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  1. Does Intra-household Contagion Cause an Increase in Prescription Opioid Use?

    Opioid use claims many thousands of lives each year. This article considers the diffusion of prescription opioid (PO) use within family households as one potential culprit of the proliferation of these medications. In an analysis of hundreds of millions of medical claims and almost 14 million opioid prescriptions in one state between 2010 and 2015, we show that the use of POs spreads within family households.

  2. Mental Illness as a Stigmatized Identity

    In this study, we examine the relationships among reflected appraisals, self-views, and well-being for individuals diagnosed with severe and persistent mental illness. We also test a perceptual control model of identity to determine whether discrepancies between stigmatized reflected appraisals and stigmatized self-views are associated with self-evaluation (self-esteem and self-efficacy) and psychological distress (depressive symptoms). We find that stigmatized self-views are significantly associated with lower self-esteem and self-efficacy and higher levels of depressive symptoms.

  3. Influence and Social Distance Consequences across Categories of Race and Mental Illness

    This paper describes an experimental study (N = 184) that investigated influence and social distance consequences of a number of attributes in interpersonal interactions. The attributes included race, education, panic disorder, depression, and schizophrenia. Participants interacted with fictitious partners whom they believed were real and who represented the attributes studied. Participants had opportunities to be influenced by and seek distance from their interaction partners. Results showed that low educational attainment and schizophrenia significantly reduced the influence of partners.

  4. Wayward Elites: From Social Reproduction to Social Restoration in a Therapeutic Boarding School

    In the past few decades, a multi-billion-dollar “therapeutic boarding school” industry has emerged largely for America’s troubled upper-class youth. This article examines the experiences of privileged youth in a therapeutic boarding school to advance social restoration as a new form of social reproduction. Drawing on interviews and fieldwork inside a Western therapeutic boarding school for young men struggling with substance abuse, I explore how students leverage a stigmatized, addict identity in ways that can restore privilege.

  5. Queer Integrative Marginalization: LGBTQ Student Integration Strategies at an Elite University

    The author draws on the oral histories of 44 LGBTQ Princeton alumni who graduated from 1960 to 2011 to examine student strategies for negotiating marginal identities when integrating into an elite university. Even with greater LGBTQ visibility and resources at the institutional level, LGBTQ students’ experiences and strategies suggest that we question the larger social narrative of linear progress.

  6. Structured Variation in Parental Beliefs about Autism

    We used data from the 2011 Survey of Pathways to Diagnosis and Services (N = 1,420) to evaluate a conceptual model linking social background (race-ethnicity, socioeconomic status [SES]) to parental distress through children’s clinical profiles and parental beliefs about the nature and causes of their child’s autism. Children’s clinical profiles varied by social background; white children and children of more highly educated and affluent parents were less likely to experience comorbid conditions and were more likely to be diagnosed with Asperger’s.
  7. Hooking Up and the “Ritual Retelling”: Gender Beliefs in Post-hookup Conversations with Same-sex and Cross-sex Friends

    Most scholarship on hookup culture has focused on college students’ sexual activity and has overlooked the post-hookup “ritual retelling” as a subject of systematic research. This study examines the impact of gender beliefs regarding sexual activity, particularly the recreational and relational orientations of men and women, respectively, as well as the situational context, namely, the gender of their conversational partners.
  8. Like a Fish out of Water: Managing Chronic Pain in the Urban Safety Net

    How does the opioid crisis influence disparities in the treatment of pain? The experience of pain is subjective and therefore necessarily based on self-report. As such, clinical interactions around its treatment can lead to disparities in care. The opioid crisis has exacerbated current treatment disparities, resulting in prescribing patterns influenced by race and class. This study shows how these disparities unfold by investigating how patient-provider interactions reflect and often reinforce broader social inequities.
  9. Estimating Heterogeneous Treatment Effects with Observational Data

    Individuals differ not only in their background characteristics but also in how they respond to a particular treatment, intervention, or stimulation. In particular, treatment effects may vary systematically by the propensity for treatment. In this paper, we discuss a practical approach to studying heterogeneous treatment effects as a function of the treatment propensity, under the same assumption commonly underlying regression analysis: ignorability.

  10. The Positive Consequences of Negative Stereotypes: Race, Sexual Orientation, and the Job Application Process

    How do marginalized social categories, such as being black and gay, combine with one another in the production of discrimination? While much extant research assumes that combining marginalized social categories results in a “double disadvantage,” I argue that in the case of race and sexual orientation the opposite may be true. This article posits that stereotypes about gay men as effeminate and weak will counteract common negative stereotypes held by whites that black men are threatening and criminal.