Society consists of numerous interconnected, interacting, and interdependent groups, which differ in power and status. The consequences of belonging to a higher-status "majority" versus a lower-status "minority" can be profound. To understand the origins of the problems caused by majority-minority tensions and develop solutions, it is necessary to understand the dynamics of majority-minority relations. This volume brings together leading scholars in the fields of stigma, prejudice and discrimination, minority influence, and intergroup relations to provide diverse theoretical and methodological perspectives on what it means to be a minority.

Grounded in both current and original research, Minorities and Deviance, expands the definition of stress and its relationship to deviance, providing a better understanding the role stress can play in addiction, obsession, and self-harm. Focusing on ten types of relatively minor deviant behaviors, Pamela Black explores the stress engendered by minority group membership and the associated feelings of powerlessness and how this can serve as a significant source of stress in and of itself, but when combined with other stressors magnifies the possibility of deviance. Using theoretical constructs derived from Robert Agnew’s 1992 General Strain Theory, Black tests the effects of not only minority group membership and powerlessness as stressors, but also examines group differences in the effect of more traditional forms of stress: finances, health, and relationships.

Highlighting the interplay between basic research and intervention, this volume focuses on common stressful life experiences that present significant challenges to children's healthy development. Fifteen stressors are discussed with regard to both short-and long-term effects. The authors identify factors that explain variability in children's adjustment to these stressors and evaluate preventive interventions designed to facilitate coping. Notable chapters include a discussion of the many uncontrollable stressors to which inner-city youth are exposed and a thorough treatment of children's adaptation to divorce. Each chapter follows a common outline, allowing comparison among stressors.

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

This book is intended to be a resource for students, a guide for future researchers, and a call to concerned citizens to use this wealth of information to guide their own efforts to mitigate the pernicious effects of stigma in their daily lives.

In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.