Structural levels of mental illness stigma and discrimination
Structural levels of mental illness stigma and discrimination
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DOI：
10.1093/oxfordjournals.schbul.a007096
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发表时间：
2004-01-01
影响因子：
6.6
通讯作者：
Watson, AC
中科院分区：
文献类型：
--
作者：
Corrigan, PW;Markowitz, FE;Watson, AC
目前大多数描述与精神疾病污名相关的过程的模型都是基于个人层面的心理学范式。在这篇文章中，使用社会学范式，我们应用结构性歧视的概念，以扩大我们的理解，针对精神疾病患者的污名化过程。结构性或制度性歧视包括私人和政府机构故意限制精神病患者机会的政策。它还包括主要机构的政策，这些政策无意歧视，但其后果却阻碍了精神病患者的选择。在更全面地定义了有意和无意的结构性歧视形式之后，我们提供了每种形式的当前例子。然后，我们讨论了结构模型的影响，以促进我们对精神疾病污名的理解，包括这种范式所带来的方法上的挑战。
Most of the models that currently describe processes related to mental illness stigma are based on individual-level psychological paradigms. In this article, using a sociological paradigm, we apply the concepts of structural discrimination to broaden our understanding of stigmatizing processes directed at people with mental illness. Structural, or institutional, discrimination includes the policies of private and governmental institutions that intentionally restrict the opportunities of people with mental illness. It also includes major institutions' policies that are not intended to discriminate but whose consequences nevertheless hinder the options of people with mental illness. After more fully defining intentional and unintentional forms of structural discrimination, we provide current examples of each. Then we discuss the implications of structural models for advancing our understanding of mental illness stigma, including the methodological challenges posed by this paradigm.