Search results

This chapter examines the effects of mental health services and stigma on changes in self-concept and well-being for individuals with SPMI.

Data for this chapter come from structured interviews and service data for 140 individuals with severe and persistent mental illnesses. We use structural equation modeling to examine the relationship between perceived and internalized stigma, as well as the relationships among stigma, self-concept (self-esteem and mastery), and well-being (quality of life and functioning).

We find that case management is negatively related to quality of life and psychiatric services are positively related to functioning. Crisis services and assessment are associated with mastery in opposite directions. Internalized stigma is positively associated with self-esteem and mastery, and negatively associated with functioning. We do not find a relationship between services and stigma.

A limitation to this chapter is the sample size, which prohibits us from examining a full range of services and outcomes. Nonetheless, our findings provide information about how services and stigma impact well-being, and may be used as a starting point for considering strategies for improving services and reducing stigma. Future work should consider pairing outcomes with services to determine their effectiveness.

This chapter builds on previous research that examines the relative effects of services and stigma among individuals in community health care by extending measures of both services and stigma, and by examining the relationship between them, in order to better determine their implications for self-concept and well-being.

This chapter draws on feminist theorizing on rape culture and victim blaming, and proposes a concept, racialized victim blaming, as a useful tool for understanding discourse on state violence.

The concept of racialized victim blaming is applied to historically analyze the genesis of the carceral state, and deconstruct public debates on police shootings and immigration crises.

This chapter argues that racialized victim blaming is used as a discursive tool to legitimize and mystify state violence projects. Officials and the media use racialized logics and narratives to blame the victims of state violence for their own suffering, justifying continued or increased state violence.

The concept of victim blaming is most often associated with violence against women. Here I demonstrate that victim blaming is also a useful tool for understanding state violence, particularly when attention is given to the place of racializing narratives.

This study examines the effects of organizational attention on technological search in the multibusiness firm. We argue that attentional specialization and coupling, or (respectively) attention given to problems within and across units, affect a unit’s ability to engage in distant and local search by shaping how problems are perceived and addressed. We test this theory by applying a probabilistic topic model to all Motorola patents issued from 1974 to 1997, thus identifying and measuring attention to technical problems. Our results suggest that (a) subunits with specialized attention are not myopic but instead explore broadly and (b) tight attentional coupling across units increases the breadth of search. This study contributes to attention-based views of the firm and to studies on organizational design and search.

Purpose: Fear of deportation and its relationship to healthcare access has been less studied among immigrant Latinx men who have sex with men (MSM), a population at risk for HIV and characterized by their multiple minority statuses. The first step is to accurately measure their fear of deportation.

Approach: We used an exploratory sequential mixed methods design. Eligibility criteria were that research participants be ages 18–34 years; Latinx; cisgender male; having had sex with another male; residing in the District of Columbia metro area; and not a US citizen or legal permanent resident. In Study 1, we used in-depth interviews and thematic analysis. Using participants' interview responses, we inductively generated 15 items for a fear of deportation scale. In Study 2, we used survey data to assess the scale's psychometric properties. We conducted independent samples t-test on the associations between scale scores and barriers to healthcare access.

Findings: For the 20 participants in Study 1, fear of deportation resulted in chronic anxiety. Participants managed their fear through vigilance, and behaviors restricting their movement and social network engagement. In Study 2, we used data from 86 mostly undocumented participants. The scale was internally consistent (α = 0.89) and had a single factor. Those with higher fear of deportation scores were significantly more likely to report avoiding healthcare because they were worried about their immigration status (p = 0.007).

Originality: We described how fear of deportation limits healthcare access for immigrant Latinx MSM.

Research implications: Future research should examine fear of deportation and HIV risk among immigrant Latinx MSM.

On September 9, 2018, Hurricane Irma swept across south Florida, leaving a path of destruction across the entire state. Miami-Dade County, at the southern tip of the state, avoided a direct hit. However, the storm left the county and its dozens of municipalities with gigantic mounds of storm debris. As the weeks went by, the piles festered and frustration with the pace of the clean-up mounted. Two dump sites in particular drew the attention of media and community activists: a park ringed by single family homes in Liberty City, a black community in the heart of Miami; and historic Virginia Key, the only beach open to black citizens under Jim Crow segregation. This research examines three narratives -- media coverage, official explanations from local governments, and reactions on social media -- as a way to investigate how the dumping of storm debris in black spaces was justified, interrogated, and contested in the aftermath of one of the worst hurricanes to strike Miami-Dade County in over a decade. Climate change models predict the increasing frequency of super storms like Irma, and discussions of how coastal cities respond in terms of infrastructure and resiliency are growing. This investigation looks at two components of this response that have not been as widely considered: what are the institutional and citizen responses in the aftermath of these storms, and how will issues of race and historic geographic marginalization be either acknowledged or ignored as the problems associated with climate change grow ever more acute and pressing.

Purpose: This project examines both the media practice of covering perp walks and the discourse of perp walks as performative rituals, with the goal of understanding how grounded practice shapes meaning.

Methodology/approach: This project combines ethnographic observation and interview research to explore the grounded experience of perp walk participants, including journalists, law enforcement, and defendants.

Findings: The analysis suggests that perp walks are constructions that serve the interests of the state and that their resulting images are not neutral documents. Visual journalists are managed by law enforcement through embodied gatekeeping in practice and experience pressure from newsrooms to capture a particular moment. Defendants report feeling violated because they are unable to control the discourse of their recontextualized image.

Research limitations: As a qualitative-research project using a non-representative sample, the study results cannot be generalized, but they instead offer a rich understanding of embodied practice.

Originality/value: Because this study offers the subjective perspectives of three sets of stakeholders, including journalists, law enforcement, and defendants, it offers a unique and in-depth analysis of perp walks as media ritual.