scholarly journals The stigma of psychiatric in-patient care

1995 ◽  
Vol 19 (6) ◽  
pp. 349-351 ◽  
Author(s):  
Jennie McCarthy ◽  
Richard Prettyman ◽  
Trevor Friedman
Keyword(s):  
Mental Illness ◽  
Public Education ◽  
Patient Care ◽  
Psychiatric Patients ◽  
Family Members ◽  
Hospital Site ◽  
Willingness To Disclose ◽  
Stigma Of Mental Illness

The differences in attitudes to their illness between selected groups of medical and psychiatric in-patients admitted to units on the same hospital site were investigated. Patients new to the services were asked about their willingness to disclose information about their admission to hospital and their diagnosis to family members, friends and people at work. Psychiatric patients were more likely to want to keep their admission and diagnosis a secret. They were also less sure of the nature of their diagnosis and the necessity of their admission. The results suggest that wider public education is needed to reduce the stigma of mental Illness.

scholarly journals Internalized Stigma of Mental Illness and Its Relation with Self- Esteem and Social Support among Psychiatric Patients

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed
Keyword(s):  
Social Support ◽  
Mental Illness ◽  
Mentally Ill ◽  
Addiction Treatment ◽  
Psychiatric Patients ◽  
Self Esteem ◽  
Internalized Stigma ◽  
Convenience Sample ◽  
Stigma Score ◽  
Stigma Of Mental Illness

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. 

scholarly journals Psychiatric, psychological and ethical determinants of the phenomenon of self-stigmatization of mental illness – literature review

2020 ◽  
Vol 21 (2) ◽  
pp. 59-69
Author(s):  
Ewelina Soroka ◽  
Marian Zdzisław Stepulak
Keyword(s):  
Mental Illness ◽  
Literature Review ◽  
Present Article ◽  
Moral Obligation ◽  
Psychiatric Patients ◽  
Topical Issue ◽  
Negative Stereotypes ◽  
Stigma Of Mental Illness ◽  
Psychological Assistance ◽  
Continue Therapy

AbstractIntroduction: In psychiatry and psychology stigmatization consists in labelling a person suffering from a disorder with the stigma of mental illness, associated with numerous negative stereotypes that are established in both individual and social mentality.Objective: The aim of the present article is to present the phenomenon of self-stigma from the perspective of psychiatric patients, including patients suffering from schizophrenia, to scientific consideration.The state of knowledge: The available data on this subject suggests that schizophrenia is particularly stigmatized, and the degree of stigmatization of patients with this diagnosis is worsening. Self-stigma plays a significant role in various areas of patients’ lives, sometimes discouraging them to continue therapy. Psychiatric patients have to face not only the symptoms of their disorders, but also stigmatization. In the event patient’s self-stigmatization of mental illness occurs, a responsible psychiatrist and psychologist conducting the therapy has the moral obligation to supervise the process of psychiatric and psychological assistance in the context of the aforelisted issues.Conclusions: The problem of self-stigmatization of a psychiatric patients is a topical issue that is well worth further exploration in order to better understand and help patients more effectively.

scholarly journals ‘You don't bring me flowers any more’: an investigation into the experience of stigma by psychiatric in-patients

2004 ◽  
Vol 28 (10) ◽  
pp. 371-374 ◽  
Author(s):  
Joanna S. Bromley ◽  
Sara J. Cunningham
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Structured Interview ◽  
Patient Treatment ◽  
Medical Patients ◽  
Stigma Of Mental Illness ◽  
The Status ◽  
And Gender ◽  
Relapse Rates

Aims and MethodA structured interview-based questionnaire was used to measure the number of cards and gifts received by 40 people undergoing psychiatric in-patient treatment, compared with an age- and gender-matched group of medical in-patients. The study also assessed the amount of disclosure of admission and diagnosis to family and friends in the two groups.ResultsThe psychiatric patients received about half as many cards as the medical patients (60 v. 112). Gifts to the psychiatric patients were often practical in nature and seldom included luxury items such as flowers. Disclosure of admission for mental illness (compared with the physical illness group) was significantly lower, both to family members (139 v. 193, P=0.041) and friends (74 v. 332, P=0.0001).Clinical ImplicationsThe stigma of mental illness is reflected in the secrecy surrounding disclosure of hospital admission and the lack of tokens of support. Clinicians should be aware of the resulting sense of isolation and shame, and the consequences for mental health in view of reduced social networks increasing the risk of future relapse rates. Reduced contact with mentally ill patients has implications for society as a whole in maintaining the status quo of stigma.

scholarly journals Upaya Keluarga Dalam Penyembuhan Pasien Penyakit Jiwa; Studi Pada Pasien Penyakit Jiwa di RSJ HB. Sa’anin Padang

2016 ◽  
Vol 5 (2) ◽  
pp. 102
Author(s):  
Yenni Melia
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Family Involvement ◽  
Qualitative Method ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Family Members ◽  
The Family ◽  
Mutual Communication

Madness is a symptom of a disease caused by psychiatric symptoms. Many factors become the cause of insanity, therefore need many approaches in healing. The process of healing the family involvement factor is an important factor. This study discusses family efforts to support the cure of psychiatric patients at psychiatric hospital of Prof. HB. Sa’anin. The research was conducted by qualitative method by following the steps suggested by Miles and Huberman. Data were collected using observation techniques, interviews and documentation studies. The informant consists of the main informant, the family of the mental illness patient and the supporting informant, the hospital officer. The results reveal the efforts provided by the family in the healing of mental illness patients, among others, by providing motivation to return to normal conditions. Another factor that causes healing is the economic and educational factor of family members. What is unique is that ethnic role factors have an effect on patient healing. Strategies that can be done to involve the family in healing is to establish mutual communication and the resignation nature of family members. Gila adalah gejala penyakit yang disbabkan oleh gejala kejiwaan. Banyak faktor yang menjadi penyebab kegilaan, oleh karena itu perlu banyak pendekatan dalam penyembuhannya. Dalam proses penyembuhan tersebut faktor keterlibatan keluarga adalah faktor penting dalam proses penyembuhan. Studi ini membahas tentang upaya keluarga dalam mendukung penyembuhan pasien sakit jiwa di rumah sakti jiwa Prof. HB. Sa’anin. Penelitian dilakukan dengan metode kulitatif dengan mengikuti langkah-langkah yang disarankan Miles dan Huberman. Data dikumpulkan dengan menggunakan teknik observasi, wawancara dan studi dokumentasi. Informan penelitian terdiri dari informan utama, yaitu keluarga pasien penyakit jiwa dan informan pendukung, yaitu petugas rumah sakit. Hasil penelitian mengungkapkan upaya yang diberikan oleh keluarga dalam penyembuhan pasien penyakit jiwa antara lain dengan memberikan motivasi untuk kembali ke kondisi normal. Faktor lain yang menjadi penyebab kesembuhan adalah faktor ekonomi dan pendidikan anggota keluarga. Yang unik adalah, faktor peran etnis ikut berpengaruh dalam upaya penyembuhan pasien. Strategi yang dapat dilakukan untuk melibatkan keluarga dalam penyembuhan adalah dengan menjalin komunikasi timbal balik dengan sesama anggota keluarga dan sifat pasrah anggota keluarga.

scholarly journals Pathway to care among psychiatric patients attending a Tertiary care hospital in Kathmandu Valley

2018 ◽  
Vol 7 (2) ◽  
pp. 31-35 ◽  
Author(s):  
N. Rai ◽  
P. Pokhrel ◽  
P.P. Sharma ◽  
M. Basnet ◽  
B. Dahal ◽  
...  
Keyword(s):  
Mental Illness ◽  
Tertiary Care Hospital ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Family Members ◽  
Kathmandu Valley ◽  
Equal Proportion ◽  
Care Hospital ◽  
Common Diagnosis ◽  
Pathway To Care

Introduction: Mental illness accounts for 14% of all disability adjusted life years (DALYs) lost worldwide and is one of the major contributors to the global burden of disease. In spite of this much of burden and disability there is a huge gap between the treatment and help seeking behavior. Though, the mental illness is a common problem, due to stigma and lack of knowledge they prefer to visit alternative sources like faith healers, traditional practitioners and quacks. Very few of them seek psychiatrists help. So, this pathway to care study aims to provide some descriptive insight into the pathways to care among the psychiatric patients attending the tertiary care hospital in Kathmandu valley. Material and Method: A cross-sectional study among 66 patients seeking psychiatric outpatient services in Kist medical College, Imadole, Lalitpur, Nepal which is a Teriatry hospital from the period of 1st August – 31st October, 2018. Semi structured proforma developed by department of Psychiatry which covered the socio-demographic profile and WHO (1987) collaborative “pathway study” encounter form as a guiding tool was used to collect the data. Results: Out of 66 enrolled patients, 60.6% were in the age group of 21-40. Almost equal proportion of male (51.5%) and female (48.5%) visited psychiatric services. Majority of the patients were married (81.8%), Chhetri (25.8%) by caste and Hindu (81.8%) by religion. Majority of the patients were from outside valley (51.5), educated upto primary level (31.8%) and housewife by occupation (28.8%). The most common diagnosis was Depression (16.7%) and Alcohol Dependence syndrome (16.7%). Majority (45.5 %) of the patients had visited faith healer before visiting to Psychiatrists. 57.6 % patient visited psychiatrists within 2.5 months duration and majority of them were initiated to visit psychiatrists by family members/ relatives. Conclusion: Faith healers were the most common first contact for psychiatric patients. Despite of that majority of the patients had visited psychiatrists within 2.5 months duration. In most of the cases family members/ relatives were the one to initiate for psychiatric consultation.

scholarly journals Reducing the stigma of mental illness

2016 ◽  
Vol 3 ◽  
Author(s):  
H. Stuart
Keyword(s):  
Mental Illness ◽  
Social Justice ◽  
Public Education ◽  
Best Practices ◽  
Equitable Access ◽  
Access To Services ◽  
Social Inequity ◽  
Stigma Of Mental Illness ◽  
Economic Equity ◽  
Process Discrimination

This paper presents a narrative review of anti-stigma programming using examples from different countries to understand and describe current best practices in the field. Results highlight the importance of targeting the behavioural outcomes of the stigmatization process (discrimination and social inequity), which is consistent with rights-based or social justice models that emphasize social and economic equity for people with disabilities (such as equitable access to services, education, work, etc.). They also call into question large public education approaches in favour of more targeted contact-based interventions. Finally, to add to the research base on best practices, anti-stigma programs are encouraged to create alliances with university researchers in order to critically evaluate their activities and build better, evidence informed practices.

Psychiatric Stigma and the Role of the Psychiatrist

1997 ◽  
Vol 5 (2) ◽  
pp. 72-74 ◽  
Author(s):  
Garry Walter ◽  
Alan Rosen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Interest Group ◽  
Multidisciplinary Approach ◽  
Psychiatric Patients ◽  
Consumer Participation ◽  
Broad Group ◽  
The World ◽  
Stigma Of Mental Illness

In 1996 the World Psychiatric I-Association (WPA) in conjunction with Lilly Pharmaceuticals announced the launch of a co-ordinated, multidisciplinary approach to counter the stigma of mental illness. In Australia a similar initiative – albeit on a much smaller scale – began six years ago with the establishment of ‘STIGMA’ (‘Stereotypes and Tags Interest Group in the Mental Health Arena’). The STIGMA Group was consulted to determine Australian consumer participation in the WPA initiative. The following paper describes how the STIGMA group emerged out of a preoccupation with public portrayals of psychiatric patients, their families and psychiatric professionals to become a broad group of stakeholders studying psychiatric stigma and possible ways of combating it. To our knowledge, an ongoing group devoted to the study of stigma had no precedent locally or overseas. It is beyond the scope of this paper to describe the origins, phenomenon and painful consequences of stigmatising individuals with mental illness and their families which has been considered in detail elsewhere [1–3].

scholarly journals Stigma perceived by family members of psychiatric patients attending outpatient department of a teaching hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 64-69
Author(s):  
Rama Kumari Lamichhane
Keyword(s):  
Mental Illness ◽  
Psychiatric Patients ◽  
Family Members ◽  
Demographic Variables ◽  
Outpatient Department ◽  
P Value ◽  
Perceived Stigma ◽  
Cross Sectional ◽  
The Family ◽  
High Level

Introductions: Stigma and unfavorable view of people towards mental illness is prevailing in Nepal due to lack of awareness. Stigma among family members of people with mental illness has a serious impact on the outcome. This study aims to identify the level of perceived stigma by family members and association with selected demographical variables. Methods: A cross-sectional research design was used to assess the stigma perceived by family members of patients visiting psychiatry outpatient department of Patan Hospital, Patan Academy of Health Sciences during 12 August to Sep 7, 2018. Questionnaire on socio-demographic variables and self-stigma of mental illness scale was used to interview the family members to assess the level of perceived stigma. Chi-square was used to examine the association between demographic variables and stigma, p < 0.05 was considered significant. Results: Out of 180 family interviewed 94 (52.2%) had perceived high level of stigma and 86 (47.8%) low level of stigma. There was significant association between age and perceived stigma (p value=0.030) at 95% of significance. Conclusions: More than half of the family members of psychiatric patients had perceived high level of stigma and was associated with the age.

scholarly journals Upaya Keluarga Dalam Penyembuhan Pasien Penyakit Jiwa; Studi Pada Pasien Penyakit Jiwa di RSJ HB. Sa’anin Padang

2016 ◽  
Vol 5 (2) ◽  
pp. 102-112
Author(s):  
Yenni Melia
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Family Involvement ◽  
Qualitative Method ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Family Members ◽  
The Family ◽  
Mutual Communication

Madness is a symptom of a disease caused by psychiatric symptoms. Many factors become the cause of insanity, therefore need many approaches in healing. The process of healing the family involvement factor is an important factor. This study discusses family efforts to support the cure of psychiatric patients at psychiatric hospital of Prof. HB. Sa’anin. The research was conducted by qualitative method by following the steps suggested by Miles and Huberman. Data were collected using observation techniques, interviews and documentation studies. The informant consists of the main informant, the family of the mental illness patient and the supporting informant, the hospital officer. The results reveal the efforts provided by the family in the healing of mental illness patients, among others, by providing motivation to return to normal conditions. Another factor that causes healing is the economic and educational factor of family members. What is unique is that ethnic role factors have an effect on patient healing. Strategies that can be done to involve the family in healing is to establish mutual communication and the resignation nature of family members. Gila adalah gejala penyakit yang disbabkan oleh gejala kejiwaan. Banyak faktor yang menjadi penyebab kegilaan, oleh karena itu perlu banyak pendekatan dalam penyembuhannya. Dalam proses penyembuhan tersebut faktor keterlibatan keluarga adalah faktor penting dalam proses penyembuhan. Studi ini membahas tentang upaya keluarga dalam mendukung penyembuhan pasien sakit jiwa di rumah sakti jiwa Prof. HB. Sa’anin. Penelitian dilakukan dengan metode kulitatif dengan mengikuti langkah-langkah yang disarankan Miles dan Huberman. Data dikumpulkan dengan menggunakan teknik observasi, wawancara dan studi dokumentasi. Informan penelitian terdiri dari informan utama, yaitu keluarga pasien penyakit jiwa dan informan pendukung, yaitu petugas rumah sakit. Hasil penelitian mengungkapkan upaya yang diberikan oleh keluarga dalam penyembuhan pasien penyakit jiwa antara lain dengan memberikan motivasi untuk kembali ke kondisi normal. Faktor lain yang menjadi penyebab kesembuhan adalah faktor ekonomi dan pendidikan anggota keluarga. Yang unik adalah, faktor peran etnis ikut berpengaruh dalam upaya penyembuhan pasien. Strategi yang dapat dilakukan untuk melibatkan keluarga dalam penyembuhan adalah dengan menjalin komunikasi timbal balik dengan sesama anggota keluarga dan sifat pasrah anggota keluarga.

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