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The role of stigma in psychiatry
How stigma affects mental health patients
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“People who are mentally ill are completely incompetent and are at fault for having the illness”, “The mentally ill are severely dangerous”, “Someone who has a mental illness is childlike and could no way hold down a job or take care of themselves”. These are just a few of the stereotypes and beliefs held by those who stigmatize people that suffer from a mental illness. The issue of stigmatization has become a factor that can severely affect the overall quality of life of those labeled with a mental disorder. This has led some to believe, particularly labeling theorists, that a psychiatric label does more harm than good. However, due to treatment such as psychotherapy and drug therapy available to those who receive a psychiatric diagnosis, …show more content…
The first perspective on this issue is from labeling theorists who believe that the stigma attached to mental illnesses is the central problem and that the label creates devaluation and discrimination. This then further affects the individual labeled with the mental illness by interfering with access to jobs, housing, and sometimes even mental healthcare. On the other hand of the argument, there are the psychiatric theorists who claim that the label of being mentally ill enables the individual to receive the necessary treatment for their disorder. Treatment of high quality, such as treatments with the approach of empowering the individual, would then in turn help to reduce symptoms, increase functioning and wellbeing, and even help in dealing with the effects of stigma (Rosenfield 660-661). One of the biggest arguments that the psychiatric theorists have against the labeling theory is that they view stigma to be “subjective and untrustworthy or, at the extreme, as distortions resulting from the pathology” (Rosenfield …show more content…
According to Patrick W. Corrigan and Amy C. Watson, researchers at the University of Chicago Center for Psychiatric Rehabilitation and Chicago Consortium, there are three components of stigma. The first component of stigma is stereotypes, which are collective thoughts and beliefs about a particular group that another social group all generally agrees upon. However, just because someone knows about a stereotype does not mean that they believe that the stereotype is true. An example of a stereotype that is applied to those with a mental disorder is those with a mental disorder are dangerous. The second component of mental illness stigma is prejudice. Whereas just because someone has knowledge about a stereotype doesn’t automatically mean that they believe it to be valid, someone who is prejudice would support the stereotypes and also have some sort of negative response or reaction due to them believing them endorsing the stereotype. For example, someone who was prejudice could believe that people who are mentally ill are in fact dangerous and which could then in turn provoke a negative emotional reaction such as fear. The third and final component of stigma is discrimination, which is the
As noted previously, system justification theory suggests that individuals possess a motive to justify and rationalize the status quo. According to the theory, stereotypes are often used to bolster the status quo because they easily explain differences among groups and thereby justify inequalities. The most commonly held stereotypes about mental illness in Western society are that its sufferers are dangerous, incompetent and personally responsible for their illness (Dickstein, Vogt, Handa & Litz, 2010). Not surprisingly, stereotypes like these have resulted in the persistent stigma around mental illness that exists today.
The stigma and negative associations that go with mental illness have been around as long as mental illness itself has been recognized. As society has advanced, little changes have been made to the deep-rooted ideas that go along with psychological disorders. It is clearly seen throughout history that people with mental illness are discriminated against, cast out of society, and deemed “damaged”. They are unable to escape the stigma that goes along with their illness, and are often left to defend themselves in a world that is not accepting of differences in people. Society needs to realize what it is doing, and how it is affecting these people who are affected with mental illness.
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
Clients experienced stigma in regards to three factors including discrimination, stigma related to disclosure of their mental illness, and rejection of any positive aspects regarding their mental illness. When clients experienced any type of stigma mentioned above, this caused a regression in their treatment. This study found that 89.7% of the participants in the study experienced discrimination for their diagnosis, and 88.4% felt uncomfortable when disclosing their diagnosis (2015). This article supports Rosenhan’s findings that suggest the inpatient staff members’ attitudes and preconceived notions about the psuedopatients and patients created an environment that cultivated depersonalization. Treating those with a diagnosis as “insane” and avoiding contact (or abusing the patients in much more severe circumstances) caused clients to experience stigma and therefore regress in their treatment (1973), much like the participants in the study conducted in San
Throughout her presentation, she explains how public stigmas, once again, cause label avoidance pushing many who need help away from treatment. She then goes on to explain how these stereotyped behaviors cause discrimination towards people with a mental illness from employment to housing which only leads to the creation of more stigmas. Finally, she states how the impact of stigmas is associated with the reduction of self-esteem, overall poor health, and problems with interpersonal relationships (Willits). By using this presentation I am able to connect what we have learned about mental health stigmas to my article. First off, for example, Morris explains how psychiatric units invoke people to imagine a frightening place where insane patients are strapped down and poked and prodded for care (Morris). This stereotypical idea relates to how Willits described general stereotypes associated with mental illness such as crazy and dangerous (Willits). On top of that, Willits explained how these stigmas have negative consequences for patients (Willits). This relates to Morris’s explanation on how the stigma around institutions has caused these units to shut down forcing many people to be homeless or live in jail
Stigma can be a major issue for those with mental illness. It can come from many different people in their lives, from family to complete strangers. So along with their own issues dealing with symptoms and regaining control of their life back, they also can have a negative influence related to their worth from stigma that can hinder them. Recovery in mental illness is ongoing and develops as the person matures, hopefully progressing in their ability to function better in society (Markowitz, Angell, & Greenberg, 2011). Stigma logically has an influence on self-worth and self-esteem for any group of people. Stigma if a large enough influence can make an individual diagnosed with a mental illness view themselves as tainted or less than before
The two different types of stigma have different effects on the attitude towards those with mental health issues. The public stigma can lead to discrimination and prejudice. The prejudice and discrimination that result from the public stigma can prevent those diag...
Stereotypes and stigmas promote a dangerous, single-minded perspective. These incomplete or half-truths are often far more duplicitous than lies, as they are more difficult to detect. When these perspectives remain unchecked, they can result in far-reaching, adverse consequences. It is the individual’s duty to refuse to perpetuate this single story perspective. Due to misinformation presented by the media, the stigma surrounding mental illness has created a discriminatory single story perspective; however, through honest and open dialogue, particularly with those suffering from these diseases, these stereotypes can be abolished.
Rosenfield, S.,Labeling Mental Illness: The Effects of Received Services and Perceived Stigma on Life Satisfaction [Electronic Version], American Sociological Review Vol. 62, No. 4 (Aug., 1997), pp. 660-672
Stigma refers to any attribute, trait or disorder that labels a person as “unacceptably different” from “normal people” and compounds the already devastating effects of mental health problems. Most people learn what they know about mental illness from the mass media as we are exposed daily to radio, television and newspaper accounts that present people with mental illness as violent, criminal, dangerous, incompetent and fundamentally different from the rest of us. To combat these depictions, anti-stigma education is crucial in changing the attitudes and behaviors of those who don’t understand mental health and
In the article Issues and Controversies says, "Throughout most of human history, people with mental illness were ostracized, isolated, and persecuted." ( Infobase,1) This belief system can give causation of mental illness in different cultures and such influences in a community will always be in a negative manner. Various societies struggle with the notion of mental health. The standards of every culture believe to be considered normal, natural, or healthy. These views lead to disagreements about the causes, diagnosis, and the treatment of the disorders. Many people with mental problems are discriminated against because of their mental disorder. Mental illness and stigma refers to the view of the person with mental illness as having undesirable traits. Stigma leads to negative behavior, stereotyping, and discriminatory behavior towards the person with mental health issues. This stigma causes the affected person to experience denial or shame of their condition. Perceived stigma can result in the patient being scared to seek help. Stigma can be divided into two perspectives, public and self stigma. Upadhyay says, "Public stigma occurs when the general
There are many ways in which the mentally ill are degraded and shamed. Most commonly, people are stated to be “depressed” rather than someone who “has depression”. It is a common perception that mental illnesses are not a priority when it comes to Government spending just as it is forgotten that most mental health disorders can be treated and lead a normal life if treatment is successful. The effect of this makes a sufferer feels embarrassed and feel dehumanized. A common perception is that they should be feared or looked down upon for something they have not caused. People experience stigma as a barrier that can affect nearly every aspect of life—limiting opportunities for employment, housing and education, causing the loss of family ...
Classification refers to the procedure in which ideas or objects are recognized, distinguished and understood. Currently, two leading systems are used for grouping of mental disorder namely International Classification of Disease (ICD) by World Health Organization (WHO) and the Diagnostic and Statistical Manual of Mental disorders (DSM) by the American Psychiatric Association (APA). Other classifications include Chinese classification of mental disorder, psycho-dynamic diagnostic manual, Latin American guide for psychiatric diagnosis etc. A survey of 205 psychiatrists, from 66 different countries across all continents, found that ICD-10 was more customarily used and more valued in clinical practice, while the DSM-IV was more valued for research [1].
People with a mental illness are often feared and rejected by society. This occurs because of the stigma of mental illness. The stigma of mental illness causes the perception of individuals with mental illnesses to be viewed as being dangerous and insane. They are viewed and treated in a negative way. They are almost seen as being less of a human. The stigma affects the individual with a mental illness in such a cruel way. The individual cannot even seek help without the fear of being stigmatized by their loved ones or the general public. The stigma even leads to some individuals developing self-stigma. This means having a negative perception of one’s self, such as viewing one’s self as being dangerous. The worst part is that the effects of
Mass media “references to people with mental health problems found more than four in ten articles in the press used derogatory terms about mental health and nearly half of press coverage related mental illness to violence and crime” (Esseler, 244). This is causing for people to look down upon the mention of mental illnesses and many times ignore the importance of confronting this issue. Therefore the importance of removing this stigmatization is crucial. Education allows to make more informed decisions and then changing the perception of mental illness can lead towards policy changes toward the improvement of mental health (Sakellari,