Stuart Heather
Department of Community Health and Epidemiology, Abramsky Hall, Queen's University, Kingston, Ontario, Canada.
CNS Drugs. 2006;20(2):99-106. doi: 10.2165/00023210-200620020-00002.
This article reviews dominant media portrayals of mental illness, the mentally ill and mental health interventions, and examines what social, emotional and treatment-related effects these may have. Studies consistently show that both entertainment and news media provide overwhelmingly dramatic and distorted images of mental illness that emphasise dangerousness, criminality and unpredictability. They also model negative reactions to the mentally ill, including fear, rejection, derision and ridicule. The consequences of negative media images for people who have a mental illness are profound. They impair self-esteem, help-seeking behaviours, medication adherence and overall recovery. Mental health advocates blame the media for promoting stigma and discrimination toward people with a mental illness. However, the media may also be an important ally in challenging public prejudices, initiating public debate, and projecting positive, human interest stories about people who live with mental illness. Media lobbying and press liaison should take on a central role for mental health professionals, not only as a way of speaking out for patients who may not be able to speak out for themselves, but as a means of improving public education and awareness. Also, given the consistency of research findings in this field, it may now be time to shift attention away from further cataloguing of media representations of mental illness to the more challenging prospect of how to use the media to improve the life chances and recovery possibilities for the one in four people living with mental disorders.
本文回顾了主流媒体对精神疾病、精神疾病患者及心理健康干预措施的描绘,并探讨了这些描绘可能产生的社会、情感及与治疗相关的影响。研究一致表明,娱乐媒体和新闻媒体对精神疾病的呈现大多极为夸张且扭曲,强调危险性、犯罪性和不可预测性。它们还塑造了对精神疾病患者的负面反应,包括恐惧、排斥、嘲笑和讥讽。负面媒体形象对患有精神疾病的人影响深远。它们损害自尊、寻求帮助的行为、药物依从性及整体康复。心理健康倡导者指责媒体助长了对精神疾病患者的污名化和歧视。然而,媒体也可能成为挑战公众偏见、引发公众辩论以及报道有关精神疾病患者积极且引人关注故事的重要盟友。媒体游说和新闻联络应为心理健康专业人员发挥核心作用,这不仅是为那些可能无法为自己发声的患者代言的一种方式,也是提高公众教育和意识的一种手段。此外,鉴于该领域研究结果的一致性,现在或许是时候将注意力从进一步罗列媒体对精神疾病的呈现,转向更具挑战性的前景,即如何利用媒体改善每四个患有精神障碍的人中一人的生活机遇和康复可能性。