CHAPTER 10

Stigma: An Enigma Demystified

Lerita M. Coleman-Brown

SUMMARY

Why are some human differences valued and desired while others are devalued, feared or stigmatized? No two human beings are exactly alike, and any difference between human beings has the potential of being stigmatized. In this essay, Lerita Coleman-Brown builds on Erving Goffman’s theory of stigma to argue for a view of stigma that would reveal it as a response to the dilemma of difference. Assuming that flawless people don’t exist and that some traits are quantifiable (age, for example), relative comparisons can give rise to feelings of superiority, at least in context. In some instances, it might be considered desirable to be older; in others, younger. Thus the sense of being stigmatized is inextricably tied to social context. Moving from one context to another can change both the definition and consequences of a stigma.

The origin of a stigma lies with the perpetual processing of human differences; stigmatizing is a natural response to difference for humans who want to believe in an ordered world. Maintaining the status quo of the social order, then, is often a matter of “marking” individuals with a stigma that stereotypes and exploits them.

Coleman-Brown theorizes that the relation between stigmatized and nonstigmatized people is always an inferior/superior one, and yet she also asks whether stigma would persist if stigmatized people did not feel inferior. The most pernicious consequence of bearing a stigma is that stigmatized people might develop the same concept of false superiority that a stigmatizer must maintain. Thus, stigmatized people might view normality with exaggerated importance, choosing to deny a stigma rather than to identify with it.

At some level, the fear and concern over stigma is a fear of the unpredictability of nature. Stigma represents the uncontrollability of human difference. Coleman-Brown suggests that stigma persists because these fears help to maintain existing social hierarchy, and responsibility for change lies with both the stigmatized and the nonstigmatized alike.

Nature caused us all to be born equal; if fate is pleased to disturb this plan of the general law, it is our responsibility to correct its caprice, and to repair by our attention the usurpations of the stronger.

(Maurice Blanchot)

What is stigma and why does stigma remain? Because stigmas mirror culture and society, they are in constant flux, and therefore the answers to these two questions continue to elude social scientists. Viewing stigma from multiple perspectives exposes its intricate nature and helps us to disentangle its web of complexities and paradoxes. Stigma represents a view of life; a set of personal and social constructs; a set of social relations and social relationships; a form of social reality. Stigma has been a difficult concept to conceptualize because it reflects a property, a process, a form of social categorization, and an affective state.

Two primary questions, then, that we as social scientists have addressed are how and why during certain historical periods, in specific cultures or within particular social groups, some human differences are valued and desired, and other human differences are devalued, feared, or stigmatized. In attempting to answer these questions, I propose another view of stigma, one that takes into account its behavioral, cognitive, and affective components and reveals that stigma is a response to the dilemma of difference.

THE DILEMMA

No two human beings are exactly alike: there are countless ways to differ. Shape, size, skin color, gender, age, cultural background, personality, and years of formal education are just a few of the infinite number of ways in which people can vary. Perceptually, and in actuality, there is greater variation on some of these dimensions than on others. Age and gender, for example, are dimensions with limited and quantifiable ranges; yet they interact exponentially with other physical or social characteristics that have larger continua (e.g., body shape, income, cultural background) to create a vast number of human differences. Goffman states, though, that “stigma is equivalent to an undesired differentness” (see Stafford & Scott, 1986). The infinite variety of human attributes suggests that what is undesired or stigmatized is heavily dependent on the social context and to some extent arbitrarily defined. The large number of stigmatizable attributes and several taxonomies of stigmas in the literature offer further evidence of how arbitrary the selection of undesired differences may be (see Ainlay & Crosby, 1986; Becker & Arnold, 1986; Solomon, 1986; Stafford & Scott, 1986).

What is most poignant about Goffman’s description of stigma is that it suggests that all human differences are potentially stigmatizable. As we move out of one social context where a difference is desired into another context where the difference is undesired, we begin to feel the effects of stigma. This conceptualization of stigma also indicates that those possessing power, the dominant group, can determine which human differences are desired and undesired. In part, stigmas reflect the value judgments of a dominant group.

Many people, however, especially those who have some role in determining the desired and undesired differences of the zeitgeist, often think of stigma only as a property of individuals. They operate under the illusion that stigma exists only for certain segments of the population. But the truth is that any “nonstigmatized” person can easily become “stigmatized.” “Nearly everyone at some point in life will experience stigma either temporarily or permanently. …Why do we persist in this denial?” (Zola, 1979, p. 454). Given that human differences serve as the basis for stigmas, being or feeling stigmatized is virtually an inescapable fate. Because stigmas differ depending upon the culture and the historical period, it becomes evident that it is mere chance whether a person is born into a nonstigmatized or severely stigmatized group.

Because stigmatization often occurs within the confines of a psychologically constructed or actual social relationship, the experience itself reflects relative comparisons, the contrasting of desired and undesired differences. Assuming that flawless people do not exist, relative comparisons give rise to a feeling of superiority in some contexts (where one possesses a desired trait that another person is lacking) but perhaps a feeling of inferiority in other contexts (where one lacks a desired trait that another person possesses). It is also important to note that it is only when we make comparisons that we can feel different. Stigmatization or feeling stigmatized is a consequence of social comparison. For this reason, stigma represents a continuum of undesired differences that depend upon many factors (e.g., geographical location, culture, life cycle stage) (see Becker & Arnold, 1986).

Although some stigmatized conditions appear escapable or may be temporary, some undesired traits have graver social consequences than others. Being a medical resident, being a new professor, being 7 feet tall, having cancer, being black, or being physically disfigured or mentally retarded can all lead to feelings of stigmatization (feeling discredited or devalued in a particular role), but obviously these are not equally stigmatizing conditions. The degree of stigmatization might depend on how undesired the difference is in a particular social group.

Physical abnormalities, for example, may be the most severely stigmatized differences because they are physically salient, represent some deficiency or distortion in the bodily form, and in most cases are unalterable. Other physically salient differences, such as skin color or nationality, are considered very stigmatizing because they also are permanent conditions and cannot be changed. Yet the stigmatization that one feels as a result of being black or Jewish or Japanese depends on the social context, specifically social contexts in which one’s skin color or nationality is not a desired one. A white American could feel temporarily stigmatized when visiting Japan due to a difference in height. A black student could feel stigmatized in a predominantly white university because the majority of the students are white and white skin is a desired trait. But a black student in a predominantly black university is not likely to feel the effects of stigma. Thus, the sense of being stigmatized or having a stigma is inextricably tied to social context. Of equal importance are the norms in that context that determine which are desirable and undesirable attributes. Moving from one social or cultural context to another can change both the definitions and the consequences of stigma.

Stigma often results in a special kind of downward mobility. Part of the power of stigmatization lies in the realization that people who are stigmatized or acquire a stigma lose their place in the social hierarchy. Consequently, most people want to ensure that they are counted in the nonstigmatized “majority.” This, of course, leads to more stigmatization.

Stigma, then, is also a term that connotes a relationship. It seems that this relationship is vital to understanding the stigmatizing process. Stigma allows some individuals to feel superior to others. Superiority and inferiority, however, are two sides of the same coin. In order for one person to feel superior, there must be another person who is perceived to be or who actually feels inferior. Stigmatized people are needed in order for the many nonstigmatized people to feel good about themselves.

On the other hand, there are many stigmatized people who feel inferior and concede that other persons are superior because they possess certain attributes. In order for the process to occur (for one person to stigmatize another and have the stigmatized person feel the effects of stigma), there must be some agreement that the differentness is inherently undesirable. Moreover, even among stigmatized people, relative comparisons are made, and people are reassured by the fact that there is someone else who is worse off. The dilemma of difference, therefore, affects both stigmatized and nonstigmatized people.

Some might contend that this is the very old scapegoat argument, and there is some truth to that contention. But the issues here are more finely intertwined. If stigma is a social construct, constructed by cultures, by social groups, and by individuals to designate some human differences as discrediting, then the stigmatization process is indeed a powerful and pernicious social tool. The inferiority/superiority issue is a most interesting way of understanding how and why people continue to stigmatize.

Some stigmas are more physically salient than others, and some people are more capable of concealing their stigmas or escaping from the negative social consequences of being stigmatized. The ideal prototype (e.g., young, white, tall, married, male, with a recent record in sports) that Stafford cites may actually possess traits that would be the source of much scorn and derision in another social context. Yet, by insulating himself in his own community, a man like the one described in the example can ensure that his “differentness” will receive approbation rather than rejection, and he will not be subject to constant and severe stigmatization. This is a common response to stigma among people with some social influence (e.g., artists, academics, millionaires). Often, attributes or behaviors that might otherwise be considered “abnormal” or stigmatized are labeled as “eccentric” among persons of power or influence. The fact that what is perceived as the “ideal” person varies from one social context to another, however, is tied to Martin’s notion that people learn ways to stigmatize in each new situation.

In contrast, some categories of stigmatized people (e.g., the physically disabled, members of ethnic groups, poor people) cannot alter their stigmas nor easily disguise them. People, then, feel permanently stigmatized in contexts where their differentness is undesired and in social environments that they cannot easily escape. Hence, power, social influence, and social control play a major role in the stigmatization process.

In summary, stigma stems from differences. By focusing on differences we actively create stigmas because any attribute or difference is potentially stigmatizable. Often we attend to a single different attribute rather than to the large number of similar attributes that any two individuals share. Why people focus on differences and denigrate people on the basis of them is important to understanding how some stigmas originate and persist. By reexamining the historical origins of stigma and the way children develop the propensity to stigmatize, we can see how some differences evolve into stigmas and how the process is linked to the behavioral (social control), affective (fear, dislike), and cognitive (perception of differences, social categorization) components of stigma.

THE ORIGINS OF STIGMA

The phrase to stigmatize originally referred to the branding or marking of certain people (e.g., criminals, prostitutes) in order to make them appear different and separate from others (Goffman, 1963). The act of marking people in this way resulted in exile or avoidance. In most cultures, physical marking or branding has declined, but a more cognitive manifestation of stigmatization—social marking—has increased and has become the basis for most stigmas (Jones et al., 1984). Goffman points out, though, that stigma has retained much of its original connotation. People use differences to exile or avoid others. In addition, what is most intriguing about the ontogenesis of the stigma concept is the broadening of its predominant affective responses such as dislike and disgust to include the emotional reaction of fear. Presently, fear may be instrumental in the perpetuation of stigma and in maintaining its original social functions. Yet as the developmental literature reveals, fear is not a natural but an acquired response to differences of stigmas.

Sigelman and Singleton (1986) offer a number of insightful observations about how children learn to stigmatize. Children develop a natural wariness of strangers as their ability to differentiate familiar from novel objects increases (Sroufe, 1977). Developmental psychologists note that stranger anxiety is a universal phenomenon in infants and appears around the age of seven months. This reaction to differences (e.g., women versus men, children versus adults, blacks versus whites) is an interesting one and, as Sigelman and Singleton point out, may serve as a prototype for stigmatizing. Many children respond in a positive (friendly) or negative (fearful, apprehensive) manner to strangers. Strangers often arouse the interest (Brooks & Lewis, 1976) of children but elicit negative reactions if they intrude on their personal space (Sroufe, 1977). Stranger anxiety tends to fade with age, but when coupled with self-referencing it may create the conditions for a child to learn how to respond to human differences or how to stigmatize.

Self-referencing, or the use of another’s interpretation of a situation to form one’s own understanding of it, commonly occurs in young children. Infants often look toward caregivers when encountering something different, such as a novel object, person, or event (Feinman, 1982). The response to novel stimuli in an ambiguous situation may depend on the emotional displays of the caregiver; young children have been known to respond positively to situations if their mothers respond reassuringly (Feinman, 1982). Self-referencing is instrumental to understanding the development of stigmatization because it may be through this process that caregivers shape young children’s responses to people, especially those who possess physically salient differences (Klinnert, Campos, Sorce, Emde, & Svejda, 1983). We may continue to learn about how to stigmatize from other important figures (e.g., mentors, role models) as we progress through the life cycle. Powerful authority figures may serve as the source of self-referencing behavior in new social contexts (Martin, 1986).

Sigelman and Singleton (1986) also point out that preschoolers notice differences and tend to establish preferences but do not necessarily stigmatize. Even on meeting other children with physical disabilities, children do not automatically eschew them but may respond to actual physical and behavioral similarities and differences. There is evidence, moreover, indicating that young children are curious about human differences and often stare at novel stimuli (Brooks & Lewis, 1976). Children frequently inquire of their parents or of stigmatized persons about their distinctive physical attributes. In many cases, the affective response of young children is interest rather than fear.

Barbarin (1986) offers a poignant example of the difference between interest and fear in his vignette about Myra, a child with cancer. She talks about young children who are honest and direct about her illness, an attitude that does not cause her consternation. What does disturb her, though, are parents who will not permit her to baby-sit with their children for fear that she might give them cancer. Thus, interest and curiosity about stigma or human differences may be natural for children, but they must learn fear and avoidance as well as which categories or attributes to dislike, fear, or stigmatize. Children may learn to stigmatize without ever grasping “why” they do so (Martin, 1986), just as adults have beliefs about members of stigmatized groups without ever having met any individuals from the group (Crocker & Lutsky, 1986). The predisposition to stigmatize is passed from one generation to the next through social learning (Martin, 1986) or socialization (Crocker & Lutsky, 1986; Stafford & Scott, 1986).

Sigelman and Singleton agree with Martin that social norms subtly impinge upon the information-processing capacities of young children so that negative responses to stigma later become automatic. At some point, the development of social cognition must intersect with the affective responses that parents or adults display toward stigmatized people. Certain negative emotions become attached to social categories (e.g., all ex-mental patients are dangerous, all blacks are angry or harmful). Although the attitudes (cognitions) about stigma assessed in paper-and-pencil tasks may change in the direction of what is socially acceptable, the affect and behavior of elementary- and secondary-school children as well as adults reflect the early negative affective associations with stigma. The norms about stigma, though, are ambiguous and confusing. They teach young children to avoid or dislike stigmatized people, even though similar behavior in adults is considered socially unacceptable.

STIGMA AS A FORM OF COGNITIVE PROCESSING

The perceptual processing of human differences appears to be universal. Ainlay and Crosby (1986) suggest that differences arouse us; they can please or distress us. From a phenomenological perspective, we carry around “recipes” and “typifications” as structures for categorizing and ordering stimuli. Similarly, social psychologists speak of our need to categorize social stimuli in such terms as schemas and stereotypes (Crocker & Lutsky, 1986). These approaches to the perception of human differences indirectly posit that stigmatizing is a natural response, a way to maintain order in a potentially chaotic world of social stimuli. People want to believe that the world is ordered.

Although various approaches to social categorization may explain how people stereotype on the basis of a specific attribute (e.g., skin color, religious beliefs, deafness), they do not explain the next step—the negative imputations. Traditional approaches to sociocognitive processing also do not offer ideas about how people can perceptually move beyond the stereotype, the typification, or stigma to perceive an individual. Studies of stereotyping and stigma regularly reveal that beliefs about the inferiority of a person predominate in the thoughts of the perceiver (Crocker & Lutsky, 1986).

Stigma appears to be a special and insidious kind of social categorization or, as Martin explains, a process of generalizing from a single experience. People are treated categorically rather than individually, and in the process are devalued (Ainlay & Crosby, 1986; Barbarin, 1986; Crocker & Lutsky, 1986; Stafford & Scott, 1986). In addition, as Crocker and Lutsky point out, coding people in terms of categories (e.g., “X is a redhead”) instead of specific attributes (“X has red hair”) allows people to feel that stigmatized persons are fundamentally different and establishes greater psychological and social distance.

A discussion of the perceptual basis of stigma inevitably leads back to the notion of master status (Goffman, 1963). Perceptually, stigma becomes the master status, the attribute that colors the perception of the entire person. All other aspects of the person are ignored except those that fit the stereotype associated with the stigma (Kanter, 1979). Stigma as a form of negative stereotyping has a way of neutralizing positive qualities and undermining the identity of stigmatized individuals (Barbarin, 1986). This kind of social categorization has also been described by one sociologist as a “discordance with personal attributes” (Davis, 1964). Thus, many stigmatized people are not expected to be intelligent, attractive, or upper class.

Another important issue in the perception of human differences or social cognition is the relative comparisons that are made between and within stigmatized and nonstigmatized groups. Several authors discuss the need for people to accentuate between-group differences and minimize within-group differences as a requisite for group identity (Ainlay & Crosby, 1986; Crocker & Lutsky, 1986; Sigelman & Singleton, 1986). Yet these authors do not explore in depth the reasons for denigrating the attributes of the out-group members and elevating the attributes of one’s own group, unless there is some feeling that the out-group could threaten the balance of power. Crocker and Lutsky note, however, that stereotyping is frequently tied to the need for self-enhancement. People with low self-esteem are more likely to identify and maintain negative stereotypes about members of stigmatized groups; such people are more negative in general. This line of reasoning takes us back to viewing stigma as a means of maintaining the status quo through social control. Could it be that stigma as a perceptual tool helps to reinforce the differentiation of the population that in earlier times was deliberately designated by marking? One explanation offered by many theorists is that stereotypes about stigmatized groups help to maintain the exploitation of such groups and preserve the existing societal structure.

Are there special arrangements or special circumstance, Ainlay and Crosby ask, that allow people to notice differences but not denigrate those who have them? On occasion, nonstigmatized people are able to “break through” and to see a stigmatized person as a real, whole person with a variety of attributes, some similar traits and some different from their own (Davis, 1964). Just how frequently and in what ways does this happen?

Ainlay and Crosby suggest that we begin to note differences within a type when we need to do so. The example they give about telephones is a good one. We learn differences among types of telephones, appliances, schools, or even groups of people when we need to. Hence stereotyping or stigmatizing is not necessarily automatic; when we want to perceive differences we perceive them, just as we perceive similarities when we want to. In some historical instances, society appears to have recognized full human potential when it was required, while ignoring certain devalued traits. When women were needed to occupy traditionally male occupations in the United States during World War II, gender differences were ignored as they have been ignored in other societies when women were needed for combat. Similarly, the U.S. armed forces became racially integrated when there was a need for more soldiers to fight in World War II (Terry, 1984).

Thus, schemas or stereotypes about stigmatized individuals can be modified but only under specific conditions. When stigmatized people have essential information or possess needed expertise, we discover that some of their attributes are not so different, or that they are more similar to us than different. “Cooperative interdependence” stemming from shared goals may change the nature of perceptions and the nature of relationships (Crocker & Lutsky, 1986). Future research on stigma and on social perception might continue to investigate the conditions under which people are less likely to stereotype and more likely to respond to individuals rather than categories (cf., Locksley, Borgida, Brekke, & Hepburn, 1980; Locksley, Hepburn & Ortiz, 1982).

The Meaning of Stigma for Social Relations

I have intimated that “stigmatized” and “nonstigmatized” people are tied together in a perpetual inferior/superior relationship. This relationship is key to understanding the meaning of stigma. To conceptualize stigma as a social relationship raises some vital questions about stigma. These questions include (a) when and under what conditions does an attribute become a stigmatized one? (b) can a person experience stigmatization without knowing that a trait is devalued in a specific social context? (c) does a person feel stigmatized even though in a particular social context the attribute is not stigmatized or the stigma is not physically or behaviorally apparent? (d) can a person refuse to be stigmatized or destigmatize an attribute by ignoring the prevailing norms that define it as a stigma?

These questions lead to another one: Would stigma persist if stigmatized people did not feel stigmatized or inferior? Certainly, a national pride did not lessen the persecution of the Jews, nor does it provide freedom for blacks in South Africa. These two examples illustrate how pervasive and powerful the social control aspects of stigma are, empowering the stigmatizer and stripping the stigmatized of power. Yet a personal awakening, a discovery that the responsibility for being stigmatized does not lie with oneself, is important. Understanding that the rationale for discrimination and segregation based on stigma lies in the mind of the stigmatizer has led people like Mahatma Gandhi and civil rights activist Rosa Parks to rise above the feeling of stigmatization, to ignore the norms, and to disobey the existing laws based on stigma. There have been women, elderly adults, gays, disabled people, and many others who at some point realized that their fundamental similarities outweighed and outnumbered their differences. It becomes clear that in most oppressive situations the primary problem lies with the stigmatizer and not with the stigmatized (Sartre, 1948; Schur, 1980, 1983). Many stigmatized people also begin to understand that the stigmatizer, having established a position of false superiority and consequently the need to maintain it, is enslaved to the concept that stigmatized people are fundamentally inferior. In fact, some stigmatized individuals question the norms about stigma and attempt to change the social environments for their peers.

In contrast, there are some stigmatized persons who accept their devalued status as legitimate. Attempting to “pass” and derogating others like themselves are two ways in which stigmatized people effectively accept the society’s negative perceptions of their stigma (Goffman, cited in Gibbons, 1986). It is clear, especially from accounts of those who move from a nonstigmatized to a stigmatized role, that stigmatization is difficult to resist if everyone begins to reinforce the inferior status with their behavior. Two of the most common ways in which nonstigmatized people convey a sense of fundamental inferiority to stigmatized people are social rejection or social isolation and lowered expectations.

There are many ways in which people communicate social rejection such as speech, eye contact, and interpersonal distance. The stigmatized role, as conceptualized by the symbolic interactionism approach, is similar to any other role (e.g., professor, doctor) in which we behave according to the role expectations of others and change our identity to be congruent with them. Thus, in the case of stigma, role expectations are often the same as the stereotypes. Some stigmatized people become dependent, passive, helpless, and childlike because that is what is expected of them.

Social rejection or avoidance affects not only the stigmatized individual but everyone who is socially involved, such as family, friends, and relatives (Barbarin, 1986). This permanent form of social quarantine forces people to limit their relationships to other stigmatized people and to those for whom the social bond outweighs the stigma, such as family members. In this way, avoidance or social rejection also acts as a form of social control or containment (Edgerton, 1967; Goffman, 1963; Schur, 1983; Scott, 1969). Social rejection is perhaps most difficult for younger children who are banned from most social activities of their peers.

Social exile conveys another message about expectations. Many stigmatized people are not encouraged to develop or grow, to have aspirations or to be successful. Barbarin reports that children with cancer lose friendships and receive special, lenient treatment from teachers. They are not expected to achieve in the same manner as other children. Parents, too, sometimes allow stigmatized children to behave in ways that “normal” children in the same family are not permitted to do. Social exclusion as well as overprotection can lead to decreased performance. Lowered expectations also lead to decreased self-esteem.

The negative identity that ensues becomes a pervasive personality trait and inhibits the stigmatized person from developing other parts of the self. Another detrimental aspect of stigmatization is the practice of treating people, such as the ex-con and ex-mental patient who are attempting to reintegrate themselves into society, as if they still had the stigma. Even the terms we use to describe such persons suggest that role expectations remain the same despite the stigmatized person’s efforts to relinquish them. It seems that the paradoxical societal norms that establish a subordinate and dependent position for stigmatized people while ostracizing them for it may stem from the need of nonstigmatized people to maintain a sense of superiority. Their position is supported and reinforced by their perceptions that stigmatized people are fundamentally inferior, passive, helpless, and childlike.

The most pernicious consequence of bearing a stigma is that stigmatized people may develop the same perceptual problems that nonstigmatized people have. They begin to see themselves and their lives through the stigma, or as Sartre (1948) writes about the Jews, they “allow themselves to be poisoned by the stereotype and live in fear that they will correspond to it” (p. 95). As Gibbons observes, stigmatized individuals sometimes blame their difficulties on the stigmatized trait, rather than confronting the root of their personal difficulties. Thus, normal issues that one encounters in life often act as a barrier to growth for stigmatized people because of the attributional process involved.

The need to maintain one’s identity manifests itself in a number of ways, such as the mischievous behavior of the adolescent boy with cancer cited in Barbarin’s chapter. “Attaining normalcy within the limits of stigma” (Tracy & Gussow, 1978) seems to be another way of describing the need to establish or recapture one’s identity (Weiner, 1975).

Stigma uniquely alters perceptions in other ways, especially with respect to the notion of “normality,” and raises other questions about the dilemma of difference. Most people do not want to be perceived as different or “abnormal.” Becker and Arnold and Gibbons discuss normalization as attempts to be “not different” and to appear “normal.” Such strategies include “passing” or disguising the stigma and acting “normal” by “covering up”—keeping up with the pace of nonstigmatized individuals (Davis, 1964; Gibbons, 1986; Goffman, 1963; Weiner, 1975). For stigmatized people, the idea of normality takes on an exaggerated importance. Normality becomes the supreme goal for many stigmatized individuals until they realize that there is no precise definition of normality except what they would be without their stigma. Given the dilemma of difference that stigma reflects, it is not clear whether anyone can ever feel “normal.”

Out of this state of social isolation and lowered expectations, though, can arise some positive consequences. Although the process can be fraught with pain and difficulty, stigmatized people who manage to reject the perceptions of themselves as inferior often come away with greater inner strength (Jones et al., 1984). They learn to depend on their own resources and, like the earlier examples of Mahatma Gandhi and Rosa Parks, they begin to question the bases for defining normality. Many stigmatized people regain their identity through redefining normality and realizing that it is acceptable to be who they are (Ablon, 1981; Barbarin, 1986; Becker, 1980; Becker & Arnold, 1986).

FEAR AND STIGMA

Fear is important to a discussion of how and why stigma persists. In many cultures that do not use the term stigma, there is some emotional reaction beyond interest or curiosity to differences such as children who are born with birthmarks, epilepsy, or a caul. Certain physical characteristics or illnesses elicit fear because the etiology of the attribute or disease is unknown, unpredictable, and unexpected (Sontag, 1979). People even have fears about the sexuality of certain stigmatized groups such as persons who are mentally retarded, feeling that if they are allowed to reproduce they will have retarded offspring (Gibbons, 1986). It seems that what gives stigma its intensity and reality is fear.

The nature of the fear appears to vary with the type of stigma. For most stigmas stemming from physical or mental problems, including cancer, people experience fear of contagion even though they know that the stigma cannot be developed through contact (see Barbarin, 1986). This fear usually stems from not knowing about the etiology of a condition, its predictability, and its course.

The stigmatization of certain racial, ethnic, and gender categories may also be based on fear. This fear, though, cannot stem from contagion because attributes (of skin color, ethnic background, and gender) cannot possibly be transmitted to nonstigmatized people. One explanation for the fear is that people want to avoid “courtesy stigmas” or stigmatization by association (Goffman, 1963). Another explanation underlying this type of fear may be the notion of scarce resources. This is the perception that if certain groups of people are allowed to have a share in all resources, there will not be enough: not enough jobs, not enough land, not enough water, or not enough food. Similar explanations from the deviance literature suggest that people who stigmatize feel threatened and collectively feel that their position of social, economic, and political dominance will be dismantled by members of stigmatized groups (Schur, 1980, 1983). A related explanation is provided by Hughes, who states, “that it may be that those whose positions are insecure and whose hopes for the higher goals are already fading express more violent hostility to new people” (1945, p. 356 [in Hughes & Coser, 1994, p. 155]). This attitude may account for the increased aggression toward members of stigmatized groups during dire economic periods.

Fear affects not only nonstigmatized but stigmatized individuals as well. Many stigmatized people (e.g., ex-cons, mentally retarded adults) who are attempting to “pass” live in fear that their stigmatized attribute will be discovered (Gibbons, 1986). These fears are grounded in a realistic assessment of the negative social consequences of stigmatization and reflect the long-term social and psychological damage to individuals resulting from stigma.

At some level, therefore, most people are concerned with stigma because they are fearful of its unpredictable and uncontrollable nature. Stigmatization appears uncontrollable because human differences serve as the basis for stigmas. Therefore, any attribute can become a stigma. No one really ever knows when or if he or she will acquire a stigma or when societal norms might change to stigmatize a trait he or she already possesses. To deny this truth by attempting to isolate stigmatized people or escape from stigma is a manifestation of the underlying fear.

The unpredictability of stigma is similar to the unpredictability of death. Both Gibbons and Barbarin note that the development of a stigmatized condition in a loved one or in oneself represents a major breach of trust—a destruction of the belief that life is predictable. In a sense, stigma represents a kind of death—a social death. Nonstigmatized people, through avoidance and social rejection, often treat stigmatized people as if they were invisible, nonexistent, or dead. Many stigmas, in particular childhood cancer, remove the usual disguises of mortality. Such stigmas can act as a symbolic reminder of everyone’s inevitable death (see Barbarin’s discussion of Ernest Becker’s, The Denial of Death). These same fears can be applied to the acquisition of other stigmas (e.g., mental illness, physical disabilities) and help to intensify and perpetuate the negative responses to most stigmatized categories. Thus, irrational fears may help stigmatization to be self-perpetuating with little encouragement needed in the form of forced segregation from the political and social structure.

The ultimate answers about why stigma persists may lie in an examination of why people fear differences, fear the future, fear the unknown, and therefore stigmatize that which is different and unknown. An equally important issue to investigate is how stigmatization may be linked to the fear of being different.

CONCLUSION

Stigma is clearly a very complex multidisciplinary issue, with each additional perspective containing another piece of this enigma. A multidisciplinary approach allowed us as social scientists to perceive stigma as a whole; to see from within it rather than to look down upon it. Our joint perspectives have also demonstrated that there are many shared ideas across disciplines, and in many cases only the terminology is different.

Three important aspects of stigma emerge from this multidisciplinary examination and may forecast its future. They are fear, stigma’s primary affective component; stereotyping, its primary cognitive component; and social control, its primary behavioral component. The study of the relationship of stigma to fear, stereotyping, and social control may elucidate our understanding of the paradoxes that a multidisciplinary perspective reveals. It may also bring us closer to understanding what stigma really is—not primarily a property of individuals as many have conceptualized it to be but a humanly constructed perception, constantly in flux and legitimizing our negative responses to human differences (Ainlay & Crosby, 1986). To further clarify the definition of stigma, one must differentiate between an “undesired differentness” that is likely to lead to feelings of stigmatization and actual forms of stigmatization. It appears that stigmatization occurs only when the social control component is imposed, or when the undesired differentness leads to some restriction in physical and social mobility and access to opportunities that allow an individual to develop his or her potential. This definition combines the original meaning of stigma with more contemporary connotations and uses.

In another vein, stigma is a statement about personal and social responsibility. People irrationally feel that, by separating themselves from stigmatized individuals, they may reduce their own risk of acquiring the stigma (Barbarin, 1986). By isolating individuals, people feel they can also isolate the problem. If stigma is ignored, the responsibility for its existence and perpetuation can be shifted elsewhere. Making stigmatized people feel responsible for their own stigma allows nonstigmatized people to relinquish the onus for creating or perpetuating the conditions that surround it.

Changing political and economic climates are also important to the stigmatization and destigmatization process. What is economically feasible or politically enhancing for a group in power will partially determine what attributes are stigmatized, or at least how they are stigmatized. As many sociologists have suggested, some people are stigmatized for violating norms, whereas others are stigmatized for being of little economic or political value (Birenbaum & Sagarin, 1976, cited in Stafford & Scott, 1986). We should admit that stigma persists as a social problem because it continues to have some of its original social utility as a means of controlling certain segments of the population and ensuring that power is not easily exchanged. Stigma helps to maintain the existing social hierarchy.

One might then ask if there will ever be societies or historical periods without stigma. Some authors hold a positive vision of the future. Gibbons, for example, suggests that as traditionally stigmatized groups become more integrated into the general population, stigmatizing attributes will lose some of their onus. But historical analysis would suggest that new stigmas will replace old ones. Educational programs are probably of only limited help, as learning to stigmatize is a part of early social learning experiences (Martin, 1986; Sigelman & Singleton, 1986). The social learning of stigma is indeed very different from learning about the concept abstractly in a classroom. School experiences sometimes merely reinforce what children learn about stigmatization from parents and significant others.

From a sociological perspective, the economic, psychological, and social benefits of stigma sustain it. Stigmas will disappear when we no longer need to legitimize social exclusion and segregation (Zola, 1979). From the perspective of cognitive psychology, when people find it necessary or beneficial to perceive the fundamental similarities they share with stigmatized people rather than the differences, we will see the beginnings of a real elimination of stigma. This process may have already occurred during some particular historical period or within particular societies. It is certainly an important area for historians, anthropologists, and psychologists to explore.

Although it would seem that the core of the problem lies with the nonstigmatized individuals, stigmatized people also play an important role in the destigmatization process. Stigma contests, or the struggles to determine which attributes are devalued and to what extent they are devalued, involve stigmatized and nonstigmatized individuals alike (Schur, 1980). Stigmatized people, too, have choices as to whether to accept their stigmatized condition and the negative social consequences or continue to fight for more integration into nonstigmatized communities. Their cognitive and affective attitudes toward themselves as individuals and as a group are no small element in shaping societal responses to them. As long as they continue to focus on the negative, affective components of stigma, such as low self-esteem, it is not likely that their devalued status will change. Self-help groups may play an important role in countering this tendency.

There is volition or personal choice. Each stigmatized or nonstigmatized individual can choose to feel superior or inferior, and each individual can make choices about social control and about fear. Sartre (1948) views this as the choice between authenticity or authentic freedom, and inauthenticity or fear of being oneself. Each individual can choose to ignore social norms regarding stigma. Personal beliefs about a situation or circumstance often differ from norms, but people usually follow the social norms anyway, fearing to step beyond conformity to exercise their own personal beliefs about stigma (see Ainlay & Crosby, 1986; and Stafford & Scott, 1986, discussions of personal versus socially shared forms of stigma). Changing human behavior is not as simple as encouraging people to exercise their personal beliefs. As social scientists, we know a number of issues may be involved in the way personal volition interacts with social norms and personal values.

The multidisciplinary approach could be used in a variety of creative ways to study stigma and other social problems. Different models of how stigma has evolved and is perpetuated could be subject to test by a number of social scientists. They could combine their efforts to examine whether stigma evolves in a similar manner in different cultures, or among children of different cultural and social backgrounds, or during different historical periods. The study of stigma encompasses as many factors and dimensions as are represented in a multidisciplinary approach. All of the elements are interactive and in constant flux. The effective, cognitive, and behavioral dimensions are subject to the current cultural, historical, political, and economic climates, which are in turn linked to the norms and laws. We know that the responses of stigmatized and nonstigmatized individuals may at times appear to be separate, we know that they are also interconnected and may produce other responses when considered together. This portrayal of the issues vital to the study of stigma is neither exhaustive nor definitive. It does suggest, however, that a multidimensional model of stigma is needed to understand how these factors, dimensions, and responses co-vary.

We need more cross-disciplinary research from researchers who do not commonly study stigma. For example, a joint project among historians, psychologists, economists, and political scientists might examine the relationship between economic climate, perceptions of scarcity, and stigmatization. Other joint ventures by anthropologists and economists could design research on how much income is lost over a lifetime by members of a stigmatized category (e.g., blind, deaf, overweight), and how this loss adversely affects the gross national product (GNP) and the overall economy. Another example would be work by political scientists and historians or anthropologists to understand the links between the stigmatization of specific attributes and the maintenance of social control and power by certain political groups. Psychologists might team up with novelists or anthropologists to use case studies to understand individual differences or to examine how some stigmatized persons overcome their discredited status. Other studies of the positive consequences of stigma might include a joint investigation by anthropologists and psychologists of cultures that successfully integrate stigmatized individuals into nonstigmatized communities and utilize whatever resources or talents a stigmatized person has to offer (as the shaman is used in many societies) (Halifax, 1979, 1982).

The study of stigma by developmental and social psychologists, sociologists, anthropologists, economists, and historians may also offer new insights into the evolution of sex roles and sex role identity across the life cycle and during changing economic climates. Indeed, linguists, psychologists, and sociologists may be able to chronicle the changes in identity and self-concept of stigmatized and nonstigmatized alike, by studying the way people describe themselves and the language they use in their interactions with stigmatized and nonstigmatized others (Coleman, 1985; Edelsky & Rosengrant, 1981).

The real challenge for social scientists will be to better understand the need to stigmatize; the need for people to reject rather than accept others; the need for people to denigrate rather than uplift others. We need to know more about the relationship between stigma and perceived threat, and how stigma may represent “the kinds of deviance that it seeks out” (Schur, 1980, p. 22). Finally, social scientists need to concentrate on designing an optimal system in which every member of society is permitted to develop one’s talents and experience one’s full potential regardless of any particular attribute. If such a society were to come about, then perhaps some positive consequences would arise from the dilemma of difference.

REFERENCES

Ablon, J. 1981. “Stigmatized health conditions.” Social Science and Medicine 15: 5–9.

Ainlay, S. and F. Crosby. 1986. “Stigma, Justice and the Dilemma of Difference.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York: Plenum, 17–38.

Barbarin, O. 1986. “Family Experience of Stigma in Childhood Cancer.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York: Plenum, 163–184.

Becker, G. 1980. Growing Old in Silence. Berkeley: University of California Press.

Becker, G. and R. Arnold. 1986. “Stigma as Social and Cultural Construct.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 39–58.

Brooks, J. and Lewis, M. 1976. “Infants’ responses to strangers: Midget, adult, and child.” Child Development 47: 323–332.

Coleman, L. 1985. “Language and the Evolution of Identity and Self-concept.” In F. Kessel, ed., The Development of Language And Language Researchers: Essays in Honor of Roger Brown. Hillsdale, NJ: Erlbaum.

Crocker, J. and N. Lutsky. 1986. “Stigma and the Dynamics of Social Cognition.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 95–122.

Davis, F. 1964. “Deviance Disavowal: The Management of Strained Interaction by the Visibly Handicapped.” In H. Becker, ed., The Other Side. New York: Free Press, 119–138.

Edelsky, C. and T. Rosengrant. 1981. “Interactions with handicapped children: Who’s handicapped?” Sociolinguistic Working Paper 92. Austin, TX: Southwest Educational Development Laboratory.

Edgerton, R. G. 1967. The Cloak of Competence: Stigma in the Lives of the Mentally Retarded. Berkeley: University of California Press.

Feinman, S. 1982. “Social referencing in infancy.” Merrill-Palmer Quarterly 28: 445–70.

Gibbons, F. X. 1986. “Stigma and Interpersonal Relations.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 123–144.

Goffman. E. 1963. Stigma: Notes on the Management of Spoiled Identity. Englewood Cliffs, NJ: Prentice Hall.

Halifax, J. 1979. Shamanic Voices: A Survey of Visionary Narratives. New York: Dutton.

——. 1982. Shaman: The Wounded Healer. London: Thames and Hudson.

Hughes, E. C. and L. A. Coser. 1994. On Work, Race, and the Sociological Imagination. Chicago: University of Chicago Press.

Jones. E. E., A. Farina, A. H. Hastof, H. Markus, D. T. Miller, and R. A. Scott. 1984. Social Stigma: The Psychology of Marked Relationships. New York: Freeman.

Kanter, R. M. 1979. Men and Women of the Corporation. New York: Basic Books.

Klinnert, M. D., J. J. Campos, J. F. Sorce, R. Emde, and M. Svejda. 1983. “Emotions as Behavior Regulators: Social Referencing in Infancy.” In R. Plutchik and H. Kellerman, eds. Emotion Theory, Research, and Experience. Vol. II. Emotions in Early Development. New York: Academic Press, 57–88.

Locksley, A., E. Borgida, N. Brekke, and C. Hepburn. 1980. “Sexual stereotypes and social judgment.” Journal of Personality and Social Psychology 39: 821–31.

Locksley, A., C. Hepburn, and V. Ortiz. 1982. “Social stereotypes and judgments of individuals: An instance of the base-rate fallacy.” Journal of Experimental Social Psychology 18: 23–42.

Martin, L. G. 1986. “Stigma: A Social Learning Perspective.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 1–16.

Sartre, J. 1948. Anti-Semite and Jew. New York: Schocken Books.

Schur, E. 1980. The Politics of Deviance: A Sociological Introduction. Englewood Cliffs, NJ: Prentice Hall.

——. 1983. Labeling Women Deviant: Gender, Stigma, and Social Control. Philadelphia: Temple University Press.

Scott, R., 1969. The Making of Blind Men. New York: Russel Sage Foundation.

Sigelman, C. and L. C. Singleton. 1986. “Stigmatization in Childhood: A Survey of Developmental Trends and Issues.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 185–210.

Solomon, Howard M. 1986. “Stigma and Western Culture: A Historical Approach.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York: Plenum, 59–76.

Sontag, S. 1979. Illness as Metaphor. New York: Random House.

Sroufe, L. A. 1977. “Wariness of strangers and the study of infant development.” Child Development 48: 731–46.

Stafford, M. and R. Scott. 1986. “Stigma, Deviance and Social Control: Some Conceptual Issues.” In S. Ainlay, G. Becker, and L. M. Coleman, The Dilemma of Difference: A Multicultural View of Stigma. New York. Plenum, 77–94.

Terry, W. 1984. Bloods: An Oral History of the Vietnam War by Black Veterans. New York: Random House.

Tracy, G. S. and Z. Gussow. 1978. “Self-help health groups: A grass-roots response to a need for services.” Journal of Applied Behavioral Science: 81–396.

Weiner, C. L., 1975. “The burden of rheumatoid arthritis: Tolerating the uncertainty.” Social Science and Medicine 99: 97–104.

Zola, I. Z. 1979. “Helping one another: A speculative history of the self-help movement.” Archive of Physical Medicine and Rehabilitation 60: 452.