scholarly journals Reducing Stigma Toward Schizophrenia: An Investigation into what Information is Most Effective at Decreasing Negative Attitudes to Schizophrenia

2021 ◽  
Author(s):  
◽  
Danielle Hayward

<p>Schizophrenia is a chronic mental illness that manifests psychotic symptoms and largely affects an individual’s day to day functioning (Silva et al., 2017). In addition to the incapacitating symptoms of this disorder, patients with schizophrenia face another central concern: stigma (Stuart, 2016). In light of this, an abundance of previous research has been dedicated to discerning the most effective and feasible methods to reduce stigma towards mental illness (Corrigan, 2001). In particular, a large body of research has suggested that education - or more specifically, educating people about the causes of schizophrenia - may be an effective way to achieve this goal (e.g. Boysen & Vogel, 2008). So far, two causal explanations have dominated the literature; psychosocial causal explanations and biogenetic causal explanations. However, only a small number of experimental studies have directly compared the teaching of these opposing two models on levels of stigma (Lincoln, Arens, Berger, & Rief, 2008; Schlier, Schmick, & Lincoln, 2014; Walker & Read, 2002). The findings from these studies show that the effects of causal explanations on stigma are contradictory, thus highlighting the need for another experiment to discern the actual successfulness of these methods at reducing negative attitudes towards schizophrenia. Additionally, due to the mixed findings in the literature regarding the effectiveness of etiological information at lowering stigma, it seems warranted that further exploration into novel, educational teachings is conducted to establish whether causal information really is the most appropriate educational explanation to enlist if stigma reduction is the end goal. In the current research, two experiments were conducted where participants were provided different explanations for schizophrenia (both causal and non-causal in nature) or no explanation at all. Participants received either a biogenetic causal explanation of schizophrenia, a psychosocial causal explanation of schizophrenia, or a creative explanation for schizophrenia, (Experiment One). Comparatively, in Experiment Two participants were provided either a causal explanation for schizophrenia (biogenetic, psychosocial, epigenetic) or, no information at all. Findings from both experiments suggested there were no significant differences between the levels of prejudice and discrimination of participants who saw information which was causal in nature, and those who did not. Further, no evidence was found to support the hypothesis that different causal explanations have varying effects on stigma. Moreover, the previously untested explanations for schizophrenia did not produce stigma reducing effects. Strengths, limitations, implications and future directions are discussed.</p>

2021 ◽  
Author(s):  
◽  
Danielle Hayward

<p>Schizophrenia is a chronic mental illness that manifests psychotic symptoms and largely affects an individual’s day to day functioning (Silva et al., 2017). In addition to the incapacitating symptoms of this disorder, patients with schizophrenia face another central concern: stigma (Stuart, 2016). In light of this, an abundance of previous research has been dedicated to discerning the most effective and feasible methods to reduce stigma towards mental illness (Corrigan, 2001). In particular, a large body of research has suggested that education - or more specifically, educating people about the causes of schizophrenia - may be an effective way to achieve this goal (e.g. Boysen & Vogel, 2008). So far, two causal explanations have dominated the literature; psychosocial causal explanations and biogenetic causal explanations. However, only a small number of experimental studies have directly compared the teaching of these opposing two models on levels of stigma (Lincoln, Arens, Berger, & Rief, 2008; Schlier, Schmick, & Lincoln, 2014; Walker & Read, 2002). The findings from these studies show that the effects of causal explanations on stigma are contradictory, thus highlighting the need for another experiment to discern the actual successfulness of these methods at reducing negative attitudes towards schizophrenia. Additionally, due to the mixed findings in the literature regarding the effectiveness of etiological information at lowering stigma, it seems warranted that further exploration into novel, educational teachings is conducted to establish whether causal information really is the most appropriate educational explanation to enlist if stigma reduction is the end goal. In the current research, two experiments were conducted where participants were provided different explanations for schizophrenia (both causal and non-causal in nature) or no explanation at all. Participants received either a biogenetic causal explanation of schizophrenia, a psychosocial causal explanation of schizophrenia, or a creative explanation for schizophrenia, (Experiment One). Comparatively, in Experiment Two participants were provided either a causal explanation for schizophrenia (biogenetic, psychosocial, epigenetic) or, no information at all. Findings from both experiments suggested there were no significant differences between the levels of prejudice and discrimination of participants who saw information which was causal in nature, and those who did not. Further, no evidence was found to support the hypothesis that different causal explanations have varying effects on stigma. Moreover, the previously untested explanations for schizophrenia did not produce stigma reducing effects. Strengths, limitations, implications and future directions are discussed.</p>


2021 ◽  
Author(s):  
◽  
Hannah Cunningham

<p>While many people with mental illnesses are stigmatised, those with schizophrenia are the most severely stigmatised group (Crisp, Gelder, Rix, Meltzer, & Rowlands, 2000; Marie & Miles, 2008; Pescosolido et al., 1999). A vast body of psychology research has been devoted to investigating how education – particularly education about the causes of schizophrenia – can reduce this stigma that is attached to schizophrenia. While there is great support for the notion that education in general can reduce stigma (e.g. Costin & Kerr, 1962; Griffiths, Christensen, Jorm, Evans, & Groves, 2004; Ritterfeld & Jin, 2006), there is still disagreement regarding exactly which set of causal factors the general public should be educated about – biogenetic or psychosocial? Until now, only three previous studies (Lincoln, Arens, Berger, & Rief, 2008; Schlier, Schmick, & Lincoln, 2014; Walker & Read, 2002) have experimentally compared teaching a purely biogenetic causal explanation to teaching a purely psychosocial causal explanation. The results of this research appear to be somewhat contradictory leading to the need for another, more robustly designed experiment. In the present research, two experiments were conducted in which participants’ level of stigma was measured after they were given a biogenetic causal explanation of schizophrenia, a psychosocial explanation, or given no causal explanation. It was predicted that participants given a causal explanation would show reduced levels of stigma compared to participants given no causal information, and that there would be a significant difference in the stigma reduction effectiveness between types of causal explanation. Contrary to these expectations, the results of Experiment One showed no reduction in stigma when participants were given a causal explanation compared to no causal explanation, and revealed no significant differences in stigma reduction efficacy between the biogenetic and psychosocial causal explanations. Experiment Two utilised the same basic paradigm as Experiment One but with the addition of more convincing causal explanations and a manipulation check. The results of Experiment Two gave evidence that both a biogenetic and psychosocial causal explanation successfully reduces discrimination compared to giving no information on the causes of schizophrenia. In addition, a purely biogenetic causal explanation was also found to successfully reduce belief in other stereotypes compared to a psychosocial causal explanation or no causal explanation. Thus, I conclude that stigma can be effectively reduced by providing education about the causes of schizophrenia, and that a biogenetic causal explanation is a more effective stigma reduction tool as it reduces multiple types of stigma. Strengths, limitations, implications and future directions are discussed.</p>


2021 ◽  
Author(s):  
◽  
Hannah Cunningham

<p>While many people with mental illnesses are stigmatised, those with schizophrenia are the most severely stigmatised group (Crisp, Gelder, Rix, Meltzer, & Rowlands, 2000; Marie & Miles, 2008; Pescosolido et al., 1999). A vast body of psychology research has been devoted to investigating how education – particularly education about the causes of schizophrenia – can reduce this stigma that is attached to schizophrenia. While there is great support for the notion that education in general can reduce stigma (e.g. Costin & Kerr, 1962; Griffiths, Christensen, Jorm, Evans, & Groves, 2004; Ritterfeld & Jin, 2006), there is still disagreement regarding exactly which set of causal factors the general public should be educated about – biogenetic or psychosocial? Until now, only three previous studies (Lincoln, Arens, Berger, & Rief, 2008; Schlier, Schmick, & Lincoln, 2014; Walker & Read, 2002) have experimentally compared teaching a purely biogenetic causal explanation to teaching a purely psychosocial causal explanation. The results of this research appear to be somewhat contradictory leading to the need for another, more robustly designed experiment. In the present research, two experiments were conducted in which participants’ level of stigma was measured after they were given a biogenetic causal explanation of schizophrenia, a psychosocial explanation, or given no causal explanation. It was predicted that participants given a causal explanation would show reduced levels of stigma compared to participants given no causal information, and that there would be a significant difference in the stigma reduction effectiveness between types of causal explanation. Contrary to these expectations, the results of Experiment One showed no reduction in stigma when participants were given a causal explanation compared to no causal explanation, and revealed no significant differences in stigma reduction efficacy between the biogenetic and psychosocial causal explanations. Experiment Two utilised the same basic paradigm as Experiment One but with the addition of more convincing causal explanations and a manipulation check. The results of Experiment Two gave evidence that both a biogenetic and psychosocial causal explanation successfully reduces discrimination compared to giving no information on the causes of schizophrenia. In addition, a purely biogenetic causal explanation was also found to successfully reduce belief in other stereotypes compared to a psychosocial causal explanation or no causal explanation. Thus, I conclude that stigma can be effectively reduced by providing education about the causes of schizophrenia, and that a biogenetic causal explanation is a more effective stigma reduction tool as it reduces multiple types of stigma. Strengths, limitations, implications and future directions are discussed.</p>


2017 ◽  
Vol 41 (S1) ◽  
pp. S280-S281
Author(s):  
L. Sideli ◽  
A.U. Verdina ◽  
F. Seminerio ◽  
M.V. Barone ◽  
C. La Cascia ◽  
...  

IntroductionDiscrimination towards people with schizophrenia (PWS) by healthcare professionals is responsible of underdiagnosis and undertreatment of these patients. Negative attitudes toward PSW in health care professionals tend to be present since their university studies and are related to their knowledge and experience about the disease.Objectives and aimsTo assess opinion towards PSW in medical, nursing and psychology students and to investigate the relation with their knowledge of schizophrenia and its causes.MethodsThe study involved 133 medical, 200 nursing and 296 psychology undergraduate students. The opinion on mental illness questionnaire, the Devaluation Consumers Scale, and the Devaluation of Consumer Families Scale were administered to the sample. ANOVA and ANCOVA were used to test differences between groups and the relation between causal explanation of schizophrenia and discrimination towards PWS.ResultsPsychology students were more aware than the other student of public stigma towards PWS and their families (F 12.57, P < 0.001; F 32.69, P < 0.001) and expressed a more positive view on treatments’ effectiveness (F 30.74, P < 0.001). Psychology (OR 0.48, 95% CI 0.26–0.88) and nursing (OR 0.29, 95% CI 0.15–0.55) students were more likely to identify psychological and social risk factors as more frequent causes of schizophrenia (vs. biogenetics) and these, in turn, were related to a better opinion towards social equality of PWS.ConclusionsThese preliminary findings underline the relevance of biopsychosocial model of schizophrenia within stigma-reduction programs for health science students.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Author(s):  
Brett Gregory Mercier ◽  
Azim Shariff ◽  
Adam Norris

Objective: We test whether prejudice can influence lay attributions of mental illness to perpetrators of violence. Specifically, we examine whether people with negative attitudes towards Muslims perceive Muslim mass shooters as less mentally ill than non-Muslim shooters. Method: Study 1 compares attributions of mental illness to Muslim and non-Muslim perpetrators of recent mass shootings. Studies 2 and 3 experimentally test whether a mass shooter described in a news article is seen as less mentally ill when described as being a Muslim, compared to when described as a Christian (Study 2) and to when religion is not mentioned (Study 3). Study 4 tests whether a Muslim shooter is seen as less mentally ill than a Christian shooter, even when both shooters have symptoms of mental illness. Results: In all studies, Muslim shooters were seen as less mentally ill than non-Muslim shooters, but only by those with negative views towards Muslims. Conclusion: Those with anti-Muslim prejudices perceive Muslim mass shooters as less mentally ill, likely to maintain culpability and fit narratives about terrorism. This may reinforce anti-Muslim attitudes by leading those with anti-Muslim prejudice to overestimate the amount of violence inspired by groups like ISIS relative to extremist groups from other ideologies.


2021 ◽  
pp. 1-9
Author(s):  
Gary Brucato ◽  
Paul S. Appelbaum ◽  
Hannah Hesson ◽  
Eileen A. Shea ◽  
Gabriella Dishy ◽  
...  

Abstract Background Mass shootings account for a small fraction of annual worldwide murders, yet disproportionately affect society and influence policy. Evidence suggesting a link between mass shootings and severe mental illness (i.e. involving psychosis) is often misrepresented, generating stigma. Thus, the actual prevalence constitutes a key public health concern. Methods We examined global personal-cause mass murders from 1900 to 2019, amassed by review of 14 785 murders publicly described in English in print or online, and collected information regarding perpetrator, demographics, legal history, drug use and alcohol misuse, and history of symptoms of psychiatric or neurologic illness using standardized methods. We distinguished whether firearms were or were not used, and, if so, the type (non-automatic v. semi- or fully-automatic). Results We identified 1315 mass murders, 65% of which involved firearms. Lifetime psychotic symptoms were noted among 11% of perpetrators, consistent with previous reports, including 18% of mass murderers who did not use firearms and 8% of those who did (χ2 = 28.0, p < 0.01). US-based mass shooters were more likely to have legal histories, use recreational drugs or misuse alcohol, or have histories of non-psychotic psychiatric or neurologic symptoms. US-based mass shooters with symptoms of any psychiatric or neurologic illness more frequently used semi-or fully-automatic firearms. Conclusions These results suggest that policies aimed at preventing mass shootings by focusing on serious mental illness, characterized by psychotic symptoms, may have limited impact. Policies such as those targeting firearm access, recreational drug use and alcohol misuse, legal history, and non-psychotic psychopathology might yield more substantial results.


Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 57
Author(s):  
Jesús Saiz ◽  
María Galilea ◽  
Antonio J. Molina ◽  
María Salazar ◽  
Tiffany J. Barsotti ◽  
...  

People diagnosed with severe and persistent mental illness (SPMI) face multiple vulnerabilities, including when seeking employment. Among SPMI patients, studies show that a stronger sense of spirituality can help to reduce psychotic symptoms, increase social integration, reduce the risk of suicide attempts and promote adherence to psychiatric treatment. This study examined how the variables spirituality and employment affect the recovery process and psychological well-being of people with SPMI who attend employment recovery services. The sample consisted of 64 women and men diagnosed with an SPMI. The assessment instruments included the Recovery Assessment Scale, Ryff Psychological Well-Being Scale, Work Motivation Questionnaire, Daily Spiritual Experience Scale, and Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being (FACIT-Sp12). Hierarchical regression analyses were performed to compare three different models for each dependent variable (recovery and psychological well-being). The findings showed that job skills predicted psychological well-being and recovery. When spiritual variables were included in the model, job skills dropped out and the dimension meaning/peace of the FACIT-Sp12 emerged as the only significant predictor variable. Integrating spirituality into recovery programs for people with SPMI may be a helpful complement to facilitate the recovery process and improve psychological well-being.


Author(s):  
Susan Thomas ◽  
Tim Ameel

An experimental investigation of water flow in a T-shaped channel with rectangular cross section (20 × 20 mm inlet ID and 20 × 40 mm outlet ID) has been conducted for a Reynolds number Re range of 56 to 422, based on inlet diameter. Dynamical conditions and the T-channel geometry of the current study are applicable to the microscale. This study supports a large body of numerical work, and resolution and the interrogation region are extended beyond previous experimental studies. Laser induced fluorescence (LIF) and particle imaging velocimetry (PIV) are used to characterize flow behaviors over the broad range of Re where realistic T-channels operate. Scalar structures previously unresolved in the literature are presented. Special attention is paid to the unsteady flow regimes that develop at moderate Re, which significantly impact mixing but are not yet well characterized or understood. An unsteady symmetric topology, which develops at higher Re and negatively impacts mixing, is presented, and mechanisms behind the wide range of mixing qualities predicted for this regime are explained. An optimal Re operating range is identified based on multiple experimental trials.


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