The Dimensionality of Stigma: A Comparison of Its Impact on the Self of Persons with HIV/AIDS and Cancer

Fife, Betsy L.; Wright, Eric R.

doi:10.2307/2676360

Cited by 641 publications

(622 citation statements)

References 55 publications

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“…Such research would contribute to our understandings of the process of adjustment following cancer and would augment the sociology of health and illness in two key ways. First, although the sociology of health and illness has examined the impact of cultural meanings of disease for the illness experience (Bury, 2000;Charmaz, 1991Charmaz, , 1999Conrad, 1987;Corbin & Strauss, 1987;Karp, 1992Karp, , 1996Kleinman, 1988), this research has overwhelmingly focused on the effects of stigmatizing, negative disease meanings (e.g., Alonzo & Reynolds, 1995;Fife & Wright, 2000;Goffman, 1963;Link & Phelan, 1999). Thus, we know little about the illness experience under overtly positive cultural meanings.…”

Section: Alternative Images and Criticisms Of Survivorshipmentioning

confidence: 99%

The meaning of the survivor identity for women with breast cancer

Kaiser

2008

Social Science & Medicine

220

183

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Abstract"Survivor" has become a ubiquitous and largely unquestioned term in culture and cancer discourse. While anecdotal evidence suggests women with breast cancer find fault with survivor images and discourse, the extent to which women identify with or reject the survivor identity has not been empirically studied. This paper examines whether women treated for breast cancer embrace survivorship. Data come from 39 in-depth interviews with women in the United States who completed treatment for breast cancer 3 to 18 months prior to the interview. Despite the positive meanings attached to survivorship, many women altered the meaning of survivorship or rejected survivorship. In particular, the survivor discourse alienated women who struggle with the threat of recurrence, who feel their cancer experience was not severe enough to merit this title, or who desire a private disease experience. These findings illustrate the failure of our cultural conceptions of cancer to adequately reflect lived experience and highlight how individuals actively "craft" illness meanings."I woke up, still alive. Does that mean 'cured'?" Marilyn Hacker, 1994 (cited in Bahar, 2003

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Section: Alternative Images and Criticisms Of Survivorshipmentioning

confidence: 99%

The meaning of the survivor identity for women with breast cancer

Kaiser

2008

Social Science & Medicine

220

183

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“…Although researchers long ago documented that "illness" models (Gonsiorek, 1996) of homosexuality lacked sufficient empirical support for theoretical predictions (Hooker, 1993), there is increasing concern that lesbians and gay men may be at elevated risk for some psychological disorders because of the harmful effects of social stigma (Fife & Wright, 2000;Kessler, Mickelson, & Williams, 1999;Markowitz, 1998;Meyer, 1995;Otis & Skinner, 1996;Wright, Gronfein, & Owens, 2000). Researchers have shown that some forms of mental disorders, particularly affective, anxiety, and substance use disorders, are likely to be influenced by the effects of social stress (Dohrenwend, 2000;Kendler et al, 1995;Mazure, 1995).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States.

Cochran¹,

Sullivan²,

Mays³

2003

Journal of Consulting and Clinical Psychology

1,123

822

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Recent estimates of mental health morbidity among adults reporting same-gender sexual partners suggest that lesbians, gay men, and bisexual individuals may experience excess risk for some mental disorders as compared with heterosexual individuals. However, sexual orientation has not been measured directly. Using data from a nationally representative survey of 2,917 midlife adults, the authors examined possible sexual orientation-related differences in morbidity, distress, and mental health services use. Results indicate that gay-bisexual men evidenced higher prevalence of depression, panic attacks, and psychological distress than heterosexual men. Lesbian-bisexual women showed greater prevalence of generalized anxiety disorder than heterosexual women. Services use was more frequent among those of minority sexual orientation. Findings support the existence of sexual orientation differences in patterns of morbidity and treatment use.Perspectives on the prevalence of mental health disorders and the need for treatment services among lesbians and gay men have undergone remarkable changes over the last century (Bailey, 1999;Friedman, 1999). Although researchers long ago documented that "illness" models (Gonsiorek, 1996) of homosexuality lacked sufficient empirical support for theoretical predictions (Hooker, 1993), there is increasing concern that lesbians and gay men may be at elevated risk for some psychological disorders because of the harmful effects of social stigma (Fife & Wright, 2000;Kessler, Mickelson, & Williams, 1999;Markowitz, 1998;Meyer, 1995;Otis & Skinner, 1996;Wright, Gronfein, & Owens, 2000). Researchers have shown that some forms of mental disorders, particularly affective, anxiety, and substance use disorders, are likely to be influenced by the effects of social stress (Dohrenwend, 2000;Kendler et al., 1995;Mazure, 1995). In this regard, homosexuality is still widely stigmatized despite greater acceptance evident in recent opinion polls of the American population (Butler, 2001). Lesbians and gay men commonly report positive histories of victimization and discrimination (Herek, Gillis, & Cogan, 1999;Hershberger & D'Augelli, 1995;Krieger & Sidney, 1997), particularly in adolescence or young adulthood (D'Augelli, Hershberger, & Pilkington, 1998;Lock & Steiner, 1999). As a consequence, homosexuality may be a risk indicator for higher rates of psychological distress and some mental disorders.Much of the recent population-based research in this area (Bloomfield, 1993;Cochran, Keenan, Schober, & Mays, 2000;Cochran & Mays, 2000a, 2000bFaulkner & Cranston, 1998;Fergusson, Horwood, & Beautrais, 1999;Garofalo, Wolf, Wissow, Woods, & Goodman, 1999;Gilman et al., 2001;Herrell et al., 1999;Lock & Steiner, 1999;Remafedi, French, Story, Resnick, & Blum, 1998;Saewyc, Bearinger, Heinz, Blum, & Resnick, 1998;Sandfort, de Graaf, Bijl, & Schnabel, 2001;Stall & Wiley, 1988) was made possible by the serendipitous inclusion of questions concerning genders of sexual partners in large healthrelated studies of the gen...

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“…O conceito de doença é construído com base nos valores de vida e de saúde, representando um desvio daquilo que as pessoas esperam para si (Fife & Wright, 2000). Algumas condições de saúde estão associadas a valores culturais que resultam na construção de uma 'identidade deteriorada', e na consequente estigmatização na medida em que elas são socialmente signifi cativas (Fife & Wright, 2000;Link & Phelan, 2006).…”

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“…Algumas condições de saúde estão associadas a valores culturais que resultam na construção de uma 'identidade deteriorada', e na consequente estigmatização na medida em que elas são socialmente signifi cativas (Fife & Wright, 2000;Link & Phelan, 2006). Com isso, além de precisarem enfrentar as experiências negativas decorrentes dos sintomas da própria condição de saúde, os indivíduos, muitas vezes precisam lidar com as atitudes e comportamentos negativos da sociedade, além de seus próprios (Michalak et al, 2011).…”

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Implicações da relação entre estigma internalizado e suporte social para a saúde: uma revisão sistemática da literatura

Ferreira

Silveira

Noto

et al. 2014

Estud. psicol. (Natal)

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ResumoConsiderando os impactos negativos da internalização do estigma para a vida do indivíduo, e as possíveis caracterís-ticas protetoras do suporte social para o enfrentamento da condição, objetivou-se realizar uma revisão sistemática da literatura acerca da relação entre estigma internalizado e suporte social, e suas implicações para a saúde. As buscas foram realizadas nas bases PsycInfo, Pubmed, Scopus e Web of Science. A amostra foi composta por 13 estudos que preencheram os critérios de inclusão. Os resultados apresentaram evidências de uma relação negativa entre estigma internalizado e suporte social, considerando o suporte social como uma possível estratégia de enfrentamento ao estigma internalizado, destacando o seu efeito protetor ao amenizar as consequências negativas de eventos estressantes sobre o bem-estar físico e psicológico.Palavras-chave: estigma; suporte social; saúde. AbstractImplications of the relationship between internalized stigma and social support for health: A systematic review of the literature. Considering the negative impact of the internalization of stigma for the life of an individual, and the possible protective characteristics of social support for coping with the condition, the aim of this study was to conduct a systematic review of the literature about the relationship between internalized stigma and social support, and its implications for health. Searches were conducted in PsycInfo, Pubmed, Scopus and Web of Science databases. Th e sample consisted of 13 studies that met the inclusion criteria. Results showed evidence of a negative relationship between internalized stigma and social support, presenting social support as a possible coping strategy for internalized stigma, highlighting its protective eff ect to mitigate the negative consequences of stressful events on physical and psychological well-being.Keywords: stigma; social support; health. ResumenImplicaciones de la relación entre el estigma internalizado y apoyo social para la salud: Una revisión sistemática de la literatura. Teniendo en cuenta los efectos negativos de la internalización de lo estigma para la vida del individuo, y las posibles características de protección de lo apoyo social para hacer frente a la situación, este artículo tiene como objetivo revisar sistemáticamente la literatura sobre la relación entre el estigma internalizado y el apoyo social y sus implicaciones para la salud. Las búsquedas se realizaron en las bases de datos PsycInfo, Pubmed, Scopus y Web of Science. La muestra consistió en 13 estudios que cumplían los criterios de inclusión. Los resultados mostraron evidencia de una relación negativa entre el estigma internalizado y el apoyo social, teniendo en cuenta el apoyo social como una posible estrategia para hacer frente al estigma internalizado, destacando sus efectos protectores para mitigar el impacto negativo de los acontecimientos estresantes en el bienestar físico y psicológico.Palabras clave: estigma; apoyo social; salud.

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The Dimensionality of Stigma: A Comparison of Its Impact on the Self of Persons with HIV/AIDS and Cancer

Cited by 641 publications

References 55 publications

The meaning of the survivor identity for women with breast cancer

The meaning of the survivor identity for women with breast cancer

Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States.

Implicações da relação entre estigma internalizado e suporte social para a saúde: uma revisão sistemática da literatura

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