Alvidrez Jennifer, Snowden Lonnie R, Kaiser Dawn M
Department of Psychiatry, University of California, San Francisco, 2727 Mariposa St., Ste. 100, San Francisco, CA 94110, USA.
J Health Care Poor Underserved. 2008 Aug;19(3):874-93. doi: 10.1353/hpu.0.0058.
Little is known about how stigma affects Black people receiving mental health treatment. For a project to develop a consumer-based stigma intervention, qualitative interviews were conducted with public-sector Black mental health consumers (N=34). Primary themes from the interviews regarding stigma concerns, experiences, and coping strategies were examined. Concerns about stigma prompted most consumers initially to avoid or delay treatment; once in treatment, consumers commonly faced stigmatizing reactions from others. Consumers identified numerous strategies to deal with stigma, including seeking support from accepting members of their existing social networks, and viewing their own health as more important than the reaction of others. These consumer perspectives may be valuable to Black individuals who are contemplating seeking mental health treatment.
关于污名如何影响接受心理健康治疗的黑人，人们所知甚少。为了开展一个基于消费者的污名干预项目，对公共部门的黑人心理健康消费者（N = 34）进行了定性访谈。研究了访谈中关于污名问题、经历和应对策略的主要主题。对污名的担忧促使大多数消费者最初避免或推迟治疗；一旦开始治疗，消费者通常会面临他人的污名化反应。消费者确定了许多应对污名的策略，包括从现有社交网络中接纳自己的成员那里寻求支持，以及将自己的健康看得比他人的反应更重要。这些消费者的观点可能对正在考虑寻求心理健康治疗的黑人个体有价值。
