Understanding and Reducing the Stigma of Mental Illness

了解并减少精神疾病的耻辱

• 批准号: 7081424
• 负责人: JO C PHELAN
• 金额: $ 12.25万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7081424
• 关键词: attitude; clinical research; human subject; interview; mental disorders; mental health education; prejudice; public opinion

DESCRIPTION (provided by candidate): Stigma is increasingly recognized as a severe problem faced by people with mental illnesses. It is imperative to develop interventions to reduce stigma, but interventions not well grounded in empirical research may produce disappointing results. My long-term career objectives are to deepen our understanding of the stigma process, with the goal of developing well-grounded interventions. In the period of this award, I will pursue three aims: 1) Investigate the role of "incomprehensibility" in the stigma of mental illness, focusing on Star's (1957) argument that public fears of mental illness flow from the inability to comprehend what a person with mental illness thinks and feels. 2) Continue assessing, tracking and attempting to positively influence the impact of the biological and genetics revolution on the stigma of mental illness. 3) Translate powerful basic social science research on "expectation states" to the stigma of mental illness to understand how negative expectations lead to discrimination and negative treatment through covert but powerful social interactional processes. I use a multi-method approach relying primarily on the powerful experimental method, combining telephone-administered vignette experiments that allow findings to be generalized to the national population and live experiments conducted in the laboratory that allow the measurement of actual as opposed to hypothetical behavior. I also make strategic use of semi-structured interviews and qualitative analytic methods. To achieve the goals outlined, I will expand my conceptual and methodological expertise by undertaking training in genetics, expectation states theory and laboratory experimental methods in social psychology. The work will take place at Columbia University, which provides an extremely supportive intellectual environment in the core areas of stigma, genetics and psychiatry. These resources will be supplemented with training visits to Stanford University and the University of Akron to consult and collaborate with leading experts in expectation states research.

描述（由候选人提供）：污名越来越被认为是一种 精神疾病患者面临的严重问题。当务之急是 制定干预措施，减少耻辱感，但干预措施没有充分的基础， 实证研究可能产生令人失望的结果。我的长期职业生涯 目标是加深我们对污名化进程的理解， 发展基础良好的干预措施。在此期间，我将 追求三个目标：1）调查“不可理解性”在 精神疾病的耻辱，关注星星（1957）的论点，公众担心 精神疾病的根源在于无法理解一个人 精神疾病的思考和感受。2)继续评估、跟踪和尝试 积极影响生物学和遗传学革命的影响， 精神疾病的耻辱3)翻译强大的基础社会科学 对“期望状态”研究对精神病污名化的理解 负面期望如何导致歧视和负面待遇， 隐蔽但强大的社会干预过程。 我使用多方法的方法，主要依靠强大的实验 方法，结合电话管理的小插曲实验， 将调查结果推广到全国人口和现场实验 在实验室进行，允许测量实际的，而不是 假设行为我还战略性地使用半结构化面试 定性分析方法。为了实现上述目标，我将扩大 通过接受遗传学方面的培训， 期望状态理论和社会心理学的实验室实验方法 心理学 这项工作将在哥伦比亚大学进行， 在污名化、遗传学和 精神病学这些资源将得到培训访问的补充， 斯坦福大学和阿克伦大学的咨询和合作， 期望状态研究领域的顶尖专家