Changes in the perception of mental illness stigma in Germany over the last two decades

2014 ◽  
Vol 29 (6) ◽  
pp. 390-395 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Herbert Matschinger ◽  
Mauro G. Carta ◽  
Georg Schomerus

AbstractPurposeTo examine the evolution of the perception of the stigma attached to mental illness in Germany since 1990 up to the present.Subjects and methodsPopulation surveys were conducted in the old German States (former Federal Republic of Germany) in 1990, 2001, and 2011. The perception of stigma attached to people with mental illness was assessed with the help of Link's perceived discrimination and devaluation scale.ResultsIn the 2011 survey, less mental illness stigma was perceived by respondents than in the previous surveys. In the eyes of the German public, the devaluation and rejection of people with mental illness has substantially decreased since 1990.DiscussionThe perception of a decline of the stigmatization is in contrast to the development of the German public's attitudes towards persons with mental disorders, which remained unchanged or even worsened.ConclusionPerceived and personal attitudes towards persons with mental illness have developed differently, and it remains to be seen whether perceptions of less public stigma will ultimately be followed by improved personal attitudes.

2017 ◽  
Vol 210 (4) ◽  
pp. 261-268 ◽  
Author(s):  
Nina Schnyder ◽  
Radoslaw Panczak ◽  
Nicola Groth ◽  
Frauke Schultze-Lutter

BackgroundMental disorders create high individual and societal costs and burden, partly because help-seeking is often delayed or completely avoided. Stigma related to mental disorders or mental health services is regarded as a main reason for insufficient help-seeking.AimsTo estimate the impact of four stigma types (help-seeking attitudes and personal, self and perceived public stigma) on active help-seeking in the general population.MethodA systematic review of three electronic databases was followed by random effect meta-analyses according to the stigma types.ResultsTwenty-seven studies fulfilled eligibility criteria. Participants' own negative attitudes towards mental health help-seeking (OR = 0.80, 95% CI 0.73–0.88) and their stigmatising attitudes towards people with a mental illness (OR = 0.82, 95% CI 0.69–0.98) were associated with less active help-seeking. Self-stigma showed insignificant association (OR = 0.88, 95% CI 0.76–1.03), whereas perceived public stigma was not associated.ConclusionsPersonal attitudes towards mental illness or help-seeking are associated with active help-seeking for mental problems. Campaigns promoting help-seeking and fighting mental illness-related stigma should target these personal attitudes rather than broad public opinion.


2005 ◽  
Vol 186 (4) ◽  
pp. 331-334 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Herbert Matschinger

BackgroundIt is a widely shared belief that an increase in mental health literacy will result in an improvement of attitudes towards people with mental illness.AimsTo examine how the German public's causal attributions of schizophrenia and their desire for social distance from people with schizophrenia developed over the 1990s.MethodA trend analysis was carried out using data from two representative population surveys conducted in the Länder constituting the former Federal Republic of Germany in 1990 and 2001.ResultsParallel to an increase in the public's tendency to endorse biological causes, an increase in the desire for social distance from people with schizophrenia was found.ConclusionsThe assumption underlying current anti-stigma programmes that there is a positive relationship between endorsing biological causes and the acceptance of people with mental illness appears to be problematic.


Author(s):  
Amar Akbar ◽  
Imam Zainuri ◽  
Lilik Ma'rifatul Azizah ◽  
Kyle Dornhofer

Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indonesia, physical restraint and reduction in people with mental illness (called pasung in indonesia), still found in indonesia, government program ” indonesia free of pasung” still can not erase indonesia from pasung. Design/methodology/approach -The approach to literature study causes the escape especially social stigma that occurs to make the case of the pipe still continues to exist Findings -The findings of many literature studies suggest that social stigma is a cause of social restraint in patients with severe psychiatric disorders Originality/value -The value of this study envolve Empowering people with mental disorders through social intervention can reduce the side effects of antipsychotic drugs and simultaneously help self-stigma in people with mental disorders


2017 ◽  
Vol 41 (S1) ◽  
pp. s245-s245
Author(s):  
P. Macedo ◽  
M. Silva ◽  
A. Fornelos ◽  
A.R. Figueiredo ◽  
S. Nunes

IntroductionNegative attitudes towards psychiatric patients still exist in our society. Persons suffering from mental illness frequently encounter public stigma and may internalize it leading to self-stigma. Discrimination occurs across many aspects of economic and social existence. It may represent a barrier for patients to receive appropriate care. Many anti-stigma campaigns have been taken to decrease people's prejudice, but its effects are not well documented.ObjectivesTo characterize anti-stigma initiatives and its effects on diminishing negative consequences of stigma.MethodsBibliographical research using PubMed using the keywords “stigma” and “mental illness”.ResultsDespite several approaches to eradicate stigma, it shows a surprising consistency in population levels. It was expected that focus on education would decrease stigma levels. The same was expected following concentration on the genetic causation of pathology. Most studies have revealed that education has little value and endorsing genetic attributions has led to a greater pessimism on the efficacy of mental health services, sense of permanence and guilty feelings within the family.ConclusionPublic stigma has had a major impact on many people with mental illness, especially when leading to self-stigma, interfering with various aspects in life, including work, housing, health care, social life and self-esteem. As Goffman elucidated, stigma is fundamentally a social phenomenon rooted in social relationships and shaped by the culture and structure of society. Social inclusion has been pointed as a potential direction of change.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 208 (4) ◽  
pp. 314-315 ◽  
Author(s):  
Patrick W. Corrigan

SummaryTwo approaches have emerged to deal with the stigma of mental illness: normalcy, where people with mental illness are framed as ‘just like everyone else’; and solidarity, where the public agrees to stand with those with mental illness regardless of their symptoms. Pros and cons of each approach are considered.


2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.


2018 ◽  
Vol 4 (2) ◽  
pp. 232-241
Author(s):  
Ni Made Sintha Pratiwi ◽  
Lilik Zuhriyah ◽  
Lilik Supriati

Background: The person suffering mental disorders is not only burdened by his condition but also by the stigma. The impact of stigma extremely influences society that it is considered to be the obstacle in mental disorders therapy. Stigma as the society adverse view toward severe mental disorders is related with the cultural aspect. The interaction appeared from each component of nursing model namely sunrise model, which a model developed by Madeleine Leininger is connected with the wide society views about severe mental disorders condition in society.Objective: The aim of this study was to analyze the factors related to public stigma and to find out the dominant factors related to public stigma about severe mental illness through sunrise model approach in Sukonolo Village, Malang Regency.Methods: This study using observational analytical design with cross sectional approach. There were 150 respondents contributed in this study. The respondents were obtained using purposive sampling technique.Results: The results showed a significant relationship between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma about mental illness. The result from multiple logistic regression shows the low exposure of mass media has the highest OR value at 26.744.Conclusion: There were significant correlation between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma toward mental illness. Mass media exposure as a dominant factor influencing public stigma toward mental illness.


2021 ◽  
pp. 371-391
Author(s):  
I. D. Popov

The activity and political significance of the conferences of the Minister Presidents of the German states during the years of the institutionalization of the Federal Republic of Germany (1948—1949) are considered. It is concluded that in the absence of a number of significant central authorities, it was the conferences of the heads of state governments that played a coordinating role to fill them up on the German side. It is noted that the Minister Presidents also served as a converging point between the allies, the regional elite, political parties and bizone authorities. It is shown that various formats of work of heads of state governments at the interzonal level allowed them to take part in the discussion of almost all key problems of the western zones of occupation. It is emphasized that the two-zone meetings of the Minister Presidents with the military governors and the three-zone conferences of the Minister Presidents themselves, which in fact became the main instruments for reaching political compromises, had a particular impact. It is pointed out that this was especially clearly manifested during the discussion of the “Frankfurt Documents”. It is concluded that, at the same time, the dependence on the military administrations of the allies, the party elite and bizone authorities at the same time did not allow these conferences to evolve into something more than a platform for building consensus, and thereby pursue a full-fledged independent policy.


2022 ◽  
Vol 1 (1) ◽  
pp. 55-62
Author(s):  
Jenny Marlindawani Purba ◽  
Sri Eka Wahyuni ◽  
Mahnum Lailan Nasution ◽  
Evi Karota Bukit

ABSTRAKPeningkatan kasus COVID 19 dan penerapan pemberlakuan pembatasan kegiatan masyarakat di Kota Medan mengakibatkan kegiatan pelayanan kesehatan jiwa masyarakat terhenti. Salah satu prioritas masalah di wilayah kerja Puskesmas Sunggal adalah gangguan jiwa. Situasi saat ini banyak penderita yang tidak teratur minum obat, tidak kontrol ke puskesmas atau rumah sakit, mengalami kekambuhan dan tidak mematuhi protokol kesehatan bila keluar rumah serta tidak produktif. Kegiatan ini bertujuan untuk meningkatkan fungsi sosial dan keterampilan orang dengan gangguan jiwa. Target khusus yang ingin dicapai adalah perubahan perilaku dari ODGJ dan keluarga di wilayah kerja Puskesmas Sunggal Medan. Metode yang digunakan adalah ceramah, diskusi dan tanya jawab, home visit, pengembangan bakat dan minat pasien berupa pelatihan dan pendampingan pembuatan sabun cair. Hasil yang diperoleh dari kegiatan ini adalah 12 orang dari 15 ODGJ (80%) dapat mengontrol gejala pskotik, kontrol teratur ke puskesmas sebelum obat habis dan mempunyai keterampilan membuat sabun cair serta mampu mengembangkan keterampilan lainnya sesuai dengan minat dan bakat masing-masing. Rehabilitasi psikosoial memberikan dampak positif bagi peningkatan fungsi kognitif, psikomotor dan afektif orang dengan gangguan jiwa. Keberhasilan program ini membutuhkan partisipasi aktif dari semua pihak. Kata Kunci : Rehabilitasi, psikososial, orang dengan gangguan jiwa, bermartabat  ABSTRACTThe increase in cases of COVID 19 and the implementation of restrictions on community activities in the city of Medan resulted in community mental health service activities being stopped. One of the priority problems in the work area of the Sunggal Health Center is mental disorders. The current situation was people with mental illness did not regularly take medication, did not go to the community health center or hospital to see the Doctor, experience relapses and did not comply with health protocols when leaving the house, and was unproductive. The activity aims to improve the social functioning and skills of people with mental disorders. The specific target to be achieved is to change the behavior of ODGJ and their families in the working area of the Sunggal Community Health Center, Medan. The methods used were lectures, discussions and questions and answers, home visits, identifying talents and interests of patients in the form of training and assistance in making liquid soap. The results of the activities were 12 from 15 of people with mental illness (80@) can control psychotic symptoms, regularly visit "the puskesmas" before the drugs run out and have the skills to make liquid soap, and are able to develop other skills according to their respective interests and talents. Psychosocial rehabilitation has a positive impact on improving the cognitive, psychomotor, and affective functions of people with mental disorders. The success of this program requires the active participation of all parties. Keywords: rehabilitation, psychosocial, people with mental illness, dignity


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