L8 Stigma Flashcards
what does stigma act as i terms of sociality
• Stigma acts as a social defence against non-conformity
two tensions of selection pressure
to be sociable and selection pressures for parasite avoidance
what is error management theory
provides an explanation of of perception and cognitive biases
- option resulting in the smallest threat to fitness
what are initial reflective reactions to disease and heviours they invoke
- Initial reflexive reactions are universal emotions – fear, anger, disgust, hate
- Emotions invoked result in behaviours of avoidance, ostracism, punishment and exploitation.
explain options of the EMT
true state x belief
i.e. belief snake present vs actual snake present= correct
ie. belief snake present vs actual snake absesnse= less costly false positive
explain bias to false positive
- Unequal- false negative = threat to fitness, false positive= less costly
- // bias to false positive
what does EMT predict in terms of evolving biases
EMT predicts that biases will evolve in human decision making when these criteria are met
• The decision had recurrent impacts on fitness
• The decision is based on uncertain information
• The costs of false positives and false negatives become asymmetrical over time
define stigma
a ‘simplified, standardised image of the disgrace of certain people that is held in common by a community at large
3 phases of the AIDs epidemic (WHO)
- Phase one: a silent imperceptible spread
- Phase two: an epidemic of AIDS
- Phase three: stigma, discrimination and denial
Steps of AIDs stigma
o Perceived /Anticipated
o Internalised – psychic distress
o Enacted - discrimination
Mechanisms of Stigma
stigma created by alter to violation of norms + reinforced by social structural
attributed = fear of shame, fear of getting infection
> > outcomes to social limitations, decision making + employment, personal relationships
3 ways stigma impacts health
Health seeking behaviours – Tes(ng, treatment and adherence
Socially – personal and in(mate rela(onships, decision-making around pregnancy, complicates paren(ng and limits employment, economic, travel and migra(on opportuni(es
EmoGonally – anxiety and depression arising from self judgement, shame and isola(on – mediated by social support and personality traits such as resilience
what helps lower stigma
social support
resilience
behavioural therapy
educaiton