Stigma in mental health settings

描述（由申请人提供）：这个K 01指导研究科学家发展奖提出了公共卫生理论和研究方法的培训，以准备临床心理学家进行独立的研究，将基本的认知，行为和社会心理学原则转化为心理健康环境中的耻辱公共卫生模型。对精神病患者的污名被美国卫生局局长（1999年）和总统新自由委员会（2003年）确定为一个重要的公共卫生问题，沿着提出了研究污名的申请（例如，PAR-04-112）由国家精神卫生研究所。该提案的培训计划招募了Larry Davidson博士，布鲁斯Link博士和帕特里克科里根博士的指导，这些博士是精神疾病耻辱和康复方面的领先研究人员，沿着其他国际公认的耻辱专家（Amerigo Farina，Jo Jolan）和定性研究方法（Tanya Luhrmann，Patricia Deegan）。公共卫生理论和方法的培训建议通过强化指导监督，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指导阅读，其目标是确定最重要的因素，以建立和延续心理健康环境中的耻辱。研究1将实证检验一个基于理论的，全面的公共卫生模式的耻辱使用既定的措施，以确定变量是最重要的耻辱在精神卫生环境。研究2将使用实验小插曲来操纵该模型中的变量（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，以实验方式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体验，以加强对早期研究实证结果的理解。这项多方法研究是第一次全面研究心理健康环境中的耻辱这一重要的公共卫生问题。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.