Impact of changing the Japanese term for “schizophrenia” for reasons of stereotypical beliefs of schizophrenia in Japanese youth

Takahashi, Hidehiko; Ideno, Takashi; Okubo, Shigetaka; Matsui, Hiroshi; Takemura, Kazuhisa; Matsuura, Masato; Kato, Masaaki; Okubo, Yoshiro

doi:10.1016/j.schres.2009.03.037

Cited by 68 publications

(64 citation statements)

References 21 publications

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“…And the stigma associated with the diagnosis, and the past history of misunderstanding and mistreatment also indicate that a change in the term may be advisable. In 2002, the Japanese terms for schizophrenia 'Seishin-Bunretsu-Byo' ('mind-split disease') was replaced officially by 'Togo-Shitcho-Sho' ('integration disorder') 100 . Some evidence indicates that this name change led to reduced stigma, in that fewer people associated the new name with criminality 100 .…”

Section: Perspective Researchmentioning

confidence: 99%

“…In 2002, the Japanese terms for schizophrenia 'Seishin-Bunretsu-Byo' ('mind-split disease') was replaced officially by 'Togo-Shitcho-Sho' ('integration disorder') 100 . Some evidence indicates that this name change led to reduced stigma, in that fewer people associated the new name with criminality 100 . Although semantic changes can be helpful, the transformations needed for those with this serious illness are likely to require not only a better label but better science (Fig.…”

Section: Perspective Researchmentioning

confidence: 99%

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Rethinking schizophrenia

Insel

2010

Nature

1,542

1,153

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Section: Perspective Researchmentioning

confidence: 99%

Section: Perspective Researchmentioning

confidence: 99%

Rethinking schizophrenia

Insel

2010

Nature

1,542

1,153

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“…At the direct request of the Japanese National Federation of Families with Mental Illness, and being themselves aware of the high level of public stigma associated with the word, in 2002 the Japanese Society of Psychiatry and Neurology took the bold step of changing the term to to -go --shitcho --shoor 'integration disorder' (Sato, 2009). There is some evidence about the benefit this has brought, with no apparent adverse consequences (Takahashi et al, 2009). Other countries, such as Canada, China, Hong Kong, The Netherlands and South Korea, have also started to consider a new name.…”

Section: Schizophrenia … By Any Other Name?mentioning

confidence: 99%

Swan song for schizophrenia?

Henderson

Malhi

2014

Aust N Z J Psychiatry

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“…In one study, the authors recruited 68 non-medical undergraduate students and evaluated impact of renaming to find that the previous term is associated with criminal and the association was weakened by renaming (Takahashi et al, 2009). Another study conducted in the UK also showed that "integration disorder" is less associated with dangerousness compared with "schizophrenia" (Ellison et al, 2015) among over 1600 laymen.…”

Section: Discussionmentioning

confidence: 99%

Change in newspaper coverage of schizophrenia in Japan over 20-year period

Aoki

Goulden

et al. 2016

Schizophrenia Research

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a b s t r a c t a r t i c l e i n f oIn Japan, schizophrenia was renamed in 2002 to reduce the stigma that people with schizophrenia are dangerous. However there has been little research on the potential anti-stigma effect of renaming. The present study aimed to examine whether portrayals of schizophrenia in newspapers as dangerous have been varied across renaming of the disease. To achieve this goal, newspaper articles containing the previous and new Japanese names for schizophrenia, published in the decades before and after the renaming, were identified through the database of the three largest Japanese national broadsheets. Identified articles were divided into two categories: a negative category, including a subcategory "danger"; and a positive category. Articles containing bipolar disorder were adopted as a control. The ratio of the number of articles on schizophrenia and danger to that of bipolar disorder was analysed as a variable of interest. The trend of this ratio was investigated to examine whether portrayals of schizophrenia changed after renaming. The search identified 4677 articles on schizophrenia, 53.0% of which were categorised as negative and 38.9% as danger. The search identified 525 articles on bipolar disorder, 24.6% of which were categorised as negative and 11.2% as danger. There was an increase of the ratio before schizophrenia was renamed (r = 0.54, p = 0.104), and a significant decrease after renaming (r = − 0.69, p = 0.028). Fisher's r-to-z transformation demonstrated a significant change in the trend of the ratio across renaming (Z = 2.72, p = 0.007). Renaming schizophrenia might be associated with mitigation in potentially stigmatised depiction of schizophrenia associated with violence in newspaper reports.

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Impact of changing the Japanese term for “schizophrenia” for reasons of stereotypical beliefs of schizophrenia in Japanese youth

Cited by 68 publications

References 21 publications

Rethinking schizophrenia

Rethinking schizophrenia

Swan song for schizophrenia?

Change in newspaper coverage of schizophrenia in Japan over 20-year period

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