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Do they do what they say?
Questioning the link between self-reported
attitudes towards people with intellectual
disabilities and actual behaviour
Katrina Scior, Michelle Wilson & Richard Grove
Division of Psychology & Language Sciences, University College London
Background
Need to obtain as accurate a picture of attitudes
as possible:
•To track changes over time
•To identify targets for intervention
•To evaluate impact of interventions
3 Component Model of Attitudes
Cognitive component
(how one thinks about X)
Affective component
(how one feels about X)
Behavioural component
(how one acts towards X)
BUT…
•Self-report methods dominate the field
•Constant shortcoming: limited attention to link
Cognitive & Affective
Aspects of Attitudes
measured
Actual Behaviour
Why is reliance on self-report problematic?
• Social desirability bias
• Demand characteristics
Ways to get around this
Werner (2015, JIDR):
Direct versus indirect questions
Vignette of 30 year old man with ID who turns to
you/Joseph with a question, then:
(1)Direct questions: How would you think, feel and
behave?
(2)Indirect: how would Joseph think, feel and behave in
same situation?
In (2) found higher levels of stigma, including more
negative affect, withdrawal, avoidance and less helping
Ways we are researching
1. Implicit attitudes
2. Relationship between these and explicit
attitudes
3. Direct tests of real life behaviour
4. Relationship between such behaviour and
measures of explicit and implicit attitudes
Relationship between explicit and implicit
attitudes (Wilson & Scior, under review)
326 participants, 18 years + (M= 35 years, SD = 12.07)
Mostly highly educated (78.2% graduates)
1.Single Target –Implicit Association Test
2.Community Living Attitude Scale-ID version (CLAS-ID)
Two social distance scales:
3.Intellectual Dis. Literacy Scale (IDLS)
4.Multidimensional Attitude Scale on Mental Retardation
(MASMR)
Assessing Implicit attitudes
The Implicit Association Test (IAT)
usually two categories
For a taster see Project Implicit @ Harvard
Score=
Response time
+ Error rate
Words as stimuli, not pictures
No comparison category (e.g. white vs black)
(1) Attribute category words are sorted into two categories (pleasant
or unpleasant) using 2 keyboard keys
Pleasant words: happiness, laughter, joyful, rainbow, sunshine
Unpleasant words: sickness, hatred, disease, terrible, poison
(2) Words attributed to target category ID added to one or other
response key: dependent, mental handicap, slow learner, impaired, special needs
Single Target IAT (ST-IAT) specific to ID
(Wilson & Scior, under review)
Congruent condition
Pleasant Unpleasant
Or
Intellectual Disabilities
Special Needs
Incongruent condition
Pleasant Unpleasant
Or
Intellectual Disabilities
Special Needs
Participant sorts stimulus words across 5 blocks (20 to 40 trials each)
Timed test: speed and error rate determine score
Distribution of participants across ST-IAT
score ranges
N %
Strong negative (-2 to -0.65) 25 7.60
Moderate negative (-0.65 to -0.36) 89 27.05
Slight negative (-0.36 to -0.15) 70 21.28
No preference / neutral (-0.15 to 0.15) 85 25.84
Slight positive (0.15 to 0.36) 44 13.37
Moderate positive (0.36 to 0.65) 12 3.65
Strong positive (0.65 to 2) 4 1.21
Key Findings
N M SD
ST-IAT d-scorea
329 -0.18 0.34
IDLS Social Distanceb
338 2.52 1.17
MASMR Social Distancec
338 1.42 0.43
CLAS-IDd
Empowerment 338 4.64 0.83
Exclusion 338 1.51 0.71
Sheltering 338 3.30 0.82
Similarities 338 5.51 0.64
a
Scores range from -2 to 2 (-2 to -0.15 negative bias, 0.15 to 2 positive implicit bias
b
Scores range from 1 to 7 (lower scores =lower social distance)
c
Scores range from 1 to 4 (lower scores =lower social distance)
d
Scores range from 1 to 6 (Exclusion & Sheltering: higher scores=pro exclusion/paternalism;
Empowerment & Similarities: higher scores=pro inclusion/equality)
• Sample showed particularly positive explicit
attitudes towards individuals with ID
• MASMR social distance scores similarly low as
representative Canadian general population
sample (Ouellette-Kuntz et al., 2010)
• But neutral to slightly negative implicit
attitudes; 35% held moderately to strongly
negative implicit attitudes
Summary
Correlations ST-IAT with explicit measures
Measure 1 2 3 4 5 6
1 ST-IAT --
2 CLAS-ID
Empowerment .002 --
3 CLAS-ID
Exclusion
-.07 -.38** --
4 CLAS-ID
Sheltering
.01 -.33** .16** --
5 CLAS-ID
Similarities
.01 .45** -.43** -.23** --
6 IDLS
Social Distance
-.12* -.39** .41** .22** -.37** --
7 MASMR
Social Distance
-.06 -.40** .42** .23** -.42** .57**
Kendall’s Tau-b Bonferroni corrected (Wilson & Scior, under review)
The role of participant characteristics
Implicit attitudes did not vary according to
participants’:
•level or type of contact with people with ID
•gender
•educational attainment
Frequency of contact
In contrast, all four affected explicit attitudes
No/infrequent
contact
Daily
contact
What does this tell us?
Implicit attitudes are less positive than explicit
attitudes, BUT:
Do implicit attitudes provide a more realistic reflection
of general antipathy?
Do they reflect ‘aversive disablism’?
e.g. advocate empowerment and inclusion of people with ID, but
choose not to use shared leisure facilities
Or
Do implicit attitudes simply reflect widespread negative
stereotypes?
What is the likely impact on behaviour?
Meta-analytic data suggest:
1.Implicit attitudes have moderate predictive validity of an
individual’s behaviour (Greenwald et al., J. Pers. Soc. Psychology, 2009)
2.Behaviours not consciously controllable, e.g. eye contact or
body language, more influenced by implicit attitudes. More
deliberate behaviours, e.g. verbal interactions, more influenced by
explicit attitudes (Dovidio et al., J. Pers. Soc. Psychology, 2002)
3.Explicit attitudes likely to influence behaviour when person has
motivation or time to consider consequences of their actions.
4.BUT, when time constrained or motivation low, implicit
attitudes more likely to influence behaviour.
So?
Positive explicit attitudes may drive fairly
positive deliberate behaviour towards people
with ID
Negative implicit attitudes may drive subtly
prejudiced non-verbal behaviours
But I’m still troubled by this
behaviour thing dude…
But I’m still troubled by this
behaviour thing dude…
So how on earth do we test this?
Implicit Attitudes
Explicit Attitudes
How have others tested the relationship?
Mostly, they haven’t!
•Zsambok et al. (1999): survey relating to mock plan for
opening a local group home for people with ID versus
mock petition drive for said home.
Found only moderate correlation between reported opinions
and number of petition signatures
•Mental health stigma:
Norman et al., 2010; Tidswell, 2011
”Set up chairs please!”
Current Study
Pilot RCT in 2ndary comprehensive schools
Measures & Procedure
1) Mock real life behaviour: vote on having
apprentices with/without ID work in school
cafeteria
2) Distraction Task
3) Explicit: Attitudes towards Persons with ID
(ATPID)
4) Paper based IAT
5) Debrief and short education session
Paper based ST-IAT
• More attention needed to behaviour and to
relationship attitudes behaviour
• Major constraint: poor understanding of
concept of ID – need to create frame of
reference but can be intervention in itself
• Further development work and research
needed to use implicit measures in ID research
• Funding constraints often limit sampling- need
to find ways around this
Conclusions
k.scior@ucl.ac.uk

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Do implicit attitudes predict real-life behavior towards those with intellectual disabilities

  • 1. Do they do what they say? Questioning the link between self-reported attitudes towards people with intellectual disabilities and actual behaviour Katrina Scior, Michelle Wilson & Richard Grove Division of Psychology & Language Sciences, University College London
  • 2. Background Need to obtain as accurate a picture of attitudes as possible: •To track changes over time •To identify targets for intervention •To evaluate impact of interventions
  • 3. 3 Component Model of Attitudes Cognitive component (how one thinks about X) Affective component (how one feels about X) Behavioural component (how one acts towards X)
  • 4. BUT… •Self-report methods dominate the field •Constant shortcoming: limited attention to link Cognitive & Affective Aspects of Attitudes measured Actual Behaviour
  • 5. Why is reliance on self-report problematic? • Social desirability bias • Demand characteristics
  • 6. Ways to get around this Werner (2015, JIDR): Direct versus indirect questions Vignette of 30 year old man with ID who turns to you/Joseph with a question, then: (1)Direct questions: How would you think, feel and behave? (2)Indirect: how would Joseph think, feel and behave in same situation? In (2) found higher levels of stigma, including more negative affect, withdrawal, avoidance and less helping
  • 7. Ways we are researching 1. Implicit attitudes 2. Relationship between these and explicit attitudes 3. Direct tests of real life behaviour 4. Relationship between such behaviour and measures of explicit and implicit attitudes
  • 8. Relationship between explicit and implicit attitudes (Wilson & Scior, under review) 326 participants, 18 years + (M= 35 years, SD = 12.07) Mostly highly educated (78.2% graduates) 1.Single Target –Implicit Association Test 2.Community Living Attitude Scale-ID version (CLAS-ID) Two social distance scales: 3.Intellectual Dis. Literacy Scale (IDLS) 4.Multidimensional Attitude Scale on Mental Retardation (MASMR)
  • 9. Assessing Implicit attitudes The Implicit Association Test (IAT) usually two categories For a taster see Project Implicit @ Harvard Score= Response time + Error rate
  • 10. Words as stimuli, not pictures No comparison category (e.g. white vs black) (1) Attribute category words are sorted into two categories (pleasant or unpleasant) using 2 keyboard keys Pleasant words: happiness, laughter, joyful, rainbow, sunshine Unpleasant words: sickness, hatred, disease, terrible, poison (2) Words attributed to target category ID added to one or other response key: dependent, mental handicap, slow learner, impaired, special needs Single Target IAT (ST-IAT) specific to ID (Wilson & Scior, under review)
  • 12. Incongruent condition Pleasant Unpleasant Or Intellectual Disabilities Special Needs Participant sorts stimulus words across 5 blocks (20 to 40 trials each) Timed test: speed and error rate determine score
  • 13. Distribution of participants across ST-IAT score ranges N % Strong negative (-2 to -0.65) 25 7.60 Moderate negative (-0.65 to -0.36) 89 27.05 Slight negative (-0.36 to -0.15) 70 21.28 No preference / neutral (-0.15 to 0.15) 85 25.84 Slight positive (0.15 to 0.36) 44 13.37 Moderate positive (0.36 to 0.65) 12 3.65 Strong positive (0.65 to 2) 4 1.21
  • 14. Key Findings N M SD ST-IAT d-scorea 329 -0.18 0.34 IDLS Social Distanceb 338 2.52 1.17 MASMR Social Distancec 338 1.42 0.43 CLAS-IDd Empowerment 338 4.64 0.83 Exclusion 338 1.51 0.71 Sheltering 338 3.30 0.82 Similarities 338 5.51 0.64 a Scores range from -2 to 2 (-2 to -0.15 negative bias, 0.15 to 2 positive implicit bias b Scores range from 1 to 7 (lower scores =lower social distance) c Scores range from 1 to 4 (lower scores =lower social distance) d Scores range from 1 to 6 (Exclusion & Sheltering: higher scores=pro exclusion/paternalism; Empowerment & Similarities: higher scores=pro inclusion/equality)
  • 15. • Sample showed particularly positive explicit attitudes towards individuals with ID • MASMR social distance scores similarly low as representative Canadian general population sample (Ouellette-Kuntz et al., 2010) • But neutral to slightly negative implicit attitudes; 35% held moderately to strongly negative implicit attitudes Summary
  • 16. Correlations ST-IAT with explicit measures Measure 1 2 3 4 5 6 1 ST-IAT -- 2 CLAS-ID Empowerment .002 -- 3 CLAS-ID Exclusion -.07 -.38** -- 4 CLAS-ID Sheltering .01 -.33** .16** -- 5 CLAS-ID Similarities .01 .45** -.43** -.23** -- 6 IDLS Social Distance -.12* -.39** .41** .22** -.37** -- 7 MASMR Social Distance -.06 -.40** .42** .23** -.42** .57** Kendall’s Tau-b Bonferroni corrected (Wilson & Scior, under review)
  • 17. The role of participant characteristics Implicit attitudes did not vary according to participants’: •level or type of contact with people with ID •gender •educational attainment Frequency of contact In contrast, all four affected explicit attitudes No/infrequent contact Daily contact
  • 18. What does this tell us? Implicit attitudes are less positive than explicit attitudes, BUT: Do implicit attitudes provide a more realistic reflection of general antipathy? Do they reflect ‘aversive disablism’? e.g. advocate empowerment and inclusion of people with ID, but choose not to use shared leisure facilities Or Do implicit attitudes simply reflect widespread negative stereotypes?
  • 19. What is the likely impact on behaviour? Meta-analytic data suggest: 1.Implicit attitudes have moderate predictive validity of an individual’s behaviour (Greenwald et al., J. Pers. Soc. Psychology, 2009) 2.Behaviours not consciously controllable, e.g. eye contact or body language, more influenced by implicit attitudes. More deliberate behaviours, e.g. verbal interactions, more influenced by explicit attitudes (Dovidio et al., J. Pers. Soc. Psychology, 2002) 3.Explicit attitudes likely to influence behaviour when person has motivation or time to consider consequences of their actions. 4.BUT, when time constrained or motivation low, implicit attitudes more likely to influence behaviour.
  • 20. So? Positive explicit attitudes may drive fairly positive deliberate behaviour towards people with ID Negative implicit attitudes may drive subtly prejudiced non-verbal behaviours
  • 21. But I’m still troubled by this behaviour thing dude… But I’m still troubled by this behaviour thing dude…
  • 22. So how on earth do we test this? Implicit Attitudes Explicit Attitudes
  • 23. How have others tested the relationship? Mostly, they haven’t! •Zsambok et al. (1999): survey relating to mock plan for opening a local group home for people with ID versus mock petition drive for said home. Found only moderate correlation between reported opinions and number of petition signatures •Mental health stigma: Norman et al., 2010; Tidswell, 2011 ”Set up chairs please!”
  • 24. Current Study Pilot RCT in 2ndary comprehensive schools
  • 25. Measures & Procedure 1) Mock real life behaviour: vote on having apprentices with/without ID work in school cafeteria 2) Distraction Task 3) Explicit: Attitudes towards Persons with ID (ATPID) 4) Paper based IAT 5) Debrief and short education session
  • 26.
  • 28. • More attention needed to behaviour and to relationship attitudes behaviour • Major constraint: poor understanding of concept of ID – need to create frame of reference but can be intervention in itself • Further development work and research needed to use implicit measures in ID research • Funding constraints often limit sampling- need to find ways around this Conclusions

Editor's Notes

  1. Pattern of implicit attitudes was interesting, suggesting that as contact increases implicit attitudes become more positive, up to the point of daily contact where attitudes become more negative, resembling those of individuals with no or only infrequent contact. More negative implicit attitudes among those in daily contact may be evoked by involvement in some form of direct support or caring role. Research has identified that carers of individuals with intellectual disabilities often experience significant levels of stress and strain. Merits further investigation. No significant differences in implicit attitudes according to gender & education contrasts with previous research into explicit attitudes where women and more highly educated people often express more positive attitudes. Implicit attitudes may be more stable and less affected by respondent characteristics, whereas explicit evaluations may be subject to consciously accessible knowledge being appraised and thus influencing reactions, e.g. those with higher educational attainments may be more aware that advocating for inclusion is desirable and thus more likely to endorse such views.