Guilt, Fear, Stigma and Knowledge Gaps: Ethical Issues in Public Health Communication Interventions

Guttman, N.; Salmon, Charles T.

doi:10.1111/j.1467-8519.2004.00415.x

Cited by 259 publications

(205 citation statements)

References 48 publications

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“…Stereotyping : The problem of stigma, (self-)blame, guilt, or even helplessness and frustration experienced by “the Other” is to a great extent situated and grounded in evaluating and being evaluated on the basis of value-laden stereotypes, i.e., by turning to normative images and expectations to label people as “health-deviant” and, in doing so, assuming that those people are marked by flaws of character and a lack of virtue accompanying health-deviance (Crawford, 2006; Guttman & Salmon, 2004). To raise awareness for these normative and limiting expectations and images is a focus of norm-critics, not of pedagogy of tolerance.…”

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

“…The effect could be enhanced even more by appreciating the situated cultural significance and emotional importance of practices usually labelled as “risk behaviours” (such as smoking) as a sign of respect for (relational) autonomy (cf. Guttman & Salmon, 2004). Such interventions may also counteract shame as a major barrier to empowerment as well as to facilitating/enabling personal change (Brown, 2006).…”

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

“…Such interventions may also counteract shame as a major barrier to empowerment as well as to facilitating/enabling personal change (Brown, 2006). Whereas shaming may counteract the success of the mentioned anti-stigmatization coping interventions, it could be made aware and be reflected upon in a norm-critical conscientization process—as could be the mentioned “risk behaviours” as representations of quality of life or cultural accomplishments, in particular socio-ecological milieus (Guttman & Salmon, 2004). …”

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

“…Norm-critics, in contrast, answers the dilemma of whom to target in this kind of intervention (Guttman, 2000) differently and holds those directly and personally liable who actually stigmatize and label people as “deviant” and thus puts in charge of change on a societal level those who have been in charge for the problem in the first place. To engage in norm-critical activities is regarded a way of showing solidarity, of bonding and kinship, by considering and acting upon one’s responsibility for social circumstances that may complicate people’s lives (Guttman & Salmon, 2004). …”

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

“…They are all stigmatized and often feel excluded from the normative “healthy majority” of “common people” (see e.g., Barroso et al, 2014; Liu et al, 2016; Zäske & Gaebel, 2015), sometimes even as iatrogenic effects of public health communication interventions (Guttman & Salmon, 2004). It is moreover worth mentioning that not only the manifestly ill face blame, guilt, and stigmatization.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

On mountains and prophets: targeting majorities to support minorities by using norm-critics in health education

Pelters

2018

International Journal of Qualitative Studies on Health and Well

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This debate article advocates for norm-critics instead of empowering coping and pedagogy of tolerance as an educational approach to mitigate stigmatization as well as blame and guilt for health-deviant minorities within the field of health disparities. Norm-critics is a way of making members of the (presumably healthy) normative majority uncover and question their health-related norms and raise awareness for the processes by which members of that majority re/construct images of stereotypic figures (such as “the fatso” or “the couch-potato”) with certain personal character traits which are to be condemned and, in doing so, limit the acting space of those identified as examples of those figures. The approach, its theoretical background, arguments promoting norm-critics, and some suggestions for its practical application are presented. It is concluded that norm-critics render a valuable and much needed addition to the health intervention repertoire.

show abstract

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

Section: Why Norm-critics Instead Of Pedagogy Of Tolerance In Health mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

On mountains and prophets: targeting majorities to support minorities by using norm-critics in health education

Pelters

2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

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Decreasing Smoking but Increasing Stigma? Anti-tobacco Campaigns, Public Health, and Cancer Care

2017

AMA Journal of Ethics

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Public health researchers, mental health clinicians, philosophers, and medical ethicists have questioned whether the public health benefits of large-scale anti-tobacco campaigns are justified in light of the potential for exacerbating stigma toward patients diagnosed with lung cancer. Although there is strong evidence for the public health benefits of anti-tobacco campaigns, there is a growing appreciation for the need to better attend to the unintended consequence of lung cancer stigma. We argue that there is an ethical burden for creators of public health campaigns to consider lung cancer stigma in the development and dissemination of hard-hitting anti-tobacco campaigns. We also contend that health care professionals have an ethical responsibility to try to mitigate stigmatizing messages of public health campaigns with empathic patient-clinician communication during clinical encounters.

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‘It makes you not want to eat’: Perceptions of anti‐obesity public health campaigns in individuals diagnosed with an eating disorder

Bristow

Simmonds

Allen

et al. 2022

Euro Eating Disorders Rev

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Objective Recent research has highlighted the potentially deleterious effects of anti‐obesity public health campaigns on vulnerable audiences such as those at risk of, or diagnosed with, eating disorders (ED). The qualitative experiences of campaigns in this population group have been little explored. Methods Twelve interviews were conducted with participants either currently or previously diagnosed with an ED using the Interpretative Phenomenological Analysis approach. Participants were shown a series of real‐world public health campaigns and, using a semi‐structured interview guide, asked about their responses to the images used. Results Several themes emerged from the data, including the effect of campaigns on participants, perceived effect on others, and general campaign attributes. It was evident that participants felt that anti‐obesity campaigns had the potential to confirm ED thoughts and behaviours, and could act as potential triggers. Participants also felt that they could impact vulnerable groups (e.g., young audiences) and stigmatise those living in larger bodies. Conclusion Campaigns addressing overweight and obesity should consider reframing these conditions and care must be taken to avoid causing potential harm to vulnerable audiences.

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Guilt, Fear, Stigma and Knowledge Gaps: Ethical Issues in Public Health Communication Interventions

Cited by 259 publications

References 48 publications

On mountains and prophets: targeting majorities to support minorities by using norm-critics in health education

On mountains and prophets: targeting majorities to support minorities by using norm-critics in health education

Decreasing Smoking but Increasing Stigma? Anti-tobacco Campaigns, Public Health, and Cancer Care

‘It makes you not want to eat’: Perceptions of anti‐obesity public health campaigns in individuals diagnosed with an eating disorder

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