Stigma and discrimination associated with mental illness and other stigmatizing conditions in China using two cultural-sensitive measures of stigma: interpersonal distance and occupational restrictiveness

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Wei Xiong ◽  
Michael R. Phillips ◽  
Zhizhong Wang ◽  
Yuhong Zhang ◽  
Hui G. Cheng ◽  
...  

Abstract Background Reducing stigma is a perennial target of mental health advocates, but effectively addressing stigma relies on the ability to correctly understand and accurately measure culture-specific and location-specific components of stigma and discrimination. Methods We developed two culture-sensitive measures that assess the core components of stigma. The 40-item Interpersonal Distance Scale (IDS) asks respondents about their willingness to establish four different types of relationships with individuals with 10 target conditions, including five mental health-related conditions and five comparison conditions. The 40-item Occupational Restrictiveness Scale (ORS) asks respondents how suitable it is for individuals with the 10 conditions to assume four different types of occupations. The scales – which take 15 min to complete – were administered as part of a 2013 survey in Ningxia Province, China to a representative sample of 2425 adult community members. Results IDS and ORS differentiated the level of stigma between the 10 conditions. Of the total, 81% of respondents were unwilling to have interpersonal relationships with individuals with mental health-related conditions and 91% considered them unsuitable for various occupations. Substantial differences in attitudes about the five mental health-related conditions suggest that there is no community consensus about what constitutes a ‘mental illness’. Conclusions Selection of comparison conditions, types of social relationships, and types of occupations considered by the IDS and ORS make it possible to develop culture-sensitive and cohort-specific measures of interpersonal distance and occupational restrictiveness that can be used to compare the level and type of stigma associated with different conditions and to monitor changes in stigma over time.

2013 ◽  
Vol 10 (02) ◽  
pp. 102-107 ◽  
Author(s):  
N. Bezborodovs ◽  
G. Thornicroft

SummaryWork plays an important part in everyday life. For people experiencing mental health problems employment may both provide a source of income, improved self-esteem and stability, and influence the course and outcomes of the disorder. Yet in many countries the work-place consistently surfaces as the context where people with mental health problems feel stigmatised and discriminated the most. This paper will review the existing evidence of stigma and discrimination in the workplace, consider the consequences of workplace stigma on the lives of people experiencing mental health problems, and discuss implications for further action.


2020 ◽  
Author(s):  
Janna Hastings

Mental health presents one of the defining public health challenges of our time. Proponents of different conceptions of what mental illness is wage war for the hearts and minds of patients, practitioners, policy-makers, and the public. Debate and fragmentation around the nature of the entities that feature in the mental health domain divide resources and reduce progress. The way mental health is publicly discussed in the media has tangible effects, in terms of stigma, access to healthcare and resources, and private expectations of recovery. This book explores in detail the sorts of statements that are made about mental health in the media and public reporting of scientific research, grounding them in the wider context of the theoretical frameworks, assumptions and metaphors that they draw from. The author shows how a holistic understanding of the way that different aspects of mental illness are interrelated can be developed from evidence-based interpretation of the latest research findings. She offers some ideas about corrective, integrative approaches to discussing mental health-related matters publicly that may reduce the opposition between conceptualisations while still aiming to reduce stigma, shame and blame. In particular, she emphasises that discourse in the media needs to be anchored to an overview of all the research results across the field and argues that this could be achieved using new technological infrastructures. The author provides an integrative account of what mental health is, together with an improved understanding of the factors driving the persistence of oppositional accounts in the public discourse. The book will be of benefit to researchers, practitioners and students in the domain of mental health.


2021 ◽  
Vol 42 (1) ◽  
pp. 64-80
Author(s):  
Daniel Kwai Apat ◽  
Wellington Digwa

This paper examines mental health policies in relation to African communities residing in New South Wales, Australia and the attitudes of African communities toward mental disorders and mental health services. Current mental health policy frameworks have shown an inadequate inclusion of African communities. This may negatively affect the design of mental health interventions and how African communities engage with mental health services. The available mental health literature on African communities showed disjointed and uncoordinated data which focuses on specific community-groups within African communities. Insufficient mental health or suicide data, combined with African community members’ perception toward mental disorders and mental health services, makes it very difficult to progress engagement and interventions. There is a need for proper and sizable data on mental health related to people of African descent in NSW and Australia wide, if positive outcomes are to be realised.


1986 ◽  
Vol 31 (5) ◽  
pp. 431-433 ◽  
Author(s):  
M. Matas ◽  
N. El-Guebaly ◽  
D. Harper ◽  
M. Green ◽  
A. Peterkin

The public image of psychiatry has been tarnished in recent years. In order to determine the extent to which press coverage has contributed to negative attitudes towards psychiatry, we conducted a content analysis of a random selection of newspaper articles which appeared over a twenty-year period in two different newspapers. We found that although there had been some minor, cosmetic changes over the years, such as more appropriate headlines and more direct quotes from psychiatric experts, on the whole, content and attitudes had changed very little. An accuracy check of media reporting of forensic cases over a 20-year period revealed that when reporters have access to written material, the accuracy levels are greatly improved.


2021 ◽  
Author(s):  
Brooke Linden ◽  
Randall Boyes ◽  
Heather Stuart

BACKGROUND: Canadian post-secondary students are considered to be at risk for chronic stress and languishing mental health, but there has been no longitudinal analysis of the available population-level data. The purpose of this study was to examine trends in the overall and sex-specific prevalence of self-reported stress, distress, mental illness, and help seeking behaviours among Canadian post-secondary students over the past several years. METHODS: Using the 2013, 2016, and 2019 iterations of the National College Health Assessment II Canadian Reference data, we conducted a trend analysis for each variable of interest, stratified by sex. The significance and magnitude of the changes were modelled using cumulative linked ordinal regression models and log binomial regression models.RESULTS: With few exceptions, we observed significant increases over time in the proportion of students reporting symptoms of psychological distress, mental illness diagnoses, and help seeking for mental health related challenges. Female students reported a higher level of stress than male students, with a statistically significant increase in the stress level reported by female students observed over time. In all cases, larger proportions of female students were observed compared to male students, with the proportion of female students who self-reported mental illness diagnoses nearly doubling that of males. CONCLUSIONS: Our analysis indicated that the proportion of students self-reporting mental health related challenges, including stress, psychological distress, and diagnosed mental illnesses increased between the 2013, 2016 and 2019 iterations of the NCHA II conducted among Canadian post-secondary students.


2007 ◽  
Vol 93 (2) ◽  
pp. 6-11
Author(s):  
Herbert Hendin ◽  
Charles Reynolds ◽  
Dan Fox ◽  
Steven I. Altchuler ◽  
Phillip Rodgers ◽  
...  

ABSTRACT A number of factors appear to discourage physicians from seeking help for mental illness. This reluctance may be exacerbated by fears – well-founded or imagined – that by seeking help, physicians may put their medical license in jeopardy. To examine this risk, an analysis of all state medical board (SMB) license applications was followed by a seven-item survey mailed to SMB executive directors, and 70 percent responded. Follow up interviews were conducted with a sample of those not responding and also with a small group of directors whose responses were problematic. Thirteen of the 35 SMBs responding indicated that the diagnosis of mental illness by itself was sufficient for sanctioning physicians. The same states indicated that they treat physicians receiving psychiatric care differently than they do physicians receiving medical care. In follow-up interviews all 13 indicated that without evidence of impairment or misrepresentation any such sanctioning was likely to be temporary. A significant percentage (37 percent) of states sanction or have the ability to sanction physicians on the basis of information revealed on the licensing application about the presence of a psychiatric condition rather than on the basis of impairment. The same percentage state they treat physicians receiving psychiatric care differently than they do those receiving medical care. Physicians’ perceptions of this apparent discrimination is likely to play a role in their reluctance to seek help for mental health-related conditions. Suggestions are made for how SMBs and state physician health programs and state and county medical societies might collaborate in ways that while protecting patients decreases barriers to physicians help seeking.


2019 ◽  
Vol 70 (12) ◽  
pp. 1101-1109 ◽  
Author(s):  
Peter C. Lam ◽  
Dolly A. John ◽  
Hanga Galfalvy ◽  
Carol Kunzel ◽  
Roberto Lewis-Fernández

Author(s):  
Neil S. Coulson

In recent years online support communities have increased in popularity and, for those digitally connected, provide a convenient and accessible means of reaching out to others facing similar health-related challenges. This chapter considers online support communities in terms of their popularity and the unique characteristics arising from the computer-mediated nature of the communication platform. It discusses both the range of possible benefits and problems to members. It presents a summary of evidence describing who engages with online support communities and why. It pays particular attention to describing what community members talk about online as well as patterns of communication in terms of therapeutic processes. Since the study of online support communities spans several disciplinary fields, the chapter also presents a selection of popular theoretical frameworks used by researchers. Finally, it concludes with a discussion of the outcomes arising from engagement with online support.


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