Both social and personal stigma can be used to predict how likely a person is to get professional help (Barney & Griffiths & Form & Christensen 2006). People who are more aware of public stigma are less likely to try to get help from a professional (Wang 2015). Internalizing stigma about receiving treatment for depression makes people less likely to get help (Barney & Griffiths & Form & Christensen 2006). People hold more negative attitudes towards depressed individuals than “normal” peers (Bellanca & Pote 2013). A study done found that children would typically choose to associate with “normal” peers over those with depression (Bellanca & Pote 2013). Thirty-three percent of people think of depressed individuals as dangerous (Mannarini &
The effects of self-stigma can lead to a lack of self esteem, lack of confidence, isolation and the increased likelihood of avoiding professional help for their illness. This then has an over all affect on quality of life and where one sees themselves fitting within society (Barney, Griffiths, Jorm & Christensen, 2005; Griffiths & Christensen, 2004; Newell & Gournay, 2000).
Mental health stigma can be divided into two distinct types: Social stigma – Social stigma is extreme disapproval of (or discontent with) a person or group based on socially characteristic grounds that are perceived, and serve to distinguish them, from other members of a society. Stigma may then be affixed to such a person, by the greater society, which differs from their cultural norms. Self-stigma – Is the internalizing by the mental health sufferer of their perceptions of discrimination. Those with mental health needs have shame of reporting as they may think that no one believes them.
Stigma as a Process by Which the Reaction of Others Spoils Normal Identity The American sociologist, Erving Goffman, introduced into sociological discourse the notion of stigma. Stigma was used by the Greeks to mean a bodily sign inflicted upon a person to mark them as outcasts from normal society. However, due to Goffman's work, stigma has come to mean any "condition, attribute or trait which marks an individual as culturally unacceptable or 'inferior'" (Scambler 1991:186).
Self-stigma, also known as internal stigma, occurs when social biases affect internal beliefs and feelings associated with one’s condition. Many things can influence internal beliefs, upbringing, media, cultural background, as well as professional biases. These all influence how someone feels about themselves once labeled with a condition. When parents dread professional help, the child internalizes their reluctance. Sometimes, the parents believe to the extreme that medication is hurtful or that doctors and other professionals will make the situation worse.
Of those who know me well, a small number eventually find out that I am bipolar. It 's not something I advertise to the public, and it has, at times, been an enormously debilitating force in my life. Even though I am educated about my problems and know better, many times I have berated myself harshly for my "weakness" or even found fault in my very existence. Early on, I doubted my right to live based upon the difficulties inherent to the disorder, and I have since sometimes felt deeply ashamed of it. Not everyone who has learned of it has been understanding. Not at all. I have been told I was "undisciplined," that the illness was "fake" or "manufactured," that I was "making excuses," that I was "scary," that I needed to "go back to church," that I was "just manipulative," that I "needed a knot jerked in my tail," that I had "taken advantage of loving parents," that I was "just too emotional," that that that that that...... It 's NOT just my imagination that keeps me from telling people.
Hey Michelle, I really enjoyed reading your post. Raising awareness to alleviate the lack of access to quality mental healthcare for minorities, is a great step in the right direction to getting this problem under control. If people are not aware of what’s going on, then it’s hard to advocate change in the community. I also agree with you when you talked about removing the stigma on mental illness. So many people grew up around that stigma, and that’s why mental illness is looked upon as something so negative. We as social workers can turn that stigma into something positive, by making sure our clients feel comfortable, and making sure they feel like they have a voice.
Stigma and discrimination were reported to be associated with avoidance of participating and adhering to rehabilitation plan in people with serious mental illness (Gulliver, Griffiths & Christensen, 2010). Several studies are reported that people with mental illness took medication secretly from others because they feared of being rejected and discriminated (Omori, Mori & White, 2014; Petersen et al., 2015). Also, as mentioned above, the stigma from health professionals is another barrier for people to seek help (Pellegrini, 2014). Therefore, as a health professional, reducing the impact of stigma need to both improve clients’ self-esteem and self-efficacy, also diminish public stigma from colleagues (Omori et al., 2014). According to Kosyluk et al.
What role might stigma or bias play in people's daily lives? What impact can it have on their health? And what is your community and workplace solution? Impact of Electronic Health Records on Stigmatized Individuals
Stigma in Health In the health care department, illnesses are often stigmatized. Other factors that may increase the stigmatization of diseases are related to gender, socioeconomic and ethnic groups. Such disparities show the stereotypes these groups may face daily.
How does stigma affect personal life goals? Stigma is found in two different forms, public and self-stigma. Public stigma can be described as stereotypes, prejudice and discrimination. Common stereotypes about mental illness include blame, dangerousness and incompetence (Corrigan, Larosn, & Ruesch, 2009). The forms of public stigma cause a chain reaction leading to a loss of opportunities, coercion and segregation for people with mental illness. Self-stigma is defined as a devaluation of the self by internalizing negative stereotypes they attribute to themselves and attributed to them from external sources (Shrivastava, Johnston & Bureau, 2012). Self-stigma is a huge contribution to adherence to treatment for mental health patients and negatively impacts the ability to fully achieve goals. Patients that internalize negative stereotypes, self-stigma, have the attitude of “why try.”
Structural stigma appears in interactions with institutional and social structures and these are “difficult to identify but perhaps the most devastating in impact on life chances” (Watson & Eack, 2007, p. 33). Structural stigma is implemented through the use of institutional and structural discrimination (Watson & Eack, 2007). Institutional discrimination consists of intended laws and legislation that restrict the rights and opportunities of people with mental illness; essentially, robbing individuals of civil rights to which they are entitled (Watson & Eack, 2007). Similarly, structural discrimination results from systemic factors such as politics and economics that limit opportunity, though unintentionally (Corrigan, 2014). It is this system-level stigma that prevents people most in need of mental health care from obtaining it.
An individual's apprehension about the public's attitudes and beliefs about their mental health status often creates negative attitudes about mental health treatment, and then becomes a barrier to help-seeking. According to Corrigan and Watson (2002), there is an inverse relationship between perceived public stigma and treatment seeking. In fact, Corrigan (2004) later suggested that stigma is the most frequently given reason people choose not to seek counseling and other mental health services. The impression of public stigma from others is a major barrier to seeking mental health treatment, particularly among young adults. In fact, 20% of them with unmet mental health needs have cited “I worry what others will think of me” as a major barrier
Eisenberg, Downs, Golberstein & Zivin (2009) had specific research questions; did these participants have levels of high or low stigmas, how heavily were they affected by these stigmas and what was the commonalities between seeking mental health treatment and the two levels of stigma? These researchers hypothesized that these stigmas would be interrelated to a person’s lower help-seeking behavior because it was assumed that both individual and peers views on mental health illnesses impacted the participant’s opinion. Eisenberg, Downs, Golberstein & Zivin (2009) used randomly sampled 5,555 students from 13 universities. These participants were diverse to decrease any risk to the experiments validity. There were three key finding that I feel are important to this topic because it shows how the lack of early on intervention can affect a person later on in life. Public stigma like stereotyping or discrimination out weighted the individual stigmas, participants who were either male, younger in age, Asian, had a deeper religious faith, or lower had higher personal stigmas and stigmas are negatively impact individuals’ willingness to seek treatment of any
Stigma has been said to be “a feeling of being negatively differentiated owing to a particular condition, group membership or state in life”(Arboleda-Florez & Stuart, 2012, p. 458). There are typically two types of mental illness stigma that are discussed. Public stigma, also known as societal stigma, is the stigma associated with the prejudicial attitudes the public holds towards those people who suffer from mental illness (Arboleda-Florez & Stuart, 2012; Corrigan, Markowitz, Watson, Rowan & Kubiak, 2003). Self-stigma, also known as internalized stigma, is the loss of self-esteem, withdrawal, and personal shame that some with mental illness will experience. Self-stigma is usually developed when those who suffer from mental illness associate the negative stereotypes the public holds with themselves (Chronister, Chou, & Lieo, 2013; Corrigan et al., 2003).
There are many stigmas, or misconceptions and misperceptions in our society which need to be shattered. I believe that one of the worse possible effects of stigma is that it causes those affected by psychological disorders, or mental illness, to crawl more deeply into themselves because it provokes a sense of shame. Stigma thrusts those suffering with mental illness into a sense of isolation, social exclusion, and discrimination. “Stigma can lead to discrimination … It may be obvious or direct … Or it may be unintentional or subtle…” (Staff). Stigma is often as big as the illness itself and I confess to having been a perpetuator of this dreaded thing, although not consciously aware and without the intent of furthering the harm of someone.