Mental Illness Stigma: An Impediment to Psychiatric Rehabilitation

Dickerson, Faith; Sommerville, Jewel; Origoni, Andrea

doi:10.1080/10973430208408432

Cited by 18 publications

(9 citation statements)

References 27 publications

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“…An explanation is that people in sheltered situation are not daily confronted with colleagues and neighbours who are non‐understanding and who may consider them as less competent (Dickerson et al . ). It should be noted that additional research is needed to further investigate the association between experienced and anticipated discrimination and social and clinical characteristics.…”

Section: Discussionmentioning

confidence: 97%

Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands

Boekel

Brouwers

Weeghel

et al. 2015

Health Soc Care Community

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Experiences and expectations of discrimination (anticipated discrimination) may delay treatment seeking among people with substance use disorders. In addition, experienced and anticipated discrimination can be a barrier to successful recovery and rehabilitation. The aim of this study was to study the level of experienced and anticipated (the expectation to be rejected) discrimination among individuals in treatment for substance use disorders as well as the association between both concepts of discrimination. In addition, the association of experienced and anticipated discrimination with clinical and social characteristics was investigated. A cross-sectional survey among individuals in treatment for substance use disorders in the Netherlands was carried out in 2012. Individuals in treatment (N = 186) completed a self-reported questionnaire about experienced and anticipated discrimination. Descriptive statistics and chi-squared analyses were performed to investigate the level of experienced and anticipated discrimination and the association between both concepts. Linear regression analyses were used to investigate the association with clinical and social characteristics, such as occupational status and type of treatment. Individuals in treatment for substance use disorders reported high levels of experienced and anticipated discrimination. Respondents experienced most discrimination in family ties, intimate relationships and friendships. Experienced and anticipated discrimination were both positively correlated. Having complex substance use problems and a longer history of substance use problems was related to higher levels of experienced discrimination. In conclusion, experienced and anticipated discrimination were highly prevalent among individuals in treatment for substance use disorders. Attention in addiction treatment for adequate coping with discrimination may be needed in order to achieve successful social participation and rehabilitation of these individuals.

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Section: Discussionmentioning

confidence: 97%

Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands

Boekel

Brouwers

Weeghel

et al. 2015

Health Soc Care Community

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“…Survey research suggests that some employers endorse stereotypes, including the idea that people with specific health conditions are dangerous, infectious, lazy, or childlike (Corrigan, Thompson, Lambert, Sangster, Noel, & Campbell, 2003; Dickerson, Sommerville, & Origoni, 2002). These stereotypes seem to have consequences on employers’ decision making.…”

mentioning

confidence: 99%

Chinese and American employers’ perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma

Corrigan

Tsang

Shi³

et al. 2010

Social Science & Medicine

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Work opportunities for people with behaviorally driven health conditions such as HIV/AIDS, drug abuse, alcohol abuse, and psychosis are directly impacted by employer perspectives. To investigate this issue, we report findings from a mixed method design involving qualitative interviews followed by a quantitative survey of employers from Chicago (U.S.), Beijing (China), and Hong Kong (China). Findings from qualitative interviews of 100 employers were used to create 27 items measuring employer perspectives (the Employer Perspective Scale: EPS) about hiring people with health conditions. These perspectives reflect reasons for or against discrimination. In the quantitative phase of the study, representative samples of approximately 300 employers per city were administered the EPS in addition to measures of stigma, including attributions about disease onset and offset. The EPS and stigma scales were completed in the context of one of five randomly assigned health conditions. We weighted data with ratios of key demographics between the sample and the corresponding employer population data. Analyses showed that both onset and offset responsibility varied by behaviorally driven condition. Analyses also showed that employer perspectives were more negative for health conditions that are seen as more behaviorally driven, e.g., drug and alcohol abuse. Chicago employers endorsed onset and offset attributions less strongly compared to those in Hong Kong and Beijing. Chicago employers also recognized more benefits of hiring people with various health conditions. The implications of these findings for better understanding stigma and stigma change among employers are considered.© 2010 Elsevier Ltd. All rights reserved.Corresponding author: Patrick Corrigan, IIT, 3424 S State Street, Chicago, IL 60616 (312) 567-6751 corrigan@iit.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Many people with a variety of health conditions are not able to get and/or keep good jobs, partly because of the disabilities associated with these conditions and partly because of employer concerns about hiring people from these groups, which are often based on stigma and prejudice. The stigma of health conditions is worsened when employers view the disorder as behaviorally driven; i.e., when the sufferer seems responsible for his or her illness because it was contracted as a result of actions under his or her control. We examined this situation through employers' reports of their opinions about hiring people with five health conditions: bone cancer, HIV/AIDS, mental illness (psychosis), alcohol abuse and...

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“…Certainly, stigma may be an important contributor to intrusiveness and subjective well-being among people with schizophrenia. Studies indicate that stigma undermines skill development, community integration, and recovery in people with schizophrenia (Dickerson et al, 2002;McReynolds et al, 2002;Wahl, 1999).…”

Section: Discussionmentioning

confidence: 99%

Illness Intrusiveness and Subjective Well-Being in Schizophrenia

Bettazzoni¹,

Zipursky²,

Friedland³

et al. 2008

Journal of Nervous &Amp; Mental Disease

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This study evaluated the extent to which schizophrenia and its treatment interferes with participation in valued life activities and its impact on subjective well-being. The Illness Intrusiveness Ratings Scale was completed by 78 individuals with schizophrenia on 3 measurement occasions. Clinicians working with participants, plus a relative/friend of each participant also provided independent ratings of the person. The Illness Intrusiveness Ratings Scale displayed internal consistency (coefficient alpha = 0.82), and temporal stability across 1 day (r = 0.89), 1 week (r = 0.51), and 1 month (r = 0.78). Reported intrusiveness was high (M = 50.5) and was among the highest compared with populations with other serious medical and psychiatric illnesses. Ratings correlated with staff and family/friends' ratings of intrusiveness (r = 0.33 and r = 0.40), measures of symptomatology (average r = 0.25), and subjective well-being (average r = 0.41). Path analysis indicated that lifestyle disruption mediates the impact of symptoms and treatment on well-being. Implications for these findings and future directions for research are discussed.

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Mental Illness Stigma: An Impediment to Psychiatric Rehabilitation

Cited by 18 publications

References 27 publications

Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands

Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands

Chinese and American employers’ perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma

Illness Intrusiveness and Subjective Well-Being in Schizophrenia

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