Stern: Stigma and Mental Illness – A Barrier to Health Seeking

Stigma and Mental Illness – A Barrier to Health Seeking ANTHONY STERN, M.D. ALBERT EINSTEIN COLLEGE OF MEDICINE ANNUAL WORLD MENTAL HEALTH DAY OCTOBER 10 TH , 2010 MALAGA, SPAIN

OVERVIEW ,[object Object],[object Object],[object Object],[object Object]

General Health Care: The Role of Stigma ,[object Object],[object Object],[object Object],[object Object],[object Object]

One U.K. Example of “Label Avoidance”: 2004 GMS (General Medical Services) Contract ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

STIGMA: The Origins of the Concept ,[object Object],[object Object]

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Goffman’s Concept of Stigma: Undesirable Differentness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Link-Phelan Model of Stigmatization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Link-Phelan Model: The Role of Power ,[object Object],[object Object],[object Object],[object Object],[object Object]

Types of Stigma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Levels of the Stigmatizing Process (Thornicroft, Hinshaw) ,[object Object],[object Object],[object Object],[object Object]

October 2004, American Psychologist: “How Stigma Interferes with Mental Health Care”

What causes the failure to seek or use care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Two Factors That May Influence Whether a Person Who Might Benefit From Mental Health Treatment Actually Seeks It Corrigan, P. (2004). How Stigma Interferes With Mental Health Care. American Psychologist, 59 (7), 614-625. doi:10.1037/0003-066X.59.7.614 © 2004 American Psychological Association

U. of Michigan Medical Students ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Optimism, late 1990’s: scientific knowledge will reduce stigma ,[object Object],[object Object],[object Object]

A Comparison of Responses to GSS mental health vignettes, 1996 and 2006 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Result and Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Vicious Cycles of Stigmatization (Sartorius, World Psychiatric Association) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Fear and Shame: Three Intertwined Causes ,[object Object],[object Object],[object Object],[object Object]

A Proposed Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SPIRITUAL ROOTS ,[object Object],[object Object],[object Object]

How do we learn…? ,[object Object],[object Object]

Buber: all dialogue depends on the acceptance of otherness ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Internet Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stern: Stigma and Mental Illness – A Barrier to Health Seeking

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