Renaming schizophrenia coupled with proper public education is an optimal way to overcome stigma
Renaming schizophrenia coupled with proper public education is an optimal way to overcome stigma
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重新命名精神分裂症加上适当的公共教育是克服耻辱的最佳方法
DOI：
10.1017/s0033291713000901
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发表时间：
2013
期刊：
影响因子：
6.9
通讯作者：
Takei N
中科院分区：
文献类型：
--
作者：
Sugihara G;Takei N
在日本，自 2002 年起，Seishin Bunretsu Byo（精神分裂症）（精神分裂症的直接翻译）这一名称已被 Togo-Shitcho Sho（整合失调综合征）取代（Sato，2006）。新名称已被社会广泛接受； Togo-Shitcho Sho 已用于官僚文件、媒体、出版材料以及临床环境中。官方宣布更新名称后，由主治医生告知诊断的患者比例上升：从推出前一年的37%上升到次年的65%。这反映了这样一个事实：超过 80% 的日本精神病学家报告说，与旧名称相比，新名称更容易传达给患有这种疾病的患者（Sato，2006）。此外，大多数日本精神病学家都肯定地记录了新名称有助于提高治疗依从性，并改善这种疾病被耻辱笼罩的不良形象（Sato，2006）。这些至少部分归因于旧术语所具有的错误的内在印象。在东京进行的一项调查中，大学生更有可能将以前的标签与犯罪行为联系起来，而不是新名称（Takahashi et al. 2009）。因此，这个新术语的引入受到了患者本身、精神卫生专业人士和公众的欢迎，从公共卫生角度和社区接受度的角度来看，可能是有益的。然而，仅仅重新命名该疾病可能还不够，因为更名并不能解决根深蒂固的耻辱感；例如，有人指出公众对该疾病的真实性质的无知以及对精神分裂症患者的恐惧（Lieberman＆First，2007）。在这方面，我们同意 George & Klijn (2013) 提出的观点，即公共教育对于减少耻辱很重要。如果更换标签，有关内容的错误知识将无法得到纠正。
In Japan, the name of Seishin Bunretsu Byo (mind-split disease), a direct translation of schizophrenia, has been replaced with Togo-Shitcho Sho (integration dysregulation syndrome) since 2002 (Sato, 2006). The new name has been widely accepted in society; Togo-Shitcho Sho has been used in bureaucratic documents, the media, and published materials, as well as in clinical settings. After the official announcement about renewing the name, the proportion of patients who were informed of their diagnosis by attending physicians rose: from 37% in a year before the introduction to 65% in the following year. This reflects the fact that over 80% of Japanese psychiatrists reported that the new name was easier to convey to patients afflicted with the condition compared with the old term (Sato, 2006). In addition, the majority of Japanese psychiatrists were found to be affirmative in documenting that the new name serves to improve treatment compliance, and to ameliorate the ill image of the disorder shrouded by stigma (Sato, 2006). These are, at least in part, attributable to the erroneously built-in impression the old term bears; in a survey conducted in Tokyo, college students were more likely to relate the previous label to criminal conducts than the new name (Takahashi et al. 2009). Thus, the introduction of the new term, which has been welcomed by patients themselves as well as mental health professionals and the public, may be beneficial in the context of a public health perspective and acceptance by the community.However, merely renaming the disease may not be sufficient, since a change of name does not resolve the deep-rooted stigma; for instance, the public’s ignorance of the true nature of the disease and fear of people with a condition of schizophrenia have been pointed out (Lieberman & First, 2007). In this respect, we are in agreement with the point made by George & Klijn (2013) that public education is important in reducing stigma. If the label were replaced with a different one, fallacious knowledge about the content would not be rectified.