Stigma in mental health settings

描述（由申请人提供）：本K01指导研究科学家发展奖旨在提供公共卫生理论和研究方法方面的培训，以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的耻辱公共卫生模型。美国卫生局局长（1999年）和总统新自由委员会（2003年）将对精神疾病患者的耻辱感确定为一个重要的公共卫生问题，随后国家精神卫生研究所也提出了调查耻辱感的研究申请（例如PAR-04-112）。本提案的培训计划包括博士的指导。Larry Davidson， Bruce Link和Patrick Corrigan与其他国际公认的污名专家（Amerigo Farina, Jo Phelan）和定性研究方法（Tanya Luhrmann, Patricia Deegan）一起，是污名化和精神疾病康复方面的主要研究人员。公共卫生理论和方法的培训建议通过强化指导监督，重点系列公共卫生课程，以及与多方法研究设计相关的个性化指导阅读，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将对一个基于理论的、综合的耻辱感公共卫生模型进行实证检验，使用已建立的措施来确定在精神卫生环境中对耻辱感最重要的变量。研究2将使用实验小插曲来操纵该模型中的一个变量（即关于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实验评估心理健康环境中临床医生和消费者之间的权力差异。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经验，以加强对早期研究的实证结果的理解。这项多方法研究是对精神卫生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。

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.