Corrigan Patrick W, Watson Amy C, Warpinski Amy C, Gracia Gabriela
University of Chicago Centre for Psychiatric, Tinley Park, IL 60477, USA.
Community Ment Health J. 2004 Aug;40(4):297-307. doi: 10.1023/b:comh.0000035226.19939.76.
This study tests a social psychological model (Skitka & Tetlock, 1992). Journal of Experimental Social Psychology, 28, 491-522; [1993]. Journal of Personality & Social Psychology, 65, 1205-1223 stating that policy maker decisions regarding the allocation of resources to mental health services are influenced by their attitudes towards people with mental illness and treatment efficacy. Fifty four individuals participated in a larger study of education about mental health stigma. Participants completed various measures of resource allocation preferences for mandated treatment and rehabilitation services, attributions about people with mental illness, and factors that influence allocation preferences including perceived treatment efficacy. Results showed significant attitudinal correlates with resource allocation preferences for mandated treatment, but no correlates to rehabilitation services. In particular, people who pity people with mental illness as well as those that endorse coercive and segregated treatments, were more likely to rate resource allocation to mandated care as important. Perceived treatment efficacy was also positively associated with resource allocation preferences for mandated treatment. A separate behavioral measure that involved donating money to NAMI was found to be inversely associated with blaming people for their mental illness and not being willing to help them. Implications of these findings on strategies that seek to increase resources for mental health programs are discussed.
本研究检验了一种社会心理学模型(斯基特卡和泰特洛克,1992年。《实验社会心理学杂志》,第28卷,第491 - 522页;[1993年]。《人格与社会心理学杂志》,第65卷,第1205 - 1223页),该模型指出政策制定者在决定向心理健康服务分配资源时,会受到他们对患有精神疾病的人的态度以及治疗效果的影响。54名个体参与了一项关于心理健康污名教育的更大规模研究。参与者完成了关于强制治疗和康复服务的资源分配偏好的各种测量、对患有精神疾病的人的归因,以及包括感知到的治疗效果在内的影响分配偏好的因素。结果显示,态度与强制治疗的资源分配偏好存在显著相关性,但与康复服务不存在相关性。特别是,同情患有精神疾病的人的人以及支持强制性和隔离性治疗的人,更有可能将资源分配给强制护理视为重要事项。感知到的治疗效果也与强制治疗的资源分配偏好呈正相关。一项单独的行为测量发现,向美国国家心理健康联盟捐款与因精神疾病而指责他人且不愿意帮助他们呈负相关。讨论了这些发现对旨在增加心理健康项目资源的策略的影响。