causes friends to scatter, but also contributes to some families literally splitting apart

 

Yes, you're positive, but there's nothing we can do for you

HIV is intrinsically linked to poverty and to inequalities of all kinds - social, economic and gender. However, awareness and other preventive programmes do not address inequities that are intrinsic to the problem. The married woman is unable to refuse her husband unprotected sex. The commercial sex worker will not insist on her client using a condom if he threatens to go elsewhere. The national HIV programme fails to take into inequities into account.

 

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