1. Putting a Label on Someone: Impact of Schizophrenia Stigma on Emotional Mimicry
- Author
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Dupuy, Caroline, Raffard, Stéphane, Fauviaux, Tifenn, Slangen, Pierre, Hess, Ursula, Mauersberger, Heidi, Marin, Ludovic, Kastendieck, Till, and Parisi, Mathilde
- Subjects
FOS: Psychology ,Psychology ,Social and Behavioral Sciences - Abstract
When interacting with someone, we tend to mimic their emotional expressions. This phenomenon is called emotional mimicry and is defined as the imitation of the counterpart’s emotional display (Hess & Fischer, 2013, 2014). Emotional mimicry is socially beneficial through increased liking, empathy, and social interaction quality (Hess & Fischer, 2022; Mauersberger & Hess, 2019). However, emotional mimicry is moderated by social factors such as group membership, similarity, or liking which can further impact social interaction (Bourgeois & Hess, 2008; Hess et al., 2022; McIntosh, 2006). To our knowledge, no study tested the influence of stigmatization of mental health diagnoses on emotional mimicry. According to Link and Phelan (2001), stigma is the convergence of four components: (1) labeling human differences, (2) associating the label with negative stereotypes, (3) separating the ones labeled from others, and (4) status loss and discrimination against the ones labeled. Studies demonstrated that individuals with mental health diagnoses are strongly stigmatized leading to increase public fear and desire for limited social interaction (Angermeyer & Matschinger, 2003; Link et al., 1999). This decreased willingness for social interaction could impact healthy subjects’ tendency to mimic stigmatized individuals’ emotional expressions as emotional mimicry is dependent on a desire for affiliation (Hess & Fischer, 2022). In this study, we aim to test whether putting a stigmatizing label on someone in the domain of mental health diagnoses influences emotional mimicry toward this person. We are also interested in measuring liking and interpersonal closeness as studies demonstrated that these variables mediate the influence of social factors on emotional mimicry (Kastendieck et al., 2020; Peng et al., 2021). We decided to focus our study on schizophrenia (SCZ) because it is one of the most stigmatized mental health diagnoses (Wood et al., 2014). Additionally, social interaction deficits represent a core diagnostic feature of schizophrenia as outlined in the DSM-IV. Hence, diminished emotional mimicry toward people with schizophrenia could worsen the social exclusion of patients. Our work aims to highlight a potential line of work to conduct on healthy subjects, rather than on patients, to alleviate the social exclusion of people with schizophrenia. Consequently, we will also conduct exploratory analyses to investigate if overall knowledge of schizophrenia, and explicit stigma of schizophrenia moderate the relationship between the stigma labeling and emotional mimicry. We will use an online procedure composed of the four experimental conditions corresponding to four labels (schizophrenia, diabetes, healthy, and a negative adjective). Each condition is needed to discern whether participants' response to the SCZ label is influenced by stigma, a specific diagnosis, or a negative label. The negative adjectives were chosen as they were rated similarly as determined by K-means cluster analysis to the schizophrenia label on a 10-point valence scale by 30 participants in a pretest [mean SCZ=3.03 (SD=1.79); mean lazy=2.80 (SD=1.65); mean hot tempered=3.17(SD=1.70); mean intolerant=2.9(SD=1.56)]. The labels will describe actors displaying happiness or sadness in short video clips. The stimuli were taken from The Amsterdam dynamic facial expression set (ADFES, van der Schalk et al., 2011). We will measure four dependent variables: emotional mimicry of sadness, emotional mimicry of happiness, perceived interpersonal closeness, and liking. For emotional mimicry, participants’ faces will be recorded with their computer’s webcam while watching the emotional stimuli. The videos of participants’ faces will then be analyzed with OpenFace 2.2 (Baltrusaitis et al., 2018) to obtain facial action unit activation and compute a happiness and sadness mimicry score after a baseline correction and within-subjects z-standardization (Hess et al., 1991; Hess et al., 2017; Kastendieck et al., 2021). For perceived interpersonal closeness, we will use an adapted slider scale version of the Inclusion of Other in the Self scale (IOS, Aron et al., 1992). For liking, we will ask participants to rate how much they liked the person on the video on a 100-slider scale. To ensure that participants stay focused on the video and do not guess our hypotheses, we use a cover story that deals with antidepressants. Hence, participants will also have to answer whether they believe the person on the video is taking antidepressants or not and whether this person should start or stop treatment with antidepressants. In addition, studies demonstrated that emotional recognition tasks enhance emotional mimicry (Murata et al., 2016). Results of the emotional recognition task also allow us to verify that participants perceived the stimuli correctly. Consequently, after every stimulus presentation, the two dependent variables from the rating domain (IOS and liking), the emotion recognition task, and the cover story questions will be asked. Finally, at the end of the experiment, participants will answer the Knowledge About Schizophrenia Test (KAST, Compton et al., 2007) to measure their overall knowledge of schizophrenia and the Social Distance Scale (Link et al., 1987) to explicitly test their level of stigmatization toward individuals with schizophrenia.
- Published
- 2023
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