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Virtual vs. Actual Social Identity
VIRTUAL SOCIAL IDENTITY
The character we impute to someone
— the assumptions and demands we
make about who they should be, often
before we consciously realize we're
making them.
ACTUAL SOCIAL IDENTITY
The category and attributes a person
can actually be shown to possess —
which may or may not match the
virtual identity projected onto them.
what is stigma
Stigma is an attribute that is deeply discrediting and serves as a gap between someone’s virtual identity and actual identity.
3 types of stigma
1.Abominations of the Body-
Physical characteristics that
set someone apart from
bodily norms in a way that
receives a negative response.
2.blemishes of character-
Inferred from a known record:
mental disorder, addiction,
imprisonment,
unemployment, radical
politics — read as signs of
weak will.
3.tribal stigma-Tied to race, nation, religion,
or other group one is part of
— transmitted through
lineage, contaminating all
members of a group equally.
Two ways to manage a stigma?
PASSING
Concealing the stigmatizing
attribute entirely, so that one is
treated as an ordinary member of
the setting rather than being seen
as “deviant.”
COVERING
Minimizing the visibility or
disruptive impact of a known
difference that can't be fully hidden
— keeping it from becoming the
focus of an interaction
The Discredited vs. The Discreditable
THE DISCREDITED
Their stigmatizing difference is
already known or immediately
visible to others.
Central challenge: managing tension —
how to carry a known difference
through everyday encounters without it
dominating every interaction. Do you try
to “cover” in Goffman’s terminology?
THE DISCREDITABLE
Their difference is not yet known or
perceivable by those present.
Central challenge: managing
information — deciding when, how, and
to whom to disclose, and living with the
risk of discovery. Do you try to “pass,” in
Goffman’s terminology?
“Mixed Contacts”: Where Stigma Gets Negotiated
Goffman's central concern isn't the trait itself, but what happens when a stigmatized
person and a “normal” occupy the same social situation.
FELT SHAME
Stigmatized individuals often absorb the same standards as everyone else —
shame can surface even alone, facing a mirror, with no observer present.
ANTICIPATED INTERACTION
Both sides tend to feel unsteady: the stigmatized person fears being misread
or patronized; the “normal” fears seeming too solicitous or too dismissive.
THE SPIRAL OF AWARENESS
Discomfort becomes something each side senses the other is aware of —
aware of being aware — a regress Goffman says has no natural stopping point.
Goffman refers to non-deviant people as:
normals
CORE ARGUMENT
Thamm et al. (2024)
Thamm and colleagues argue that head & neck cancer (HNC) is not just treated as a
disease — it’s talked about as a form of deviance, shaping how patients are treated.
WHY SUSCEPTIBLE TO STIGMA?
It is visible — disfigurement and lost function can't be hidden behind
clothing, unlike many other surgeries.
It is linked to modifiable “risk” behaviors — smoking, drinking, and sexual
activity — that carry their own moral weight.
Health itself is treated as the social norm, so any disease reads as a
deviation from it — and HNC's visibility makes that deviation especially
hard to manage.
BOTTOM LINE
Theirs is a social-constructionist
reading of stigma: Deviance and
stigma aren't properties of a person,
but social beliefs, norms, and values
shape how a condition gets talked
about (and felt socially).
What concepts did we learn from Goffman?
A vocabulary: virtual vs. actual identity,
discredited vs. discreditable, passing,
covering, mixed contacts.
Labels and Categories: “Old School” vs. HPV-Positive
Clinicians in the study sorted patients into informal categories — sociodemographic
shorthand that carried moral assumptions along with it.
THE “OLD SCHOOL” GROUP
Described by one clinician as older, heavier
drinkers and smokers, often lower income
— a category that bundles disease with
class and lifestyle assumptions in a single
collective noun.
Even patients used this category to distance
themselves from other patients in the
waiting room.
THE “HPV-POSITIVE” GROUP
Described as younger, professional, and
working — a category with its own burden,
since these patients are often still primary
earners sidelined for months of treatment.
Categorization is meant to describe — but it
removes the person from the picture, and
the label starts to do the stigmatizing.
According to Goffman, stigma is defined as
spoiled identity
a social phenomenon where an individual is disqualified from full social acceptance due to a perceived flaw, creating a “spoiled identity.”
“Mental Illness”
• Defining “mental illness” is not so
easy.
• Involves some sort of norm
violation and potential for stigma.
ILLNESS AND POLITICAL SOCIAL CONTROL:
A FEW EXAMPLES RELATED TO MENTAL ILLNESS
• 1960s-1986: The Soviet Union labeled dissidents as “mentally ill” and put
them in psychiatric facilities with diagnoses like “sluggish schizophrenia.”
• 1980s China: Roughly 15% of psychiatric cases had political origins. Those
who wrote or made speeches that were anti-government were potentially
subject to labeling and institutionalization.
• Under slavery: Enslaved people who tried to flee captivity were labeled with
“Drapetomania” (”sulky and dissatisfied without cause”). Treatment included
removing both big toes.
• In 1958, Black history professor and activist Clennon W. King Jr was
institutionalized in a mental hospital for 12 days after he tried to enroll in
summer graduate classes at Ole Miss (“must be crazy”).
The label of “crazy” or “sick” has been politically used to control people who
violate social norms or seek social change.
People do experience real mental health crises and chronic
psychological issues that make life challenging.
• Social, economic, and cultural forces shape the likelihood of
mental illness occurring and its severity.
• Addressing mental health is important for individuals’ well-being
as well as social stability.
• Mental illness can still be stigmatizing.
3 parts of mental health
biological
social
psychological
They’re all affecting each other and play a role in mental health
and social interaction, labeling, and power
how can we see mental health as a form of medicalized deviance?:
THE FRAMEWORK (Johnson 2025)
Sociologically, a society carves out some experiences,
perceptions, and beliefs as “mental illness” as distinct
from “normal” mental health — it isn’t an illness in
nature but in social labeling and interpretation.
What is the “DSM”?
“Diagnostic & Statistical Manual of mental disorders”
Define what is officially a
“mental illness.”
• Standardize criteria for diagnosing people using shared
language.
• Provide treatment guidance.
• Supplies diagnostic codes required for insurance and legal documentation.