"Unfortunately, We Treat the Chart:" Sources of Stigma in Mental Health Settings
"Unfortunately, We Treat the Chart:" Sources of Stigma in Mental Health Settings
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DOI：
10.1007/s11126-009-9093-7
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发表时间：
2009-03-01
影响因子：
3.5
通讯作者：
Davidson, Larry
中科院分区：
文献类型：
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作者：
Flanagan, Elizabeth H.;Miller, Rebecca;Davidson, Larry
背景心理健康环境中的污名可能与社会污名一样对精神疾病患者有害。本研究采用定性-定量混合设计，探讨了心理健康环境中的污名。方法社区精神卫生服务中心的从业人员表示（1）他们治疗精神疾病患者的主观经验，（2）精神疾病患者的描述特征。结果解释现象学分析发现，跨从业者的一个主要主题是标签患者的原因和影响，一个过程从业者归因于其他从业者和/或系统的压力，以“治疗图表”，而不是病人。除了症状和缺陷之外，从业者还将精神疾病患者评为“有洞察力”和“能够康复”。“这些数据表明，心理健康环境中的耻辱可能是由于从业者的结构性，系统性压力，从业者强调症状和缺陷作为次要因素。
Background Stigma within mental health settings may be equally detrimental to people with mental illnesses as societal stigma. Aims This study investigated stigma in mental health settings through a mixed qualitative-quantitative design. Method Practitioners at a community mental health center indicated (1) their subjective experience of treating people with mental illness, and (2) descriptive features of people with mental illness. Results Interpretive phenomenological analysis found that a primary theme across practitioners was the causes and effects of labeling patients, a process practitioners attributed to other practitioners and/or to systemic pressures to "treat the chart" instead of the patient. Beyond symptoms and deficits, practitioners rated people with mental illnesses as "insightful" and "able to recover." Conclusions These data suggest that stigma in mental health settings may be due to structural, systemic pressures on practitioners, with practitioners' emphasis on symptoms and deficits as a secondary factor.