Kohlenburg Stigma in Medicine

Question 1

The term (blank) has both highly social/political implications and has highly personal implications. This is pervasive, unavoidable, and need not be a barrier to effective care.

Answer 1

stigma

Question 2

(blank) may be understood as a process of attempting to avoid, suppress, or deny stimuli that give rise to discomfort.

Answer 2

stigma

Question 3

What is this:
The process that sets the stage for the denial or restriction of opportunities for certain groups of people.
Impacts the opportunities of those with stigmatized conditions.
Has given rise to the extermination of large groups of people defined ethnically, geographically, and religiously.

Answer 3

Enacted stigma

Question 4

What is this:
Self denial of opportunities in life.
May account for individuals avoiding their own disease symptoms or those of loved ones, thus delaying treatment or not adhering to treatment regimens.
May account for poor treatment utilization.
May account for not moving forward in meaningful, cherished life directions.
Those cognitions and emotions that say “you can’t because you are fat..…”

Answer 4

Felt stigma/ shame stigma

Question 5

stigma of being (blank) may be the most debilitating stigma in our society because it cannot be concealed and is seen as a controllable condition.

Answer 5

overweight

Question 6

What does it feel like to be obese?

Answer 6

struggling to fit in
feeling not quite human
being dismissed
refusing to give up

Question 7

What are some inferences people make about overweight individuals?

Answer 7

Lazy
Overeats/binges
Unintelligent
Lack of willpower
Poor hygiene
Worthless
Unattractive/ugly/disheveled
Jolly
Eats junk food

Question 8

(blank) hold strong negative attitudes towards obese individuals, ranking them least desirable among potential friends that included children with crutches, in a wheel chair, with amputated limbs, and children with facial disfigurements.

Answer 8

Elementary school children

Question 9

The greater your BMI the less (blank) you have.

Answer 9

parental financial support

Question 10

If you sit next to a person that is obese, people wont like you as much, T or F?

Answer 10

T

Question 11

Being overweight or obese influences (blank). resulting in Health care being delayed or avoided.

Answer 11

healthcare services

Question 12

Bias in health care results in (blank) emotional reactions in patients, leading to avoidance of healthcare services, which exacerbates poor self-care behaviors, and further complications of obesity.

Answer 12

negative

Question 13

Clinicians openly admit to (blank) attitudes toward obese patients. However, there is no evidence that obese or overweight patients receive inferior care compared with normal weight patients.

Answer 13

negative

Question 14

What is the point of this lecture?

Answer 14

to know that stigma is fine, just give good healthcare.

Question 15

What is our cultural reflex when we have stigma?

What should we do?

Answer 15

to avoid, deny or suppress our feelings about the situation

utilize ACT

Question 16

What are the main components of ACT?

Answer 16

connect to values, understand our feelings and what we stand for and allow these to guide us. I.e. know that you may be disgusted, but that you want to be a loving physician, so do not run, but help

Question 17

How do you ease the stigma of obesity?

Answer 17

Accept feelings and thoughts
Clarify values
Move in a valued direction
No need to get rid of thoughts and feelings to be able to move foreword.