MacInnes D L, Lewis M
Centre for Health and Social Care Research, Faculty of Health, Canterbury Christ Church University, Canterbury, Kent, UK.
J Psychiatr Ment Health Nurs. 2008 Jan;15(1):59-65. doi: 10.1111/j.1365-2850.2007.01212.x.
The concept of stigma has been acknowledged as being an important factor in the way that people with mental health problems are viewed and treated. Some authors suggest that stigma should be viewed as a multifaceted rather than a single concept. One part of this multifaceted concept has been called self-stigma which has been defined as the reactions of stigmatized individuals towards themselves. This study examined the impact of a 6-week group programme designed to reduce self-stigma in a group of service users with serious and enduring mental health problems. Twenty participants were assessed prior to the commencement of the group and immediately following its cessation. In addition to self-stigma, assessments for self-esteem, self-acceptance and psychological health measures were also undertaken. The results record a significant reduction in the stigma following the group and also non-significant increases in the participants' levels of self-esteem, self-acceptance and overall psychological health. However, there was only a negligible correlation recorded between the reduction in self-stigma and the increase in self-esteem, self-acceptance and psychological health. The paper discusses the possible explanations for these findings.
耻辱感这一概念已被公认为是影响人们如何看待和对待有心理健康问题者的一个重要因素。一些作者认为,耻辱感应被视为一个多方面的概念,而非单一概念。这个多方面概念的一部分被称为自我耻辱感,它被定义为受耻辱者对自身的反应。本研究考察了一个为期6周的团体项目对一组患有严重且持续性心理健康问题的服务使用者减少自我耻辱感的影响。20名参与者在团体项目开始前和结束后立即接受了评估。除了自我耻辱感,还对自尊、自我接纳和心理健康指标进行了评估。结果显示,团体项目结束后耻辱感显著降低,参与者的自尊、自我接纳和整体心理健康水平也有不显著的提高。然而,自我耻辱感的降低与自尊、自我接纳和心理健康的提高之间的相关性微乎其微。本文讨论了这些研究结果的可能解释。