Greene-Shortridge Tiffany M, Britt Thomas W, Castro Carl Andrew
Department of Psychology, Clemson University, 418 Brackett Hall, Clemson, SC 29634, USA.
Mil Med. 2007 Feb;172(2):157-61. doi: 10.7205/milmed.172.2.157.
The present review addresses the perceived stigma associated with admitting a mental health problem and seeking help for that problem in the military. Evidence regarding the public stigma associated with mental disorders is reviewed, indicating that the public generally holds negative stereotypes toward individuals with psychological problems, leading to potential discrimination toward these individuals. The internalization of these negative beliefs results in self-stigma, leading to reduced self-esteem and motivation to seek help. Even if soldiers form an intention to seek help for their psychological difficulty, barriers to mental health care may prevent the soldier from receiving the help they need. An overall model is proposed to illustrate how the stigma associated with psychological problems can prevent soldiers getting needed help for psychological difficulties and proposed interventions for reducing stigma in a civilian context are considered for military personnel.
本综述探讨了在军队中承认存在心理健康问题并为此寻求帮助所带来的感知污名。回顾了与精神障碍相关的公众污名的证据，表明公众通常对有心理问题的个体持有负面刻板印象，从而导致对这些个体的潜在歧视。这些负面信念的内化导致自我污名，进而降低自尊和寻求帮助的动力。即使士兵打算为其心理困难寻求帮助，心理健康护理的障碍可能会阻止士兵获得他们所需的帮助。提出了一个总体模型来说明与心理问题相关的污名如何能够阻止士兵获得针对心理困难所需的帮助，并考虑了在平民背景下减少污名的干预措施以应用于军事人员。
