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Deumanizzazione del paziente oncologico nei contesti medici
Journal Title: SALUTE E SOCIETÀ 
Author/s: Dora Capozza, Emilio Paolo Visintin, Rossella Falvo, Ines Testoni 
Year:  2015 Issue: Language: Italian 
Pages:  13 Pg. 74-86 FullText PDF:  82 KB
DOI:  10.3280/SES2015-002006
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In this paper the authors explore the presence of infrahumanization effects when the target is cancer patients. Participants were physicians and nurses working in cancer institutes or oncology departments of hospitals. Participants were asked to judge their own category and that of cancer patients on a set of traits. Uniquely human (e.g., rationality, reasoning) and non-uniquely human traits (e.g., impulse, instinct) were used. Patients were also judged on traits expressing the essence of human nature, such as emotionality and relational capacities. The denial of traits of human nature leads to a type of dehumanization, that is called mechanistic dehumanization. Findings show that both physicians and nurses assign the unique features of human category less to patients than to health professionals (infrahumanization effect). In contrast, effects of mechanistic dehumanization were not revealed. In the discussion, the authors examine the potential consequences of cancer patients’ infrahumanization on the therapeutic relationship and treatment effectiveness.
Keywords: Infrahumanization, mechanistic dehumanization, uniquely human traits, non-uniquely human traits, human nature traits, cancer patient

  1. Arora N.K. (2003). Interacting with cancer patients: The significance of physicians’ communication behavior. Social Science and Medicine, 57: 791-806., DOI: 10.1016/S0277-9536(02)00449-
  2. Bastian B., Haslam N. (2010). Excluded from humanity: The dehumanizing effects of social ostracism. Journal of Experimental Social Psychology, 46: 107-113., DOI: 10.1016/j.jesp.2009.06.02
  3. Boccato G., Capozza D., Falvo R., Durante F. (2008). The missing link: Ingroup, outgroup and the human species. Social Cognition, 26: 224-234., DOI: 10.1521/soco.2008.26.2.22
  4. Capozza D., Andrighetto L., Di Bernardo G.A., Falvo R. (2012). Does status affect intergroup perceptions of humanity? Group Processes & Intergroup Relations, 15: 363-377., DOI: 10.1177/136843021142673
  5. Capozza D., Falvo R., Di Bernardo G.A., Vezzali L., Visintin E.P. (2014). Intergroup contact as a strategy to improve humanness attributions: A review of studies. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 21: 349-362., DOI: 10.4473/TPM21.3.
  6. Capozza D., Falvo R., Favara I., Trifiletti E. (2013). The relationship between direct and indirect cross-group friendships and outgroup humanization: Emotional and cognitive mediators. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 20: 383-398., DOI: 10.4473/TPM20.4.6CapozzaD.,TrifilettiE.,VezzaliL.,FavaraI.(2013).Canintergroupcontactimprovehumanityattributions?InternationalJournalofPsychology,48:527-541.DOI:10.1080/00207594.2012.68813
  7. Čehajić S., Brown R., González R. (2009). What do I care? Perceived ingroup responsibility and dehumanization as predictors of empathy felt for the victim group. Group Processes & Intergroup Relations, 12: 715-729., DOI: 10.1177/136843020934772
  8. Cheng Y., Lin C., Liu H., Hsu Y., Lim K., Hung D., Decety J. (2007). Expertise modulates the perception of pain in others. Current Biology, 17: 1708-1713., DOI: 10.1016/j.cub.2007.09.02
  9. Cooper-Patrick L., Gallo J.J., Gonzales J.J., Vu H.T., Powe N.R., Nelson C., Ford D.E. (1999). Race, gender, and partnership in the patient-physician relationship. Journal of the American Medical Association, 282: 583-589., DOI: 10.1001/jama.282.6.58
  10. Costello K., Hodson G. (2010). Exploring the roots of dehumanization: The role of animal-human similarity in promoting immigrant humanization. Group Processes & Intergroup Relations, 13: 3-22., DOI: 10.1177/136843020934772
  11. Cuddy A., Rock M., Norton M. (2007). Aid in the aftermath of Hurricane Katrina: Inferences of secondary emotions and intergroup helping. Group Processes & Intergroup Relations, 10: 107-118., DOI: 10.1177/136843020707134
  12. Decety J., Yang C.Y., Cheng Y. (2010). Physicians downregulate their pain empathy response: An event-related brain potential study. NeuroImage, 50: 873-882., DOI: 10.1016/j.neuroimage.2010.01.02
  13. Fonseca L.M., Testoni I. (2011). The emergence of thanatology and current practice in death education. Omega: Journal of Death and Dying, 64: 157-169., DOI: 10.2190/OM.64.2.
  14. Goff P.A., Eberhardt J.L., Williams M.J., Jackson M.C. (2008). Not yet human: Implicit knowledge, historical dehumanization, and contemporary consequences. Journal of Personality and Social Psychology, 94: 292-306., DOI: 10.1037/0022-3514.94.2.29
  15. Gray K., Knickman T.A., Wegner D.M. (2011). More dead than dead: Perceptions of persons in the persistent vegetative state. Cognition, 121: 275-280., DOI: 10.1016/j.cognition.2011.06.01
  16. Greenwald A.G., Nosek B.A., Banaji M.R. (2003). Understanding and using the Implicit Association Test: I. An improved scoring algorithm. Journal of Personality and Social Psychology, 85: 197-216., DOI: 10.1037/0022-3514.85.2.19
  17. Greitemeyer T., McLatchie N. (2011). Denying humanness to others: A newly mechanism by which violent video games increase aggressive behavior. Psychological Science, 22: 659-665., DOI: 10.1177/095679761140332
  18. Hack T.F., Degner L.F., Parker P.A. (2005). The communication goals and needs of cancer patients: A review. Psycho-Oncology, 14: 831-847., DOI: 10.1002/pon.94
  19. Haslam N. (2006). Dehumanization: An integrative review. Personality and Social Psychology Review, 10: 252-264., DOI: 10.1111/j.1467-9280.2006.01793.
  20. Haslam N., Loughnan S. (2014). Dehumanization and infrahumanization. Annual Review of Psychology, 65: 399-423., DOI: 10.1146/annurev-psych-010213-115045
  21. Johnson R.L., Roter D., Powe N.R., Cooper L.A. (2004). Patient race/ethnicity and quality of patient-physician communication during medical visits. American Journal of Public Health, 94: 2084-2090., DOI: 10.2105/AJPH.94.12.208
  22. Johnson R.L., Saha S., Arbelaez J.J., Beach M.C., Cooper L.A. (2004). Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. Journal of General Internal Medicine, 19: 101-110., DOI: 10.1111/j.1525-1497.2004.30262.
  23. Kumar V., Abbas A.K., Fausto N., Aster J. (2009). Robbins & Cotran pathologic basis of disease (8th ed.). Philadelphia, PA: Saunders
  24. Lammers J., Stapel D.A. (2011). Power increases dehumanization. Group Processes & Intergroup Relations, 14: 113-126., DOI: 10.1177/136843021037004
  25. Leyens J.Ph. (2014). Humanity forever in medical dehumanization. In: Bain P.G., Vaes J. e Leyens J.Ph., a cura di, Advances in Understanding Humanness and Dehumanization. New York, NY: Psychology Press
  26. Leyens J.Ph., Demoulin S., Vaes J., Gaunt R., Paladino M.P. (2007). Infrahumanization: The wall of group differences. Social Issues and Policy Review, 1: 139-172., DOI: 10.1111/j.1751-2409.2007.00006.
  27. Leyens J.Ph., Paladino M.P., Rodriguez-Torres R., Vaes J., Demoulin S., Rodriguez-Perez A., Gaunt R. (2000). The emotional side of prejudice: The attribution of secondary emotions to ingroups and outgroups. Personality and Social Psychology Review, 4: 186-197., DOI: 10.1207/S15327957PSPR0402_0
  28. Leyens J.Ph., Rodriguez A.P., Rodriguez R.T., Gaunt R., Paladino M.P., Vaes J., Demoulin S. (2001). Psychological essentialism and the differential attribution of uniquely human emotions to ingroups and outgroups. European Journal of Social Psychology, 31: 395-411., DOI: 10.1002/ejsp.5
  29. Loughnan S., Haslam N. (2007). Animals and androids: Implicit associations between social categories and nonhumans. Psychological Science, 18: 116-121., DOI: 10.1111/j.1467-9280.2007.01858.
  30. Loughnan S., Pacilli M.G. (2014). Seeing (and treating) others as sexual objects: Toward a more complete mapping of sexual objectification. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 21: 309-325., DOI: 10.4473/TPM21.3.
  31. O’Connor B.P., Rigby H. (1996). Perceptions of baby talk, frequency of receiving baby talk, and self-esteem among community and nursing home residents. Psychology and Aging, 11: 147-154., DOI: 10.1037/0882-7974.11.1.14
  32. Oliver M.N., Goodwin M.A., Gotler R.S., Gregory P.M., Stange K.C. (2001). Time use in clinical encounters: Are African-American patients treated differently? Journal of the National Medical Association, 93: 380-385
  33. Pasin A. (2011). Forms and effects of outgroup dehumanization. Tesi di dottorato. Università di Padova
  34. Penner L.A., Eggly S., Harper F.W.K., Albrecht T.L., Ruckdeschel J.C. (2007). Patient attributes and information provided about clinical trials. Proceedings of the Sixth American Association for Cancer Research Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved
  35. Pereira C., Vala J., Leyens J.Ph. (2009). From infra-humanization to discrimination: The mediation of symbolic threat needs egalitarian norms. Journal of Experimental Social Psychology, 45: 336-344., DOI: 10.1016/j.jesp.2008.10.010
  36. Rudman L.A., Mescher K. (2012). Of animals and objects: Men’s implicit dehumanization of women and likelihood of sexual aggression. Personality and Social Psychology Bulletin, 38: 734-746., DOI: 10.1177/014616721243640
  37. Santinello M. (2007). Link Burnout Questionnaire: Manuale. Firenze: Giunti O.S. Organizzazioni Speciali
  38. Schaufeli W.B., Bakker A.B., Salanova M. (2006). The measurement of work engagement with a brief questionnaire: A cross-national study. Educational and Psychological Measurement, 66: 701-716., DOI: 10.1177/001316440528247
  39. Testoni I., Ancona D., Ronconi L. (in press). The ontological representation of death. Omega: Journal of Death and Dying Trifiletti E., Di Bernardo G.A., Falvo R., Capozza D. (2014). Patients are not fully human: A coping response to stress among nurses. Journal of Applied Social Psychology, 44: 768-777., DOI: 10.1111/jasp.1226
  40. Vaes J., Leyens J.Ph., Paladino M.P., Miranda M.P. (2012). We are human, they are not: Driving forces behind outgroup dehumanisation and the humanization of the ingroup. European Review of Social Psychology, 23: 64-106., DOI: 10.1080/10463283.2012.66525
  41. Vaes J., Muratore M. (2013). Defensive dehumanization in the medical practice: A cross-sectional study from a health care worker’s perspective. British Journal of Social Psychology, 52: 180-190., DOI: 10.1111/bjso.1200
  42. Viki G.T., Osgood D., Phillips S. (2013). Dehumanization and self-reported proclivity to torture prisoners of war. Journal of Experimental Social Psychology, 49: 325-328., DOI: 10.1016/j.jesp.2012.11.00
  43. Viki G.T., Winchester L., Titshall L., Chisango T., Pina A., Russell R. (2006). Beyond secondary emotions: The infrahumanization of outgroups using
  44. human-related and animal-related words. Social Cognition, 24: 753-775., DOI: 10.1521/soco.2006.24.6.75
  45. Wohl M.J.A., Hornsey M.J., Bennett S.H. (2012). Why group apologies succeed and fail: Intergroup forgiveness and the role of primary and secondary emotions. Journal of Personality and Social Psychology, 102: 306-322., DOI: 10.1037/a002483

Dora Capozza, Emilio Paolo Visintin, Rossella Falvo, Ines Testoni, in "SALUTE E SOCIETÀ" 2/2015, pp. 74-86, DOI:10.3280/SES2015-002006


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