Peggy A. Thoits's research while affiliated with Indiana University Bloomington and other places
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Publications (60)
How mental health treatment relates to clinical and perceived recoveries is examined with the 2019 National Survey on Drug Use and Health data, drawing from treatment-seeking and labeling theories. Clinical recovery and perceived recoveries were assessed among adult respondents who had a lifetime major depressive episode and reported ever having a...
Estimates of unmet need for mental health services in the adult population are too high because many recover without treatment. Untreated recovery suggests that individuals accurately perceive professional help as unnecessary and do not pursue it. If so, perceived need for treatment should predict service use/nonuse more strongly than the presence...
Epidemiological and sociological research on recovery from mental disorder is based on three rarely tested medical model assumptions: (1) recovery without treatment is the result of less severe illness, (2) treatment predicts recovery, and (3) recovery and well–being do not depend on individuals’ treatment histories. I challenge these assumptions u...
The original version of the book was inadvertently published with incorrect Table 4 in chapter “The Relationship Between Identity Importance and Identity Salience: Context Matters”. Correction to the previously published version has been updated. The correction chapter and book have been updated with the change.
Experientially similar others, or “peer supporters,” are persons who have faced a support recipient's stressor before. Theory suggests that peer supporters' understanding of and empathy for support recipients will be heightened when they match recipients not only in stressor experience but on one or more social statuses (e.g., age, education). Thus...
Motivations for volunteering described by functional theory are loosely related to the types and duration of these activities. The motivating effects of individuals’ social- and role-based identities may need inclusion. Identity theories suggest that entering a specific service activity depends on whether the service benefits a social group with wh...
Stress research overlooks the possible importance of similar-other support – assistance from people experienced with an individual’s stressor. Theoretically, similar-other support should provide distinct types of aid and be more valued than significant-other support because it closely addresses challenges that a distressed person faces. Peer suppor...
The emerging field of Mad Studies has returned attention to deficiencies of the medical model, refocusing scholars on social causes of mental health problems and on consumers’/survivors’ experiences of labeling and stigma. These themes echo issues addressed in traditional and modified labeling theories. A fundamental labeling premise is that profes...
A perplexing finding in the identity literature is that the strength of the relationship between identity importance (also called “prominence” or “centrality”) and identity salience varies dramatically across studies, from near-zero to 0.63, even when the same role identities are examined. I argue that these findings may be due to the influence of...
Cambridge Core - Sociology of Science and Medicine - A Handbook for the Study of Mental Health - edited by Teresa L. Scheid
A Handbook for the Study of Mental Health - edited by Teresa L. Scheid June 2017
Mental illness identity deflection refers to rebuffing the idea that one is mentally ill. Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflected a mental illness identity if they had a nonsev...
We examine whether individuals’ coping strategies help to explain the negative relationships of stigma-related stressors (perceived public devaluation, discrimination experiences, and internalized stigma) with their well-being (self-esteem, depressive symptoms, and quality of life). Two forms of stigma resistance (challenging and deflecting) were c...
Two concepts of identity salience are linked to different outcomes in the social psychological literature. Identity accumulation research relates identity importance (one salience concept) to physical and mental health; identity theory connects readiness to invoke an identity (another salience concept) to role enactment. A "cross-over" line of rese...
Theoretically, the more important a role-identity is to a person, the more it should provide a sense of purpose and meaning in life. Believing one’s life to be purposeful and meaningful should yield greater mental and physical well-being. These hypotheses are tested with respect to the volunteer role, specifically, Mended Hearts visitor, in which f...
Numerous studies have shown that men and women react to experiences of stressors and a lack of protective resources in different ways, with women exhibiting high levels of internalizing health outcomes (e.g., psychological distress and ill health) and men showing higher levels of externalizing outcomes (e.g., substance abuse and aggression). Althou...
Over the past 30 years investigators have called repeatedly for research on the mechanisms through which social relationships and social support improve physical and psychological well-being, both directly and as stress buffers. I describe seven possible mechanisms: social influence/social comparison, social control, role-based purpose and meaning...
The network-episode model of service utilization and self-labeling theory underscore the importance of significant others in averting or prompting individuals’ entry into mental health treatment. Drawing from these approaches, three hypotheses are tested: (1) Social support generally reduces the likelihood of treatment entry, but (2) when individua...
The relationship between stigmatization and the self-regard of patients/consumers with mental disorder is negative but only moderate in strength, probably because a subset of persons with mental illness resists devaluation and discrimination by others. Resistance has seldom been discussed in the stigma and labeling literatures, and thus conditions...
In late 1997, the U.S. Food and Drug Administration (FDA) issued new guidelines that allowed pharmaceutical companies to air prescription drug ads on television. These guidelines have expanded the pharmaceutical industry’s role as one of the major “engines” of medicalization. One arena in which there has been a dramatic increase in direct-to-consum...
Forty decades of sociological stress research offer five major findings. First, when stressors (negative events, chronic strains, and traumas) are measured comprehensively, their damaging impacts on physical and mental health are substantial. Second, differential exposure to stressful experiences is a primary way that gender, racial-ethnic, marital...
One of the pleasures of preparing for this volume was the opportunity to re-read Leonard Pearlin’s papers, discovering again the depth of his sensitivity to and respect for people who are undergoing hardships and troubles. Pearlin insisted repeatedly in his work that our job is to understand how people cope with ordinary problems in their lives, no...
With the National Comorbidity Survey of the early 1990s, Thoits (2005) recently showed that lower-status mentally ill individuals were not more often hospitalized or pressured into psychiatric treatment than comparably ill persons of higher status, disconfirming a central hypothesis of labeling theory. However, that finding may have been due to cha...
Stress researchers have typically controlled for the role of personal agency, or self-selection, in the stress process, rather than examining it. People in better mental health (those with high levels of coping resources and low levels of distress or disorder) should be more likely to exercise agency. Such individuals should, through problem-solvin...
A number of investigators have claimed that higher depression scores and higher rates of depressive disorder are found worldwide in women, unmarried persons, and people of low socioeconomic status (SES). A closer look, however, indicates that patterns for Asian countries are less consistent than claimed. As a case in point, using comparable data fr...
Whether the higher rates of mental hospitalization and involuntary treatment for marginal social groups are due to differential labeling or simply to the occurrence of higher rates of disorder in these groups remains unresolved. I reexamine this issue with data from the National Comorbidity Survey (N = 5,877) that allow comparisons between disturbe...
Recent work in the sociology of emotions has gone beyond the development of concepts and broad perspectives to elaboration of theory and some empirical research. More work has been done at the micro-level than the macro-level of analysis. At both analytical levels, emotion most commonly is treated as a dependent variable, although increasingly, its...
Identity theory and its parent theory, symbolic interactionism, are based on the fundamental premise that society and self mutually shape and influence each other. In this chapter, I focus especially on the self-affects-society side of this interdependent relationship, because it has been neglected both theoretically and empirically. My goal is to...
Using two waves of panel data from Americans' Changing Lives (House 1995) (N = 2,681), we examine the relationships between volunteer work in the community and six aspects of personal well-being: happiness, life satisfaction, self-esteem, sense of control over life, physical health, and depression. Prior research has more often examined the effects...
This field experiment examined effects of a support intervention on the physical and mental health of coronary artery bypass graft (CABG) surgery patients. Control participants (N = 90) received usual hospital care; experimental participants (N = 100) also received visits from a "similar other" while in the hospital. Similar others were Veterans Ad...
About ten years ago I reviewed the relatively new field of the sociology of emotions (Thoits, 1989). At the time, many sociologists were treating emotions as dependent variables shaped by social forces and less often as independent variables in their own right. Indeed, early debate in the discipline focused heavily on the degree to which emotions w...
By this point, the reader may be wondering where stressors leave off and coping responses begin, where self-esteem is, or
should be, located in the stress process, and at what points self and identity concepts are identical to or distinguishable
from stress experiences. I have suggested that some stressors are direct threats to an identity, some ar...
Although research has focused on how individuals manage their own emotions, little attention has been paid to how individuals manage the emotions of other people. Here, I describe several techniques of interpersonal emotion-management, drawing from observations of a psychodrama-based encounter group which deliberately manipulated its members' feeli...
Kanter's theory of proportional representation suggests that tokens should experience more work stress and psychological symptoms
than nontokens. We examine the effects of proportional representation by race and by gender on work stress and symptoms. Data
come from structured personal interviews with a disproportionate stratified sample of elite bl...
Kanter’s theory of proportional representation suggests that tokens should experience more work stress and psychological symptoms than nontokens. We examine the effects of proportional representation by race and by gender on work stress and symptoms. Data come from structured personal interviews with a disproportionate stratified sample of elite bl...
In the area of social psychology, sociologists have drawn more frequently from psychologists than the reverse. This is in
part because sociologists more often assess the degree to which status characteristics, social relationships, and structural
contexts influence individuals' thoughts, feelings, and behaviors, while psychologists more often expli...
I examine the psychological impact of negative and positive events in roles that individuals view as salient or important for self-conception. Events in highly salient role-identity domains (identity-threatening and identity-enhancing events) should have greater effects on symptoms than those in less salient domains. Data come from interviews with...
I review existing knowledge, unanswered questions, and new directions in research on stress, coping resource, coping strategies, and social support processes. New directions in research on stressors include examining the differing impacts of stress across a range of physical and mental health outcomes, the "carry-overs" of stress from one role doma...
Sociological researchers have tended to deemphasize the degree to which people are conscious, active agents in their own lives, focusing instead on factors which promote vulnerability to stress. But people are often motivated to act deliberately to resolve both acute and chronic role-related stressors. Thus, the relationship between stress experien...
In this paper I develop and discuss the concept of "identity-relevant stressors." Identities refer to individuals' conceptions of themselves in terms of the social roles that they enact (e.g., spouse, parent, worker, churchgoer, friend). An identity-relevant experience is one that threatens or, alternatively, enhances an identity that the individua...
The finding that women report and exhibit higher levels of psychological distress than men has puzzled stress researchers for years (Dohrenwend & Dohrenwend, 1976; Gove & Tudor, 1973; Kessler & McRae 1981; Link & Dohrenwend, 1980). Three major explanations have been offered. The methodological artifact explanation suggests that women are socialized...
This paper presents a theoretical framework for understanding the impact of culture on the processes of symptom recognition, labeling, and help-seeking and consequently on large-scale epidemiological studies involving different ethnic groups. We begin with the assumption that the subjective experience of illness is culture-bound and that the cognit...
This paper attempts to explain the higher psychological distress and psychological vulnerability of women and the unmarried as a function of greater exposure to uncontrollable life events (including network events) and perceived lack of control over life circumstances. Panel data on a sample of 1,106 adult heads of household living in Chicago provi...
Proposes that it may be useful to reconceptualize social support as coping assistance. If the same coping strategies used by individuals in response to stress are those that are applied to distressed persons as assistance, models of coping and support can be integrated. To illustrate the utility of such an integration, coping strategies and support...
Kanter's theory of proportional representation suggests that tokens (members of one social category in a numerical minority)
will underachieve relative to dominants (members of a complementary social category in numerical majority). This paper identifies
and controls for several factors confounded with the effects of proportional representation on...
Thomas Scheff's labeling approach to mental illness is based on reactions of other to "residual rule-breaking." This article develops a theory of self-labeling processes to account for the unexplained phenomenon of voluntary treatment seeking. By taking the role of the generalized other, individual can assess the meaning of their impulses and actio...
Considerable controversy has centered on the role of social support in the stress process. Some theorists (Cassel, 1976; Cobb, 1976; Kaplan, Cassel, & Gore, 1977) have argued that support acts only as a resistance factor; that is, support reduces, or buffers, the adverse psychological impacts of exposure to negative life events and/or chronic diffi...
This paper tests the hypothesis that the psychological vulnerability of disadvantaged persons to undesirable life events can
be explained by the joint occurrence of high event exposure and low social support resources in such persons' lives. Data
from a panel study of 1,106 individuals in Chicago are utilized to examine this hypothesis. Social supp...
Drawing upon symbolic interactionist theory, this paper reconceptualizes social isolation as the possession of few social identities. Social identities (enacted in role relationships) give meaning and guidance to behavior, and thus should prevent anxiety, depression, and disordered conduct. The "identity accumulation hypothesis"--the more identitie...
Previous research indicates that relatively disadvantaged sociodemographic groups (women, the poor, the unmarried) are more vulnerable to the impacts of life events. More recently, researchers have hypothesized that the psychological vulnerability of these groups may be due to the joint occurrence of many stress events and few psychological resourc...
Previous research indicates that relatively disadvantaged sociodemographic groups (women, the poor, the unmarried) are more vulnerable to the impacts of life events. More recently, researchers have hypothesized that the psychological vulnerability of these groups may be due to the joint occurrence of many stress events and few psychological resourc...
The buffering hypothesis suggests that social support can moderate the impacts of life events upon mental health. However, several problems have yet to be resolved in this literature. Social support has been inadequately conceptualized and operationalized; therefore, the specific dimensions of support that reduce event impacts cannot be identified....
I examine the extent to which health-related events account for the well-established relationship between undesirable life events and psychophysiological distress. Employed in the analysis is a distress scale similar to others often used in previous research. This scale, the Macmillan Health Opinion Survey index, relies heavily on psychosomatic sym...
A well-established empirical generalization in the field of mental health is that psychological distress varies inversely with level of income. However, little is known about the effect of changes in income upon psychological status. This research examines the impact of an income-maintenance experiment upon the psychological distress of a large sam...
Citations
... Undoubtedly, parent advocates' key motivations about their involvement in peer support work stemmed from the desire to empower families to achieve better outcomes. Similar to peer workers in former studies (Th oits, 2021;Vandewalle et al., 2018), a few parent advocates did identify employment opportunities and learning new skills on the job, although these were not the driving motivations behind doing peer support work. Unlike prior fi ndings (Th oits, 2021; Vandewalle et al., 2018), which highlighted peer workers' other extrinsic motivations such as negative prior work experiences or engaging in peer support work because of free time, these themes were not mentioned by advocates in our study. ...
... Here come into play over time both the subjective and collective aspect of the wealth of well-handled situations, of difficulties which have been overcome, of techniques learned and improved, but also of feedback received, of models imitated, of comparisons with more experienced colleagues, of sharing a certain culture of animation, of strengthening the sense of belonging to one's own group/association, the awareness of a role that over time is consolidated and finds wide appreciation even outside one's own environment. As illustrated in other studies, over time experiences help shape the role identity of the hospital volunteer and define any variations in the "salience" of the role, which in turn contribute significantly to the intention to retain or leave the activity [66][67][68]. ...
... However, the mobilisation and receipt of social support also includes action by similar others, who do not necessarily form part of primary groups. To the contrary, the relationship established with these similar others is based not so much on confidence but on the existence of shared experiences (Thoits 2020). In the case of older adults, this group would include neighbours and people participating in secondary and/or community groups created on the basis of experiences of the ageing process. ...
... Emotional and cultural capital represents the sociology of culture and emotions related to an employee's feelings at the workplace (e.g., Brooks & Nafukho, 2006;Cottingham, 2016;Zembylas, 2007). Emotional capital is considered macro-structure aspects, including social order, social disparity, and social stability to advance research (Thoits, 2004). Reay (2004) contended that emotional capital does not list a distinguished capital alone until it has developed a comprehensive theoretical understanding of other capital types. ...
... Therefore, labeling theory suggests that the label itself contributes to subsequent crime by creating a negative self-concept, promoting negative coping behaviors, blocking educational and career opportunities, or interfering with the development of prosocial bonds (Bartusch & Matsueda, 1996;Duxbury & Haynie, 2020;Perry, 2011;Thoits, 2016;Thoits & Link, 2016). Empirical tests of labeling theory have indeed shown that formal mental health labeling and criminal justice labeling are negatively related to well-being and positively related to offending (Liberman et al., 2014;Lopes et al., 2012;Thoits, 2021). To assess the impact of mental health labels, however, it is important to include controls for mental health symptoms since they are expected to have their own distinct effects on crime, via what we collectively refer to as the stress process. ...
... There are situations in which a highly prominent identity may not be enacted because the situation is "closed" to the performance of that identity. Conversely, a salient identity may be played out in a situation but not highly valued because the situation requires its enactment (Thoits, 2020). For example, a manager may be compelled to enact her dominant identity at work even though she does not highly value being a dominant person. ...
Reference: Identities in Action
... As people age and suffer many losses, their social networks also shrink. This reduces the amount of social resources available to cope with stress in old age (Thoits, 2012). In this way, people with limited social networks have an increased risk of depression in later life. ...
... 26 Although marriage may not necessarily militate against the onset of mental illness in partners, meaningful spousal support may promote resilience and could present as a potential protective factor against mental health challenges among persons in marital relationships. 27 For PLHIV, having a supportive spouse is critical to promoting resilience in the face of mental health challenges. 28 The key finding that PLHIV without formal education (compared to those with tertiary education) are at increased odds of experien- ...
... There is now a growing body of international research on the identities of children and young people. Most of these studies focus on personal identities and discuss the role of cultural influences in shaping hybrid or multiple identities ( Jones and McEwen 2000;Burke et al. 2003;Ross 2007; Smith and Leavy 2008). The concept of identity can be applied not only to individuals but also to organisations. ...
... In one's social network, those relationships hold a key relevance in the form of being a source of support (Antonucci, 2001). Social network members provide aid, affect, and affirmation that have beneficial effects (Antonucci et al., 2019;Thoits, 1982). Bereavement or deaths of close loved ones, whether it This document is copyrighted by the American Psychological Association or one of its allied publishers. ...