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The sequence of stress, distress and somatization has occupied much of the late twentieth-century psychological research. The anatomy of stress can be viewed from interactional and hybrid theories that suggest that the individual relates with the surroundings by buffering the harmful effects of stressors. These acts or reactions are called coping strategies and are designed as protection from the stressors and adaptation to them. Failure to successfully adapt to stressors results in psychological distress. In some individuals, elevated levels of distress and failed coping are expressed in physical symptoms, rather than through feelings, words, or actions. Such “somatization” defends against the awareness of the psychological distress, as demonstrated in the psychosocial literature. The progression of behavior resulting from somatic distress moves from a private domain into the public arena, involving an elaborate medicalization process, is however less clear in sociological discourse. The invocation of a medical diagnosis to communicate physical discomfort by way of repeated use of health care services poses a major medical, social and economic problem. The goal of this paper is to clarify this connection by investigating the relevant literature in the area of women with breast cancer. This manuscript focuses on the relationship of psychological stress, the stress response of distress, and the preoccupation with one’s body, and proposes a new theoretical construct.

This is a volume about gender, health and medicine broadly defined. It is based on the now widely-held assumption in the sociology of medicine that medicine and health are social constructions and that gender is an embedded part of them (see Lorber, 1997). The essays reveal that embedded with gender in the institution of medicine are race, class, and sexuality. Taken as a whole, the volume offers a critique of exclusively biomedical approaches to personal and public health and calls for more sociological input and qualitative research to help us understand aspects of health and illness. Among the recurrent themes in the seven essays are the medicalization of personal and social problems, the commodification of healthcare, and questions of agency, responsibility and control.

The study was conducted to investigate the association between nonsexual predictors (personal, interpersonal, and dyad variables) and sexual satisfaction in the long-term marriages. The theoretical model was created according to the socio-ecological model proposed by Huston (2000), including 12 personal, 8 interpersonal, and 3 dyad variables as predictors. The model treated personal and interpersonal variables as level 1 variables, while dyad variables were defined as level 2. The research was performed in 14 counties of Croatia and in Zagreb, the capital of Croatia. The sample included 315 marital couples. Marital partners were interviewed individually and separately, at their home. The analysis was performed using the MLM statistical procedure. Four models were tested: (1) personal, (2) interpersonal without gender variable as predictor, (3) interpersonal with gender variable, and (4) final model made up of all groups of predictors together. In Model 1, Self-esteem and Physical attraction turned out to be predictive of sexual satisfaction. In Model 2, Emotional and Recreational intimacy were positive, while Marriage duration proved to be negative predictor. Model 3 generated same predictive variables as Model 2 plus the variable Gender. Model 4 yielded Gender, Physical Attraction, Emotional Intimacy, Participation in key decision-making, and Marital Quality as positive predictors, while Anxiety and Depression proved to be negative predictors. Obtained results are showing that in long-term marriages not only sexual variables are good predictors of marital sexual satisfaction but some nonsexual variables such as emotional intimacy, recreational intimacy, physical attractiveness, participation in key decision-making, and marital quality are also important. The results are discussed and study limitations are emphasized at the end.

This study examines Filipino Americans with high levels of psychological distress. We report on whether ethnic identity, discrimination, and nativity are predictors for help-seeking from a medical professional.

We derived our data from the Filipino American Community Epidemiological Study which surveyed Filipino adults living in the United States (N = 2,285). We used OLS regression to examine the association between psychological distress and help-seeking among US-born Filipinos and immigrants.

The majority of US-born and foreign-born Filipinos sought help for psychological distress from a lay person. Years spent in the United States, ethnic identity, and discrimination were strong predictors for help-seeking. US-born Filipinos were more likely to seek help. Those with low ethnic identity and experienced medium to high discrimination were less likely to seek help.

Our findings suggest that years in United States, ethnic identity and discrimination are associated with help-seeking. Future research should consider factors such as social support and acculturation to examine whether these contribute to psychological distress and help-seeking.

The role of implicit provider bias in mental health care is an important issue that continues to be of concern in the twenty-first century for the Black/African American community. Access to mental health and quality care remains elusive as members of this social group lack access to mental health screening, diagnosis, and attention due to institutional and cultural barriers. Supporting the position that implicit and explicit provider bias exists in the mental health profession, this chapter will explore how implicit provider bias is an intractable institutional barrier that prevents Black/African Americans from accessing mental health and quality care. A review of the implications related to mental health outcomes with Black/African American clients will also be explored.

A brief overview of the Black/African American cultural responses to implicit provider bias will be discussed later in this chapter. There will be an exploration of the ways to help identify, address, and eliminate implicit provider bias using evidence-based personal and community engagement strategies that promote mental health wellness within the Black/African American community. Implications for best practices in Black/African American mental health will also be addressed to eradicate the risk of unethical or medical malpractice with Black/African American clients, reduce the mental health disparity experienced by Blacks/African Americans, and create mental health equity for this population.

This study investigated disparities in dual diagnosis (comorbid substance use and depressive/anxiety disorders) among US adults by nativity and racial–ethnic origin and socioeconomic, cultural, and psychosocial factors that may account for the observed disparities.

The study drew on data from two waves of the National Epidemiological Survey on Alcohol and Related Conditions. Racial–ethnic categories included African, Asian/Pacific Islander, European, Mexican, Puerto Rican, and other Hispanic/Latino. Substance use and depressive/anxiety disorders were assessed per DSM-IV. A four-category measure of comorbidity was constructed: no substance use or psychiatric disorder; substance use disorder only; depressive/anxiety disorder only; and dual diagnosis. The data were analyzed using multinomial logistic regression.

The prevalence of dual diagnosis was low but varied by nativity, with the highest rates among Europeans and Puerto Ricans born in US states, and the lowest among Mexicans and Asians/Pacific Islanders. The nativity and racial–ethnic effects on likelihood of having dual diagnosis remained significant after all adjustments.

The limitations included measures of immigrant status, race–ethnicity, and stress and potential misdiagnosis of mental disorder among ethnic minorities.

This new knowledge will help to guide public health and health care interventions addressing immigrant mental and behavioral health gaps.

This study addressed the research gap in regard to the prevalence and correlates of dual diagnosis among immigrants and racial–ethnic minorities. The study used the most current and comprehensive data addressing psychiatric conditions among US adults and examined factors rarely captured in epidemiologic surveys (e.g., acculturation).

This chapter proposes a conceptual synthesis able to think media and mediation through affect theory. Its objective is to expand our traditional conceptual frame with a new concept: immediation. Through its capacity to render the power of affect’s sociality, immediation enables us to better grasp the social life of affectivities underlying every media experience. William James defines “pure experience” as the “primal stuff of material in the world, a stuff of which everything is composed” (2003, p. 2). This is “relation,” understood as a passage where affective lines of creation come together as one “concrescence” (Whitehead, 1978). How does the binding of these affective variations occur, giving pure experience the power to express itself as an esthetic feeling? Alfred North Whitehead’s answer to this question revolves around his notion of “society” (1978). It points to a virtual society composed of affective forces. Considering that “pure experience” is a process, it would be reasonable to conceive of it as passing a threshold in its becoming. Clearly, this threshold is not fixed, but rather a “mobile differentiation” (Massumi, 2002, p. 34) – emerging from the internal cohesion of the event of experiencing an esthetic quality. It should thus be understood as a process of emergence (or an actualization of virtuality). Affective passages, events, processes of emergence, and intensities are pulsations of radical novelty. They consist in what qualitatively happens in experience: what emerges as an event. Consequently, what happens to the concepts of media and mediation if we think them through this conceptual lens?

This chapter looks at the discursive dimension of the working environment in research and higher education organizations; more specifically at neoliberal managerial discourse and at how it participates in shaping the way researchers, teachers and support staff perceive themselves and their experiences. It is based on a multiple case study and combines an intersectional and a socio-clinical approach. The empirical data is constituted by in-depth interviews with women conducted in Ireland and Chile, and includes some observations made in France. A thematic analysis of individual narratives of self-ascribed experiences of being bullied enables to look behind the veil drawn by managerial discourse, thus providing insights into power vectors and power domains contributing to workplace violence. It also shows that workplace bullying may reinforce identification to undervalued social categories. This contribution argues that neoliberal managerial discourse, by encouraging social representations of “neutral” individuals at work, or else celebrating their “diversity,” conceals power relations rooting on different social categories. This process influences one’s perception of one’s experience and its verbalization. At the same time, feeling assigned to one or more of undervalued social category can raise the perception of being bullied or discriminated against. While research has shown that only a minority of incidents of bullying and discrimination are reported within organizations, this contribution suggests that acknowledging the multiplicity and superposition of categories and their influence in shaping power relations could help secure a more collective and caring approach, and thus foster a safer work culture and atmosphere in research organizations.

Engagement, motivation, and persistence are usually associated with positive outcomes. However, too much of it can overtax our psychophysiological system and put it at risk. On the basis of a neuro-dynamic personality and self-regulation model, we explain the neurobehavioral mechanisms presumably underlying engagement and how engagement, when overtaxing the individual, becomes automatically inhibited for reasons of protection. We explain how different intensities and patterns of engagement may relate to personality traits such as Self-directedness, Conscientiousness, Drive for Reward, and Absorption, which we conceive of as functions or strategies of adaptive neurobehavioral systems. We describe how protective inhibitions and personality traits contribute to phenomena such as disengagement and increased effort-sense in chronic fatigue conditions, which often affect professions involving high socio-emotional interactions. By doing so we adduce evidence on hemispheric asymmetry of motivation, neuromodulation by dopamine, self-determination, task engagement, and physiological disengagement. Not least, we discuss educational implications of our model.