Heteronormativity is the presumption of heterosexuality as the default sexual orientation and can result in discrimination against the lesbian, gay, and bisexual (LGB) population. This study serves as one of the first experimental studies to examine heteronormative perceptions in communication and their effects on practitioner-patient relationships.LGB participants were randomly assigned to read either heteronormative or non-heteronormative vignettes of a doctor-patient interaction. They then indicated how much health-relevant information they would disclose to the doctor in the vignette and their level of trust in the doctor. In the heteronormative condition, participants were less likely to disclose healthrelevant information to the doctor in the vignette and were less trustful of the doctor as compared to those in the non-heteronormative condition. These results have important health implications, as lack of disclosure and trust may prevent people from getting needed care and prevent doctors from giving the best health advice possible. The results of this study provide further evidence that there is a need for more education for all health care professionals to feel comfortable while respectfully communicating with and treating patients who do not identify as heterosexual in order to ensure the best health care experience.

After people experience social rejection, one tactic to restore a sense of belonging is to selectively attend to and readily perceive cues that connote acceptance. The multimotive model of responses to rejection suggests that contextual features of the rejection are important determinants of how people are motivated to respond. According to this model, when rejection is construed as pervasive and chronic, people will be less likely to adopt strategies that promote belonging. Across two studies, we found that chronic rejection-in the context of stigmatization-predicted a slower response time to smiling faces and less recognition of affiliation-related words as compared to a nonstigmatized control group. These results suggest that, unlike more transitory forms of rejection, stigmatization leads to slower detection of signs of acceptance. These responses may hinder belonging repair and thus have important negative implications for health and well-being.

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The short-term effects of rejection on state selfesteem, negative affect, and hurt feelings have been examined in many laboratory experiments. These studies generally find that rejection causes an immediate decrease in feelings of personal adequacy and self-esteem AbstractAlthough many studies have examined the short-term effects of rejection in laboratory settings, few have investigated the impact of rejection over time or in real-world contexts. The university sorority recruitment process offers a unique opportunity to address these shortcomings. Women participating in sorority recruitment were surveyed directly before recruitment, directly after recruitment, and 3 months later. Rejected women experienced decreases in all indicators of well-being directly after recruitment and did not return to baseline on depressive symptoms, positive mental health, satisfaction with life, perceived belonging, or perceived social status 3 months later. Accepted women showed no long-term changes in well-being, with the exception that happiness and perceived social status increased from baseline. A comparison group of women who did not participate in sorority recruitment showed no significant long-term changes in well-being. Perceived belonging, but not social status, significantly mediated the long-term emotional effects of rejection. These results document that rejection experiences can have long-lasting effects.