Internalized stigma, disclosure and self-esteem among psychiatric patients in a general hospital outpatient clinic

2019 ◽  
Vol 27 (6) ◽  
pp. 584-588
Author(s):  
Leslie Lim ◽  
Justine Goh ◽  
Yiong-Huak Chan

Objective: Psychiatric patients often experience internalized stigma. This occurs when persons accept the negative attitudes of others towards them, then internalize and apply these beliefs to themselves. We assess the effects of internalized stigma on illness disclosure and on self-esteem in psychiatric outpatients, hypothesizing that internalized stigma is more pronounced in psychiatric patients than in medical patient controls and that internalized stigma is associated with avoidance of disclosure, as well as reduced self-esteem. Methods: Psychiatric and medical outpatients were randomly selected to participate in the study, conducted at a general hospital specialist outpatient clinic. Results: Psychiatric patients demonstrated significantly lower self-esteem than controls. Internalized stigma was the highest for singles, and the lowest among married and older patients. Among psychiatric patients, a higher internalized stigma was significantly associated with experienced discrimination and with lower levels of self-esteem. Those who avoided disclosure had significantly higher internalized stigma than those who self-disclosed. Conclusion: The results confirmed our study hypotheses. Marriage and older age seemed to confer a protective effect on self-esteem.

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed

Context: Mentally ill patients challenging dual difficulties that are illness and stigma. Internalized stigma viewed as maladaptive psychosocial phenomena that can affect all aspects of mentally ill patient life. Aim: The current study emerged aiming to assess internalized stigma of mental illness and its relation with self-esteem and social support among psychiatric patients. Methods: Descriptive research design used to achieve the aim of this study. A convenience sample of one hundred hospitalized psychiatric patients recruited for the study from inpatient units of Mental Health and Addiction Treatment Hospital in Minia governorate. The data collection tools included socio-demographic and clinical data questionnaire, Internalized Stigma of Mental Illness Scale, Rosenberg's Self Esteem Scale, and Multidimensional Scale of Perceived Social Support. Results: The findings show that less than half of patients have a severe level of total internalized stigma score. There is a highly significant correlation between overall internalized stigma score and its all subscales with self-esteem and social support. Conclusions: Internalized stigma level was high among psychiatric patients. A significant negative correlation found between total internalized stigma score with self-esteem and social support of the studied patients. The study recommended further studies regarding educational interventions to raise awareness and decrease internalized stigma among patient with mental illness. Besides, providing support for patient and families of mentally ill patients to promote their capacity to manage and cope with stigma. 


PLoS ONE ◽  
2012 ◽  
Vol 7 (10) ◽  
pp. e47531 ◽  
Author(s):  
Rahul Pradhan ◽  
Umesh Shrestha ◽  
Samir C. Gautam ◽  
Stephen Thorson ◽  
Kabindra Shrestha ◽  
...  

Author(s):  
C. Daniel Batson

Empathy-induced altruism provides benefits for (a) the person in need, (b) other similar people, and (c) the person feeling empathic concern. Specifically, there is evidence that it can produce the following: more and better help for those in need; less aggression toward them; less derogation and blaming of victims of injustice; increased cooperation in conflict situations (business negotiations, political conflicts, and tensions between students in school); less negative attitudes toward stigmatized groups; increased willingness to help these groups; more sensitive and responsive care in close relationships; increased happiness and self-esteem; less stress; more meaning in life; and greater longevity. The list of benefits of empathy-induced altruism for which there is at least preliminary evidence is impressive. Although not a panacea, it can be a powerful force for good.


1980 ◽  
Vol 16 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Richard A. Bernstein ◽  
Ralph A. Manchester ◽  
Lelon A. Weaver

1986 ◽  
Vol 31 (2) ◽  
pp. 138-141 ◽  
Author(s):  
Kevin Standage

The distribution scores on the Socialization (So) scale of the California Psychologial Inventory was examined in a series of 83 admissions to a general hospital psychiatric service. The series was divided into groups of low and high scorers (Low So and High So). Low So scorers were younger than high scorers and had a raised mean Neuroticism score. A strong association was found between So scores and the quality of parental care which patients reported receiving from their fathers. Other parental attributes are reported. Patients with a clinical diagnosis of personality disorder were found in the Low So, but not the High So group.


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