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Does Stigma Impair Treatment Response and Rehabilitation in Schizophrenia? The “Contribution” of Mental Health Professionals

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Advances in Schizophrenia Research 2009
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Abstract

The fact that stigma and discrimination are the chief enemies of progress in providing adequate care and helping people to live a life of acceptable quality is becoming recognised in many countries. Patients and their families provide numerous examples of the effects that stigma can (and does) have on the chance of employment, marriage, renting an apartment, or receiving support from neighbours or the community (Sartorius 1998). For example, most European studies report employment rates among people with schizophrenia of around 10–20% (Marwaha and Johnson 2004). Thus persons, once diagnosed with a psychotic disorder, rarely have a chance to participate in the workforce relatively independent of their actual ability to work.

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References

  • Andreoli SB, Almeida-Filho N, Martin D, Mateus MD, Mari J. Is psychiatric reform a strategy for reducing the mental health budget? The case of Brazil. Rev Bras Psiquiat 2007; (29); 1: 43–46.

    Google Scholar 

  • Angermeyer MC, Matschinger H. Social distance towards the mentally ill: results of representative survey in the Federal Republic of Germany. Psychol Med 1997; 27(1): 131–141.

    Article  CAS  PubMed  Google Scholar 

  • Corrigan PW. Mental health stigma as social attribution: Implications for research methods and attitude change. Clin Psychol: Sci Pract 2000; 7(1): 48–67.

    Article  Google Scholar 

  • Corrigan PW. Empowerment and serious mental illness: Treatment partnerships and community opportunities. Psychiatric Quarter 2002; 73(3): 217–228.

    Article  Google Scholar 

  • Corrigan PW, Watson AC. Factors that explain how policy makers distribute resources to mental health services. Psychiatr Serv 2003 Apr; 54(4): 501–507.

    Article  PubMed  Google Scholar 

  • Graf J, Lauber C, Nordt C, Ruesch P, Meyer PC, Rössler W. Perceived stigmatization of mentally ill people and its consequences for the quality of life in a Swiss population. J Nerv Ment Dis 2004; 192(8): 542–547.

    Article  PubMed  Google Scholar 

  • Gentil V. More for the same? Rev Bras Psiquiat 2007; Jun; 29(2): 193–194.

    Google Scholar 

  • Hayward P, Bright JA. Stigma and mental illness: A review and critique. J Ment Health 1997; 6: 345–354.

    Article  Google Scholar 

  • Jäger M, Sobocki P, Rössler W. Cost of disorders of the brain in Switzerland with a focus on mental disorders. Swiss Medical Weekly 2008; 138(1-2): 4–11.

    Google Scholar 

  • Jäger M, Sobocki P, Rössler W. Cost of disorders of the brain in Switzerland. Swiss Medical Weekly 2008; 138: 4–11.

    PubMed  Google Scholar 

  • Lauber C, Nordt C, Sartorius N, Falcato L, Rössler W. Public acceptance of restrictions on mentally ill people. Acta Psychiatr Scand Suppl. 2000; 102: 26–32.

    Article  Google Scholar 

  • Lauber C, Nordt C, Falcato L, Rössler W. Determinants of attitude to volunteering in psychiatry: results of a public opinion survey in Switzerland. Int J Soc Psychiatry 2002a; 48: 209–219.

    Google Scholar 

  • Lauber C, Nordt C, Falcato L, Rössler W. Public attitude to compulsory admission of mentally ill people. Acta Psychiatr Scand 2002b; 105: 385–389.

    Google Scholar 

  • Lauber C, Anthony M, Ajdacic-Gross V, Rössler W. What about psychiatrists’ attitude to mentally ill people? Eur Psychiatry 2004a; 19(7): 423–427.

    Google Scholar 

  • Lauber C, Nordt C, Falcato L, Rössler W. Factors influencing social distance towards people with mental illness, Community Ment Health J 2004b; 40: 265–274.

    Google Scholar 

  • Lauber C, Nordt C, Braunschweig C, Rössler W. Do mental health professionals stigmatize their patients? Acta Psychiatrica Scand 2006; 113(Suppl. 429): 51–59.

    Article  Google Scholar 

  • Link BG, Cullen FT. Contact with the mentally ill and perceptions of how dangerous they are. J Health Soc Behav 1986 Dec; 27(4): 289–302.

    Article  CAS  PubMed  Google Scholar 

  • Link BG. Understanding labelling effects in the area of mental disorders: An empirical assessment of the effects of expectations of rejections. Am Sociol Rev 1987; 52: 96–112.

    Article  Google Scholar 

  • Link BG, Cullen FT, Frank J, Wozniak JF. The social rejection of former mental patients: understanding why labels matter. Am J Sociol 1987; 92: 146–150.

    Article  Google Scholar 

  • Link BG, Cullen FT, Struening E, Shrout PE, Dohrenwend BP. A modified labelling theory approach in the area of the mental disorders: An empirical assessment. Am Sociol Rev 1989; 54: 400–423.

    Article  Google Scholar 

  • Link BG, Mirotznik J, Cullen F. The effectiveness of stigma coping orientations: can negative consequences of mental illness labelling be avoided? J Health Soc Behav 1991; 32: 302–320.

    Article  CAS  PubMed  Google Scholar 

  • Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 1999; 89: 1328–1333.

    Article  CAS  PubMed  Google Scholar 

  • Link BG. Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illness. Psychiatr Serv 2001; 52:1621–1626.

    Article  CAS  PubMed  Google Scholar 

  • Link BG, Phelan JC. Conceptualizing stigma. Ann Rev Sociol 2001; 27: 363–385.

    Article  Google Scholar 

  • Lovell AM. Coercion and social control. A framework for research on aggressive strategies in community mental health. In Dennis DL & Monahan J (Eds). Coercion and Aggressive Community Treatment: A New Frontier in Mental Health Law. New York, Plenum Press, 1996.

    Google Scholar 

  • Markowitz FE. The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness. J Health Soc Behav 1998; 39: 335–347.

    Article  CAS  PubMed  Google Scholar 

  • Marwaha S, Johnson S. Schizophrenia and employment. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 337–349.

    Article  PubMed  Google Scholar 

  • Mateus MD, Mari JJ, Delgado PG, Almeida-Filho N, Barrett T, Gerolin J, Goihman S, Razzouk D, Rodriguez J, Weber R, Andreoli SB, Saxena S. The mental health system in Brazil: Policies and future challenges. Int J Ment Health Syst 2008 Sep 5; 2–12.

    Google Scholar 

  • Minnis H, McMillan A, Gillies M, Smith S. Racial stereotyping: survey of psychiatrists in United Kingdom. BMJ 2001; Oct; (20): 905–906.

    Google Scholar 

  • Monahan J, Bonnie RJ, Appelbaum PS, Hyde PS, Steadman HJ, Swartz MS. Mandated community treatment: beyond outpatient commitment. Psychiatr Serv 2001 Sep; 52(9): 1198–1205.

    Article  CAS  PubMed  Google Scholar 

  • Mueller B, Nordt C, Lauber C, Ruesch P, Meyer PC, Rössler W. Social support modifies perceived stigmatization in the first years of mental illness: a longitudinal approach. Soc Sci Med 2006; (62): 39–49.

    Google Scholar 

  • Nordt C, Rössler W, Lauber C. Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull 2006 Oct; 32(4): 709-714.

    Article  PubMed  Google Scholar 

  • Perlick D, Rosenheck R, Clarkin J, Sirey J, Salahi J, Struening E. Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaption of persons diagnosed with bipolar affective disorder. Psychiatr Serv 2001; 52: 1627–1632.

    Article  CAS  PubMed  Google Scholar 

  • Pollack, DA. Moving from Coercion to Collaboration in Mental Health Services DHHS (SMA) 04-3869. In Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration 2004.

    Google Scholar 

  • Rosenfield S. Labelling mental illness: the effects of received services and perceived stigma on life satisfaction. Am Sociol Rev 1997; 62: 660–672.

    Article  Google Scholar 

  • Rüsch N, Angermeyer MC, Corrigan PW. The stigma of mental illness: concepts, forms, and consequences. Psychiatr Prax 2005; Jul; 32(5): 221–232.

    Article  PubMed  Google Scholar 

  • Sartorius N. Stigma: what can psychiatrists do about it?. Lancet 1998; 352(9133): 1058–1059.

    Google Scholar 

  • Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS. Stigma as a barrier to recovery: perceived stigma and patient-related severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 2001; 52: 1615–1620.

    Article  CAS  PubMed  Google Scholar 

  • Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull 1981; 7(2): 225–240.

    CAS  PubMed  Google Scholar 

  • Torrey EF, Zdanowicz M. Outpatient commitment: what, why, and for whom. Psychiatr Serv 2001; 52(3): 337–341.

    Article  CAS  PubMed  Google Scholar 

  • Veatch R. Against paternalism in the patient-physician relationship. In Gilon R (Ed) Principles of Health Care Ethics. Chichester, John Wiley, 1994.

    Google Scholar 

  • Watson AC, Corrigan P, Larson JE, Sells M. Self-Stigma in people with mental illness. Schizophr Bull 2007; 33(6): 1312–1318.

    Article  PubMed  Google Scholar 

  • Wright ER, Gronfein WP, Owens TJ. Deinstitutionalization, social rejection, and the self-esteem of former mental patients. J Health Soc Behav 2000; 41: 68–90.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Wulf Rössler .

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Rössler, W. (2010). Does Stigma Impair Treatment Response and Rehabilitation in Schizophrenia? The “Contribution” of Mental Health Professionals. In: Gattaz, W., Busatto, G. (eds) Advances in Schizophrenia Research 2009. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0913-8_25

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  • DOI: https://doi.org/10.1007/978-1-4419-0913-8_25

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