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Different spaces, same faces: Perth gay men's experiences of sexuality, risk and HIV.

This study investigated the experiences and behaviours of 25 gay, bisexual and queer identifying men in the context of their perceptions of sexuality, risk and HIV; how sex and relationships are negotiated; and the influence of the environments and community on living and loving in a small gay community. Purposive sampling techniques were used to recruit participants in Perth, Western Australia. Symbolic interactionist theory provided the analytic framework. The study found that the men brought with them a range of meanings related to venues, contexts, identity and community. The men weighed up a number of simultaneous risks and benefits in their relationship with others, of which HIV was one of many variables. Assumptions about the culture and size of the Perth gay community permeated many of the assumptions men made about both venues and spaces, but also the characteristics of the men in those spaces.

Adolescent↗

Are perceptions of fairness relationship-specific? The case of noblesse oblige.

Research in experimental economics suggests that decision making in strategic interactions is often guided by a concern for fairness. However, experimental economics studies routinely place participants of equal social status and no prior social history in anonymous interactions, a context that would tend to foster the adoption of an egalitarian fairness norm. Extensive research in anthropology (Fiske, 1991) and psychology (Bugental, 2000) suggests that social norms, including fairness norms, are relationship-specific, raising doubts about whether the concern for egalitarian fairness observed in the experimental economics literature would generalize to a wider range of social relations. In this paper we focus on an alternative social norm characteristic of hierarchical relationships: noblesse oblige--the obligation of high-ranking individuals to act honorably and beneficently towards subordinates. In a series of five experiments, we show that the norm of noblesse oblige predicts tolerance of free riding better than individual self-interest does.

Adult↗

Ethnicity and ethnic identity as predictors of drug norms and drug use among preadolescents in the US Southwest.

This article reports the results of research exploring how ethnicity and ethnic identity may "protect" adolescents against drug use and help them form antidrug use norms. This study was conducted in 1998 and is based on a sample of 4364 mostly Mexican American seventh graders residing in a large southwestern city of diverse acculturation statuses. It aims at testing existing findings by conducting the research within the unique geographic and ethnic context of the Southwest region of the United States. This research examines how strength of ethnic identity plays a distinctive role in drug use behavior among the various ethnic groups represented in the sample: Mexican Americans, other Latinos, American Indians, African Americans, non-Hispanic Whites, and those of mixed ethnic backgrounds. Positive ethnic identity (i.e., strong ethnic affiliation, attachment, and pride) was associated with less substance use and stronger antidrug norms in the sample overall. Unexpectedly, the apparently protective effects of positive ethnic identity were generally stronger for non-Hispanic White respondents (a numerical minority group in this sample) than for members of ethnic minority groups. Implications for prevention programs tailored for Mexican/Mexican American students are discussed.

Acculturation↗

Formation of and adherence to a self-disclosure norm in an online chat.

To understand how a norm of self-disclosure forms and is adhered to in a synchronous computer-mediated discussion, participants discussed the stigma of mental illness. The transcripts of the discussion were coded for the number of self-disclosures, the number of statements supportive of self-disclosure, and the number of statements supportive of non-self-disclosure. The results showed that the number of self-disclosing statements increased over time, although not in a linear fashion, as did the number of statements supportive of self-disclosure. However, the number of statements supportive of non-self-disclosures decreased over time. These results suggest that once a norm of self-disclosure forms, it is reinforced by statements supportive of self-disclosures but not of non-self-disclosures. The results are discussed in the context of self-disclosure reciprocity and the social identity model of deindividuation effects (SIDE).

Adaptation, Psychological↗

A compelling desire for deafness.

A case is described of a patient who has a compelling and persistent desire to become deaf. She often kept cotton wool moistened with oil in her ears and was learning sign language. Living without sound appeared to be a severe form of avoidance behavior from hyperacusis and misophonia. She had a borderline personality disorder that was associated with a poor sense of self. Her desire to be deaf may be one aspect of gaining an identity for herself and to compensate for feeling like an alien and gaining acceptance in the Deaf community. Will a compelling desire for deafness ever become a recognized mental disorder one day for which hearing patients may be offered elective deafness after a period of assessment and living like a deaf person? Those working in the field of deafness should be aware that individuals may occasionally be seeking elective deafness or self-inflicting deafness to obtain a hearing aid.

Adult↗

Illusory correlation and group impression formation in young and older adults.

This study investigated whether a greater illusory correlation bias is present in older adults' memory and evaluative judgment for majority and minority social groups and, if so, whether this bias might be due to an age-related decline in the ability to engage in on-line processing of group-trait information. Young and older adults read desirable and undesirable trait adjectives about the members of 2 groups under either no-distraction or distraction conditions. Group A had twice as many members as Group B and, for both groups, desirable traits occurred twice as often as undesirable traits. Afterwards, participants completed group-trait memory and evaluative judgment tasks. Greater illusory correlation in memory and evaluative judgment after distraction suggested that diverting resources to competing tasks produced deficits in both memory for specific group-trait information and on-line group impression formation. Older adults' memory for specific group-trait information was disrupted more by distraction than was young adults' memory. However, there were no age differences in evaluative judgment after either distraction condition, suggesting that on-line impression formation activities remain intact in old age. These findings are interpreted within the framework of fuzzy trace theory.

Adult↗

Disconfirmation of person expectations by older and younger adults: implications for social vigilance.

The research examined whether age-related cognitive declines affect performance when people form impressions of others. The results from Experiment 1 showed that young and old participants who held positive expectancies about an individual spent more time processing and had better memory for information that was inconsistent rather than consistent with their expectancies. But participants who held negative expectancies tended to focus on information that was consistent rather than inconsistent with their expectancies. In Experiment 2 the task was made more demanding by limiting the amount of time participants had to form their impressions. Under these conditions, older participants who had positive expectations showed deficits in memory for negative information compared with young participants. As expected, both groups performed similarly when they held negative expectancies for the target. The results suggest that although both older and younger adults process social information similarly under self-paced conditions, older adults may be at a disadvantage processing negative information about positively characterized individuals when the context in which impression formation occurs is cognitively demanding.

Adult↗

Feminist gerontology and old men.

This article outlines feminist gerontology and shows how its focus on power relations lends insight into the lives of those people disadvantaged by them as well as the people privileged by social inequalities. To illustrate the latter, I discuss how feminist gerontology might examine old men, using the topic of health as an example. For instance, arrangements that maintain privilege in young adulthood and middle age can lead to poor health in old age. These practices of masculinity include physical risk in competition with other men, neglect of social networks and medical care, and avoidance of any self-report of emotional strain. However, with its focus on diversity, feminist gerontology also emphasizes that experiences of manhood, aging, and health vary by one's location in a network of inequalities.

Aged↗

A comprehensive Afrocentric rites of passage program for black male adolescents.

The health consequences for African American male teenagers of living in high-risk environments are devastating. Given the existence of cultural barriers to health services use, culturally proficient programs that can engage African American male youths in preventive interventions and primary care are urgently needed. This article reviews the health status of African American male adolescents, noting that the leading health problems are preventable. The article then discusses two frameworks that are of value in social work practice with African American populations, cultural competence and empowerment; reviews of Afrocentric theory and Afrocentric social work; and describes a culturally proficient, Afrocentric program for African American male adolescents. Health social workers can take steps to increase their own cultural competence and that of the health care organizations in which they work.

Adolescent↗

Institutional integrity: approval toleration and holy war or 'always true to you in my fashion'.

The advent of moral pluralism in the post-modern age leads to a set of issues about how pluralistic societies can function. The questions of biomedical ethics frequently highlight the larger issues of moral pluralism and social cooperation. Reflection on these issues has focused on the decision making roles of the health care professionals, the patient, and the patient's family. One species of actor that has been neglected has been those institutions which are part of the public, secular realm and which have a particular moral heritage.

Bioethical Issues↗

Social consequences of children's pain: when do they encourage symptom maintenance?

OBJECTIVE: To examine the influence of social factors (e.g., attention, relief from responsibility) and children's perceived competence on pediatric symptom maintenance. METHODS: Participants were 151 pediatric patients (ages 8-18) with recurrent abdominal pain. They were interviewed at a clinic visit and again 2 weeks later. The Social Consequences of Pain questionnaire assessed four types of social consequences: positive attention, negative attention, activity restriction, and privileges. RESULTS: Two types of social consequences (positive attention and activity restriction) predicted greater symptom maintenance, but this effect was moderated by children's perceived self-worth and academic competence. To the extent that children rated their self-worth and academic competence as low, the impact of social factors on symptom maintenance was stronger. CONCLUSIONS: Children's success in their normal social roles may affect the extent to which they identify with the sick role and find it a rewarding alternative to other social roles.

Abdominal Pain↗

Friendship and social support: the importance of role identity to aging adults.

This article proposes role identity theory as a means of integrating the diverse frameworks and findings that populate the social support literature, and it highlights the importance of the friendship role on life satisfaction for aging adults. A sample of 800 preretirement-age working men and women were surveyed as part of a longitudinal study, Roles and Self: Factors in Development and Retirement. The results include differences in social support by gender, no significant influence of structural support variables, and the significant effect of the role of friendship on respondents' life satisfaction. Hierarchical regression analysis showed that commitment to the role of friend is significant in predicting life satisfaction when controlling for background variables, and friendship identity meanings emerged as the strongest predictor--stronger than income or marital status--when predicting well-being. Integration of theory with current and previous research, implications for practice, and directions for future research are discussed.

Adult↗

Africentric youth and family rites of passage program: promoting resilience among at-risk African American youths.

This article examines the effects of an Africentric youth and family rites of passage program on at-risk African American youths and their parents. Data were obtained from a three-year evaluation of a youth rites of passage demonstration project using therapeutic interventions based on Africentric principles. At-risk African American boys between ages 11.5 and 14.5 years with no history of substance abuse were referred from the criminal justice system, diversion programs, and local schools. The evaluation revealed that participating youths exhibited gains in self-esteem and accurate knowledge of the dangers of drug abuse. Although the differences were not statistically significant, parents demonstrated improvements in parenting skills, racial identity, cultural awareness, and community involvement. Evidence from interviews and focus groups suggests that the program's holistic, family-oriented, Africentric, strengths-based approach and indigenous staff contributed to its success.

Adolescent↗

Considering the culture of disability in cultural competence education.

Cultural competence extends beyond understanding those values, beliefs, and needs that are associated with patients' age or gender or with their racial, ethnic, or religious backgrounds. People hold many simultaneous cultural associations, and each have implications for the care process. The "culture of disability" is a pan-ethnic culture for which a set of physician competencies are required to ensure appropriate, culturally sensitive care to persons with congenital or acquired disabilities. Such competencies include communicating with patients who have deficits in verbal communication and avoidance of infantilizing speech; understanding the values and needs of persons with disabilities; the ability to encourage self-advocacy skills of patients and families; acknowledging the core values of disability culture including the emphasis on interdependence rather than independence; and feeling comfortable with patients with complex disabilities. Medical schools have developed programs to increase students' exposure to persons with disabilities and it is suggested that such programs are most effective when they are the result of collaboration with community-based facilities or organizations that serve persons with disabilities in the natural environment. Combining lecture-based instruction and structured experiences with the opportunity for students to interact with patients in their natural environments may facilitate development of competencies with respect to patients with disabilities. The culture of disability should be included as one of the many cultures addressed in cultural competence initiatives in medical school and residency curricula.

Attitude to Health↗

Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women.

This article describes the development and pilot-testing of brief scales to measure four cultural constructs prevalent in urban African American women. Internal consistency and temporal stability were assessed in two convenience samples (n=47 and n=25) of primarily lower-income African American women. All scales performed well: collectivism alpha=.93, r=.85, p<.001); religiosity (alpha=.88, r=.89, p<.001); racial pride (alpha=.84, r=.52, p<.001); present time orientation (alpha=.73, r=.52, p<.01) and future time orientation (alpha=.72, r=.54, p=.07).

Adolescent↗