Nonparticipation as Self-Censorship: Publicly Observable Political Activity in a Polarized Opinion Climate

In a polarized opinion climate, people may refrain from participating in publicly observable political activities that make them vulnerable to scrutiny and criticism by others who hold opinions that differ from their own. We took a dispositional approach to testing this claim by determining whether people who are relatively more influenced by the climate of opinion when choosing whether or not to voice an opinion, measured with the Willingness to Self-Censor scale [Hayes et al. International Journal of Public Opinion Research 17 (2005) 298], are also relatively less likely to engage in public political activities. In a poll of residents of the United States, we found that even after controlling for interest in politics, political ideology, ideological extremity, political efficacy, attention to political news, dispositional shyness, frequency of political discussion, and demographics, dispositional self-censors reported having engaged in relatively fewer public political activities over the prior 2 years compared to those less willing to censor their own opinion expression. These results are consistent with our interpretation of political participation as a social process that is governed in part by the social psychological implications of participation to the person. At a larger theoretical level, our findings connect the literature on opinion perceptions and opinion expression with research on political participation.

A case of Munchausen syndrome by proxy with subsequent stalking behavior

A case of Munchausen syndrome by proxy (factitious disorder by proxy) wherein the patient presented with symptoms of severe borderline personality disorder and questionable psychotic symptoms is discussed. This patient was also adjudicated for harassing and stalking a child protective services worker assigned to her case. Issues pertaining to possible feigning of psychotic symptoms were addressed in her inpatient treatment. Despite doubts concerning the veracity of some of her psychotic symptoms, the patient responded well to clozapine, and she was subsequently able to stay out of the psychiatric hospital for longer periods and make a reasonably good adjustment to living in a group home. After refusing to continue with clozapine therapy because of weight gain concerns, her adjustment declined.