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21 - Self-Affirmation Interventions to Reduce Mental Health Stigma

from Part IV - Reducing Stigma to Promote Mental Health

Published online by Cambridge University Press:  28 July 2022

David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
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Summary

Self-affirmation theory provides a sophisticated framework to understand individual differences in receptivity to health-risk communication. Health messages are often ineffective because reminders of health risks can create dissonanc, which causes people to react negatively against the perceived threat of the information. Self-affirmation interventions offer a brief and practical means of improving health communication and promoting positive change. The primary purpose of this chapter is to highlight the promise of self-affirmation in understanding and reducing mental health stigma. The chapter aims to provide a theoretical background and practical path forward for researchers and clinicians, public health professionals, mental health activists, and any persons interested in dismantling the negative stereotypes and judgments associated with mental health and seeking professional psychological help. Specifically, the chapter aims to (1) briefly summarize the relationship between mental health stigma and psychotherapy use, (2) describe self-affirmation theory and its applied intervention effects in reducing perceptions of psychological threat across levels of measurement, (3) describe a standardized method of inducing self-affirmation by reflecting on personal values, (4) examine self-affirmation’s extension to mental health stigma and professional help seeking, (5) explore potential underlying mechanisms of change, and (6) suggest future directions for research and practical application.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Ainslie, G. (1975). Specious reward: A behavioral theory of impulsiveness and impulse control. Psychological Bulletin, 82, 463496.Google Scholar
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179211.Google Scholar
Armitage, C. J., & Rowe, R. (2011). Testing multiple means of self-affirmation. British Journal of Psychology, 102, 535545.Google Scholar
Bathje, G. J., & Pryor, J. B. (2011). The relationships of public and self-stigma to seeking mental health services. Journal of Mental Health Counseling, 33, 161176.CrossRefGoogle Scholar
Baumann, E. C., & Hill, C. E. (2015). Client concealment and disclosure of secrets in outpatient psychotherapy. Counselling Psychology Quarterly, 29, 5375.Google Scholar
Barkoukis, V., Rowe, R., Harris, P. R., & Lazuras, L. (2020). Self-affirmation effects on doping related cognition among exercisers who use nutritional supplements. Psychology of Sport and Exercise, 46, 101709.CrossRefGoogle Scholar
Beilock, S. L., Rydell, R. J., & McConnell, A. R. (2007). Stereotype threat and working memory: Mechanisms, alleviation, and spillover. Journal of Experimental Psychology: General, 136, 256276.CrossRefGoogle ScholarPubMed
Belding, J. N., Naufel, K. Z., & Fujita, K. (2015). Using high-level construal and perceptions of changeability to promote self-change over self-protection motives in response to negative feedback. Personality and Social Psychology Bulletin, 41, 822838.Google Scholar
Blascovich, J., & Tomaka, J. (1996). The biopsychosocial model of arousal regulation. Advances in Experimental Social Psychology, 28, 151.CrossRefGoogle Scholar
Brady, S. T., Reeves, S L., Garcia, J., et al. (2016). The psychology of the affirmed learner: Spontaneous self-affirmation in the face of stress. Journal of Educational Psychology, 108, 353373.CrossRefGoogle Scholar
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252260.Google Scholar
Cai, H., Sedikides, C., & Jiang, L. (2013). Familial self as a potent source of affirmation: Evidence from China. Social Psychological and Personality Science, 4, 529537.Google Scholar
Cacioppo, J. T., Berntson, G. G., Larsen, J. T., Poehlmann, K. M., & Ito, T. A. (2000). The psychophysiology of emotion. In Lewis, R. & Haviland-Jones, J. M. (Eds.), The Handbook of Emotions (2nd ed., pp. 173191). New York: Guilford Press.Google Scholar
Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. Journal of Personality and Social Psychology, 67, 319333.CrossRefGoogle Scholar
Cascio, C. N., O’Donnell, M. B., Tinney, F. J., et al. (2016). Self-affirmation activates brain systems associated with self-related processing and reward and is reinforced by future orientation. Social Cognitive and Affective Neuroscience, 11, 621639.Google Scholar
Chen, W. J., Nelson, A. M., Johnson, H. B., & Fleming, R. (2020). Effects of self-affirmation on emotion and cardiovascular responses. Stress and Health, 1, 112.Google Scholar
Cisler, J. M., & Koster, E. H. W. (2010). Mechanisms of attentional biases toward threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30, 203216.Google Scholar
Clausen, J. A., & Yarrow, M. R. (1955). Paths to the mental hospital. Journal of Social Issues, 11(4), 2532.Google Scholar
Clement, S., Schauman, O., Graham, T., et al. (2015). What is the impact of mental health‐related stigma on help‐seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45, 1127.Google Scholar
Cohen, G. L., Aronson, J., & Steele, C. M. (2000). When beliefs yield to evidence: Reducing biased evaluation by affirming the self. Personality and Social Psychology Bulletin, 26, 11511164.CrossRefGoogle Scholar
Cohen, G. L., & Sherman, D. K. (2014). The psychology of change: Self-affirmation and social psychological intervention. Annual Review of Psychology, 65, 333371.Google Scholar
Correll, J., Spencer, S. J., & Zanna, M. P. (2004). An affirmed self and open mind: Self-affirmation and sensitivity to argument strength. Journal of Experimental Social Psychology, 40, 350356.CrossRefGoogle Scholar
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614625.CrossRefGoogle ScholarPubMed
Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting stigma. American Psychologist, 54, 765776.CrossRefGoogle ScholarPubMed
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15, 3770.CrossRefGoogle ScholarPubMed
Covarrubias, R., Herrmann, S. D., & Fryberg, S. A. (2016). Affirming the interdependent self: Implications for Latino student performance. Basic and Applied Social Psychology, 38, 4757.Google Scholar
Creswell, J. D., Klein, W. M. P., Harris, P. R., & Levine, J. M. (2013). Self-affirmation improves problem-solving under stress. PLoS ONE, 8, e62593.CrossRefGoogle ScholarPubMed
Creswell, J. D., Welch, W. T., Taylor, S. E., et al. (2005). Affirmation of personal values buffers neuroendocrine and psychological stress responses. Psychological Science, 16, 846851.CrossRefGoogle ScholarPubMed
Critcher, C. R., & Dunning, D. (2015). Self-affirmations provide a broader perspective on self- threat. Personality and Social Psychology Bulletin, 41, 318.CrossRefGoogle ScholarPubMed
Critcher, C. R., Dunning, D., & Armor, D. A. (2010). When self-affirmations reduce defensiveness: Timing is key. Personality and Social Psychology Bulletin, 36, 947959.Google Scholar
Crocker, J., Niiya, Y., & Mischkowski, D. (2008). Why does writing about important values reduce defensiveness? Self-affirmation and the role of positive, other-directed feelings. Psychological Science, 19, 740747.CrossRefGoogle ScholarPubMed
Cross, S. E., Gore, J. S., & Morris, M. L. (2003). The relational-interdependent self-construal, self-concept consistency, and well-being. Journal of Personality and Social Psychology, 85, 933944.Google Scholar
Crowell, A., Page-Gould, E., & Schmeichel, B. J. (2015). Self-affirmation breaks the link between the behavioral inhibition system and the threat-potentiated startle response. Emotion, 15, 146150.Google Scholar
De Smet, M. M., Meganck, R., De Geest, R., et al. (2020). What “good outcome” means to patients: Understanding recovery and improvement in psychotherapy for major depression from a mixed-methods perspective. Journal of Counseling Psychology, 67, 2539.CrossRefGoogle Scholar
Dutcher, J. M., Creswell, J. D., Pacilio, L. E., et al. (2016). Self-affirmation activates the ventral striatum: A possible reward mechanism for self-affirmation. Psychological Science, 27, 455466.Google Scholar
Ehret, P. J., & Sherman, D. K. (2014). Public policy and health: A self-affirmation perspective. Policy Insights from the Behavioral and Brain Sciences, 1, 222230.Google Scholar
Falk, E. B., O’Donnell Brook, M., Cascio, C. N., et al. (2015). Self-affirmation alters the brain’s response to health messages and subsequent behavior change. Psychological and Cognitive Sciences, 112, 19771982.Google Scholar
Festinger, L. (1957). A Theory of Cognitive Dissonance. Evanston, IL: Row Peterson.Google Scholar
Finley, A. J., Crowell, A. L., & Shmeichel, B. J. (2018). Self-affirmation enhances processing of negative stimuli among threat-prone individuals. Social Cognitive and Affective Neuroscience, 13, 569577.Google Scholar
Fujita, K., & Carnevale, J. J. (2012). Transcending temptation through abstraction: The role of construal level in self-control. Current Directions in Psychological Science, 21, 248252.Google Scholar
Goffman, E. (1963). Stigma: Notes on the Management of Spoiled Identity. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Gray, J. A. (1976). The behavioural inhibition system: A possible substrate for anxiety. In Feldman, M. P. & Broadhurst, A. M. (Eds.), The Theoretical and Experimental Bases of Behaviour Modification (pp. 341). London: Wiley.Google Scholar
Gray, J. A. (1982). The Neuropsychology of Anxiety: An Enquiry into the Functions of the Septo-Hippocampal System. Clarendon Press/Oxford University Press.Google Scholar
Greenwald, A. G. (1980). The totalitarian ego: Fabrication and revision of personal history. American Psychologist, 35, 603618.Google Scholar
Gu, R., Yang, J., Yang, Z., et al. (2019). Self-affirmation enhances the processing of uncertainty: An event-related potential study. Cognitive, Affective and Behavioral Neuroscience, 19, 327337.CrossRefGoogle ScholarPubMed
Harris, P. S., Harris, P. R., & Miles, E. (2017). Self-affirmation improves performance on tasks related to executive functioning. Journal of Experimental Social Psychology, 70, 281285.Google Scholar
Harris, P. R., Mayle, K., Mabbott, L., & Napper, L. (2007). Self-affirmation reduces smokers’ defensiveness to graphic on-pack cigarette warning labels. Health Psychology, 26, 437446.Google Scholar
Heine, S. J., & Lehman, D. R. (1997). Culture, dissonance, and self-affirmation. Personality and Social Psychology Bulletin, 23, 389400.Google Scholar
Hinshaw, S. P., & Cicchetti, D. (2000). Stigma and mental disorder: Conceptions of illness, public attitudes, personal disclosure, and social policy. Development and Psychopathology, 12, 555598.Google Scholar
Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 916.Google Scholar
Hoshino‐Browne, E., Zanna, A. S., Spencer, S. J., et al. (2005). On the cultural guises of cognitive dissonance: The case of Easterners and Westerners. Journal of Personality and Social Psychology, 89, 294310.Google Scholar
Hovland, C. I., Janis, I. L., & Kelley, H. H. (1953). Communication and Persuasion. New Haven, CT: Yale University Press.Google Scholar
Johns, M., Inzlicht, M., & Schmader, T. (2008). Stereotype threat and executive resource depletion: Examining the influence of emotion regulation. Journal of Experimental Psychology: General, 137, 691705.Google Scholar
Kang, Y., O’Donnell Brook, M., Strecher, V. J., et al. (2017). Self-transcendent values and neural responses to threatening health messages. Psychosomatic Medicine, 79, 379387.CrossRefGoogle ScholarPubMed
Kendra, M. S., Mohr, J. J., & Pollard, J. W. (2014). The stigma of having psychological problems: Relations with engagement, working alliance, and depression in psychotherapy. Psychotherapy, 51, 563.Google Scholar
Kessels, L. T., Harris, P. R., Ruiter, R. A., & Klein, W. M. (2016). Attentional effects of self- affirmation in response to graphic antismoking images. Health Psychology, 35, 891897.CrossRefGoogle ScholarPubMed
Kessler, R. C., Berglund, P. A., Bruce, M. L., et al. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36, 9871007.Google Scholar
Lannin, D. G., Guyll, M., Vogel, D. L., & Madon, S. (2013). Reducing the stigma associated with seeking psychotherapy through self-affirmation. Journal of Counseling Psychology, 60, 508519.CrossRefGoogle ScholarPubMed
Lannin, D. G., Ludwikowski, W. M. A., Heath, P. J., et al. (2020). How are personal values linked to help-seeking stigma? The Counseling Psychologist, 48(2), 249276.Google Scholar
Lannin, D. G., Ludwikowski, W. M. A., Seidman, A. J., & Anello, K. (2019). Reducing psychological barriers to therapy via contemplation and self-affirmation. Stigma and Health, 4, 247255.Google Scholar
Lannin, D. G., Parris, L., & Yazedijian, A. (2020). Is help-seeking stigma influenced by adolescents’ orientation to different life goals? Stigma and Health, 5(3), 331334.Google Scholar
Lannin, D. G., Tucker, J. R., Streyffeler, L., et al. (2019). How medical students’ compassionate values influence help-seeking barriers. Teaching and Learning in Medicine, 31, 170177.Google Scholar
Lannin, D. G., Vogel, D. L., Brenner, R. E., & Tucker, J. R. (2015). Predicting self-esteem and intentions to seek counseling: The internalized stigma model. The Counseling Psychologist, 43, 6493.Google Scholar
Lannin, D. G., Vogel, D. L., Guyll, M., & Seidman, A. J. (2019). Reducing threat responses to help-seeking information: Influences of self-affirmations and reassuring information. Journal of Counseling Psychology, 66, 375383.Google Scholar
Lannin, D. G., Vogel, D. L., & Heath, P. J. (2017). Can reflecting on personal values online increase positive beliefs about counseling? Journal of Counseling Psychology, 64, 261268.Google Scholar
Legault, L., Al-Khindi, T., & Inzlicht, M. (2012). Preserving integrity in the face of performance threat: Self-affirmation enhances neurophysiological responsiveness to errors. Psychological Science, 23, 14551460.Google Scholar
Levine, J. L., Stoltz, J. A., & Lacks, P. (1983). Preparing psychotherapy clients: Rationale and suggestions. Professional Psychology: Research and Practice, 14, 317322.Google Scholar
Lienemann, A., & Siegel, J. T. (2016). State psychological reactance to depression public service announcements among people with varying levels of depressive symptomatology. Health Communication, 31, 102116.Google Scholar
Li, S., Wu, Y., Zhang, F., Xu, Q., & Zhou, A. (2020). Self-affirmation buffering by the general public reduces anxiety levels during the COVID-19 pandemic. Acta Psychologica Sinca, 52, 886894.Google Scholar
Lindsay, E. K., & Creswell, J. D. (2014). Helping the self help others: Self-affirmation increases self-compassion and pro-social behaviors. Frontiers in Psychology, 5, 19.Google Scholar
Link, B. G., Cullen, F. T., Struening, E., Shrout, P. E., & Dohrenwend, B. P. (1989). A modified labeling theory approach to mental disorders: An empirical assessment. American Sociological Review, 54, 400423.Google Scholar
Markus, H., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224253.Google Scholar
McQueen, A., & Klein, W. M. (2006). Experimental manipulations of self-affirmation: A systematic review. Self and Identity, 5, 289354.CrossRefGoogle Scholar
Mendes, W. B., Blascovich, J., Major, B., & Seery, M. (2001). Challenge and threat responses during downward and upward social comparisons. European Journal of Social Psychology, 31, 477497.Google Scholar
Mojtabai, R., Olfson, M., Sampson, N. A., et al. (2011). Barriers to mental health treatment: Results from the National Comorbidity Survey Replication. Psychological Medicine, 41, 17511761.Google Scholar
Nakash, O., Nagar, M., & Levav, I. (2014). Predictors of mental health care stigma and its association with the therapeutic alliance during the initial intake session. Psychotherapy Research, 25, 214221.Google Scholar
Napper, L., Harris, P. R., & Epton, T. (2009). Developing and testing a self-affirmation manipulation. Self and Identity, 8, 4562.Google Scholar
National Institute of Mental Health. (2021). Mental illness. www.nimh.nih.gov/health/statistics/mental-illness.shtmlGoogle Scholar
Nelson, S. K., Fuller, J. A. K., Choi, I., & Lyubomirsky, S. (2014). Beyond self-protection: Self-affirmation benefits hedonic and eudaimonic well-being. Personality and Social Psychology Bulletin, 40, 9981011.Google Scholar
Norman, R. M. G., Sorrentino, R., Windell, D. & Manchanda, R. (2008). Are personal values of importance in the stigmatization of the mentally ill? Canadian Journal of Psychiatry, 53, 7583.Google Scholar
Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine, 383, 510512.Google Scholar
Owen, J., Thomas, L., & Rodolfa, E. (2013). Stigma for seeking therapy: Self-stigma, social stigma, and therapeutic processes. The Counseling Psychologist, 41, 857880.Google Scholar
Peterson, C., & Seligman, M. E. P. (2004). Character Strengths and Virtues: A Handbook and Classification. Washington, DC: APA Press and Oxford University Press.Google Scholar
Phelan, J. C., Bromet, E. J., & Link, B. G. (1983). Psychiatric illness and family stigma. Scizhophrenia Bulletin, 24, 115126.Google Scholar
Rokeach, M. (1973). The Nature of Human Values (Vol. 438). New York: Free Press.Google Scholar
Rudd, M. D., Goulding, J., & Bryan, C. J. (2011). Student Veterans: A national survey exploring psychological symptoms and suicide risk. Professional Psychology: Research and Practice, 42, 354360.Google Scholar
Runyan, J. D., & Steinke, E. G. (2015). Virtues, ecological momentary assessment/intervention and smartphone technology. Frontiers in Psychology, 6, 481.Google Scholar
Sandberg, T., & Conner, M. (2008). Anticipated regret as an additional predictor in the theory of planned behaviour: A meta-analysis. British Journal of Social Psychology, 47, 589606.Google Scholar
Schmader, T., Johns, M., & Forbes, C. (2008). An integrated process model of stereotype threat effects on performance. Psychology Review, 115, 336356.Google Scholar
Schmeichel, B. J., & Vohs, K. D. (2009). Self-affirmation and self-control: Affirming core values counteracts ego depletion. Journal of Personality and Social Psychology, 96, 770782.Google Scholar
Schwartz, S. H., & Bilsky, W. (1987). Toward a psychological structure of human values. Journal of Personality and Social Psychology, 53, 550562.Google Scholar
Schwartz, S. H., Cieciuch, J., Vecchione, M., et al. (2012). Refining the theory of basic individual values. Journal of Personality and Social Psychology, 103, 663688.Google Scholar
Seidman, A. J., Lannin, D. G., Heath, P. J., & Vogel, D. L. (2019). Setting the stage: The effect of affirming personal values before psychotherapy intake screenings on perceptions of self-stigma and self-disclosure. Stigma and Health, 4, 256259.Google Scholar
Seidman, A. J., Wade, N. G., & Armistead-Jehle, P. (2019). The impact of stigma on behavioral health care utilization among active duty service members. Military Psychology, 31, 117.CrossRefGoogle Scholar
Seidman, A. J., Wade, N. G., & Geller, J. (2022). The effects of group counseling and self-affirmation on group relationship development: A replication and extension. Journal of Counseling Psychology. Advance online publication.Google Scholar
Seidman, A. J., Wade, N. G., Lannin, D. G., et al. (2018). Self-affirming values to increase student veterans’ intentions to seek counseling. Journal of Counseling Psychology, 65, 653660.Google Scholar
Sherman, D. K. (2013). Self-affirmation: Understanding the effects. Social and Personality Psychology Compass, 7(11), 834845.Google Scholar
Sherman, D. K., Bunyan, D. P., Creswell, J. D., & Jaremka, L. M. (2009). Psychological vulnerability and stress: The effects of self-affirmation on sympathetic nervous system responses to naturalistic stressors. Health Psychology, 28, 554562.Google Scholar
Shnabel, N., Purdie-Vaughns, V., Cook, J. E., Garcia, J., & Cohen, G. L. (2013). Demystifying values-affirmation interventions: Writing about social belonging is a key to buffering against identity threat. Personality and Social Psychology Bulletin, 39, 663676.Google Scholar
Simpson, J. A., & Weiner, E. S. C. (1998). The Oxford English Dictionary (2nd ed.). New York: Oxford University Press.Google Scholar
Speer, M. E., Bhanji, J. P., & Delgado, M. R. (2014). Savoring the past: Positive memories evoke value representations in the striatum. Neuron, 84, 847856.Google Scholar
Steele, C. M. (1988). The psychology of self-affirmation: Sustaining the integrity of the self. Advances in Experimental Social Psychology, 21, 261302.Google Scholar
Steele, C. M., & Aronson, J. (1995). Stereotype threat and the intellectual test performance of African Americans. Journal of Personality and Social Psychology, 69, 797811.Google Scholar
Steindl, C., Jonas, E., Sittenhaler, S., Traut-Mattausch, E., & Greenberg, J. (2015). Understanding psychological reactance: New developments and findings. Zeitschrift Für Psychologie, 223, 205214.Google Scholar
Stinson, D. A., Logel, C., Shepherd, S., & Zanna, M. P. (2011). Rewriting the prophecy of social rejection: Self-affirmation improves relational security and social behavior up to 2 months later. Psychological Science, 22, 11451149.Google Scholar
Swan, L. K., Heesacker, M., & King, K. M. (2016). Are some descriptions of psychotherapy perceived as more (or less) stigmatizing than others? A preliminary investigation. Stigma and Health, 1, 263268.Google Scholar
Sweeney, A. M., & Moyer, A. (2020). Self-affirmation and responses to health messages: An example of a research advance in health psychology. In Richards, C. S. & Cohen, L. M. (Eds.), The Wiley Encyclopedia of Health Psychology, (pp. 4556). New York: Wiley.Google Scholar
Taber, J. M., Mcqueen, A., Simonovic, N., & Waters, E. (2019). Adapting a self-affirmation intervention for use in a mobile application for smokers. Journal of Behavioral Medicine, 42, 10501061.Google Scholar
Tang, D., & Schmeichel, B. J. (2015). Self-affirmation facilitates cardiovascular recovery following interpersonal evaluation. Biological Psychology, 104, 108115.Google Scholar
Thornicroft, G., Mehta, N., Clement, S., et al. (2016). Evidence for effective interventions to reduce mental‐ health‐related stigma and discrimination. Lancet, 387, 11231132.Google Scholar
Topkaya, N. (2015). Factors influencing psychological help seeking in adults: A qualitative study. Educational Sciences: Theory and Practice, 15, 2131.Google Scholar
Trope, Y., & Liberman, N. (2010). Construal-level theory of psychological distance. Psychological Review, 117, 440463.CrossRefGoogle ScholarPubMed
Tucker, J. R., Hammer, J. H., Vogel, D. L., et al. J. (2013). Disentangling self-stigma: Are mental illness and help-seeking stigmas different? Journal of Counseling Psychology, 60, 520531.Google Scholar
U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Substance Abuse and Mental Health Services Administration, National Institutes of Health, National Institute of Mental Health. http://profiles.nlm.nih.gov/ps/access/NNBBHS.ocr.Google Scholar
Vanderhasselt, M. A., Renue, J., Ng, K. K., Mueller, S. C., & Raedt, R. D. (2015). The regulation of positive and negative social feedback: A psychophysiological study. Cognitive, Affective, & Behavioral Neuroscience, 15, 553563.Google Scholar
van Koningsbruggen, G. M., Harris, P. R., Smits, A. J., et al. (2016). Self-affirmation before exposure to health communications promotes intentions and anticipated health behavior change by increasing anticipated regret. Communication Research, 48, 10271044.Google Scholar
van Koningsbruggen, G. M., Miles, E., & Harris, P. R. (2018). Self-affirmation and self-control: Counteracting defensive processing of health information and facilitating health behavior change. In De Ridder, D., Adriaanse, M., & Fujita, K. (Eds.), Handbook of Self-Control in Health and Wellbeing (pp. 495507). Routledge.Google Scholar
Vogel, D. L., Bitman, R. L., Hammer, J. H., & Wade, N. G. (2013). Is stigma internalized? The longitudinal impact of public stigma on self-stigma. Journal of Counseling Psychology, 60, 311316.Google Scholar
Vogel, D. L., Strass, H. A., Al-Darmaki, F. R., et al. (2017). Stigma associated with seeking mental health services: Examination across ten countries/regions. The Counseling Psychologist, 45, 170192.Google Scholar
Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325337.Google Scholar
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54, 4050.Google Scholar
Wakslak, C. J., & Trope, Y. (2009). Cognitive consequences of affirming the self: The relationship between self-affirmation and object construal. Journal of Experimental Social Psychology, 45, 927932.Google Scholar
Walton, G. M., & Wilson, T. D. (2018). Wise interventions: Psychological remedies for social and personal problems. Psychological Review, 125, 617655.Google Scholar
Wampold, B. E., & Imel, Z. E. (2015). The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. New York: Routledge.Google Scholar
Wang, P. S., Berglund, P. A., Olfson, M., & Kessler, R. C. (2004). Delays in initial treatment contact after first onset of a mental disorder. Health Services Research, 39, 393416.Google Scholar
Yarkoni, T., Poldrack, R. A., Nichols, T. E., Van Essen, D. C., & Wager, T. D. (2011). Large-scale automated synthesis of human functional neuroimaging data. Nature Methods, 8, 665670.Google Scholar

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