Flanagan Elizabeth H, Miller Rebecca, Davidson Larry
Department of Psychiatry, Yale School of Medicine, 319 Peck Street, Building 1, New Haven, CT 06513, USA.
Psychiatr Q. 2009 Mar;80(1):55-64. doi: 10.1007/s11126-009-9093-7. Epub 2009 Feb 4.
Stigma within mental health settings may be equally detrimental to people with mental illnesses as societal stigma.
This study investigated stigma in mental health settings through a mixed qualitative-quantitative design.
Practitioners at a community mental health center indicated (1) their subjective experience of treating people with mental illness, and (2) descriptive features of people with mental illness.
Interpretive phenomenological analysis found that a primary theme across practitioners was the causes and effects of labeling patients, a process practitioners attributed to other practitioners and/or to systemic pressures to "treat the chart" instead of the patient. Beyond symptoms and deficits, practitioners rated people with mental illnesses as "insightful" and "able to recover."
These data suggest that stigma in mental health settings may be due to structural, systemic pressures on practitioners, with practitioners' emphasis on symptoms and deficits as a secondary factor.
心理健康环境中的污名化对患有精神疾病的人的危害可能与社会污名化一样大。
本研究通过定性与定量相结合的设计，对心理健康环境中的污名化进行了调查。
一家社区心理健康中心的从业者指出了（1）他们治疗精神疾病患者的主观体验，以及（2）精神疾病患者的描述性特征。
解释现象学分析发现，从业者中一个主要的主题是给患者贴标签的原因和影响，从业者将这个过程归因于其他从业者和/或“治疗病历”而非患者的系统压力。除了症状和缺陷外，从业者认为患有精神疾病的人“有洞察力”且“能够康复”。
这些数据表明，心理健康环境中的污名化可能是由于从业者面临的结构和系统压力，而从业者对症状和缺陷的强调是次要因素。
