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"SOCIAL ALIENATION"
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The Alienated Subject
A timely and provocative discussion of alienation as an
intersectional category of life under racial capitalism and white
supremacy
From the divisiveness of the Trump era to the Covid-19 pandemic,
alienation has become an all-too-familiar contemporary concept. In
this groundbreaking book, James A. Tyner offers a novel framework
for understanding the alienated subject, situating it within racial
capitalism and white supremacy. Directly addressing current
economic trends and their rhetoric of xenophobia, discrimination,
and violence, The Alienated Subject exposes the universal
whitewashing of alienation.
Drawing insight from a variety of sources, including Marxism,
feminism, existentialism, and critical race theory, Tyner develops
a critique of both the liberal subject and the alienated subject.
Through an engagement with the recent pandemic and the Black Lives
Matter movement, he demonstrates how the alienated subject is
capable of both compassion and cruelty; it is a sadomasochist.
Tyner goes on to emphasize the importance of the particular places
we find the alienated subject and how the revolutionary
transformation of alienation is inherently a spatial struggle.
Returning to key interlocutors from Sartre to Fromm, he examines
political notions of distance and the spatial practices of everyday
life as well as the capitalist conditions that give rise to the
alienated subject.
For Tyner, the alienated subject is not the iconic, romanticized
image of Marx's proletariat. Here he calls for an affirmation of
love as a revolutionary concept, necessary for the transformation
of a society marred by capitalism into an emancipated, caring
society conditioned by socially just relations.
eBook
Suicidal risk among Chinese parents of autistic children and its association with perceived discrimination, affiliate stigma and social alienation
Background
Caring for autistic children becomes challenging and may lead to negative psychological outcomes, even increasing the suicide risk (SR). Researchers have studied the SR among parents of autistic children in Western nations, but little is known about it in China and how it relates to perceived discrimination (PD), affiliate stigma (AS), and social alienation (SA). The current study aimed to reveal the SR prevalence rate among Chinese parents of autistic children, and clarify whether AS and SA may play mediating roles in the association between SR and PD.
Methods
A total of 645 Chinese parents of autistic children were recruited to complete a series of scales to evaluate SR, SA, AS, and PD using the Suicidal Behaviors Questionnaire-Revised (SBQ-R), Perceived Discrimination Scale for Parents of Children with Autism Spectrum Disorders (PDS-FP), Affiliate Stigma Scale (ASS), and General Social Alienation Scale (GSAS), respectively. Then, the SR prevalence rate among Chinese parents of autistic children was evaluated; and the multiple mediation analysis and structural equation modeling with the bootstrap method were conducted to test the mediating effects of AS and SA in the association between SR and PD.
Results
34.6% Chinese parents of autistic children had high SR. In particular, the incidence rate of suicide ideation, suicide plans, suicide attempts, and suicide likelihood during the previous year were 49.8%, 11.9%, 2.5%, and 13.8%, respectively. Additionally, PD was positively associated with SR (
r
= .40,
p
< .01); and AS and SA showed significant mediating effects on the association between PD and SR (
p
< .01).
Conclusions
The current study evaluated the SR prevalence rate among Chinese parents of autistic children, and clarified the mediating effects of AS and SA in the association between SR and PD. Findings might bring new insights and guidance for intervention of suicidality among Chinese parents of autistic children.
Journal Article
The effect of social alienation on stigma among stroke inpatients in China: a cross-sectional study
Background
Stigma adversely affects the rehabilitation among stroke inpatients, which decreases the motivation and functional improvement. According to prior studies, there was a correlation between social alienation and stigma. This study aimed to investigate the factors influencing stigma among stroke inpatients, providing evidence for future targeted stigma interventions.
Methods
The study was a cross-sectional survey conducted in China from July to November 2023 using a convenience sampling method. Ethical approval for this study was obtained from the Medical Ethics Committee. A total of 220 stroke inpatients completed a demographic questionnaire, the generalized social alienation scale, and the stroke stigma scale. Multiple linear regression analysis was used to evaluate the impact of the diverse factors on stigma.
Results
The results showed that the score of stigma among stroke inpatients was 47.36 ± 4.28, indicating a moderate level of stigma. Social alienation was positively correlated with stigma(
r
= 0.366,
P
< 0.001), indicating stigma increased with the increase of social alienation. Age(
B
=-2.105,
P
< 0.001), level of education[Junior high school(
B
= 1.545,
P
= 0.040), senior high school or technical secondary school(
B
= 3.480,
P
< 0.001), undergraduate or junior college(
B
= 3.716,
P
< 0.001), and graduate(
B
= 5.483,
P
< 0.001)], and social alienation(
B
= 0.158,
P
< 0.001) were all significantly associated with stigma in stroke inpatients. Among all educational levels, graduate(
B
= 5.483,
P
< 0.001) showed the most robust correlation with stigma. The results indicated that stroke inpatients who were younger and had higher levels of education had higher levels of stigma.
Conclusions
Findings suggest that social alienation is a significant contributor to perceived stigma among stroke inpatients, particularly among younger and more educated individuals. Tailored psychosocial interventions that address feelings of social alienation may help reduce stigma in these groups.
Journal Article
The misfit's manifesto
The author explores the status of being a misfit as something to be embraced, and social misfits as being individuals of value who have a place in society, in a work that encourages people who have had difficulty finding their way to pursue their goals.
Book
Association between illness perception and social alienation among maintenance hemodialysis patients: The mediating role of fear of progression
This study aimed to investigate the mediating role of fear of progression on illness perception and social alienation among maintenance hemodialysis (MHD) patients.
MHD is frequently accompanied by increased pain and complications such as itchy skin, chronic fatigue, and muscle spasms. Cardiovascular disease rates are also elevated among MHD patients, which can heighten their anxiety regarding prognosis and treatment discomfort. This chronic fear may severely impact social functioning, leading patients to withdraw from interpersonal interactions and experience heightened helplessness and loneliness. Further investigation is necessary to understand the factors behind the high level of social alienation in MHD patients and their underlying mechanisms.
A cross-sectional study guided by the STROBE.
A convenience sample of 230 MHD patients were enrolled from January to May 2023. Data including demographic and clinical characteristics, illness perception, fear of progression, and social alienation were collected. Descriptive analysis and Pearson correlations were conducted using IBM SPSS version 25.0. The mediating effect was analyzed using Model 4 of the PROCESS macro for SPSS, with the Bootstrap method employed to assess its significance.
The score of social alienation in MHD patients was high, with illness perception and fear of progression both significantly correlated with social alienation. In the mediating effects model, illness perception can predict social alienation in MHD patients, and fear of progression use plays a part in mediating the process by which illness perception affects social alienation. The Kappa Squared (κ2) value of 21.9%, suggests a medium effect size.
Illness perception directly predicts social alienation in MHD patients and exerts an indirect effect through the mediating role of fear of progression. Suggests that healthcare professionals should concentrate on MHD patients with high negative illness perceptions to alleviate their fear of progression, thereby decreasing the level of social alienation and enhancing their integration into society.
Journal Article
Influence of symptom burden on social alienation in lung cancer patients receiving chemotherapy: the chain mediating effect of perceived social support and positive psychological capital
Background
Social alienation is prevalent among lung cancer (LC) patients undergoing chemotherapy. Although previous research has established an association between social alienation and symptom burden, the mechanisms underlying this relationship remain not fully understood.
Methods
This cross-sectional study used convenience sampling to select 378 LC patients undergoing chemotherapy from September 2022 to December 2023 at a tertiary care hospital in Guangzhou, China. Data collection was conducted using a proprietary Sociodemographic Information Questionnaire, MD Anderson Symptom Inventory (MDASI), Social Alienation Questionnaire, Perceptions of Social Support (PSS) Questionnaire, and Positive Psychological Capital (PPC) Questionnaire. To analyze chain-mediated effects, the PROCESS v3.3 Model 6 SPSS macro software was employed.
Results
The analysis revealed that the burden of symptoms significantly exacerbates social alienation, as evidenced in the mediation effects model (Bootstrap 95% CI: 0.031, 0.092). Furthermore, the burden of symptoms indirectly diminishes PSS (Bootstrap 95% CI: 0.019, 0.057) and PPC (Bootstrap 95% CI: 0.002, 0.020). It is crucial to note that both PSS and PPC significantly mediate the relationship between symptom burden and social alienation, as evidenced (Bootstrap 95% CI: 0.001, 0.011).
Conclusions
The impact of symptom burden on social alienation is moderated through PSS and PPC, manifesting both directly and indirectly. Moreover, the influence of PPC tends to mitigate the mediating role of PSS. Clinical interventions aimed at bolstering PSS and augmenting PPC may potentially alleviate social alienation and enhance the quality of life for patients undergoing chemotherapy for LC.
Journal Article