Special section on stigma as a barrier to recovery: Introduction.
Special section on stigma as a barrier to recovery: Introduction.
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关于耻辱作为康复障碍的特别章节：简介。
DOI：
10.1176/appi.ps.52.12.1613
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Perlick,DA
中科院分区：
文献类型：
--
作者：
Perlick,DA
污名化是康复的障碍，可以预期污名化也会对患病者产生影响。值得注意的是，尽管这些论文引用了支持对精神疾病患者进行污名化的证据，但所有四篇论文中收集和呈现的原始数据都是基于对精神障碍患者在各种社会角色或背景下（例如，作为幼儿教师或未来配偶）被贬低或歧视的程度的个人判断。这些数据应被解释为衡量对精神病患者遭受污名的看法或关切，而不是社会上实际发生的污名化程度，一方面，这些研究衡量的是看法而不是实际污名化，这一事实可能被视为研究结果的局限性。另一方面，社会认知研究中有充分的证据表明，人们理解或理解外部现实的方式是他们主观幸福感和适应行为的重要决定因素（10，11）。因此，对成见的看法对精神病患者康复的影响甚至可能大于与社会成见有关的客观调查结果，后者可能适用于也可能不适用于个人情况。在介绍这一系列论文时，我们希望增加临床医生，研究人员，卫生政策管理人员和美国公众对精神疾病患者及其家庭的耻辱的不利影响的关注。这里报告的研究结果表明，临床医生需要意识到，对污名的关注可能会减少他们处方的药物的依从性，或可能会延迟自尊和适应性社会功能的恢复，即使在最佳的精神药理学反应的条件下。然而，认识到成见的不利影响只是解决这一问题的第一步。接下来的步骤包括继续努力教育公众对精神疾病有一个更准确和更少偏见的看法，并与每个人一起工作。
Stigma as a Barrier to Recovery sponse to stigmatization can be expected also to have an impact on the person who has the illness. It is important to note that although the papers cite evidence that supports the occurrence of stigmatization of persons with mental illness, the original data collected and presented in all four papers are based on individual judgments of the degree to which persons with mental disorders are devalued or discriminated against in a variety of social roles or contexts—for example, as a teacher of young children or as a prospective spouse. These data should be interpreted as measuring perceptions of or concerns about stigmatization of persons with mental illness rather than the degree to which stigmatization actually occurs in society.On one hand, the fact that the studies measured perceptions rather than actual stigmatization might be viewed as a limitation of the findings. On the other hand, there is ample evidence from research on social cognition that the ways in which people understand or make sense of external reality are important determinants of both their subjective sense of well-being and their adaptive behavior (10, 11). Thus perceptions of stigma may have even greater repercussions for the recovery of persons with mental illness than objective findings related to stigmatization in society, which may or may not apply to individual circumstances. In presenting this series of papers, we hope to increase the focus of clinicians, researchers, health policy administrators, and the American public on the adverse impact of stigma on persons with mental illness and their families. The findings of the studies reported here suggest that clinicians need to be aware that concerns about stigma may reduce adherence to the medications they prescribe or may delay recovery of self-esteem and adaptive social functioning, even under conditions of optimal psychopharmacologic response. However, recognition of the adverse impact of stigma is only a first step toward curing the problem. The next steps involve continuing efforts to educate the public to have a more accurate and less prejudiced view of mental illness and to work with per-
影响因子：
3.8
作者：
Link, BG;Struening, EL;Phelan, JC
通讯作者：
Phelan, JC