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精神疾病污名:概念、后果及减少污名的举措

Mental illness stigma: concepts, consequences, and initiatives to reduce stigma.

作者信息

Rüsch Nicolas, Angermeyer Matthias C, Corrigan Patrick W

机构信息

Department of Psychiatry and Psychotherapy, University of Freiburg, Hauptstrasse 5, D-79104 Freiburg, Germany.

出版信息

Eur Psychiatry. 2005 Dec;20(8):529-39. doi: 10.1016/j.eurpsy.2005.04.004. Epub 2005 Sep 19.

Abstract

Persons with mental illness frequently encounter public stigma and may suffer from self-stigma. This review aims to clarify the concept of mental illness stigma and discuss consequences for individuals with mental illness. After a conceptual overview of stigma we discuss two leading concepts of mental illness stigma and consequences of stigma, focussing on self-stigma/empowerment and fear of stigma as a barrier to using health services. Finally, we discuss three main strategies to reduce stigma -- protest, education, and contact -- and give examples of current anti-stigma campaigns. Well-designed anti-stigma initiatives will help to diminish negative consequences of mental illness stigma.

摘要

患有精神疾病的人经常遭遇公众的污名化,并且可能会遭受自我污名化。本综述旨在阐明精神疾病污名化的概念,并探讨其对患有精神疾病的个体所造成的后果。在对污名化进行概念性概述之后,我们将讨论精神疾病污名化的两个主要概念及其后果,重点关注自我污名化/赋权以及对污名化的恐惧如何成为使用医疗服务的障碍。最后,我们将讨论减少污名化的三种主要策略——抗议、教育和接触——并列举当前反污名化运动的实例。精心设计的反污名化举措将有助于减少精神疾病污名化带来的负面影响。

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