The Stigma of Personality Disorders

The Stigma of Personality Disorders
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人格障碍的耻辱

DOI:
10.1007/s11920-015-0654-1
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发表时间:
2016
影响因子:
6.7
通讯作者:
P. Corrigan
P. Corrigan
中科院分区:
医学2区
文献类型:
--
作者:
Lindsay Sheehan;K. Nieweglowski;P. Corrigan

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本文回顾了近年来有关人格障碍污名化的文献,包括对一般精神疾病污名化的概述和对人格特异性污名化的考察。总的来说,公众对人格障碍的认识很低,人格障碍患者可能被认为是故意行为不端,而不是经历疾病。健康提供者的耻辱似乎对那些患有边缘性人格障碍的人特别有害。大多数关于人格障碍的污名研究都是在美国以外完成的,很少有针对人格障碍的污名改变干预措施经过科学测试。有限的证据表明,卫生服务提供者培训可以改善污名化态度,并且将康复潜力的积极信息与生物病因学相结合的干预措施将对减少污名化最有影响力。考虑到这些污名来源,专门为医疗服务提供者、家庭成员、刑事司法人员和执法人员设计的反污名干预措施似乎特别有益。
This article reviews the recent literature on the stigma of personality disorders, including an overview of general mental illness stigma and an examination of the personality-specific stigma. Overall, public knowledge of personality disorders is low, and people with personality disorders may be perceived as purposefully misbehaving rather than experiencing an illness. Health provider stigma seems particularly pernicious for those with borderline personality disorder. Most stigma research on personality disorders has been completed outside the USA, and few stigma-change interventions specific to personality disorder have been scientifically tested. Limited evidence suggests that health provider training can improve stigmatizing attitudes and that interventions combining positive messages of recovery potential with biological etiology will be most impactful to reduce stigma. Anti-stigma interventions designed specifically for health providers, family members, criminal justice personnel, and law enforcement seem particularly beneficial, given these sources of stigma.
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