Mental health stigma: the role of dualism, uncertainty, causation and treatability

Latoo, Javed; Mistry, Minal; Alabdulla, Majid; Wadoo, Ovais; Jan, Farida; Munshi, Tariq; Iqbal, Yousaf; Haddad, Peter M.

doi:10.1136/gpsych-2021-100498

Cited by 10 publications

(9 citation statements)

References 25 publications

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“…This was in contrast to the body which was governed by science and thus considered a matter of medicine. Such views significantly influenced the perception, stigma, and ultimately the treatment of individuals who struggled with mental health (Latoo et al., 2021). As technology began to rapidly develop in the late 19th and early 20th centuries, science and medicine began to further explore mental health.…”

Section: Introductionmentioning

confidence: 99%

Social determinants of mental health: Informing counseling practice and professional identity

Pester

Jones

Talib³

2023

Jour of Counseling & Develop

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The counseling field, with its grounding in wellness, social justice, and development, is well positioned to adopt a social determinants of mental health framework and lead initiatives to further integrate this type of framework into the larger mental health field. The purpose of this article is to bring together and apply two existing models, the social determinants of mental health and the social determinants of mental disorders, to the field of professional counseling. The authors argue that by adopting this framework, professional counselors will be better positioned to identify and address social determinants of mental health both proximal and distal to their clients and use this to inform direct clinical practice, the design and evaluation of counselor training programs, the development of community‐based intervention programs, counseling research, as well as policy initiatives ranging from the organizational to public policy levels.

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Section: Introductionmentioning

confidence: 99%

Social determinants of mental health: Informing counseling practice and professional identity

Pester

Jones

Talib³

2023

Jour of Counseling & Develop

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“…Such thinking is common and is termed mind-body dualism, an archaic and inaccurate idea still permeating modern medicine despite abundant evidence that the mind and brain are interdependent. [47,48] Mind-body dualism becomes pernicious if psychosocial matters (eg, cognition, emotion, behavior, relationships) are perceived as less important, real, or scientific. Dualism may catalyze marginalization of psychiatric patients, schisms between medical and psychiatric professions, and clinical and research inequities.…”

Section: Interprofessionalismmentioning

confidence: 99%

“…Dualism may catalyze marginalization of psychiatric patients, schisms between medical and psychiatric professions, and clinical and research inequities. [48] While biomedical tests are often sufficient to diagnose and describe the pathophysiology of end-stage medical diseases, psychosocial phenomena cannot be readily explained using such metrics. The etiologies of psychiatric disorders and psychosocial problems are elusive and multifactorial, [49] no reliable biomarkers exist, and the classification system used in the United States to describe mental health disorders (ie, Diagnostic and Statistical Manual) is controversial.…”

Section: Interprofessionalismmentioning

confidence: 99%

Reexamining “psychosocial clearance”: A procedural framework for psychosocial evaluation in liver transplantation

Winder,

Fernandez,

Perumalswami

et al. 2023

Liver Transplantation

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Psychosocial and “nonmedical” phenomena are commonly encountered in liver transplantation (LT) evaluations. They are simultaneously crucial decision-making factors and some of the most difficult and controversial clinical matters clinicians confront. Epidemiology, societal trends, and the preponderance of psychological and behavioral factors underpinning common end-stage liver diseases ensure that LT teams will continue to encounter highly complex psychosocial patient presentations. Psychosocial policies, practices, and opinions vary widely among clinicians and LT centers. Liver clinicians already report insufficient psychosocial expertise, which creates a large gap between the stark need for psychosocial expansion, improvement, and innovation in LT and the lack of accompanying guidance on how to achieve it. While the clinical domains of an LT psychosocial evaluation have been well-described, few articles analyze the procedures by which teams determine candidates’ “psychosocial clearance” and no conceptual frameworks exist. This article proposes a framework of core domains of psychosocial evaluation procedures, common pitfalls, and practical improvement strategies.

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“…However, this reattribution was basically only one step forward. Because of fears of stigma (especially among those with an Asian cultural background), [23][24][25][26] it is difficult for patients to easily accept the psychological reattribution of the cause of their symptoms and the related interventions, such as psychotherapy--due to low motivation 27 --or the use of central neuromodulators, such as antidepressants, antipsychotics and other central nervous system-targeted medications. Therefore, a symptom-centred, stepped reattribution model has been developed specifically for patients with FGID by drawing upon principles from cognitive-behavioural therapy (CBT), Ellis's rational emotive therapy (RET), and the core content of the reattribution model training for non-psychiatrists proposed by Fink et al 22 The specified steps and key points of operation are as follows: 1.…”

Section: Exploration Of Symptom-centred Stepped Reattribution Clinica...mentioning

confidence: 99%

Evolution and significance of the psychosomatic model in gastroenterology

2022

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The biomedical model, which limits itself to finding the attributions of organic disease, is challenged by gastrointestinal (GI) symptoms. Simultaneously, physicians' attribution of GI symptoms to underlying psychological issues is not readily accepted by patients and can negatively affect the clinical rapport between doctor and patient. In reality, psychosocial aspects are involved in many functional disorders and organic diseases, not just in mental disorders. Time is overdue for gastroenterologists to recognise the inadequacy and limitations of conventional gastroenterology and consider the role of psychological, social and biological variables throughout the entire clinical course of the illness, as is shown in George Engel’s model. This review discusses the following: (1) the current challenges of using the conventional clinical model for both functional and organic GI illness, (2) the inadequacy and limitations of explaining GI symptoms simply as psychological disorders, (3) the exploration of the symptom-centred, stepped reattribution clinical model, (4) the clarification of psychosomatic medical concepts for use in gastroenterology, and (5) the significance of a systematic and interdisciplinary framework for a comprehensive psychosomatic model in gastroenterology.

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Mental health stigma: the role of dualism, uncertainty, causation and treatability

Cited by 10 publications

References 25 publications

Social determinants of mental health: Informing counseling practice and professional identity

Social determinants of mental health: Informing counseling practice and professional identity

Reexamining “psychosocial clearance”: A procedural framework for psychosocial evaluation in liver transplantation

Evolution and significance of the psychosomatic model in gastroenterology

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