- Oxford Library of Psychology
- The Oxford Handbook of Stigma, Discrimination, and Health
- Dedication
- About the Editors
- Preface
- Contributors
- Stigma and Its Implications for Health: Introduction and Overview
- Physical Health Disparities and Stigma: Race, Sexual Orientation, and Body Weight
- Stigma as a Fundamental Cause of Health Inequality
- Power, Status, and Stigma: Their Implications for Health
- Stigma, Social Identity Threat, and Health
- Structural Stigma and Health
- Discriminating Ecologies: A Life History Approach to Stigma and Health
- Segregation, Stigma, and Stratification: A Biosocial Model
- Racial Discrimination and Racial Disparities in Health
- Patient Stigma, Medical Interactions, and Health Care Disparities: A Selective Review
- Interpersonal Discrimination and Physical Health
- Biopsychosocial Mechanisms Linking Discrimination to Health: A Focus on Social Cognition
- Neural and Cardiovascular Pathways from Stigma to Suboptimal Health
- Affective Reactions as Mediators of the Relationship Between Stigma and Health
- When Stigma Is Concealable: The Costs and Benefits for Health
- Social Identity, Stigma, and Health
- Social Stigma and Health: An Identity-Based Motivation Perspective
- Parenting as a Buffer That Deters Discrimination and Race-Related Stressors from “Getting Under the Skin”: Theories, Findings, and Future Directions
- Perceived Racial Discrimination and Health Behavior: Mediation and Moderation
- Stigma, Health, and Individual Differences
- Getting Underneath the Power of “Contact”: Revisiting the Fundamental Lever of Stigma as a Social Network Phenomenon
- Reducing Physical Illness Stigma: Insights from the Mental Illness Arena
- Public Health with a Punch: Fear, Stigma, and Hard-Hitting Media Campaigns
- Public Health and Social Justice: An Argument Against Stigma as a Tool of Health Promotion and Disease Prevention
- Stigma and the “Social Epidemic” of HIV: Understanding Bidirectional Mechanisms of Risk and Resilience
- Sexual Minority Stigma and Health
- The Negative and Bidirectional Effects of Weight Stigma on Health
- Mental and Physical Health Consequences of the Stigma Associated with Mental Illnesses
- Index
Abstract and Keywords
The conventional perspective that fear is a bad motivator for behavioral change, so critical to public health, is both an empirical observation and a moral judgment. This chapter challenges the belief that fear cannot work and is, indeed, counterproductive. The chapter then turns to the ethical debate, which for years was shaped by bioethics. The chapter concludes by arguing that the perspective of bioethics, so centrally concerned with the individual, provides an inadequate moral frame for thinking about fear-based campaigns. Instead, the chapter proposes the notion of public health ethics, which has as its grounding principle the enhancement of population well-being. Fear-based campaigns may be morally legitimate once the population benefits are clearly articulated and the potential social costs carefully evaluated in a process that is open, transparent, and engages the populations toward whom fear-based campaigns will be directed.
Keywords: fear-based appeals, evidence, public health ethics, bioethics, autonomy, manipulation, warning, stigma
Amy L. Fairchild, School of Public Health, Texas A&M University, College Station, TX, USA
Ronald Bayer, Mailman School of Public Health, Columbia University, New York, NY, USA
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- Oxford Library of Psychology
- The Oxford Handbook of Stigma, Discrimination, and Health
- Dedication
- About the Editors
- Preface
- Contributors
- Stigma and Its Implications for Health: Introduction and Overview
- Physical Health Disparities and Stigma: Race, Sexual Orientation, and Body Weight
- Stigma as a Fundamental Cause of Health Inequality
- Power, Status, and Stigma: Their Implications for Health
- Stigma, Social Identity Threat, and Health
- Structural Stigma and Health
- Discriminating Ecologies: A Life History Approach to Stigma and Health
- Segregation, Stigma, and Stratification: A Biosocial Model
- Racial Discrimination and Racial Disparities in Health
- Patient Stigma, Medical Interactions, and Health Care Disparities: A Selective Review
- Interpersonal Discrimination and Physical Health
- Biopsychosocial Mechanisms Linking Discrimination to Health: A Focus on Social Cognition
- Neural and Cardiovascular Pathways from Stigma to Suboptimal Health
- Affective Reactions as Mediators of the Relationship Between Stigma and Health
- When Stigma Is Concealable: The Costs and Benefits for Health
- Social Identity, Stigma, and Health
- Social Stigma and Health: An Identity-Based Motivation Perspective
- Parenting as a Buffer That Deters Discrimination and Race-Related Stressors from “Getting Under the Skin”: Theories, Findings, and Future Directions
- Perceived Racial Discrimination and Health Behavior: Mediation and Moderation
- Stigma, Health, and Individual Differences
- Getting Underneath the Power of “Contact”: Revisiting the Fundamental Lever of Stigma as a Social Network Phenomenon
- Reducing Physical Illness Stigma: Insights from the Mental Illness Arena
- Public Health with a Punch: Fear, Stigma, and Hard-Hitting Media Campaigns
- Public Health and Social Justice: An Argument Against Stigma as a Tool of Health Promotion and Disease Prevention
- Stigma and the “Social Epidemic” of HIV: Understanding Bidirectional Mechanisms of Risk and Resilience
- Sexual Minority Stigma and Health
- The Negative and Bidirectional Effects of Weight Stigma on Health
- Mental and Physical Health Consequences of the Stigma Associated with Mental Illnesses
- Index
