Acceptance of Mental Illness Among Women

Author(s):  
Lauren Mizock ◽  
Zlatka Russinova

This chapter reviews the experiences of women with serious mental illness and the various disparities encountered by them. These disparities include higher rates of victimization, unemployment, poverty, homelessness, and inequities in clinical care. The impact of these disparities and associated stigma on the acceptance process is presented. This chapter centers on a discussion of intersectional stigma, or overlapping, multiple levels of stigma and discrimination, faced by women with serious mental illness. Several participant case narratives are presented in order to demonstrate the impact of intersectional stigma on the process of acceptance for women with serious mental illness. Clinical recommendations are provided to facilitate acceptance among women who experience intersectional stigma. A clinical strategies list, discussion questions, activities, the “Intersectional Stigma Worksheet,” and an explanatory table are included at the close of the chapter.

Author(s):  
Lauren Mizock ◽  
Erika Carr

This chapter covers intersectional stigma, the overlapping, multiple levels of stigma and discrimination faced by women of color with serious mental illness, particularly with regard to racism, mental illness stigma, and misogyny. This chapter contains several case narratives of women of color with serious mental illness in order to demonstrate the impact of compounded levels of discrimination on their lives. The strengths, resilience, spirituality, and empowerment manifested by women with serious mental illness in overcoming the challenges of mental illness, racism, sexism, and daily life are discussed. Clinical recommendations are provided to facilitate culturally competent care with this group. The chapter includes a clinical strategies list, discussion questions, activities, and a clinical worksheet (“Cultural Strengths and Stigma Worksheet”).


Author(s):  
Lauren Mizock ◽  
Erika Carr

This chapter introduces the Women’s Empowerment and Recovery-Oriented Care (WE-ROC) intervention, a model that integrates gender-sensitive and recovery-oriented approaches to clinical care for women with serious mental illness. The model focuses on the unique experiences that women with serious mental illness may encounter as a result of gender oppression and intersectional stigma. The origin of the model, the findings of a pilot study, and applications to clinical work with men with serious mental illness are presented. This chapter also includes a clinical strategies list, discussion questions, activities, and an evaluation worksheet that was used to elicit feedback from participants in the intervention.


Author(s):  
Lauren Mizock ◽  
Erika Carr

This chapter reviews the recovery movement and the importance of its role in the mental health care of women who experience serious mental illness. This chapter explores the foundations of recovery and how this perspective seeks to decrease the impact of stigma and increase self-determination, while still recognizing the role that stigma and marginalization have played in women’s experience of serious mental illness. Literature is presented regarding the basic components of recovery in serious mental illness. Ways that recovery programs for people with serious mental illness can become more sensitive to woman’s issues are discussed. The biological and developmental concerns uniquely faced by women with serious mental health issues are addressed, as well as the value of a multidisciplinary, recovery-oriented treatment team. Case narratives, a clinical strategies list, discussion questions, activities, and a clinical worksheet (“My Recovery Journey”) are included.


Author(s):  
Lauren Mizock ◽  
Erika Carr

This chapter reviews the feminist framework of objectification theory to help providers understand the unique experiences of women who live in a culture that views and values their bodies as sexual objects. The literature related to sexual objectification is explored, as well as the empirical links to mental health problems. The literature on sexual exploitation of women who experience serious mental illness is also examined. The implications of these unique intersecting experiences of women with serious mental illness are discussed. This chapter includes two case narratives, a clinical strategies list, discussion questions, activities, and a clinical worksheet (“Gender Role Analysis Worksheet”).


Author(s):  
Lauren Mizock ◽  
Erika Carr

This chapter discusses the impact of a serious mental illness on relationships for women, including motherhood, friendship, family, and dating. The chapter will explore the ways in which a serious mental illness can interfere with pursuit of these roles, impacting the woman’s sense of womanhood and personhood. Risk factors like intimate partner violence and custody loss will be examined. The chapter will discuss how motherhood and other relationships can serve as a context for recovery. The way in which women with serious mental illness navigate stigma and isolation to seek meaning in peer advocacy and other social roles will be presented. Case narratives, a clinical strategies list, discussion questions, activities, and a clinical worksheet (“Relationship Structuring Worksheet”) are included.


2021 ◽  
Vol 89 (9) ◽  
pp. S249
Author(s):  
Nicholas Thomson ◽  
Salpi Kevorkian ◽  
Carla Galusha ◽  
Elizabeth Wheeler ◽  
Lindsay Ingram

2017 ◽  
Vol 81 (1) ◽  
pp. 1-38 ◽  
Author(s):  
Jon G. Allen ◽  
J. Christopher Fowler ◽  
Alok Madan ◽  
Thomas E. Ellis ◽  
John M. Oldham ◽  
...  

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110659
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard

Background The high rates of smoking in adults with serious mental illness (SMI) increases risk for COVID-19 infection. The purpose of this paper is to present the results of a smoking cessation intervention that was adapted to be offered by phone during a Shelter in Place (SIP) period in San Francisco, California, at the beginning of the COVID-19 pandemic. Methods During the SIP, we offered counseling sessions by phone to five participants. At the end of each session, we assessed readiness to quit, tobacco cessation or reduction, and inquired about the impact of the shelter in place on smoking habits and mental health. Grounded theory guided data collection and analysis. Results The categories that emerged around barriers and facilitators for smoking cessation were COVID-19–related stressors, having purpose, structure and feelings of connections, and the importance of quitting aides for smoking cessation. Conclusion Offering telephone based smoking cessation counseling to adults with SMI while they shelter in place may improve their readiness to quit.


Author(s):  
Lauren Mizock ◽  
Zlatka Russinova

This chapter reviews the 14 key principles of the process of acceptance of mental illness among culturally diverse groups that emerged from the findings in this book. Each principle is accompanied by clinical recommendations for facilitating the process of acceptance of mental illness. Examples are provided as to how clinicians, peer specialists, and researchers might respond to issues of acceptance of mental illness to facilitate hope and recovery. A number of acceptance-related techniques and theories in clinical care are also discussed. To further understanding and promote the process of acceptance of mental illness among persons in recovery, areas of potential development for future research are reviewed. An “Acceptance of Mental Illness Checklist” with scoring information is provided to assess the dimensions of acceptance and barriers and facilitators among people with serious mental illness and to aid further clinical and research examination of this construct.


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