ESSEntIAl ConSIdERAtIonS: KnowlEdgE And BElIEfSThe effects of beliefs as determinants of stigma were suggested in the works of researchers such as Valencia and Hyland, who studied different cultural groups independently and emphasised that understanding cultural belief systems was crucial to gaining insight into stigma (Valencia, 1989;Hyland, 2000). Weiss recognised the importance of this factor in relation to leprosy too. He contended that if the stigma of leprosy is to be reduced, it is essential to understand its social history and current cultural meaning (Weiss, 2008). To support this point, he cited a seminal paper in which Gussow and Tracy (1970) From a health promotion perspective, Secker et al (1999) suggested that initiatives were unlikely to be successful unless people's own understandings, beliefs and concerns were taken into account. They found that young people's attitudes to mental illness could be adjusted when an intervention took into consideration their own perspectives, and when stress was laid on creating a cultural environment which would support the development of more positive attitudes. Smith (2002) made a similar statement. He said that imparting accurate information is not likely to be successful unless people's own beliefs, understanding and concerns are taken into account.
ESSEntIAl ConSIdERAtIonS: REquIREmEntS foR PRECISIon foCuSIngIn addition to the requirement for multi-dimensional considerations, stigma interventions will also require fine tuning for greater specificity. Weiss declared his opinion that there are features of stigma that are condition specific (Weiss, 2008;. There may be, for example, attributes of moral condemnation and blame that are attributes of the stigma of leprosy, but those factors are not associated with all the other health conditions that also give rise to stigma. He suggested that such specific ideas about stigma appear to be related to the experience, meaning, and behaviour associated with a disease, among both affected persons and unaffected persons in a community.Angermeyer (2002) also drew attention to the need for specificity. With regard to mental illness (already quite specific), he suggested that there were www.dcidj.org 73 considerable differences with regard to stereotypes and the potential effects of stereotyping, and that there were also differences in emotional reactions and degrees of discrimination that were condition specific. There was an imperative need suggested in his paper: the variation of the stigma components between disorders should be considered so that interventions can be 'tailored more closely to the actual needs '. Bos et al (2008) in their article on AIDS-related stigma in developing countries, stated that similar (cognitive) factors determine AIDSrelated stigma. However, their manifestations and relative importance may vary for each context. AIDS stigma is often associated with norm violating behaviour. In western countries, for example, this norm violating behaviour is associated with homosexuality and injecti...