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"Majority groups"
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Developing a clinical assessment of skills and competencies exam preparatory course for international medical graduates in psychiatry: reflections and learnings
2025
Purpose
This paper aims to focus on concerns unique to international medical graduates (IMGs) and doctors from global majority groups pursuing a career in psychiatry in the UK. It specifically addresses challenges affecting the differential attainment of IMGs in passing the Clinical Assessment of Skills and Competencies (CASC) examination – the final assessment for attaining Membership of the Royal College of Psychiatrists, affording entry to specialty training programmes.
Design/methodology/approach
Reflections are provided on learning from a CASC examination preparatory course specifically developed for IMGs in psychiatry, particularly those from global majority groups. The rationale for the course is set out as well as some of the challenges in designing and developing the course.
Findings
By reflecting on the experience of developing the course, the intersection of medical education, differential attainment and cultural disparities in training is addressed, alongside the role of group practice in exam preparation and support tailored to the needs of IMGs from global majority groups.
Originality/value
The reflections provided illuminate possible means of innovation to support the progression of IMGs and doctors from global majority backgrounds in the CASC, as a high stakes examination in medical training, and to support action to improve overall outcomes for this community in the field of psychiatry.
Journal Article
Thinking Outside the Nation: Cognitive Flexibility’s Role in National Identity Inclusiveness as a Marker of Majority Group Acculturation
by
Doucerain, Marina M.
,
Ryder, Andrew G.
,
Medvetskaya, Anna
in
Acculturation
,
Belonging
,
Boundaries
2025
In superdiverse societies like Canada, characterized by high levels of cultural and ethnic plurality, national identity boundaries are often blurry. While policies may officially promote inclusiveness, public discourse on national identity is frequently dominated by mainstream groups, whose willingness to expand these boundaries plays a crucial role in fostering minority inclusion. Despite the importance of inclusivity for social cohesion, little is known about what enables majority group members to adopt a more inclusive national identity. This study addresses this gap by exploring the role of cognitive flexibility in facilitating an acculturative shift toward inclusiveness. Using latent class regression analysis (N = 202), we identified two distinct national identity profiles: one more inclusive and the other more exclusive. We also examined how factors such as ethnic vs. civic views on national identity, acculturation orientations toward integration, and personal identification with traditional English Canadian vs. multicultural identity representation shape these profiles. Our findings revealed that higher cognitive flexibility was positively associated with the likelihood of belonging to the more inclusive profile. This study contributes to a limited body of work on majority group acculturation, offering insights into how cognitive flexibility may encourage a broader and more inclusive national identity. Implications for policy and social cohesion are discussed.
Journal Article
Understanding different trajectories of mental health across the general population during the COVID-19 pandemic
2022
The COVID-19 pandemic and nationally mandated restrictions to control the virus have been associated with increased mental health issues. However, the differential impact of the pandemic and lockdown on groups of individuals, and the personal characteristics associated with poorer outcomes are unknown.
Data from 21 938 adults in England who participated in a stratified cohort study were analysed. Trajectories of depression and anxiety symptoms were identified using growth mixture modelling. Multinomial and logistic regression models were constructed to identify sociodemographic and personality-related risk factors associated with trajectory class membership.
Four trajectories of depression and five for anxiety were identified. The most common group presented with low symptom severity throughout, other classes were identified that showed: severe levels of symptoms which increased; moderate symptoms throughout; worsening mental health during lockdown but improvements after lockdown ended; and for anxiety only, severe initial anxiety that decreased quickly during lockdown. Age, gender, ethnicity, income, previous diagnoses, living situation, personality factors and sociability were associated with different trajectories.
Nearly 30% of participants experienced trajectories with symptoms in the clinical range during lockdown, and did not follow the average curve or majority group, highlighting the importance of differential trajectories. Young, female, outgoing and sociable people and essential workers experienced severe anxiety around the announcement of lockdown which rapidly decreased. Younger individuals with lower incomes and previous mental health diagnoses experienced higher and increasing levels of symptoms. Recognising the likely symptom trajectories for such groups may allow for targeted care or interventions.
Journal Article
Does Size Really Matter? On the Relationship between Immigrant Group Size and Anti-Immigrant Prejudice
by
Pottie-Sherman, Yolande
,
Wilkes, Rima
in
Divergence
,
Group size
,
IMMIGRANT INTEGRATION: ORIGIN AND DESTINATION SOCIETY PERSPECTIVES
2017
Group threat theory understands prejudice as a manifestation of the threat, either actual or assumed, that minority groups pose to majority groups. This theory is often operationalized by analyzing the impact of group size on anti-immigrant prejudice. We test this hypothesis with a new dataset documenting 487 effects of group size on prejudice provided in 55 studies. More than half of these results show no relationship and the remainder shows both positive and negative relationships. Three explanations for this divergence are that there are (1) differences in the measurement of prejudice and immigrant group size across studies; (2) differences in the model through which size is hypothesized to lead to prejudice; and (3) differences in the geographic unit of analysis at which these relationships have been considered. Our analyses support the measurement explanation: results vary across studies because they reflect different measures of group size and prejudice.
Journal Article
When Are Women More Effective Lawmakers Than Men?
by
Volden, Craig
,
Wiseman, Alan E.
,
Wittmer, Dana E.
in
American minorities
,
Coalitions
,
Committees
2013
Previous scholarship has demonstrated that female lawmakers differ from their male counterparts by engaging more fully in consensus-building activities. We argue that this behavioral difference does not serve women equally well in all institutional settings. Contentious and partisan activities of male lawmakers may help them outperform women when in a polarized majority party. However, in the minority party, while men may choose to obstruct and delay, women continue to strive to build coalitions and bring about new policies. We find strong evidence that minority party women in the U.S. House of Representatives are better able to keep their sponsored bills alive through later stages of the legislative process than are minority party men, across the 93rd–110th Congresses (1973–2008). The opposite is true for majority party women, however, who counterbalance this lack of later success by introducing more legislation. Moreover, while the legislative style of minority party women has served them well consistently across the past four decades, majority party women have become less effective as Congress has become more polarized.
Journal Article
Neighborhood Ethnic Diversity and Trust: The Role of Intergroup Contact and Perceived Threat
2014
This research reported here speaks to a contentious debate concerning the potential negative consequences of diversity for trust. We tested the relationship between neighborhood diversity and out-group, in-group, and neighborhood trust, taking into consideration previously untested indirect effects via intergroup contact and perceived intergroup threat. A large-scale national survey in England sampled White British majority (N = 868) and ethnic minority (N = 798) respondents from neighborhoods of varying degrees of diversity. Multilevel path analyses showed some negative direct effects of diversity for the majority group but also confirmed predictions that diversity was associated indirectly with increased trust via positive contact and lower threat. These indirect effects had positive implications for total effects of diversity, cancelling out most negative direct effects. Our findings have relevance for a growing body of research seeking to disentangle effects of diversity on trust that has so far largely ignored the key role of intergroup contact.
Journal Article
The Association Between Perceived Discriminatory Climate in School and Student Performance in Math and Reading: A Cross-National Analysis Using PISA 2018
by
Agirdag, Orhan
,
Baysu, Gülseli
,
De Leersnyder, Jozefien
in
Academic achievement
,
Adolescents
,
Climate
2023
The negative consequences of perceived ethnic discrimination on adolescent adjustment are well documented. Less is known, however, about the consequences of discriminatory climates in school, beyond the individual experiences of discrimination. This study investigated whether a perceived discriminatory climate in school is associated with lower academic performance across adolescents from ethnic minority and majority groups, and which psychological mechanisms may account for this link. Using the 2018 Programme for International Student Assessment (PISA) data, the participants were 445,534 adolescents (aged 15–16, 50% girls) in 16,002 schools across 60 countries. In almost all countries, a discriminatory climate—i.e., student perceptions of teachers’ discriminatory beliefs and behaviors in school—was associated with lower math and reading scores across all pupils, although minorities perceived a more discriminatory climate. Lower school belonging and lower values attributed to learning partially mediated these associations. The findings demonstrate that schools’ ethnic and racial climates predict standardized academic performance across schools and countries among pupils from both ethnic majority and minority groups.
Journal Article
Group-Based Relative Deprivation Explains Endorsement of Extremism Among Western-Born Muslims
2019
Although jihadist threats are regarded as foreign, most Islamist terror attacks in Europe and the United States have been orchestrated by Muslims born and raised in Western societies. In the present research, we explored a link between perceived deprivation of Western Muslims and endorsement of extremism. We suggest that Western-born Muslims are particularly vulnerable to the impact of perceived relative deprivation because comparisons with majority groups’ peers are more salient for them than for individuals born elsewhere. Thus, we hypothesized that Western-born, compared with foreign-born, Muslims would score higher on four predictors of extremism (e.g., violent intentions), and group-based deprivation would explain these differences. Studies 1 to 6 (Ns = 59, 232, 259, 243, 104, and 366, respectively) confirmed that Western-born Muslims scored higher on all examined predictors of extremism. Mediation and meta-analysis showed that group-based relative deprivation accounted for these differences. Study 7 (N = 60) showed that these findings are not generalizable to non-Muslims.
Journal Article
Spatial Segmentation and the Black Middle Class
2014
Ethnographic studies of the black middle class focus attention on the ways in which residential environments condition the experiences of different segments of the black class structure. This study places these arguments in a larger demographic context by providing a national analysis of neighborhood inequality and spatial inequality of different racial and ethnic groups in urban America. The findings show that there has been no change over time in the degree to which majority-black neighborhoods are surrounded by spatial disadvantage. Predominantly black neighborhoods, regardless of socioeconomic composition, continue to be spatially linked with areas of severe disadvantage. However, there has been substantial change in the degree to which middle- and upper-income African-American households have separated themselves from highly disadvantaged neighborhoods. These changes are driven primarily by the growing segment of middle- and upper-income African-Americans living in neighborhoods in which they are not the majority group, both in central cities and in suburbs.
Journal Article
Delivering Inclusive Cultural Offers for Social Prescribing: A Realist Evaluation Involving Older People From Global Majority Backgrounds and Cultural Sector Providers in the UK
by
Tierney, Stephanie
,
Santillo, Marta
,
Potter, Caroline M.
in
Aged
,
Case studies
,
Citizen participation
2026
Introduction Research shows cultural activities benefit older people's wellbeing, but little is known about why individuals from global majority (minority ethnic) groups engage less with the mainstream cultural sector, or how it could adapt to meet their needs and encourage engagement. The TOUS study (Tailoring cultural Offers with and for diverse older Users of Social prescribing) investigated the question: What tailoring is needed, how, when and for whom, to optimise cultural offers as part of social prescribing for older people (aged 60+) from global majority groups? Methods The TOUS study involved focused ethnographies with six cultural‐sector organisations throughout the United Kingdom and 11 key informant interviews with cultural providers. A realist approach was adopted, resulting in the development of a programme theory. Results The programme theory has three pillars: (1) broker, hook, and opportunity, which support entry into cultural spaces to provide immediate benefits; (2) safety and trust, power‐sharing, and meaning, which sustain engagement; and (3) transformative outcomes, including lasting relationships, confidence, and exploring identities. Conclusions With intentional engagement and relational practices, organisations can foster inclusive cultural participation and support well‐being in later life. Patient or Public Contribution The TOUS study was guided by a public involvement group of six contributors (aged 60+ from global majority/minority ethnic backgrounds) who shared experiences of creative practice, and advised on data collection, analysis, model development, and dissemination. The study also involved collaborative analysis of data at case sites.
Journal Article