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Social Stigma (social + stigma)
Selected AbstractsAdoption, Family Ideology, and Social Stigma: Bias in Community Attitudes, Adoption Research, and PracticeFAMILY RELATIONS, Issue 4 2000Katarina Wegar This article explores the impact of the dominant North American genetic family ideal on community attitudes toward adoption, on adoption research, and on the beliefs and attitudes of adoption case workers. It examines how the failure to recognize the stigmatized social position of adoptive families has shaped not only current public opinion about adoption, but adoption research and practice as well. In conclusion, the article offers suggestions for erasing negative bias from adoption research and practice. [source] Authoritative Knowledge and Single Women's Unintentional Pregnancies, Abortions, Adoption, and Single Motherhood: Social Stigma and Structural ViolenceMEDICAL ANTHROPOLOGY QUARTERLY, Issue 3 2003Marcia A. Ellison This article explores the sources of authoritative knowledge that shaped single, white, middle-class women's unintentional pregnancies and childbearing decisions throughout five reproductive eras. Women who terminated a pregnancy were most influenced by their own personal needs and circumstances, birth mothers' decisions were based on external sources of knowledge, such as their mothers, social workers, and social pressures. In contrast, single mothers based their decision on instincts and their religious or moral beliefs. Reproductive policies further constrained and significantly shaped women's experiences. The social stigma associated with these forms of stratified maternity suggests that categorizing pregnant women by their marital status, or births as out-of-wedlock, reproduces the structural violence implicit to normative models of female sexuality and maternity. This mixed-method study included focus groups to determine the kinds of knowledge women considered authoritative, a mailed survey to quantify these identified sources, and one-on-one interviews to explore outcomes in depth, [authoritative knowledge, social stigma, abortion, birth mothers, single mothers, unintentional pregnancies] [source] Do Suicide Survivors Suffer Social Stigma: A Review of the LiteraturePERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2005Jacqueline G. Cvinar One of the delineating elements found in suicide bereavement versus normal bereavement is the stigma experienced by survivors. This review of the literature will provide insight into stigma as an underlying element in suicide bereavement and point to the role of health professionals in dealing with this complex issue. Historical review and empirical studies are analyzed to provide a framework for how suicide relates to natural bereavement. The conclusion is that suicide bereavement is different from natural loss. The challenge to health care providers is to sort through the complex issues surrounding the individual and their social network to find mechanisms that lead to resolution. Suicide has a profound effect on the family, friends, and associates of the victim that transcends the immediate loss. As those close to the victim suffer through bereavement, a variety of reactions and coping mechanisms are engaged as each individual sorts through individual reactions to the difficult loss. Bereavement refers to "all the physiological, psychological, behavioral, and social response patterns displayed by an individual following the loss (usually through death) of a significant person or thing" (Dunne, Dunne-Maxim & McIntosh, 1987). Bereavement following suicide is complicated by the complex psychological impact of the act on those close to the victim. It is further complicated by the societal perception that the act of suicide is a failure by the victim and the family to deal with some emotional issue and ultimately society affixes blame for the loss on the survivors. This individual or societal stigma introduces a unique stress on the bereavement process that in some cases requires clinical intervention. [source] Fallen Women and Rescued Girls: Social Stigma and Media Narratives of the Sex Industry in Victoria, B.C., from 1980 to 2005,CANADIAN REVIEW OF SOCIOLOGY/REVUE CANADIENNE DE SOCIOLOGIE, Issue 3 2006HELGA KRISTIN HALLGRIMSDOTTIR Cet article compare les portraits médiatiques de personnes qui travaillent dans l'industrie du sexe avec les représentations de soi de ces travailleurs, représentations qui incluent leurs origines personnelles et leurs expériences vécues au quotidien. Notre objectif est de jauger la distance empirique entre les descriptions médiatiques et la réalité vécue de ces travailleurs puis de comprendre comment les médias contribuent à cons-truire, reproduire et approfondir les stigmates sociaux associés au travail dans l'industrie du sexe. Nous avangons que le fait de distinguer la variabilité historique et spatiale de ces stigmates ainsi que le fait d'expli-quer leurs racines dans les activités de sens et de pratiques des auteurs et autorités médiatiques représentent une avancée cruciale pour la compréhension de leur construction sociale. This paper compares media portrayals of people who work in the sex industry with these workers' self-reports of their personal backgrounds and experiences of what they do for a living. Our aim is to first, gauge the empirical distance between media depictions and workers' lived reality, and second, to understand how the media contributes to constructing, reproducing and deepening the social stigmas associated with working in the sex industry. We argue that pulling apart the historical and spatial variability of these stigmas and explicating their roots in the meaning-making activities of media authors and authorities is a crucial step towards understanding their social construction. [source] NORMALIZATION AND LEGITIMATION: MODELING STIGMATIZING ATTITUDES TOWARD EX-OFFENDERS,CRIMINOLOGY, Issue 1 2010PAUL J. HIRSCHFIELD Successful community reentry and the criminological impact of incarceration may depend in part on the attitudes (and consequent reactions) that prisoners encounter after release. Theories of social stigma suggest that such attitudes depend, in turn, on the levels of familiarity with the stigmatized group (the normalization thesis) as well as on the credibility and trust they accord to sanctioning agents (the legitimation thesis). To assess these two hypotheses, we present the first multivariate analysis of public attitudes toward ex-offenders. Data from a four-state, random-digit telephone survey of more than 2,000 individuals indicate that, net of controls, personal familiarity with ex-offenders may soften attitudes, whereas confidence in the courts may harden them. As expected, non-Hispanic Whites, conservatives, and southern residents hold more negative views of ex-offenders. Our findings lend indirect support to concerns that incarceration is becoming "normalized", and we suggest strategies for reducing the stigma of incarceration. [source] Physical illness and schizophrenia: a review of the literatureACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2007S. Leucht Objective:, The lifespan of people with schizophrenia is shortened compared to the general population. We reviewed the literature on comorbid physical diseases in schizophrenia to provide a basis for initiatives to fight this unacceptable situation. Method:, We searched MEDLINE (1966 , May 2006) combining the MeSH term of schizophrenia with the 23 MeSH terms of general physical disease categories to identify relevant epidemiological studies. Results:, A total of 44 202 abstracts were screened. People with schizophrenia have higher prevalences of HIV infection and hepatitis, osteoporosis, altered pain sensitivity, sexual dysfunction, obstetric complications, cardiovascular diseases, overweight, diabetes, dental problems, and polydipsia than the general population. Rheumatoid arthritis and cancer may occur less frequently than in the general population. Eighty-six per cent of the studies came from industrialized countries limiting the generalizability of the findings. Conclusion:, The increased frequency of physical diseases in schizophrenia might be on account of factors related to schizophrenia and its treatment, but undoubtedly also results from the unsatisfactory organization of health services, from the attitudes of medical doctors, and the social stigma ascribed to the schizophrenic patients. [source] Why should addiction medicine be an attractive field for young physicians?ADDICTION, Issue 2 2009Michael Soyka ABSTRACT Aims The clinical practice and science of addiction are increasingly active fields, which are attracting professionals from diverse disciplines such as psychology and neurobiology. Our scientific knowledge of the pathophysiology of addiction is rapidly growing, along with the variety of effective treatments available to clinicians. Yet, we believe that the medical specialties of addiction medicine/psychiatry are not attracting the interest and enthusiasm of young physicians. What can be done? Methods We offer the opinions of two experience addiction psychiatrists. Results In the US, there has been a decline in the number of psychiatrists seeking training or board certification in addiction psychiatry; about one-third of graduates with such training are not practicing in an addiction psychiatry setting. There is widespread neglect of addiction medicine/psychiatry among the medical profession, academia and national health authorities. This neglect is unfortunate, given the enormous societal costs of addiction (3,5% of the gross domestic product in some developed countries), the substantial unmet need for addiction treatment, and the highly favourable benefit to cost yield (at least 7:1) from treatment. Conclusions We believe that addiction medicine/psychiatry can be made more attractive for young physicians. Helpful steps include widening acceptance as a medical specialty or subspecialty, reducing the social stigma against people with substance use disorders, expanding insurance coverage and increasing the low rates of reimbursement for physicians. These steps would be easier to take with broader societal (and political) recognition of substance use disorders as a major cause of premature death, morbidity and economic burden. [source] The Take-Up of Multiple Means-Tested Benefits by British Pensioners: Evidence from the Family Resources SurveyFISCAL STUDIES, Issue 3 2004RUTH HANCOCK Non-take-up of means-tested benefits among pensioners is of long-standing concern. It has assumed increased importance from October 2003 with the introduction of the new means-tested pension credit to which about half of pensioners are expected to be entitled. We use Family Resources Survey data from April 1997 to March 2000 to investigate patterns of pensioner take-up of income support (IS) (subsequently renamed the minimum income guarantee and now subsumed in pension credit), housing benefit (HB) and council tax benefit (CTB). Although 36 per cent of pensioners in our sample failed to claim their entitlements to at least one of these benefits, only 16 per cent failed to claim amounts worth more than 10 per cent of their disposable income. Generally, take-up is high where entitlement is high. But there are exceptions which may reflect the claims process and/or a greater degree of social stigma associated with IS than with HB or CTB. [source] Family caregiving of persons living with HIV/AIDS in Thailand: Caregiver burden, an outcome measureINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 3 2006Niranart Vithayachockitikhun RN MSN PhD-student The present paper provides an initial picture of HIV/AIDS-affected families. It is evident that families play a major role of support for HIV/AIDS patients in Thai society. Caregiver burden is one of the patient-related outcomes, which is the most common outcome measure in caregiver research. The demands on the family caregivers of these patients are enormous and need to be addressed. The determinants that are associated with caregiver burden such as caregiver characteristics, patient characteristics and social stigma are important for nurses to minimize the burden of care so that appropriate interventions can be developed for persons with HIV/AIDS and family members who share the work of managing their care at home. [source] Carceral Chicago: Making the Ex-offender Employability CrisisINTERNATIONAL JOURNAL OF URBAN AND REGIONAL RESEARCH, Issue 2 2008JAMIE PECK Abstract This article explores the urban labor market consequences of large-scale incarceration, a policy with massively detrimental implications for communities of color. Case study evidence from Chicago suggests that the prison system has come to assume the role of a significant (urban) labor market institution, the regulatory outcomes of which are revealed in the social production of systemic unemployability across a criminalized class of African,American males, the hypertrophied economic and social decline of those ,receiving communities' to which thousands of ex-convicts return, and the remorseless rise of recidivism rates. Notwithstanding the significant social costs, the churning of the prison population through the lower reaches of the labor market is associated with the further degradation of contingent and informal-economy jobs, the hardening of patterns of radical segregation, and the long-term erosion of employment prospects within the growing ex-offender population, for whom social stigma, institutional marginalization and economic disenfranchisement assume the status of an extended form of incarceration. Résumé La politique publique d'incarcération massive, aux implications largement préjudiciables aux communautés de couleur, affecte également le marché du travail des villes. Une étude de cas sur Chicago indique que le système pénitentiaire a fini par devenir une institution importante du marché du travail (urbain) dont les réglementations se traduisent à la fois par la production sociale d'une inemployabilité systémique pour une classe criminalisée de males afro-américains, par le déclin économique et social hypertrophié des ,communautés d'accueil' vers lesquelles retournent des milliers d'ex-prisonniers, et par l'accroissement impitoyable des taux de récidive. Malgré de forts coûts sociaux, le brassage de la population carcérale dans les niveaux inférieurs du marché du travail se combine à la dégradation accrue des postes occasionnels et offerts par l'économie parallèle, mais aussi au durcissement des types de ségrégation radicale et à une érosion durable des perspectives d'emploi au sein de la population grandissante des ex-délinquants pour lesquels stigmatisation sociale, marginalisation institutionnelle et non-reconnaissance économique revêtent une forme d'incarcération prolongée. [source] The self-efficacy model of medication adherence in chronic mental illnessJOURNAL OF CLINICAL NURSING, Issue 11c 2008Terence V McCann BA Aim., In this position paper, the self-efficacy model of medication adherence in chronic mental illness is presented, and its application to antipsychotic medication adherence is considered. Background., Poor adherence to antipsychotic medications is common in chronic mental illness. Major implications of this are relapse and re-hospitalisation. Several conceptual frameworks have been developed about adherence and, in some instances, have been incorporated in medication taking studies, but have resulted in inconsistent outcomes. Method., This paper draws on a review of literature from databases to inform the development of the self-efficacy model of medication adherence. Inclusion and exclusion criteria were developed from primary and secondary research questions. Results., The model places the person with chronic mental illness as an active participant central to the process of medication taking. It has three components: core factors, contextual influences and a continuum. The factors comprise a central factor, self-efficacy and four interrelated supporting influences: perceived medication efficacy; access to, and relationships with, health professionals; significant other support and supported living circumstances. The factors are affected by three broad contextual influences , personal issues, medication side-effects and complexity, and social stigma , which affect the way individuals take their medications. A continuum exists between adherence and non-adherence. Conclusion., The model positions service users at the heart of adherence by giving prominence to self-efficacy, medication efficacy and to immediate social, psychological and environmental supports. Further work is needed to validate, refine and extend the model. Relevance to clinical practice., For practitioners involved in prescribing and medication management in people with chronic mental illness, the model provides a theoretical framework to strengthen adherence. It highlights the need to consider broader influences on medication taking. Moreover, it places the person with chronic mental illness as an active participant at the centre of strategies to enhance adherence. [source] Rapid assessment of a helpdesk service supporting severe acute respiratory syndrome patients and their relativesJOURNAL OF CLINICAL NURSING, Issue 6 2004Joanne WY Chung PhD Background., To contain severe acute respiratory syndrome, the Hong Kong Hospital Authority set a policy that stipulated there should be no visitors to hospital wards. A helpdesk service was established with the goal of providing immediate emotional and communication support to relatives while severe acute respiratory syndrome patients were isolated during the acute phase of the illness. Aim., This study describes the results of a rapid assessment of the effectiveness of a helpdesk service designed to meet the immediate needs of relatives of severe acute respiratory syndrome patients in Hong Kong. Design., Survey. Method., Eighty-three respondents, representing about 46.3% of relatives (179), attending the helpdesk on the day of the study were recruited. Service evaluation data was collected using a self-administered questionnaire completed by respondents. Results., Nearly 100% of respondents who used the service found the delivery service with on-site counselling useful for alleviating their anxiety. However, about half of these relatives complained of insufficient information regarding the patient's condition and progress. The majority of respondents were satisfied with the service. In describing the most important traits of the service providers, caring and enthusiasm were mentioned most frequently by respondents who stated that they were very satisfied with the service. Conclusion., The results support the value of the service, and demonstrate that the service is effective in meeting relatives' immediate needs. These needs include information, aid in fulfilling their role as caretaker for the patient (delivering prepared soup) and psychological support. The results suggest that facilitation of visitation of patients by relatives via video conferencing and education of the public on the nature and course of severe acute respiratory syndrome to reduce the social stigma of having a potentially life-threatening disease should be introduced in Hong Kong. Relevance to clinical practice., The results highlight important attributes that helpers (nurses) should have in order to alleviate the suffering of severe acute respiratory syndrome patients and their relatives. [source] Uncertainty and the Rise of the Work-Family DilemmaJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2001Mark Evan Edwards Existing research argues that women's wages, consumerism, and changing attitudes dismantled the male bread-winner system. Families' economic need is dismissed with the suggestion that mothers' rhetoric of "need" was a smoke screen to defend against social stigma for working mothers. Drawing on biennial data from 1965 to 1987, I suggest that consumptive certainty of the 1950s and 1960s gave way to economic uncertainty in the 1970s and beyond. Economic uncertainty provided impetus, legitimacy, and justification for young families to adopt new work-family arrangements. Hence, economic uncertainty is conceptualized as a real circumstance that substantiates families' reasonable perceptions of need. [source] "How Come Nobody Told Me?"LEARNING DISABILITIES RESEARCH & PRACTICE, Issue 1 2002Fostering Self-Realization Through a High School English Curriculum Through collaboratively designed qualitative inquiry, we investigated the responses of high school students with learning disabilities to a teacher's intervention intended to promote self-realization, a fundamental component of self-determination. Activities were embedded within the general English curriculum and delivered in a special education classroom over the course of an academic year. Several themes emerged from analysis of student interviews, student responses to writing prompts and surveys, a teacher journal, and student portfolio pieces. Silence and misconceptions were prevalent in student experiences. However, through the intervention students acquired information that helped them make sense of their school experiences, redefine themselves in positive ways, and take small steps toward greater self-advocacy within their current school setting. The mediating influence of positive adult voices and concerns about social stigma were evident in students' responses, which prompted us to question teachers' and families' responsibilities for engaging young people in dialogue about special education and disability. [source] Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South AfricaMATERNAL & CHILD NUTRITION, Issue 1 2005Lucy N. Thairu msc Abstract The promotion of exclusive breastfeeding for 6 months, followed by rapid transition to alternative food sources may be an important public health approach to the reduction of mother-to-child transmission of HIV through breastmilk. The basic ethical principle of ,informed choice' requires that HIV positive women are provided with adequate information about their options. However, information is only one factor that affects their decisions. The objective of this ethnographic study was to identify sociocultural influences on infant feeding decisions in the context of a large cohort study designed to assess the impact of a breastfeeding counselling and support strategy to promote exclusive breastfeeding on postnatal transmission of HIV in African women. Following an initial period of exploratory interviewing, ethnographic techniques were used to interview 22 HIV positive women about their views on infant feeding and health. Interviews were tape-recorded, transcribed and analysed with a text analysis program. Five themes of influences on feeding decisions emerged: (1) social stigma of HIV infection; (2) maternal age and family influences on feeding practices; (3) economic circumstances; (4) beliefs about HIV transmission through breastmilk; and (5) beliefs about the quality of breastmilk compared to formula. The study highlights the role of cultural, social, economic and psychological factors that affect HIV positive women's infant feeding decisions and behaviour. [source] Authoritative Knowledge and Single Women's Unintentional Pregnancies, Abortions, Adoption, and Single Motherhood: Social Stigma and Structural ViolenceMEDICAL ANTHROPOLOGY QUARTERLY, Issue 3 2003Marcia A. Ellison This article explores the sources of authoritative knowledge that shaped single, white, middle-class women's unintentional pregnancies and childbearing decisions throughout five reproductive eras. Women who terminated a pregnancy were most influenced by their own personal needs and circumstances, birth mothers' decisions were based on external sources of knowledge, such as their mothers, social workers, and social pressures. In contrast, single mothers based their decision on instincts and their religious or moral beliefs. Reproductive policies further constrained and significantly shaped women's experiences. The social stigma associated with these forms of stratified maternity suggests that categorizing pregnant women by their marital status, or births as out-of-wedlock, reproduces the structural violence implicit to normative models of female sexuality and maternity. This mixed-method study included focus groups to determine the kinds of knowledge women considered authoritative, a mailed survey to quantify these identified sources, and one-on-one interviews to explore outcomes in depth, [authoritative knowledge, social stigma, abortion, birth mothers, single mothers, unintentional pregnancies] [source] Leg clubs: A new approach to patient-centred leg ulcer managementNURSING & HEALTH SCIENCES, Issue 3 2000DNCERT, DipHE, Ellie Lindsay BSC(HONS) Abstract Loneliness is a significant health-care issue for many elderly patients in the community. The correlation between social isolation, poor compliance to treatment, and low healing rates for patients suffering from leg ulcers is well documented. Pain, odour, bandages etc. contribute to low self-esteem, depression and social stigma. Home visits by community nurses cannot provide the social and psychological support required by these patients. Responding to the holistic needs of this client group, the author set up Debenham Leg Club in 1995 to provide leg ulcer management in an informal, non-medical setting, where the emphasis is on social interaction, participation, empathy and peer support. This social model was conceived as a unique partnership between the district nurses and the local community, in which patients are empowered, through a sense of ownership, to become stakeholders in their own treatment. The value of the ,club' concept is evident in the happy, welcoming, uninhibited atmosphere that characterizes the clinic. Non-compliance to treatment has been virtually eliminated and evidence of greater healing rates has been illustrated through many patients whose long-standing ulcers have healed or greatly improved as a direct result of this change in approach. Patients' willingness to attend for systematic ,well leg' checks and ongoing health education has dramatically reduced the incidence of recurrence. [source] The Art of PrescribingPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2006Antidepressants in Late-Life Depression: Prescribing Principles QUESTION. , Ms. Antai-Otong, I am a psychiatric nurse practitioner currently employed in a large primary care clinic. My greatest challenge with older adults suspected of being depressed is their hesitancy to admit they are depressed or unwillingness to take antidepressants. I have started some of these patients on antidepressants and had mixed results. Please provide some guidelines for treating depression in older adults with coexisting medical conditions. ANSWER., Depression is a common companion of chronic medical illnesses and frequently goes unrecognized and untreated, resulting in high morbidity and mortality. Depression is unrecognized and underdiagnosed in approximately 16% of older patients seen in primary care settings (Unutzer, 2002). Typically, older adults deny being depressed, minimize symptom severity, fail to recognize common subjective experiences, such as anhedonia, fatigue, and concentration difficulties associated with this disorder, and hesitate to accept their illness due to social stigma and effects of stoicism. Cultural and generational influences also impact how older adults perceive mental health services. Due to the growing number of individuals 65 and older with coexisting medical and psychiatric conditions, particularly depression, seeking health care in vast practice settings, advanced practice psychiatric nurses must collaborate with primary care providers and develop holistic care that addresses coexisting chronic medical and psychiatric conditions. [source] What I learnt from studying epilepsy: Epileptology and myselfPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 2 2004HARUO AKIMOTO Abstract, My life work with epilepsy has allowed me to learn a great deal. As an old soldier, I would like to give an account of some important milestones in my lifetime learning. The first factor that linked me to epilepsy was listening to a lecture delivered by Dr Yushi Uchimura on ,The pathogenesis of Ammon's horn sclerosis' at a conference of the Japanese Society of Neurology (now Japanese Society of Psychiatry and Neurology) in 1928 when I was a 4th year medical student at Tokyo University. The following year, I started to study under Dr Uchimura at the Department of Psychiatry, Hokkaido University School of Medicine. Another factor that linked me to clinical care and research of epilepsy as a psychiatrist was my encounter with the two volumes of ,Selected Writing of John Hughlings Jackson' edited by J. Taylor. Jackson's greatest asset and contribution to modern epileptology include (i) the discovery of ,Jacksonian epilepsy', (ii) ,conceptual revolution of epilepsy' by recognizing transient mental disorders as seizures, (iii) modern definition of epilepsy by defining epileptic seizures as discharges in the gray matter, and (iv) discovery of ,new epilepsy' (now temporal lobe epilepsy). In 1940, I reported clinical courses indistinguishable from schizophrenia in epilepsy cases. Through my studies, I disputed the then prevailing interpretation of this condition as epilepsy complicating schizophrenia, and proved that these cases were in fact epileptic mental disorders caused by epilepsy. Many patients with epilepsy require medical care as well as rehabilitation and welfare support. We need to further promote the facilities for rehabilitation and employment in the community for persons with epilepsy, such as co-operatives and welfare worksites. The issues that epileptology and epilepsy face in the 21st century is to realize the goals of liberating epilepsy from social stigma and protecting all the citizen's rights for persons with epilepsy. [source] Work, Identity, and Stigma Management in an Italian Mental Health CommunityANTHROPOLOGY OF WORK REVIEW, Issue 1 2006Sara M. Bergstresser Abstract When mental illness prevents an individual from working, the economic burden is obvious, but little attention has been paid to the accompanying loss of social identity. This paper addresses the meanings of work and unemployment for participants in an Italian community mental health center, and it evaluates the role of work therapy in an agricultural setting as a way to regain some social aspects of work or professional identity. The study is based on over a year of anthropological fieldwork in the Province of Bergamo, Northern Italy, conducted to investigate the relationship between community-based mental health care, social stigma of mental illness, and the social sphere in everyday life. The social position of the individual at the time of job loss is significant in his or her professional expectations while in the community center. Those who had previously worked in manual or farming capacities found this type of work therapy to be a helpful means of social participation. On the other hand, expectations based on educational, social, and economic hierarchies persist for individuals within mental health communities. For those individuals with high education, manual labor violated professional expectations, and the reality of their employability provided a conflict between social participation and perceived status group. The stigma of unemployment is also addressed in relation to political identity and desire for worker status. [source] Lives in Isolation: Stories and Struggles of Low-income African American Women with Panic DisorderCNS: NEUROSCIENCE AND THERAPEUTICS, Issue 3 2009Michael Johnson Research evidence points to the existence of racial-ethnic disparities in both access to and quality of mental health services for African Americans with panic disorder. Current panic disorder evaluation and treatment paradigms are not responsive to the needs of many African Americans. The primary individual, social, and health-care system factors that limit African Americans' access to care and response to treatment are not well understood. Low-income African American women with panic disorder participated in a series of focus-group sessions designed to elicit (1) their perspectives regarding access and treatment barriers and (2) their recommendations for designing a culturally consistent panic treatment program. Fear of confiding to others about panic symptoms, fear of social stigma, and lack of information about panic disorder were major individual barriers. Within their social networks, stigmatizing attitudes toward mental illness and the mentally ill, discouragement about the use of psychiatric medication, and perceptions that symptoms were the result of personal or spiritual weakness had all interfered with the participants' treatment seeking efforts and contributed to a common experience of severe social isolation. None of the focus-group members had developed fully effective therapeutic relationships with either medical or mental health providers. They described an unmet need for more interactive and culturally authentic relationships with treatment providers. Although the focus-group sessions were not intended to be therapeutic, the women reported that participation in the meetings had been an emotionally powerful and beneficial experience. They expressed a strong preference for the utilization of female-only, panic disorder peer-support groups as an initial step in the treatment/recovery process. Peer-support groups for low-income African American women with panic disorder could address many of the identified access and treatment barriers. [source] Sex Hormones and Sexual DesireJOURNAL FOR THE THEORY OF SOCIAL BEHAVIOUR, Issue 1 2008JAMES GILES ABSTRACT Some scholars attempt to explain sexual desire biologically by claiming that sex hormones play a necessary causal role in sexual desire. This can be claimed even if sexual desire is seen to be an experience. Yet the evidence for such biological essentialism is inadequate. With males the loss of sexual desire following hormonal changes can easily be explained in terms of social stigmas that are attached to the physiological situation. Concerning females, the relevance of sex hormones here is even more unclear. Although some women seem to have fluctuations in sexual desire during hormonal changes, other women do not. Even where there are such fluctuations these can be explained by responses to other physiological changes or the meanings that are attached to the situation. Research with non-human primates supports this view of the non-essential relation of sex hormones to sexual desire. A phenomenology of sex hormones is given that shows a possible non-essential relation between sex hormones and sexual desire. Here hormone induced excitations in the genitals may or may not lead to sexual desire depending on the meaning they are given within awareness. This suggests that sexual desire has its origin in the meanings we give our biology and not in our biology itself. [source] Fallen Women and Rescued Girls: Social Stigma and Media Narratives of the Sex Industry in Victoria, B.C., from 1980 to 2005,CANADIAN REVIEW OF SOCIOLOGY/REVUE CANADIENNE DE SOCIOLOGIE, Issue 3 2006HELGA KRISTIN HALLGRIMSDOTTIR Cet article compare les portraits médiatiques de personnes qui travaillent dans l'industrie du sexe avec les représentations de soi de ces travailleurs, représentations qui incluent leurs origines personnelles et leurs expériences vécues au quotidien. Notre objectif est de jauger la distance empirique entre les descriptions médiatiques et la réalité vécue de ces travailleurs puis de comprendre comment les médias contribuent à cons-truire, reproduire et approfondir les stigmates sociaux associés au travail dans l'industrie du sexe. Nous avangons que le fait de distinguer la variabilité historique et spatiale de ces stigmates ainsi que le fait d'expli-quer leurs racines dans les activités de sens et de pratiques des auteurs et autorités médiatiques représentent une avancée cruciale pour la compréhension de leur construction sociale. This paper compares media portrayals of people who work in the sex industry with these workers' self-reports of their personal backgrounds and experiences of what they do for a living. Our aim is to first, gauge the empirical distance between media depictions and workers' lived reality, and second, to understand how the media contributes to constructing, reproducing and deepening the social stigmas associated with working in the sex industry. We argue that pulling apart the historical and spatial variability of these stigmas and explicating their roots in the meaning-making activities of media authors and authorities is a crucial step towards understanding their social construction. [source] Fungal infections associated with HIV infectionORAL DISEASES, Issue 2002LP Samaranayake Oral candidiasis is perhaps the commonest infection seen in HIV disease. The aim of this workshop was to provide a sketch of the multifarious aspects of the disease from a global perspective. To this end the panellists addressed issues such as the virulence of Candida, emergence of antifungal resistance, management of candidiasis and other exotic, oral mycotic diseases. An all-pervasive theme was the dramatic differences in the management of fungal infections consequential to the availability (or the lack) of anti-HIV drugs in the developed and the developing world. Further, the social stigmata associated with the HIV disease in many developing regions in Africa and Asia appears to modify the therapeutic strategies. Additionally, the lesser-known regional variations in the disease manifestations and therapeutic approaches were stark. Further work is direly needed to address these issues. 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