Abstract
The body of empirical research investigating the structure of stereotypes held by the physically healthy population toward individuals with medically related problems is remarkably small. This is particularly true for stereotypes related to cancer. This study adopted a multidimensional scaling (MDS) strategy in order to identify medically related stereotype dimensions for cancer and other illnesses. Sixty-eight subjects judged the similarity of cancer and eleven other medical conditions and rated each on 7-point attribute scales. A two-dimensional solution of respondents' similarity judgments was found and four distinct clusters of related conditions were perceived: (1) cancer and other illnesses with controllable risk factors, (2) conditions affecting motor function, (3) psychological/functional disorders and (4) communication/sensory functional disorders. Regression of mean attribute ratings onto the MDS disability coordinates labeled the two dimensions Normality and Physical Health. Implications of these dimensions for planning effective programs to change stereotypes and improve attitudes toward individuals with cancer and other medical conditions are discussed.
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References
American Cancer Society (1979).A Basic Study of Public Attitudes Toward Cancer and Cancer Tests, ACS, New York.
American Cancer Society (1987).Cancer Facts and Figures. ACS, New York.
Anthony, W. A. (1972). Societal rehabilitation: Changing society's attitudes toward the physically and mentally disabled.Rehab. Psychol. 19(3): 117–126.
Bloom, R., and Speigel, D. (1984). The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer.Soc. Sci. Med. 19: 831–837.
Bodenhausen, G. V., and Wyer, R. S., Jr. (1985). Effects of stereotypes on decision making and information-processing.J. Pers. Soc. Psychol. 48: 267–282.
Brigham, J. C. (1971). Ethnic stereotypes.Psychol. Bull. 76: 15–38.
Carroll, J. D., and Chang, J. J. (1970). Analysis of individual differences in multidimensional scaling via an n-way generalization of “Eckart-Young” decomposition.Psychometrika 35: 238–319.
Dunkel-Schetter, C. (1984). Social support and cancer: Findings based on patients' interviews and their implications.J. Soc. Issues 40: 77–98.
Eiser, J. R. (1986).Social Psychology: Attitudes, Cognition and Social Behavior (rev. ed.), Cambridge University Press, Cambridge, MA.
Eshler, B., and Rossoff, A. H. (1982). A case specific approach to measuring cancer attitudes. Paper presented at the annual meeting of Research in Medical Education, Washington, DC.
Feldman, F. (1982a). Work and cancer health histories. In Cohen, J., Cullen, J., and Martin, L. (Eds.).Psychosocial Aspects of Cancer, Raven Press, New York.
Feldman, F. (1982b).Employment Issues, Concerns, and Alternatives for Cancer Patients, Western States Conference on Cancer Rehabilitation, Palo Alto, CA.
Feldman, A. R., Kessler, L., Myers, M., and Naughton, M. D. (1986). The prevalence of cancer.N. Engl. J. Med. 315: 134–139.
Fitzgerald, L. F., and Hubert, L. J. (1987). Multidimensional scaling: Some possibilities for counseling psychology.J. Counsel. Psychol. 34(4): 469–480.
Grant, P. R., and Holmes, J. G. (1981). The integration of implicit personality theory schemas and stereotype images.Soc. Psychol. Q. 44(2): 107–115.
Hamilton, D. L., and Rose, T. L. (1980). Illusory correlation and the maintenance of Stereotypic beliefs.J. Personal. Soc. Psychol. 39(5): 832–845.
Lippman, W. (1922).Public Opinion, Hartcourt Brace, New York, NY.
Lord, C., Ross, L., and Lepper, M. (1979). Biased assimilation and attitude polarization: The effects of prior theories on subsequently considered evidence.J. Personal. Soc. Psychol. 37: 2098–2109.
McCall, G. J., and Simmons, J. L. (1978).Identities and Interactions: An Examination of Human Associations in Everyday Life (rev. ed.). Free Press, New York.
McGee, V. C. (1968). Multidimensional scaling of n sets of similarity measures: A nonmetric individual differences approach.Multivar. Behav. Res. 3: 233–248.
Neubauer, N. A., and Rounds, J. B., Jr. (1987).The Effect of Graduate Training on Counseling Students' Perceptions of Disabilities: A Longitudinal Study, American Educational Research Association, Washington, DC (ERIC Document Reproduction Service No. ED 285 077).
Revenson, T. A., Wollmann, C. A., and Felton, B. J. (1983). Social support as stress buffers for adult cancer patients.Psychosom. Med. 45: 321–331.
Rook, K. S. (1984). The negative side of social interaction: Impact on psychological well-being.J. Personal. Soc. Psychol. 46: 1097–1108.
Rounds, J. B., Jr., and Neubauer, N. A. (1986).Individual Differences in Perceptions of Disabilities: An Application to Rehabilitation Counseling Students (ERIC Document Reproduction Service No. ED 275 946), American Educational Research Association, San Francisco, CA.
Schmale, A., Morrow, G., Schmitt, M.,et al. (1983). Well-being of cancer survivors.Psychosom. Med. 45(2): 163–169.
Schmelkin, L. P. (1982). Perception of disabilities: A multidimensional scaling approach.J. Spec. Educ. 16(2): 161–177.
Schmelkin, L. P. (1985). Dimensionality of disability labels.Rehab. Psychol. 30(4): 221–233.
Schmelkin, L. P., Wachtel, A. B., Hecht, D., and Schneiderman, B. E. (1986). Cancer opinionaire: Medical students attitudes towards psychosocial cancer care.Cancer 58: 801–806.
Schmelkin, L. P., Wachtel, A. B., Schneiderman, B. E., and Hecht, D. (1988). The dimensional structure of medical students perceptions of disease.J. Behav. Med. 11(2): 171–183.
Snyder, M., and Swann, W. (1978). Hypothesis-testing processes in social interaction.J. Personal. Soc. Psychol. 36: 1202–1212.
SPSS, Inc. (1986).SPSSX User's Guide (2nd ed.), SPSS, Chicago, IL.
Stewart, R. A., Powell, G. E., and Chetwynd, S. J. (1979).Person Perception and Stereotyping, Saxon House, Westmead, Farnborough, Hants, England.
Tajfel, H. (1969). Cognitive aspects of prejudice.J. Soc. Issues 25(4): 79–97.
U.S. Department of Health and Human Services (1984).Cancer Prevention Awareness Survey, NCI, Feb.
Weber, R., and Crocker, J. (1983). Cognitive processes in the revision of Stereotypic beliefs.J. Personal. Soc. Psychol. 45: 961–977.
Wolfensberger, W. (1972).Normalization, York University, Toronto, Canada.
Wortman, C. B. (1985). The role of social support in adaptation and recovery from physical illness. In Cohen, S., and Syme, S. L. (Eds.),Social Support and Health, Academic Press, New York.
Wortman, C. B., and Dunkel-Schetter, C. (1979). Interpersonal relationships and cancer: A theoretical analysis.J. Soc. Issues 35: 120–155.
Wright, B. A. (1983).Physical Disabilities: A Psychosocial Approach (2nd ed.), Harper & Row, New York.
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Rounds, J.B., Zevon, M.A. Cancer stereotypes: A multidimensional scaling analysis. J Behav Med 16, 485–496 (1993). https://doi.org/10.1007/BF00844818
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DOI: https://doi.org/10.1007/BF00844818