Stigma in mental health settings

描述（由申请人提供）：该 K01 指导研究科学家发展奖提议进行公共卫生理论和研究方法方面的培训，以便培养临床心理学家进行独立研究，将基本的认知、行为和社会心理学原理转化为心理健康环境中耻辱感的公共卫生模型。美国卫生局局长（1999 年）和总统新自由委员会（2003 年）将针对精神疾病患者的耻辱视为一个重要的公共卫生问题，随后国家心理健康研究所提出了调查耻辱的研究申请（例如 PAR-04-112）。该提案的培训计划得到了博士的指导。拉里·戴维森 (Larry Davidson)、布鲁斯·林克 (Bruce Link) 和帕特里克·科里根 (Patrick Corrigan) 领导了耻辱感和精神疾病康复方面的研究人员，以及其他国际公认的耻辱感专家（Amerigo Farina、Jo Phelan）和定性研究方法（Tanya Luhrmann、Patricia Deegan）。公共卫生理论和方法的培训是通过强化指导监督、一系列重点公共卫生课程以及与多方法研究设计相关的个性化定向阅读来提出的，其目标是确定对心理健康环境中耻辱的建立和延续最重要的因素。研究 1 将使用既定措施对基于理论的综合性耻辱公共卫生模型进行实证检验，以确定对心理健康环境中的耻辱最重要的变量。研究 2 将使用实验插图来操纵该模型中的变量（即有关精神疾病原因的归因），以观察其对其他模型变量的影响。研究 3 将使用基于实验室的行为范式来通过实验评估临床医生和消费者在心理健康环境中的权力差异。研究4将使用定性研究方法来了解心理健康环境的社会背景以及消费者和临床医生在心理健康环境中的生活体验，以增强对早期研究实证结果的理解。这项多方法研究是对心理健康环境中耻辱这一重要公共卫生问题的首次全面研究。这些研究的结果可以作为有针对性的干预措施的基础，以减少这些环境中的耻辱感。

DESCRIPTION (provided by applicant): This K01 Mentored Research Scientist Development Award proposes training in public health theory and research methodology in order to prepare a clinical psychologist to conduct independent research translating basic cognitive, behavioral, and social psychological principles to a public health model of stigma in mental health settings. Stigma against people with mental illness was identified as an important public health problem by the U.S. Surgeon General (1999) and the President's New Freedom Commission (2003) along with subsequent request-for-applications for research investigating stigma (e.g., PAR-04-112) by the National Institute of Mental Health. The training plan for this proposal enlists the mentorship of Drs. Larry Davidson, Bruce Link, and Patrick Corrigan leading researchers in stigma and recovery from mental illness, along with other internationally recognized experts in stigma (Amerigo Farina, Jo Phelan) and qualitative research methodology (Tanya Luhrmann, Patricia Deegan). Training in public health theory and methodology is proposed through intensive mentored supervision, a focused series of public health classes, and individualized directed readings related to a multi-method research design whose goal is to determine the factors most important to the establishment and perpetuation of stigma in mental health settings. Study 1 will empirically test a theoretically-based, comprehensive public health model of stigma using established measures to determine the variables that are the most important to stigma in mental health settings. Study 2 will use experimental vignettes to manipulate a variable in this model (i.e., attributions about the causes of mental illness) to observe its effects on other model variables. Study 3 will use a laboratory-based behavioral paradigm to experimentally evaluate the power differential between clinicians and consumers in mental health settings. Study 4 will use qualitative research methods to understand the social context of mental health settings and the lived experience of consumers and clinicians in mental health settings in order to enhance the understanding of the empirical results from the earlier studies. This multi-method research is the first comprehensive study of the important public health problem of stigma within mental health settings. Results from these studies could serve as a foundation for targeted interventions to reduce stigma in these settings.