Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural and tribal areas of Kerala.
Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural and tribal areas of Kerala.
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DOI：
10.1177/00207640221091187
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发表时间：
2023-03
期刊：
影响因子：
--
通讯作者：
Banu A
中科院分区：
文献类型：
--
作者：
Raghavan R;Brown B;Horne F;Kumar S;Parameswaran U;Ali AB;Raghu A;Wilson A;Svirydzenka N;Venkateswaran C;Kumar M;Kamal SR;Barrett A;Dasan C;Varma A;Banu A
污名的概念被广泛用来理解围绕着有精神健康问题的人的歧视和负面观念的模式，但我们对这种模式如何在全球北部以外运作的具体细微差别知之甚少。本文旨在通过考虑患者、照顾者和社区成员的生活经验来探讨印度背景下的污名概念。从印度喀拉拉邦的城市和农村地区招募了204名参与者，代表精神健康患者、非正式照顾者和社区成员。参与者参加了访谈，在访谈中，他们被鼓励谈论他们的精神疾病经历、对这些问题的态度、遇到的障碍和支持来源。所引出的经验类似于欧洲和美国的耻辱经验，但也有针对印度情况的重要的地方层面。被诊断患有精神障碍的人在寻找婚姻伴侣方面面临的困难被视为一个重要问题，导致在某些情况下求婚被拒绝，精神健康问题者则对此保密。参与者更有可能将这视为一个集体问题，因为这可能会对整个家庭群体产生不良影响，而不只是患者。在印度的背景下，污名习语强调婚姻资格的损害，以及对家庭群体的影响，而不仅仅是对自己。
The concept of stigma has been widely used to understand patterns of discrimination and negative ideas surrounding people with mental health problems, yet we know little of the specific nuances of how this might operate beyond the ‘Global North’. This paper aims to explore the notion of stigma in an Indian context by considering the lived experience of patients, carers and community members. A sample of 204 participants, representing mental health patients, informal carers and community members was recruited from urban and rural areas in Kerala, India. Participants took part in interviews where they were encouraged to talk about their experiences of mental ill health, attitudes towards these problems, barriers encountered and sources of support. Experiences akin to the experience of stigma in Europe and the United States were elicited but there were important local dimensions specific to the Indian context. The difficulties faced by people with diagnoses of mental disorders in finding marriage partners was seen as an important problem, leading to marriage proposals being refused in some cases, and secrecy on the part of those with mental health problems. Rather than the ‘self-stigma’ identified in the US, participants were more likely to see this as a collective problem in that it could reflect badly on the family group as a whole rather than just the sufferer. In the Indian context, the idioms of stigma emphasised impairments in marriage eligibility and the implications for the family group rather than just the self.
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影响因子：
3.1
作者：
Shaji, K. S.;Raju, D.;Anand, T. N.
通讯作者：
Anand, T. N.
影响因子：
3.1
作者：
Kishore, Jugal;Gupta, Avni;Bantman, Patrick
通讯作者：
Bantman, Patrick
影响因子：
64.3
作者：
Sagar, Rajesh;Dandona, Rakhi;Dandona, Lalit
通讯作者：
Dandona, Lalit
影响因子：
1.4
作者：
Gaiha, Shivani Mathur;Sunil, Greeshma Ann;Menon, Subhadra
通讯作者：
Menon, Subhadra
影响因子：
2.9
作者：
Mills, China;Hilberg, Eva
通讯作者：
Hilberg, Eva