Minor-attracted persons (MAPs; N = 293; 154 completed all questions) responded to 10 open-ended questions that were designed to capture in their own words their experiences of seeking treatment. We conducted a qualitative analysis of their responses using grounded theory, which is designed to allow themes to emerge from their responses without preconceived notions or expectations. Using this method, we coded answers and then calculated the total number of times that each theme was cited across the entirety of the survey. The most prominent theme that participants cited in their responses was the experience and/or fear of stigma (n = 87). Stigma plays a significant role in their willingness to engage in the treatment process. Some participants noted their concerns about how some attractions to minors should be viewed as “normal” and is unfairly stigmatized (“normalizing”; n = 63). Other prominent themes included shame (n = 50), which focused on internal views of themselves as a “bad person”; a perceived lack of understanding by professionals about MAPs (n = 50); and the importance of building a community with other nonoffending MAPs (either in person or online; n = 45). In addition, other identified themes included fear of being judged (n = 31), statements that they had never acted on their attractions (n = 31), and a fear of being reported (n = 31). Implications for practice and policy are discussed.

Recent research has demonstrated a leftward bias in judgments of size. In the present experiments, hemispatial size bias was measured through simultaneous presentation of a circle and an ellipse varying in horizontal or vertical extent. A consistent leftward bias of horizontal size judgments (but not vertical) was obtained; at the point of subjective equality, the width of the objects that were presented in left hemispace was smaller than the width of the objects that were presented in right hemispace. These data suggest that the horizontal extent of stimuli appear larger in left hemispace than in right hemispace. Results also indicated that symmetrical stimulus presentation, with respect to the vertical meridian, is required for the bias to emerge. Furthermore, increasing or decreasing stimulus eccentricity weakened the effect. Attenuation of this bias upon the manipulation of parameters indicates that this phenomenon is context specific and is affected by similar parameters that are known to influence the magnitude of error in pseudoneglect.

Although many college students face mental health challenges, the rate of mental health service utilization among students is low. Stigma complicates the experience of mental health problems, and interferes with students' likelihood of pursuing needed services. This randomized controlled trial examines the effectiveness of a peer-led group-based intervention for students living with mental illness. Honest, Open, Proud-College (HOP-C) aims to reduce the stigma of mental illness and help participants make informed decisions about whether and how to disclose their mental health status. In a sample of 118 students across 3 campuses, randomized to HOP-C or a waitlist, the intervention evidenced significant benefits for (a) self-stigma about mental illness (particularly, harm from self-applied stereotypes), (b) appraisals of perceived resources to cope with stigma-related distress (but not appraisals of stigma as a stressor), and (c) self-efficacy about disclosure of their mental health status (but not self-efficacy about keeping mental health status a secret). Exploratory analysis did not support HOP-C as improving participants' symptoms of depression or anxiety. HOP-C has promise for addressing the prevalent challenges of mental health stigma, which in turn may help students receive needed services to improve their mental health and associated life outcomes.

This article describes the development and initial psychometric testing of the Mental Health Provider Self-Assessment of Stigma Scale (MHPSASS), a 20-item instrument crafted in reflection of Charles' (Social Work in Mental Health 11:360-375, 2013) empirically derived, experience-based, five-themed model of provider stigmatization. Following model and item review by construct experts, 220 mental health service providers in Virginia's public mental health centers and in-patient facilities completed the survey package. Results indicate the refined MHPSASS is a reliable measure of provider-based stigma with promising face and content validity. However, rather than they hypothesized five-factors, analysis indicates a four-factor solution, a key finding signaling a discrepancy between what providers endorse and what clients' experience. Notably absent from the MHPSASS' were items related to blame and shame, in contrast to the experience of clients and families. Further refinement is indicated, particularly reconsideration of blame and shame items due to their practical and theoretical significance.

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