Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling.

This study examined the mediating effects of the self-stigma associated with seeking counseling and attitudes toward seeking counseling on the link between perceived public stigma and willingness to seek counseling for psychological and interpersonal concerns. Structural equation modeling of data from 676 undergraduates indicated that the link between perceived public stigma and willingness to seek counseling was fully mediated by self-stigma and attitudes. Perceptions of public stigma contributed to the experience of self-stigma, which, in turn, influenced help-seeking attitudes and eventually help-seeking willingness. Furthermore, 57% of the variance in attitudes toward counseling and 34% of the variance in willingness to seek counseling for psychological and interpersonal concerns were accounted for in the proposed model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help.

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Adherence to Asian and European American cultural values and attitudes toward seeking professional psychological help among Asian American college students.

Possible relations among enculturation and acculturation to cultural values and attitudes toward seeking professional psychological help were examined among 146 Asian American college students. In addition, possible relations between various dimensions of Asian values and attitudes toward seeking professional psychological help were examined. As hypothesized, the results indicated a significant inverse relation between enculturation to Asian values and professional help-seeking attitudes, above and beyond that of the association with having previous counseling experience. Although bivariate correlational results suggested possible inverse relations between the Asian values dimensions of collectivism, emotional self-control, and humility and professional help-seeking attitudes, these associations were not confirmed with a hierarchical multiple regression model. Contrary to expectation, a significant relation was not observed between values acculturation and professional help-seeking attitudes. Also, the interaction between enculturation and acculturation to cultural values was not significantly predictive of professional help-seeking attitudes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes toward career counseling: The role of public and self-stigma.

Although many students struggle with career-related issues in college, comparatively few engage the career services offered by their academic institutions for help with their difficulties. In addition, there is little research on the factors influencing students’ decisions to engage in counseling for career-related issues, making it difficult to develop programs to enhance students’ use of career counseling services. The present study examines the relationships between the stigma associated with help seeking and attitudes toward engaging in career counseling. Participants were 509 college students who completed measures of stigma and attitudes toward career counseling. Structural equation modeling results indicated that public and personal stigmas were linked to self-stigma, which in turn was linked to attitudes toward seeking career counseling. Sixty percent of the variance in self-stigma and 42% of the variance in attitudes was accounted for in the model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Asian international students' intentions to seek counseling: Integrating cognitive and cultural predictors.

This study integrated several cognitive and cultural predictors of Asian international students' intentions to seek counseling. Data from 295 Asian international students were used to determine whether help-seeking intentions could be predicted by a combination of cognitive variables (i.e., counseling attitudes and stigma concerns) and cultural factors (i.e., acculturation, Asian values, and loss-of-face concerns). Data supported a partially mediated model, such that participants who endorsed more traditional Asian values reported less positive counseling attitudes and lower help-seeking intentions. Contrary to expectations, however, loss-of-face and stigma concerns were associated with stronger intentions to seek counseling, which may have been due to participants' fears of sharing psychological problems with significant others and preference for the confidential nature of the counseling relationship. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A behavioral study of staff attitudes toward mental illness.

65 nurses and aides completed 2 factor analyzed attitude questionnaires. Hospitalized psychiatric patients (N = 188) screened for ability to identify their staff and make valid behavioral ratings, rated their ward staff on a 55-item interpersonal behavior inventory. Relationships between perceived behavior and endorsed attitudes were examined. Restrictive attitudes were consistently related to controlling and restricting behavior. Protective Benevolence was related to such behaviors as aloofness, distance, and dishonesty. Hence, some attitudes were related to behaviors which were congruent with the endorsed attitude, some attitudes were related to seemingly incongruent behaviors, while other attitudes had no significant behavioral correlates. A new attitude area, highly related to outgoing interpersonal behavior, was identified. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.

The current research provides a framework for understanding how concealable stigmatized identities impact people’s psychological well-being and health. The authors hypothesize that increased anticipated stigma, greater centrality of the stigmatized identity to the self, increased salience of the identity, and possession of a stigma that is more strongly culturally devalued all predict heightened psychological distress. In Study 1, the hypotheses were supported with a sample of 300 participants who possessed 13 different concealable stigmatized identities. Analyses comparing people with an associative stigma to those with a personal stigma showed that people with an associative stigma report less distress and that this difference is fully mediated by decreased anticipated stigma, centrality, and salience. Study 2 sought to replicate the findings of Study 1 with a sample of 235 participants possessing concealable stigmatized identities and to extend the model to predicting health outcomes. Structural equation modeling showed that anticipated stigma and cultural stigma were directly related to self-reported health outcomes. Discussion centers on understanding the implications of intraindividual processes (anticipated stigma, identity centrality, and identity salience) and an external process (cultural devaluation of stigmatized identities) for mental and physical health among people living with a concealable stigmatized identity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental illness stigma and the fundamental components of supported employment.

Purpose/Objective: The success of supported employment programs will partly depend on the endorsement of stigma in communities in which the programs operate. In this article, the authors examine 2 models of stigma--responsibility attribution and dangerousness--and their relationships to components of supported employment-help getting a job and help keeping a job. Research Method/Design: A stratified and randomly recruited sample (N=815) completed responses to a vignette about "Chris," a person alternately described with mental illness, with drug addiction, or in a wheelchair. Research participants completed items that represented responsibility and dangerousness models. They also completed items representing 2 fundamental aspects of supported employment: help getting a job or help keeping a job. Results: When participants viewed Chris as responsible for his condition (e.g., mental illness), they reacted to him in an angry manner, which in turn led to lesser endorsement of the 2 aspects of supported employment. In addition, people who viewed Chris as dangerous feared him and wanted to stay away from him, even in settings where people with mental illness might work. Conclusions/ Implications: Implications for understanding supported employment are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes toward professional counseling among Asian-American college students: Acculturation, conceptions of mental illness, and loss of face.

The present study attempted to examine the influence of culture-bound barriers such as acculturation status, loss of face, and conception of mental health on the attitudes of Asian American college students (n = 134) toward seeking professional psychological help. An adapted Acculturation Attitude Scale (AAS; U. Kim, 1988), Zane's (1991) Loss of Face Scale (LOFS), a 10-factor Conception of Mental Health Scale (CMHS; Nunnally, 1961), and a modified version of the Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPHS) with four subscales (Fischer & Turner, 1970) were used in this study. Results support the hypothesis that acculturation and conceptions of mental health were significantly correlated with attitudes toward mental health services. Loss of face was also significantly correlated with attitudes of being open to professional counseling. Implications for mental health professionals working with Asian Americans are highlighted. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Structure of client attitudes toward counseling and their relation to client-counselor similarity.

Client attitudes toward their counseling experience were assessed by a post-counseling questionnaire. A cluster analysis of responses indicated 3 clusters, Evaluation, Comfort-Rapport, and Judged Counselor Competence which show unexpectedly low positive correlations with each other. The relationship of client-counselor similarity on the Myers-Briggs Type Indicator to client attitudes varies as a function of cluster content and nature of sample: Evaluation is curvilinear with similarity, middle similarity producing highest scores; Comfort-Rapport is related to high similarity for freshmen but to middle similarity for nonfreshmen; the effects of similarity tend to be more pronounced in opposite- than in same-sex pairings; high ratings of Judged Competence are associated with particular test dimensions rather than with overall similarity. (20 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional openness as a predictor of college students' attitudes toward seeking psychological help.

Fear of emotions is hypothesized to be a primary reason for individuals' negative attitudes toward seeking psychological treatment. This study examined the effects of emotional openness and other potential predictors of attitudes toward seeking psychological help in a sample of 311 college students. Results of simultaneous multiple regression analyses indicated that gender (male), perception of stigma, discomfort with emotions, and lower psychological distress accounted for 25% of variance in attitudes toward seeking psychological help. The implications of the findings and recommendations for increasing the effectiveness of public education efforts are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social psychological correlates of mental illness and mental health.

If there is ever to be a single comprehensive theory and/or research program concerned with the etiology of mental illness, the widely diversified empirical and theoretical findings will have to be meaningfully integrated. The present paper critically reviews theories and research from the environmental-demographic level and the interpersonal level. The large number of phenotypical relationships reported have led only to vaguely formulated and speculative interpretations suggesting the need for a reformulation which will suggest genotypes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological distress, acculturation, and mental health-seeking attitudes among people of African descent in the United States: A preliminary investigation.

This article investigates the relationship between psychological distress, acculturation, and help-seeking attitudes among people of African descent (N = 130). Psychological distress was measured using the Global Severity Index from the Brief Symptom Inventory (L. R. Derogatis & N. Melisaratos, 1983), acculturation was measured using the Measurement of Acculturation Strategies for People of African Descent (E. M. Obasi, 2005), and help-seeking attitudes were measured using the Attitudes Toward Seeking Professional Psychological Help scale (E. H. Fischer & J. I. Turner, 1970). Overall, as psychological distress increased, attitudes toward seeking professional psychological services became more negative. The negative relationship between psychological distress and confidence in therapist was significantly stronger for participants who expressed a cultural maintenance of traditional beliefs. Future directions for this body of research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of students' attitudes toward television as a medium of instruction in a psychology course.

74 students enrolled in an elementary psychology course taught through 2 weekly television sessions and 2 weekly discussion-group sessions were asked (1) whether they would take another course using television and (2) whether the on-campus discussion added anything. 70% of the Ss answered YES to the first question, and 42% answered YES to the second. Open-ended responses revealed reasons for the answers given. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Blame, shame, and contamination: The impact of mental illness and drug dependence stigma on family members.

Family members of relatives with mental illness or drug dependence or both report that they are frequently harmed by public stigma. No population-based survey, however, has assessed how members of the general public actually view family members. Hence, the authors examined ways that family role and psychiatric disorder influence family stigma. A national sample (N = 968) was recruited for this study. A vignette design describing a person with a health condition and a family member was used. Family stigma related to mental illnesses, such as schizophrenia, is not highly endorsed. Family stigma related to drug dependence, however, is worse than for other health conditions, with family members being blamed for both the onset and offset of a relative's disorder and likely to be socially shunned. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Understanding the psychological processes of the racial match effect in Asian Americans.

Some studies on mental health outcomes research have found that when clients and therapists are ethnically or racially matched, this tends to be related to greater satisfaction and better outcomes. However, the precise underlying mechanism for the match effect has not been extensively examined. In this experimental study, we tested the effect of racial match on critical counseling processes (i.e., therapist credibility and the working alliance) using a sample of 171 Asian American respondents. We also examined Asian ethnic identification as a potential moderator of the racial match effect. Structural equation modeling analyses indicated that racially matched individuals perceived greater experiential similarity with the therapist than nonmatched individuals, and experiential similarity was positively associated with therapist credibility. Although racial match did not predict attitudinal similarity, attitudinal similarity was strongly related to the working alliance and therapist credibility. Counseling implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Measuring perceptions of stigmatization by others for seeking psychological help: Reliability and validity of a new stigma scale with college students.

Fear of being stigmatized is the most cited reason why individuals avoid psychotherapy. Conceptually, this fear should be strongest when individuals consider the reactions of those they interact with. Across 5 samples, the authors developed the Perceptions of Stigmatization by Others for Seeking Help (PSOSH) scale. In Sample 1 (N = 985), the 5 items of the PSOSH were selected (α = .91). In Sample 2 (N = 842), the unidimensional factor structure of the scale was examined across a diverse sample. In Sample 3 (N = 506), concurrent validity was supported through moderate associations with 3 different stigma measures (i.e., public stigma toward counseling, r = .31; public stigma toward mental illness, r = .20; and self-stigma, r = .37). In Sample 4 (N = 144), test–retest reliability across a 3-week period was calculated (.82). Finally, in Sample 5 (N = 130), reliability (α = .78) and validity were explored with a sample experiencing symptoms of psychological distress. Relationships between variables (i.e., public stigma toward counseling, r = .31, and self-stigma, r = .40) were similar to those in previous samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-construals and social anxiety among Asian American college students: Testing emotion suppression as a mediator.

Although past studies have revealed ethnic and cultural variations in social anxiety, little research addresses why these variations might arise. The present study addressed this gap by examining emotion regulation as an explanatory mechanism that may account for such differences. Drawing from a culture-specific (Kitayama, Karasawa, & Mesquita, 2004), as well as process-based (Gross, 1998) model of emotion regulation, we hypothesized that emotion suppression would mediate associations between self-construals (interdependent and independent) and social anxiety symptoms. The data analytic sample consisted of 784 self-identified Asian American college students from 20 colleges/universities in the United States. Participants completed the study measures via a confidential, online questionnaire. Structural equation modeling (SEM) analyses indicated a significant indirect effect of both types of self-construal on social anxiety through emotion suppression. Specifically, an interdependent self-construal was associated with more (whereas an independent self-construal was associated with less) emotion suppression, which in turn, was associated with higher levels of social anxiety. Clinically, these findings suggest that an individual's emotion regulation strategy could serve as a proximal target of intervention among Asian American young adults. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Mental illness, predictability, and affective consequences as stimulus factors in person perception.

Before and after attempting to predict the behavior of a stimulus person (SP) in a choice situation, 64 Ss were asked to record their impressions of him on a trait rating scale. By design (a) the SP was presented as normal or mentally ill, (b) his behavior was predictable or unpredictable, and (c) errors of prediction were or were not signaled by a noxious buzzer. As predicted, evaluative judgments of the mentally ill SP did not vary as a function of predictability unless predictive failures were accompanied by unpleasant consequences, and unless the SP himself had control over the delivery of these consequences. Judgments of the normal SP were solely a function of his predictability, regardless of the consequences of predictive failure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

University environment as a mediator of Latino ethnic identity and persistence attitudes.

The authors examined whether the perception of the university environment mediated the relationship between ethnic identity and persistence attitudes of Latino college students. Participants were 175 Latino college students who attended a primarily White university. The results supported the hypothesized mediating role of the university environment. Higher Latino ethnic identity was associated with perceiving a more negative university environment and feeling less committed to finishing college. In turn, perception of a negative college environment was associated with feeling less committed to finishing college. When perception of the university environment was removed, no significant relationship was found between ethnic identity and persistence attitudes, indicating that it is the perceived context that influences Latino college students' persistence attitudes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)