Tolomiczenko G S, Goering P N, Durbin J F
Department of Psychiatry, University of Toronto, Clarke Site, Centre for Addiction and Mental Health.
Can J Psychiatry. 2001 Apr;46(3):253-7. doi: 10.1177/070674370104600305.
To determine whether the viewing of a video depicting the successful struggles of homeless persons with mental illness in finding and maintaining housing can have a positive impact on attitudes toward homeless persons with mental illness.
Five hundred and seventy-five high school students attending a brief educational session on mental illness participated in 1 of 3 comparison versions of the 2-hour program (control, video, video plus discussion). All completed an "Attitudes toward Homelessness and Mental Illness Questionnaire." Demographic and prior exposure variables were entered as a covariates in between-group analyses of variance.
Females and subjects who had more prior encounters with homeless persons were found to have the most positive attitudes. After controlling for these effects, the video alone had a negative impact on attitudes relative to the other groups, while the video followed by a discussion with one of the people featured in it had a largely positive impact.
The apparent immediacy and the evocative power of video presentations cannot substitute for direct contact for the purpose of promoting positive attitude change. The findings are consistent with prior research emphasizing the importance of direct interaction with members of stigmatized groups to reduce negative attitudes. Education programs trying to destigmatize mental illness and homelessness using videos should proceed with caution.
确定观看一段描绘患有精神疾病的无家可归者在寻找和维持住房方面成功抗争的视频，是否会对人们对患有精神疾病的无家可归者的态度产生积极影响。
575名参加关于精神疾病简短教育课程的高中生参与了这个两小时课程的三个比较版本之一（对照组、视频组、视频加讨论组）。所有人都完成了一份“对无家可归者和精神疾病的态度问卷”。在组间方差分析中，将人口统计学和先前接触变量作为协变量纳入。
发现女性以及之前与无家可归者有更多接触的受试者态度最为积极。在控制了这些影响因素后，单独观看视频相对于其他组对态度有负面影响，而观看视频后与其中一位出镜者进行讨论则产生了很大的积极影响。
视频展示的明显即时性和唤起力，不能替代为促进积极态度改变而进行的直接接触。这些发现与先前强调与受污名化群体成员直接互动以减少负面态度重要性的研究一致。试图通过视频消除对精神疾病和无家可归现象污名化的教育项目应谨慎进行。
