Sex bias in pain management decisions.

In the pursuit of mental and physical health, effective pain management stands as a cornerstone. Here, we examine a potential sex bias in pain management. Leveraging insights from psychological research showing that females' pain is stereotypically judged as less intense than males' pain, we hypothesize that there may be tangible differences in pain management decisions based on patients' sex. Our investigation spans emergency department (ED) datasets from two countries, including discharge notes of patients arriving with pain complaints (N = 21,851). Across these datasets, a consistent sex disparity emerges. Female patients are less likely to be prescribed pain-relief medications compared to males, and this disparity persists even after adjusting for patients' reported pain scores and numerous patient, physician, and ED variables. This disparity extends across medical practitioners, with both male and female physicians prescribing less pain-relief medications to females than to males. Additional analyses reveal that female patients' pain scores are 10% less likely to be recorded by nurses, and female patients spend an additional 30 min in the ED compared to male patients. A controlled experiment employing clinical vignettes reinforces our hypothesis, showing that nurses (N = 109) judge pain of female patients to be less intense than that of males. We argue that the findings reflect an undertreatment of female patients' pain. We discuss the troubling societal and medical implications of females' pain being overlooked and call for policy interventions to ensure equal pain treatment.

The optics of lying: How pursuing an honest social image shapes dishonest behavior.

People frequently engage in dishonest behavior. Yet, they do so only to a limited extent, often forgoing potential profits. In the past few decades, the dominant psychological account explaining people's "limited dishonesty" characterized this behavior as driven by a desire to preserve a positive image of the self. Recently, a new account has been put forward, based on social considerations. This social image account claims that limited dishonesty is driven by a desire to be viewed positively by others. Here we review empirical findings from psychology and behavioral economics on the role of social image in dishonest behavior. We conclude by suggesting that both self-image and social image are at play.