Most of my scholarship concerns applying social psychology to health issues. It flows from the recognition that our pre-existing knowledge and beliefs influence the way we react to our own bodily feelings and to other people’s health problems. When I began research in this field, I was concerned with demonstrating that what we “know” and believe can make us misinterpret physical sensations. For example, if I don’t know that some kinds of heart attacks are signalled by shooting pains in the left arm, I may fail to call 911 and thereby precipitate my own demise (if I’m the one having the pains) or the death of someone who tells me about their sinister pain. Or, if I believe that (say) fluorescent lights can cause body temperature to fluctuate, I may misinterpret normal sensations as “proof” of my belief (by the way, fluorescent lighting has no known effect on body temperature). We refer to such knowledge and beliefs as mental representations of illness.
Mental representations can affect our reactions to others who are sick. For example, if I believe disease X can be prevented by taking appropriate precautions, I may devalue individuals with disease X, as often happens when people catch STDs. Thinking that disease Y is caused by “stress” can make us doubt the suffering of people with disease Y or recommend ineffective treatments, as was done for years with peptic ulcers.
Recently, I’ve extended this representational metaphor to the case of how people communicate about health problems. When we ask people, “Does that hurt?” or “How often do you have headaches?,” their answers depend not just on what they feel but also on what they think is the purpose of the question and what they remember. Each of these, in turn, can depend on social context. When a drill sergeant asks a boot camp trainee, “Does that hurt?” the question has very different meaning than when it comes from the medic at the infirmary. The way we ask people about their health makes them think about the kind of answer we want and perhaps introduces distortion into the communication process. My most recent research has addressed such subtleties such as the temporal framing of health questions and the kinds of response alternatives people have their disposal.
- Applied Social Psychology
- Attitudes and Beliefs
- Causal Attribution
- Gender Psychology
- Health Psychology
- Judgment and Decision Making
- Person Perception
- Persuasion, Social Influence
- Research Methods, Assessment
- Social Cognition
- Skelton, J. A. (1995). Patient distress undermines the credibility of illness complaints. Journal of Applied Social Psychology, 25(23), 2067-2085.
- Skelton, J. A. (1992). Using the Prisoner's Dilemma as a classroom demonstration of situationism. Contemporary Social Psychology, 16, 16-20.
- Skelton, J. A., Loveland, J. E., & Yeagley, J. L. (1996). Recalling symptom episodes affects reports of immediately experienced symptoms: Inducing symptom suggestibility. Psychology and Health, 11, 183-201.
- Skelton, J. A., Pepe, M. M., & Pineo, T. S. (1995). How much better is clozapine? A meta-analytic review and critical appraisal. Experimental and Clinical Psychopharmacology, 3(3), 270-279.
- Skelton, J. A. (1996). Social consequences of disclosing psychosocial concomitants of disease and injury. In S. Sauter & S. Moon (Eds.), Beyond biomechanics: Psychosocial aspects of musculoskeletal disorder (pp. 217-229). London: Taylor & Francis.
- Skelton, J. A. (1991). Laypersons? judgments of patient credibility and the study of illness representations. In J. A. Skelton & R. T. Croyle (Eds.), Mental representation in health and illness (pp. 108-131). New York: Springer-Verlag.
- Skelton, J. A., & Croyle, R. T. (1991). Mental representation, health, and illness: An introduction. In J. A. Skelton & R. T. Croyle (Eds.), Mental representation in health and illness (pp. 1-9). New York: Springer-Verlag.
- Skelton, J. A., & Pennebaker, J. W. (1990). The verbal system. In J. T. Cacioppo & L. G. Tassinary (Eds.), Principles of psychophysiology: Physical, inferential, and social elements New York: Cambridge University Press.
- Analysis of Psychological Data
- Research Methods in Social Psychology
- Social Psychology
- Thinking About Illness
James A. Skelton
Department of Psychology
Carlisle, Pennsylvania 17013
- Phone: (717) 245-1255
- Fax: (717) 245-1971