Social Stigma
Social Stigma
Social Stigma
Key Words social identity, identity threat, stress and coping, stereotyping,
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prejudice, discrimination
Abstract This chapter addresses the psychological effects of social stigma. Stig-
ma directly affects the stigmatized via mechanisms of discrimination, expectancy con-
firmation, and automatic stereotype activation, and indirectly via threats to personal and
social identity. We review and organize recent theory and empirical research within an
identity threat model of stigma. This model posits that situational cues, collective rep-
resentations of ones stigma status, and personal beliefs and motives shape appraisals
of the significance of stigma-relevant situations for well-being. Identity threat results
when stigma-relevant stressors are appraised as potentially harmful to ones social iden-
tity and as exceeding ones coping resources. Identity threat creates involuntary stress
responses and motivates attempts at threat reduction through coping strategies. Stress
responses and coping efforts affect important outcomes such as self-esteem, academic
achievement, and health. Identity threat perspectives help to explain the tremendous
variability across people, groups, and situations in responses to stigma.
CONTENTS
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394
CONCEPTUALIZING STIGMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394
MECHANISMS OF STIGMATIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396
Negative Treatment and Discrimination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396
Expectancy Confirmation Processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396
Automatic Stereotype Activation-Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
Stigma as Identity Threat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
A MODEL OF STIGMA-INDUCED IDENTITY THREAT . . . . . . . . . . . . . . . . . . . . 398
Collective Representations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399
Situational Cues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399
Personal Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400
Identity Threat Appraisals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402
Involuntary Responses to Identity Threat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402
Coping in Response to Threats to the Self . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403
OUTCOMES OF STIGMATIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406
Self-Esteem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406
Academic Achievement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408
0066-4308/05/0203-0393$14.00 393
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Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411
INTRODUCTION
Stigma is a powerful phenomenon with far-ranging effects on its targets (Crocker
et al. 1998, Jones et al. 1984, Link & Phelan 2001). Stigma has been linked to poor
mental health, physical illness, academic underachievement, infant mortality, low
social status, poverty, and reduced access to housing, education, and jobs (Allison
1998, Braddock & McPartland 1987, Clark et al. 1999, Yinger 1994). Although
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CONCEPTUALIZING STIGMA
According to Goffman (1963, p. 3), stigma is an attribute that extensively discred-
its an individual, reducing him or her from a whole and usual person to a tainted,
discounted one. Crocker et al. (1998) proposed that stigmatization occurs when
a person possesses (or is believed to possess) some attribute or characteristic that
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conveys a social identity that is devalued in a particular social context (p. 505).
These definitions share the assumption that people who are stigmatized have (or
are believed to have) an attribute that marks them as different and leads them to
be devalued in the eyes of others. Stigmatizing marks may be visible or invisible,
controllable or uncontrollable, and linked to appearance (e.g., a physical defor-
mity), behavior (e.g., child abuser), or group membership (e.g., African American).
Importantly, stigma is relationship- and context-specific; it does not reside in the
person but in a social context.
In stigmatization, marks become associated with discrediting disposi-
tionsnegative evaluations and stereotypes (Jones et al. 1984). These stereotypes
and evaluations are generally widely shared and well known among members of a
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culture (Crocker et al. 1998, Steele 1997), and they become a basis for excluding
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stigmatized and the specific content of the stereotypes that are attached to those
attributes (Park et al. 2003). Nonetheless, stigmatized groups tend to be negatively
stereotyped on the dimensions of competence and/or warmth in most cultures
(Fiske 1998). Stereotyping people along these two dimensions may be functional;
in order to survive, people need to know who is friend or foe (warmth) and who
has higher status (competence).
MECHANISMS OF STIGMATIZATION
In the following section, we describe four mechanisms by which stigma affects
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the stigmatized: (a) negative treatment and direct discrimination, (b) expectancy
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confirmation processes, (c) automatic stereotype activation, and (d) identity threat
processes.
ideomotor processes (see Wheeler & Petty 2001 for a review). Because of as-
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sociative linkages in memory between stereotypes and the behaviors they imply,
activation of stereotypes can automatically lead to behavior that assimilates to the
stereotype (Bargh et al. 1996, Dijksterhuis et al. 2000). For this process to occur,
the person must be aware of the contents of the stereotype, the stereotype must
be activated in a situation, and the stereotype must be applicable to the behav-
ioral domain. Activating cultural stereotypes of stigmatized groups can produce
stereotype-consistent behavior even among people who are not members of the
group, as long as they are aware of the stereotype. For example, white Americans
for whom the African American stereotype was activated performed more poorly
on an intellectual task than did white Americans for whom this stereotype was not
activated (Wheeler et al. 2001).
Activating stereotypes of the stigmatized, however, is more likely to result in
stereotype-consistent behavior among the stigmatized than the nonstigmatized for
several reasons. First, self-relevant stereotypes are more likely to be chronically
accessible than non-self-relevant stereotypes, resulting in a lowered threshold of
activation for the former (Shih et al. 2002). Subliminally presented primes, for
example, lead to stereotype-consistent behavior in the target group but not in
nontarget groups (Levy 1996, Shih et al. 2002). Second, the same situation may
prime negative stereotypes for the stigmatized, but not for the nonstigmatized.
The mere act of indicating their race before taking a standardized test, for exam-
ple, decreased test performance among African Americans but not among white
Americans (Steele & Aronson 1995, Study 4). Finally, although the explanation is
unclear, situations that activate negative stereotypes and harm performance among
stigmatized group members sometimes elevate performance among members of
nonstigmatized groups (Walton & Cohen 2003).
and behavior. They are also bottom up in their assumption that construals emerge
from experiences (direct or vicarious) with being a target of negative stereotypes
and discrimination. These perspectives assume that stigma puts a person at risk of
experiencing threats to his or her social identity. Crocker & Major (1989, Crocker
et al. 1998), for example, hypothesized that stigmatization threatens self-esteem
(personal and collective), and can lead to attributional ambiguity, i.e., uncertainty
as to whether outcomes are due to ones personal identity or social identity. Steele
(1997, Steele & Aronson 1995) theorized that negative self-relevant group stereo-
types can lead to stereotype threat, a situationally based fear that one will be judged
on the basis of or confirm those stereotypes. Steele et al. (2002) hypothesized
that cultural knowledge or situational cues that indicate ones group is devalued,
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marginalized, and of low status lead to social identity threat, i.e., a threat to the
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aspect of self that is derived from membership in a devalued social group or cate-
gory (Tajfel & Turner 1986). Identity threat theories dominate current research on
stigma. In the following sections, we review research generated by these theories
(for related reviews, see Crocker et al. 1998; Major et al. 2002b, 2003b; Schmitt
& Branscombe 2002; Stangor et al. 2002; and Steele et al. 2002).
G). Although not drawn, this model is recursive, in that involuntary and voluntary
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responses to identity threat may furnish feedback that affects objective circum-
stances as well as subjective construals and appraisals of those circumstances.
These may attenuate or exacerbate the effects of stigma. In the following section,
we use this framework to organize and review recent literature on stigma.
Collective Representations
Based on their prior experiences as well as their exposure to the dominant culture,
members of stigmatized groups develop shared understandings of the dominant
view of their stigmatized status in society (Crocker 1999, Crocker et al. 1998,
Steele 1997). These collective representations include awareness that they are de-
valued in the eyes of others, knowledge of the dominant cultural stereotypes of
their stigmatized identity, and recognition that they could be victims of discrimina-
tion (Crocker et al. 1998). Virtually all members of a culture, including members
of stigmatized groups, are aware of cultural stereotypes, even if they do not per-
sonally endorse them (Steele 1997). By 10 years of age, most children are aware of
cultural stereotypes of different groups in society, and children who are members
of stigmatized groups are aware of cultural stereotypes at an even younger age
(McKown & Weinstein 2003). Members of a culture also are aware of the domi-
nant ideologies, or shared explanations, for why different groups occupy the status
positions that they do (Jost & Banaji 1994, Sidanius & Pratto 1999). Collective rep-
resentations influence how the stigmatized perceive and appraise stigma-relevant
situations. Collective representations can affect the behavior of the stigmatized in
the absence of obvious forms of discriminatory behavior on the part of others, and
even when no other person is present in the immediate situation.
Situational Cues
Situations differ in their social identity threat potential, i.e., in the extent to which
they signal that one is at risk of being devalued, negatively stereotyped, or dis-
criminated against because of ones social identity (Steele et al. 2002). For ability-
stigmatized groups, threatening situations include taking an ability diagnostic
test (e.g., Spencer et al. 1999, Steele & Aronson 1995), being outnumbered by
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members of nonstigmatized groups (Ben-Zeev et al. 2004, Inzlicht & Good 2004,
Sekaquaptewa & Thompson 2003), being taught by an instructor who is a member
of a dominant outgroup (Marx & Roman 2002), being exposed to media images
that reinforce negative stereotypes of ones group (Davies et al. 2002), being asked
to reveal a concealable stigma (Quinn et al. 2004), or overhearing that an evaluator
is sexist (Major et al. 2003c).
Because the collective representations that individuals bring to a situation shape
its meaning, the same situation may be perceived and appraised differently by dif-
ferent individuals. For example, situational cues that increased the relevance of
negative group stereotypes lead to stereotype threat effects (e.g., impaired perfor-
mance) among children old enough to be aware of negative stereotypes about their
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group, but not among stigmatized children as yet unaware of group stereotypes
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(McKown & Weinstein 2003), and to impaired performance on a math test among
women who believe that gender stereotypes about math ability are true, but not
among women who reject these stereotypes (Schmader et al. 2004). Nonstigma-
tized and stigmatized groups in particular react very differently to the same local
situation, in part because they differ in the collective representations they bring to
the situation.
It is important to note that perceptions of situations do not always correspond
to objective events (see Crosby 1982, Feldman-Barrett & Swim 1998, Stangor
et al. 2003a). Some individuals who are targets of objective discrimination, for
example, fail to realize it, whereas other individuals believe they are victims of
discrimination even when they are not (Major et al. 2002b, Stangor et al. 2003b).
A variety of personal, situational, and structural factors determine whether people
perceive themselves as targets of prejudice. For example, individuals are more
likely to perceive discrimination (a) against their group as a whole than against
themselves personally (Crosby 1982, Taylor et al. 1994), (b) when information
is presented aggregated across members of a group than on a case-by-case basis
(Crosby et al. 1989), and (c) when prejudice cues are clear rather than ambiguous
(Major et al. 2003c).
Personal Characteristics
Individual characteristics also influence how situations are perceived and ap-
praised. Following, we describe several personal characteristics that have been
the focus of research.
of discrimination at both a personal and group level (Pinel 1999), the more they
expect to be treated negatively by outgroup members (Pinel 2002), and the more
attention they allocate to subliminally presented words that threaten their social
identity (CR Kaiser, SB Vick, B Major, submitted, Study 2). African American
students who scored high on a measure of race-rejection sensitivity prior to col-
lege were more likely than those who scored low on this measure to perceive
negative race-related experiences and discrimination over the course of their first
three weeks in college, felt more negatively toward their roommates and pro-
fessors, and were less likely to feel accepted at college (Mendoza-Denton et al.
2002).
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as a central part of their self-identity are more likely to see themselves as targets of
personal and group discrimination (e.g., Branscombe et al. 1999, Sellers & Shelton
2003), especially when prejudice cues are attributionally ambiguous (Major et al.
2003c, Operario & Fiske 2001). They are also more likely to appraise stigma-
relevant events as self-relevant. Consequently, they report increased threat and
lower self-esteem in response to perceived prejudice against the ingroup (McCoy &
Major 2003) and perform more poorly in situations where the ingroup is negatively
stereotyped (Schmader 2002).
GOALS AND MOTIVES Individuals goals and motives also shape how they per-
ceive and appraise situations. Two motives have been emphasized in the stigma
literature. One is the motive to protect or enhance self-esteem. People are more
likely to perceive an evaluator as sexist or racist if they receive negative than posi-
tive feedback from him or her (e.g., Crocker et al. 1991). People are also motivated
to believe the system is just and that they are fairly treated (Jost & Major 2001,
Jost et al. 2003, Major 1994). In the service of maintaining these beliefs, members
of stigmatized groups may fail to see themselves as victims of prejudice even in
the presence of prejudice cues. The more strongly members of stigmatized ethnic
groups (Latino/a Americans, African Americans) believe in a just world and that
any individual can get ahead regardless of group membership, the less likely they
are to report that they personally, or members of their group, are targets of ethnic
discrimination, the less likely they are to blame discrimination when a member
of a higher status group (e.g., a European American) rejects them for a desirable
role (Major et al. 2002a, Study 2), and the more threat and lower self-esteem they
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report when they are confronted with prejudice against themselves or their group
(B Major, CR Kaiser, SK McCoy, submitted).
to cope with those demands (Lazarus & Folkman 1984). Threat results when the
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of self-reported anxiety (Blascovich et al. 2001, Bosson et al. 2004). For example,
gay men who interacted with preschool children under conditions conducive to
creating stereotype threat demonstrated increased nonverbal anxiety compared to
unthreatened gay men, but the former did not report feeling more anxious on self-
report measures. Nonverbal anxiety, but not self-reported anxiety, mediated the
effects of threat condition on participants child-care performance (Bosson et al.
2004). These latter findings strongly suggest that affective responses to identity
threat may not be conscious and amenable to self-report measures. Like other types
of stress, identity threat can also consume valuable cognitive resources (Klein &
Boals 2001). Schmader & Johns (2003) found that manipulations of stereotype
threat (e.g., describing a test as measuring quantitative or intellectual capacity) led
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(women and Latinos) while having no effect on individuals not targeted by the
stereotype (men and whites). Furthermore, reductions in working memory capacity
mediated the effects of the stereotype threat manipulation on performance.
Identity threat may also engender automatic vigilance to threat-related stimuli.
Automatic stimulus evaluation directs attention toward events that may have unde-
sirable consequences for the perceiver (Pratto & John 1991). Previous experience
with prejudice and discrimination can set the stage for members of stigmatized
groups to use a zero miss signal detection strategy wherein injustice cues in the
environment trigger vigilance for discrimination (Feldman-Barrett & Swim 1998).
Women led to anticipate interacting with a sexist (versus a nonsexist) man allocated
more attention to subliminally presented words that threatened their social identity,
as did women who scored high (versus low) in stigma consciousness (CR Kaiser,
SB Vick, & B Major, submitted). Automatic vigilance, however, is not an inevitable
by-product of stigmatization. Some members of stigmatized groups screen out
identity threatrelevant information at a nonconscious attentional level (CR Kaiser,
SB Vick, & B Major, submitted; Miller & Kaiser 2001; Stangor et al. 2003a).
Ironically, people who chronically expect and are vigilant for signs of discrim-
ination may create the rejection they fear by communicating these expectancies to
others. For example, when women high in stigma consciousness interacted with a
male partner who they had been led to believe was sexist, they rated him especially
critically; their ratings elicited negative evaluations from the male partner, in turn
confirming the womens belief that they would not like him (Pinel 2002). African
American students who were high in sensitivity to race-based rejection prior to
entering college had less-diverse friendships and felt less trust in their university
at the end of their first year in college. They also reported decreased attendance at
academic review sessions, increased anxiety about approaching instructors with
academic problems, and decreased GPAs by the time they were college juniors
(Mendoza-Denton et al. 2004).
2004). Some coping efforts are primarily problem focused (e.g., when an over-
weight person decides to go on a diet), whereas others are primarily emotion
focused (e.g., restricting ones comparisons to others who are also overweight),
although some strategies may serve both goals (e.g., avoiding wearing a bathing
suit). Coping strategies can also be characterized as engagement versus disengage-
ment strategies, with the former reflecting approach or fight motivation, and the
latter reflecting avoid or flight motivation (Miller 2004, Miller & Kaiser 2001). We
focus here on three coping strategies addressed in recent research: (a) attributing
negative events to discrimination (versus to the self), (b) disengaging self-esteem
and effort from identity-threatening domains (versus engaging and striving in these
domains), and (c) increasing identification with ones stigmatized group (versus
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uals may disidentify with domains in which their group is negatively stereotyped
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Whereas highly identified group members may respond to threats to the group
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by increasing their identification with the group, members who are low in identi-
fication may cope by decreasing their identification even more (see Ellemers et al.
2002 for a review). After reading about pervasive discrimination toward their eth-
nic group, for example, Latino/a American students who had previously reported
low levels of ethnic group identification identified even less with their ethnic group,
whereas previously highly identified Latino/a American students identified even
more strongly (McCoy & Major 2003).
OUTCOMES OF STIGMATIZATION
Coping with stigma often involves trade-offs. Strategies used in the service of
achieving one goal (protecting self-esteem) may inhibit attainment of other goals
(academic achievement). Thus, it is important to look at multiple responses to
and effects of stigmatization within the same study. Rarely, however, have stigma
researchers done so. In the following section, we briefly focus on how stigma
affects three important outcomes: self-esteem, academic achievement, and health.
Self-Esteem
A number of empirical investigations of the relationship between stigma and self-
esteem have been conducted over the past 15 years (e.g., Branscombe et al. 1999,
Crocker et al. 1991, Quinn & Crocker 1999). Researchers typically measure per-
sonal (Twenge & Crocker 2002) and collective self-esteem (e.g., Crocker et al.
1994) with self-report measures. More recently, they have assessed personal and
collective self-esteem with the implicit association test (IAT) (e.g., Nosek et al.
2002) and other indirect measures (Jost et al. 2002).
Many classic perspectives on the effects of stigmatization assumed that the
stigmatized internalize the negative view of them held by society at large (e.g.,
Cartwright 1950, Clark & Clark 1947). According to this view, levels of self-esteem
in stigmatized groups should parallel the degree to which they are devalued by the
culturally dominant group (Twenge & Crocker 2002). Members of nonstigmatized
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groups should have higher self-esteem than members of stigmatized groups, and
among stigmatized groups, those who are more valued (e.g., Asian Americans)
should have higher self-esteem than those who are less valued (e.g., blacks and
Latinos in the United States). A meta-analysis of racial differences in self-report
measures of personal self-esteem showed no support for this prediction. African
Americans had higher self-esteem than did white Americans, who had higher self-
esteem than did Latino Americans, who had higher self-esteem than did Asian
Americans and Native Americans (Twenge & Crocker 2002). In contrast, the self-
reported collective self-esteem of African, Latino, and Asian Americans is greater
than or equal to the collective self-esteem of white Americans (Crocker et al. 1994).
Research assessing self-esteem with indirect or implicit measures (e.g., racial
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preferences), however, tells a different story. One study suggests that blacks have
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the highest implicit personal self-esteem, followed by Latinos, whites, and Asians,
although the differences between the groups were slight (Nosek et al. 2002). Several
studies using indirect measures of collective self-esteem, however, show that whites
demonstrate ingroup favoritism, whereas Latino, Asian, and African Americans
demonstrate significant outgroup favoritism (favor whites) (Ashburn-Nardo et al.
2003, Jost et al. 2002, Nosek et al. 2002). The picture is no less complicated with
regard to nonracial stigmas.
For example, overweight women self-report lower personal self-esteem than
do average-weight women (Miller & Downey 1999) and show lower collective
self-esteem on implicit measures (Rudman et al. 2002). Younger adults and older
adults have equivalent levels of personal self-esteem on both implicit and explicit
measures; however, both groups favored younger adults on an implicit measure of
collective self-esteem (Hummert et al. 2002). Women self-report lower levels of
personal self-esteem than do men (Kling et al. 1999, Major et al. 1999), but score
equal to men on implicit measures of personal self-esteem (Aidman & Carroll
2002, Greenwald & Farnham 2000, Nosek et al. 2002).
In short, results are inconsistent. Some research supports an internalization per-
spective, but most does not. Part of the problem can be traced to measurement
issues associated with both explicit (Greenwald et al. 2002) and implicit measures
(Fazio & Olson 2003, Olson & Fazio 2003). Whereas self-report measures are
susceptible to social desirability, implicit measures can sometimes be tainted by
environmental or extrapersonal associationsculturally shared, but not necessar-
ily personally endorsed, representations of groups (Karpinski & Hilton 2001, Olson
& Fazio 2004). Measures such as the IAT may overestimate the extent of outgroup
favoritism by stigmatized groups (Olson & Fazio 2004). However, measurement
issues cannot tell the whole story, as the IAT has demonstrated predictive validity.
For example, blacks who demonstrated outgroup favoritism on the IAT were also
more likely to choose a white person over a black person for an interaction partner
(Ashburn-Nardo et al. 2003).
Rather than focusing on self-esteem differences between stigmatized and non-
stigmatized groups, identity threat perspectives draw attention to variability in
self-esteem within stigmatized groups, and even within the same individual across
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Academic Achievement
Members of stigmatized and nonstigmatized groups differ substantially in mea-
sures of academic achievement. Data compiled by the National Center for Ed-
ucation Statistics, for example, indicate that in 2001, black (10.9%) and Latino
students (27%) were more likely than were white students (7.3%) in the United
States to drop out of high school. Blacks (18%) and Latinos (11%) were also less
likely than whites (33%) to earn bachelors degrees. Moreover, compared to whites,
black, Latino, and Native American students had lower standardized test scores
across all subjects and grade levels tested (National Center for Education Statistics
2004).
Differences in performance among ethnic groups or between women and men
often are attributed to various forms of discrimination (see Steele 1997). In coun-
tries around the world, children who are members of ethnically stigmatized groups
receive a smaller proportion of public education funds than do children who are
not members of stigmatized groups (for a review, see Sidanius & Pratto 1999).
Parents have lower math expectations for girls than boys (Eccles et al. 1990), and
are less likely to pay for their daughters college education if they are fat than if
they are average weight (Crandall 1995).
Although discrimination clearly contributes to achievement differences be-
tween stigmatized and nonstigmatized groups, this is not the full story (see Steele
et al. 2002 for a review). Situational cues increase the extent to which academic per-
formance situations are appraised as threatening to social identity, and involuntary
and voluntary responses to this identity threat may depress academic performance.
For example, situational cues signaling that a negative stereotype is relevant as a
possible interpretation for ones behavior (e.g., describing a test as diagnostic of
ability, or as showing gender differences) impair the test performance of African
Americans (Steele & Aronson 1995) and women (Spencer et al. 1999), respectively.
Being outnumbered in a stereotyped environment also can harm performance of
stigmatized groups (Inzlicht & Ben Zeev 2000). People who would be expected
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from negatively stereotyped domains can also impair performance (Davies et al.
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2002, Keller 2002, McKown & Weinstein 2003). Other coping strategies, such as
thinking of intelligence as malleable, or attributing ones groups past poor perfor-
mances to situational factors, in contrast, can reduce the negative impact of social
identity threat on performance (Good et al. 2003).
Stigma-induced identity threat also can lead stigmatized groups to chronically
disengage their self-esteem from intellectual tasks (Crocker et al. 1998; Steele
1992, 1997). Consistent with this notion, the correlation between self-esteem
and academic achievement weakens in African American adolescents over time
(Osborne 1995). Furthermore, whereas the self-esteem of European American stu-
dents is affected by performance feedback on tests of intellectual ability, African
American students self-esteem is not, suggesting that the latter may psychologi-
cally disengage their self-esteem from test feedback (Major et al. 1998). African
Americans are particularly likely to disengage their self-esteem from performance
feedback when their race is made salient (Major et al. 1998). Over time, disidentifi-
cation from a domain may undermine African American students school achieve-
ment (Steele 1992, 1997). Cognitive strategies such as shaping peoples theories
about intelligence may be a partial remedy to the problem of disidentification in
stigmatized groups (Aronson et al. 2002).
Health
Compared to the nonstigmatized, members of stigmatized groups are at a greater
risk for mental and physical health problems, such as depression, hypertension,
coronary heart disease, and stroke (American Heart Association 2003, Jackson
et al. 1996, Krieger 1990, McEwen 2000). African Americans, for example, have
shorter life expectancies, higher infant mortality, and more heart disease than do
European Americans (Allison 1998, Flack et al. 1995). Discrimination directly
affects the health of the stigmatized by exposing them to physical and social
environments that are more toxic and by limiting their access to quality medical
care and nutrition (Clark et al. 1999, Harrell 2000, Link & Phelan 2001).
Stigma can also affect health indirectly via identity threat mechanisms. Threats
to identity can initiate a cascade of negative cognitions and emotions as well as
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sick days, and chronic pain (e.g., Contrada et al. 2001, Diaz et al. 2001, Finch et al.
2000, Klonoff et al. 2000, Krieger 1990, Lewis et al. 2003, Swim et al. 2001, Taylor
& Turner 2002, Williams et al. 1997). Self-reported experiences of discrimination
also correlate positively with resting blood pressure levels among ethnic minority
men (Krieger & Sidney 1996).
Although these findings are consistent with the hypothesis that subjective ex-
periences of discrimination harm mental and physical health, they are limited in
several ways. First, most studies do not distinguish between objective exposure to
negative events (e.g., being denied a loan) and subjective perceptions of discrim-
ination (because one is black). Studies that attempted to disentangle these effects
have produced mixed results (Kessler et al. 1999, Magley et al. 1999, Taylor &
Turner 2002, Williams 1997). Second, because these studies are correlational, it is
possible that negative emotion predicts perceptions of discrimination rather than
the reverse (e.g., Sechrist et al. 2003). Third, none controlled for dispositional
variables that might affect correlations between self-reported experiences with
discrimination and self-reported psychological distress or health problems, such
as individual differences in attributional style or rejection sensitivity. Thus, further
research is needed to assess the effects of perceived discrimination on mental and
physical health.
Results of the few experiments that have assessed biological stress responses to
acute discrimination-related stressors under controlled laboratory conditions are
mixed. Some suggest that African Americans exposed to a discrimination stressor
in the laboratory have significantly higher cardiovascular reactivity than do those
exposed to a nondiscrimination stressor (e.g., Armstead et al. 1989, McNeilly et al.
1995), whereas others suggest that encounters with discrimination-related stressors
do not produce greater blood pressure reactivity than do encounters with nondis-
crimination stressors (e.g., Fang & Myers 2001). Collective representations and
personal characteristics may interact with the immediate situation to affect threat
appraisals and cardiovascular responses. African American women who reported
being a target of interpersonal mistreatment in the past because of discrimina-
tion had higher baseline heart rate levels, and showed greater cardiac reactivity
while giving a speech about a potentially discriminatory incident (but not while
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rejection-sensitive men who were out (versus concealed), and thus who were
by UNIVERSITY OF WASHINGTON on 09/29/10. For personal use only.
CONCLUSIONS
This chapter sought to integrate theory and research on the phenomenology and
effects of social stigmaof being labeled, negatively stereotyped, excluded, dis-
criminated against, and low in social status and power. Traditionally, members
of stigmatized groups have been portrayed as passive victims of others negative
stereotypes, prejudicial attitudes, and discriminatory behaviors. Research reviewed
here demonstrates that stigma does have direct and insidious negative effects on
the stigmatized via mechanisms of discrimination, expectancy confirmation, and
automatic stereotype activation. Theory and research that takes the perspective
of the stigmatized, however, illustrates that individual construals also play a key
mediating role in responses to stigma.
We organized recent theory and research within an identity threat model of
stigma. This model posits that responses to stigma-relevant situations and circum-
stances are a function of cues in the immediate situation, collective representations
of ones stigma status, and individual characteristics. These combine to affect ap-
praisals of the significance of the situation for well-being. Identity threat results
when an individual appraises the demands imposed by a stigma-relevant stressor
as potentially harmful to his or her social identity, and as exceeding his or her
resources to cope with those demands. Identity threat leads to involuntary stress
responses such as anxiety, vigilance to threat, and decreased working memory
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capacity, and motivates attempts at threat reduction through coping strategies such
as blaming negative events on discrimination, identifying more closely with the
threatened group, and disengaging self-esteem from threatening domains. These
involuntary stress responses and voluntary coping efforts have implications for
important outcomes such as self-esteem, academic achievement, and health.
The identity threat perspective integrates research on the link between perceived
discrimination and self-esteem with research on the link between stereotype threat
and test performance. It also identifies holes in the literature and suggests sev-
eral avenues for future research. First, little is known about the conditions that
elicit vigilance for stigma-relevant threats in the environment as opposed to active
suppression of such knowledge. Second, the significance and meaning of out-
Annu. Rev. Psychol. 2005.56:393-421. Downloaded from www.annualreviews.org
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CONTENTS
FrontispieceRichard F. Thompson xviii
PREFATORY
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DECISION MAKING
Indeterminacy in Brain and Behavior, Paul W. Glimcher 25
BRAIN IMAGING/COGNITIVE NEUROSCIENCE
Models of Brain Function in Neuroimaging, Karl J. Friston 57
MUSIC PERCEPTION
Brain Organization for Music Processing, Isabelle Peretz
and Robert J. Zatorre 89
SOMESTHETIC AND VESTIBULAR SENSES
Vestibular, Proprioceptive, and Haptic Contributions
to Spatial Orientation, James R. Lackner and Paul DiZio 115
CONCEPTS AND CATEGORIES
Human Category Learning, F. Gregory Ashby and W. Todd Maddox 149
ANIMAL LEARNING AND BEHAVIOR: CLASSICAL
Pavlovian Conditioning: A Functional Perspective,
Michael Domjan 179
NEUROSCIENCE OF LEARNING
The Neuroscience of Mammalian Associative Learning,
Michael S. Fanselow and Andrew M. Poulos 207
HUMAN DEVELOPMENT: EMOTIONAL, SOCIAL, AND PERSONALITY
Behavioral Inhibition: Linking Biology and Behavior Within a
Developmental Framework, Nathan A. Fox, Heather A. Henderson,
Peter J. Marshall, Kate E. Nichols, and Melissa A. Ghera 235
BIOLOGICAL AND GENETIC PROCESSES IN DEVELOPMENT
Human Development: Biological and Genetic Processes,
Irving I. Gottesman and Daniel R. Hanson 263
vii
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viii CONTENTS
CONTENTS ix
INDEXES
Annu. Rev. Psychol. 2005.56:393-421. Downloaded from www.annualreviews.org
ERRATA
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