Lessons learned from unintended consequences about erasing the stigma of mental illness
Lessons learned from unintended consequences about erasing the stigma of mental illness
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DOI：
10.1002/wps.20295
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发表时间：
2016-02-01
期刊：
影响因子：
73.3
通讯作者：
Corrigan, Patrick W.
中科院分区：
文献类型：
--
作者：
Corrigan, Patrick W.
倡导者和科学家已经合作开发和评估旨在消除不同形式耻辱的恶劣影响的项目。已经收集了足够的证据，可以总结出改变污名的方法。其中一些最有洞察力的教训出现在善意方法的意外后果中，也是本文的重点。这些问题包括：教育的益处有限，尤其是与接触相比；战胜污名不仅仅是改变言语；要小心同情作为一种信息；理解改变污名的相互竞争的议程；用团结取代常态的想法；避免将自我污名视为精神疾病患者的问题，而不是社会的问题。论文最后考虑了精神病学家和其他心理健康提供者在改变耻辱方面应该扮演的后座角色。
Advocates and scientists have partnered to develop and evaluate programs meant to erase the egregious effects of the different forms of stigma. Enough evidence has been collected to yield lessons about approaches to stigma change. Some of the most insightful of these lessons emerge from unintended consequences of good intentioned approaches, and are the focus of this paper. They include the limited benefits of education especially when compared to contact, beating stigma is more than changing words, beware pity as a message, understand the competing agendas of stigma change, replace ideas of normalcy with solidarity, and avoid framing self-stigma as the problem of people with mental illness and not of society. The paper ends with consideration of the back seat role that psychiatrists and other mental health providers should have in stigma change.