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因精神疾病而遭受的污名化、社会距离和排斥:患有精神疾病的个体成为“陌生人”。

Stigmatization, social distance and exclusion because of mental illness: the individual with mental illness as a 'stranger'.

作者信息

Baumann Anja Esther

机构信息

Rhineland State Clinics Düsseldorf, Clinics of the Heinrich-Heine-University, Düsseldorf, Germany.

出版信息

Int Rev Psychiatry. 2007 Apr;19(2):131-5. doi: 10.1080/09540260701278739.

Abstract

The stigma attached to mental illness often leads to underestimation, underdiagnosis and undertreatment of mental disorders. A lack of knowledge of causes, symptoms and treatment options of mental disorders in the public and a lack of personal contact with affected individuals can result in prejudices and negative attitudes towards them-and subsequently in stigmatization and discrimination. Human beings suffering from mental illness often are recognized as 'strangers'. But, social-psychological and philosophical analysis of the recognition of 'strangeness' in mentally ill individuals as one of the main predictors for social distance towards them, shows, that the other person only remains a stranger if the available cognitive patterns of interpretation fail. Society must provide the people living in it with the interpretational patterns to take away the recognized strangeness from mentally ill persons and thus making him, or her, an accepted other member.

摘要

与精神疾病相关的污名往往导致对精神障碍的低估、漏诊和治疗不足。公众对精神障碍的病因、症状和治疗选择缺乏了解,以及与受影响个体缺乏个人接触,可能导致对他们的偏见和消极态度,进而导致污名化和歧视。患有精神疾病的人常常被视为“陌生人”。但是,对将精神病患者的“陌生感”视为与他们社会距离的主要预测因素之一的社会心理和哲学分析表明,只有当现有的认知解释模式失效时,他人才会一直被视为陌生人。社会必须为其居民提供解释模式,以消除对精神病患者已被认知的陌生感,从而使他或她成为被接受的其他成员。

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