Goffman's Interaction Order at the Margins: Stigma,Role, and Normalization in the Outreach Encounter

This article considers Goffman's conceptualization of interaction order at the margins of society in encounters between urban welfare workers and their clients. Observations from these encounters demonstrate practices relating to the situated management of stigma and identity, and the accomplishment of role within these service encounters. A reading of Goffman's theoretical contribution lies in revealing how social actors and social structures are realized in situ within the constraints of the interaction order sui generis. The article discusses three aspects of the outreach encounter, namely, (1) the accomplishment of role and motive, (2) the sequential phases of the outreach encounter, and (3) “the normalization ritual,” and introduces the concept of willful disattention.     

Knowledge and Attitudes About HIV/AIDS Among Community-Living Older Women: Reexamining Issues of Age and Gender

ABSTRACT

Although older women face unique risks related to HIV/AIDS, little empirical data is available regarding HIV/AIDS among women over the age of 65. In the present study, 160 community-living older women and men completed questionnaires regarding knowledge and attitudes about HIV/AIDS. Findings showed that although older women were less likely to talk to their physician about HIV than men, they maintained greater knowledge and generally dispelled myths about viral transmission. However, most older women believed that HIV/AIDS had limited personal relevance, possessed virtually no knowledge of age and gender specific risk factors, and professed HIV-associated stigma. These findings highlight the need for gender and age specific prevention programs.     

HIV knowledge mediates the relationship between HIV testing history and stigma in college students

ABSTRACT

Objective: HIV-related stigma is one of the strongest barriers to prevention and treatment. HIV prevalence in U.S. college students is estimated around 0.02%, but is thought to be drastically underreported. We examined the influence of HIV knowledge on the relationship between HIV testing history and stigma in college students. Participants: A random sample of 2343 students, over the age of 18, attending a large university in the southeastern United States completed the survey in January 2016. Methods: A mediation model was constructed in regression framework to explore the relationship between HIV testing history, knowledge, and stigma. Results: HIV testing history was associated with higher knowledge scores (a path: B = 4.08, p < .001) and higher knowledge scores were associated with lower stigma (b path: B = .01, p < .001). These results suggest that HIV knowledge partially mediates the relation between HIV testing history and stigma in college students. Conclusions: HIV testing history may decrease stigma by increasing knowledge. Results can be used to inform college health promotion practice on developing programs and services.     

THE STIGMA OF WHITE PRIVILEGE

Beginning in the 1970s, the efforts of the Australian settler state to help its Indigenous minority shifted away from ‘assimilation’ and embraced the principles of ‘self-determination’. According to the rhetoric of the self-determination era – explored in this article as the ‘liberal fantasy space’ – Aboriginal and Torres Strait Islander Australians should be in control of efforts to improve their lives, ultimately making state intervention redundant. A by-product of this shift was to radically change the role of non-Indigenous people who sought to participate in Indigenous development. No longer in charge of Indigenous advancement, they were now cast as partners and supporters.

This article explores some of the complexities of White anti-racist subjectivities in the self-determination era. It draws on ethnographic research with a group of progressive Whites who work in Indigenous health in northern Australia. A striking feature of contemporary White anti-racist discourse is a reluctance to claim any agency in the process of Indigenous improvement. I argue that applying the concept of stigma to White privilege is a novel and productive approach to understanding this desire for self-effacement. White stigma works in a parallel fashion to the case of liberal Germans who believe the German collective identity is irrevocably tainted by the Holocaust. In the Australian case, the negative characteristics associated with Whiteness act as a barrier to the broader goal of constructing ethical White subjectivities fit for the ‘liberal fantasy space’ of post-colonial justice. In their attempts to overcome this barrier and transcend White stigma, White anti-racists mobilise the identity tropes of missionary, mother, and child. Ultimately, these efforts at self-fashioning point to the ultimate fantasy of decolonisation: the desire of White anti-racists to disappear.     

商务英语目标管理实践教学创新与实践研究——以广州城市职业学院商务英语实践教学为例

以广义知识学习理论和教学设计理论为指导,对高职商务英语实践教学进行了理论研究与实践探索,提出了系统性、层级性、职业性、开放性实践教学原则,构建了目标管理实践教学体系,阐明了该体系的运作模式,旨在提高实践教学的有效性。     

Participation in LGBTQ Organizations in Colombia: Motivations and Impacts

Studies on sexual minorities have shown the positive impact of the lesbian, gay, bisexual, trans, or queer (LGBTQ) community on the well-being of individuals. Few studies, however, have been interested in the role that LGBTQ organizations specifically play. Using a qualitative approach, this article examines individuals’ motivations to participate in LGBTQ organizations and how they think such participation impacts their lives. Semi-structured interviews were conducted with 20 self-identified LGBTQ adults living in the Andean region of Colombia. Thematic analysis with inductive coding was used, and six themes were identified. Within these, two findings are particularly relevant to the existing literature. First, organizations play an important role as educational spaces where individuals can learn about their sexual identity. Second, organizations can also impact families of origin by promoting a better understanding and acceptance of participants’ sexual identity, and by promoting solidarity with LGBTQ community members.     

Stress,Stigma, and Sexual Minority Status: The Intersectional Ecology Model of LGBTQ Health

One of the four overarching goals of Healthy People 2020 is to achieve health equity, eliminate health disparities, and improve the health of all groups, including the health of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) populations. In 2011, the Institute of Medicine (IOM) released a report that drew attention to the unique health disparities experienced by sexual minorities and underscored the need for a comprehensive approach to sexual minority health research. This article proposes a new model of LGBTQ health to help measure, explore, explain, and predict the impact of sexual minority status on health outcomes. The Intersectional Ecology Model of LGBTQ Health (IEM) demonstrates how the relentless hypervigilance of LGBTQ individuals in a heteronormative society impacts health outcomes through the primary vehicles of stigma and chronic, elevated stress. The purpose of the IEM is to guide future research and enhance public health practice for LGBTQ populations.     

The Mental Health System and Sense of Self Among Adults with Serious Mental Illness

Abstract

Development of a sense of self is a lifelong process. One's sense of continuity in the context of the demands of multiple role identities contributes to both psychological well-being and opportunities for acceptance into valued social roles. The onset of a mental illness can rupture an emerging sense of self and require intense and painful restructuring of one's beliefs and expectations. This study was a secondary analysis of qualitative data from interviews with twenty people who self-identified as having serious mental illness to explore how well the mental health system addresses the ingredients that promote, create, or restore a valued and adaptive sense of self.     

Stigma and problem gambling: current knowledge and future research directions

Stigma has been identified as a major barrier to help-seeking, treatment and recovery from gambling problems. However, little research has attempted to examine in any depth the causes, characteristics and consequences of stigma in relation to people experiencing gambling problems. The effects of stigma on people experiencing gambling problems, although not directly examined, are apparent through low rates of problem disclosure and treatment-seeking. In this paper, we aim to inform research into stigma associated with problem gambling by highlighting gaps in existing research and by providing direction for future research. The contribution of this paper is that for the first time stigma and problem gambling are drawn together and reviewed using broad constructs and literature from a range of seminal and new sources to present a synthesis of new and important information on stigma. In regard to problem gambling, the dimensions of stigma, except for origin, have yet to be investigated, as well as the processes of stigma creation, the characteristics of public and felt stigma, and coping strategies used to manage stigma. The practical implications of this review are summarized in a framework provided to inform future research into stigma related to problem gambling.