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Does context matter in evaluations of stigmatized individuals? An fMRI study.

ABSTRACT: The manner in which disparate affective responses shape attitudes toward other individuals has received a great deal of attention in neuroscience research. However, the malleability of these affective responses remains largely unexplored. The perceived controllability of a stigma (whether or not the bearer of the stigma is perceived as being responsible for his or her condition) has been found to polarize behavioral affective responses to that stigma. The current study uses functional magnetic resonance imaging to identify the neural correlates underlying the evaluation of stigmatized individuals (people who are homeless) when perceptions of the controllability of their condition are altered. Results demonstrated that perceivers engaged neural networks implicated in inferring intentionality (e.g. the medial prefrontal cortex) when they evaluated a homeless individual who was described as being responsible for becoming homeless. Conversely, neural networks associated with resolving strong affective responses (e.g. insula) were engaged when evaluating a homeless individual who was described as not being responsible for becoming homeless.

SUBMITTER: Krendl AC

PROVIDER: S-EPMC3682444 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature

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Does context matter in evaluations of stigmatized individuals? An fMRI study.

Krendl Anne C AC Moran Joseph M JM Ambady Nalini N

Social cognitive and affective neuroscience 20120326 5

The manner in which disparate affective responses shape attitudes toward other individuals has received a great deal of attention in neuroscience research. However, the malleability of these affective responses remains largely unexplored. The perceived controllability of a stigma (whether or not the bearer of the stigma is perceived as being responsible for his or her condition) has been found to polarize behavioral affective responses to that stigma. The current study uses functional magnetic r ...[more]

PMID: 22451481

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Project description:BackgroundDespite similar performance metrics, women medical trainees routinely self-assess their own skills lower than men. The phenomenon of a "confidence gap" between genders, where women report lower self-confidence independent of actual ability or competency, may have an important interaction with gender differences in assessment. Identifying whether there are gender-based differences in how confidence is mentioned in written evaluations is a necessary step to understand the interaction between evaluation and the gender-based confidence gap.ObjectiveTo analyze faculty evaluations of internal medicine (IM) residents for gender-based patterns in the use of iterations of "confidence."DesignWe performed a retrospective cohort study of all inpatient faculty evaluations of University of Pennsylvania IM residents from 2018 to 2021. We performed n-gram text-mining to identify evaluations containing the terms "confident," "confidence," or "confidently." We performed univariable and multivariable logistic regression to determine the association between resident gender and references to confidence (including comments reflecting too little confidence), adjusting for faculty gender, post-graduate year (PGY), numeric rating, and service.SubjectsUniversity of Pennsylvania IM residents from 2018 to 2021.Key resultsThere were 5416 evaluations of IM residents (165 women [51%], 156 men [49%]) submitted by 356 faculty members (149 women [51%]), of which 7.1 % (n=356) contained references to confidence. There was a significant positive association between the mention of confidence and women resident gender (OR 1.54, CI 1.23-1.92; p<0.001), which persisted after adjustment for faculty gender, numeric rating, and PGY level. Eighty evaluations of the cohort explicitly mentioned the resident having "too little confidence," which was also associated with women resident gender (OR 1.66, CI 1.05-2.62; p=0.031).ConclusionNarrative evaluations of women residents were more likely to contain references to confidence, after adjustment for numerical score, PGY level, and faculty gender, which may perpetuate the gender-based confidence gap, introduce bias, and ultimately impact professional identity development.

Dataset Information

Does context matter in evaluations of stigmatized individuals? An fMRI study.

Publications

Does context matter in evaluations of stigmatized individuals? An fMRI study.

Similar Datasets

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