The Public Stigma of Mental Illness: What Do We Think; What Do We Know; What Can We Prove?

The Public Stigma of Mental Illness: What Do We Think; What Do We Know; What Can We Prove?
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DOI:
10.1177/0022146512471197
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发表时间:
2013-03-01
影响因子:
5
通讯作者:
Pescosolido, Bernice A.
Pescosolido, Bernice A.
中科院分区:
医学2区
文献类型:
--
作者:
Pescosolido, Bernice A.

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到了20世纪90年代,社会学面临着一个令人沮丧的悖论。关于精神疾病污名化和标签化理论的经典研究强调,精神疾病的“标记”会给个人和家庭成员带来偏见和歧视。然而,这个基础,加上精神卫生保健的去机构化,产生了相互矛盾的反应。有人声称耻辱正在消散,而另一些人则认为需要采取干预措施来减少耻辱。虽然表明了基于理论的研究在确定耻辱的普遍影响方面的关键作用,但这两种说法都将资源从社会科学研究中转移出去。然而,支撑这两种说法的当代科学基础都很薄弱。针对精神疾病污名的研究在国内和国际上重新兴起,首次将来自不同学科的研究人员聚集在一起。我报告了一般人群的态度、信念和行为倾向,这些都是针对公众的耻辱和未来十年研究和干预努力的影响。
By the 1990s, sociology faced a frustrating paradox. Classic work on mental illness stigma and labeling theory reinforced that the "mark" of mental illness created prejudice and discrimination for individuals and family members. Yet that foundation, coupled with deinstitutionalization of mental health care, produced contradictory responses. Claims that stigma was dissipating were made, while others argued that intervention efforts were needed to reduce stigma. While signaling the critical role of theory-based research in establishing the pervasive effects of stigma, both claims directed resources away from social science research. Yet the contemporary scientific foundation underlying both claims was weak. A reply came in a resurgence of research directed toward mental illness stigma nationally and internationally, bringing together researchers from different disciplines for the first time. I report on the general population's attitudes, beliefs, and behavioral dispositions that targeted public stigma and implications for the next decade of research and intervention efforts.