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理解就业中精神疾病的污名化现象。

Understanding the stigma of mental illness in employment.

作者信息

Krupa Terry, Kirsh Bonnie, Cockburn Lynn, Gewurtz Rebecca

机构信息

Queen's University, Kingston, Ontario, Canada.

出版信息

Work. 2009;33(4):413-25. doi: 10.3233/WOR-2009-0890.

Abstract

BACKGROUND

Stigma has been identified as an important barrier to the full community participation of people with mental illness. This study focuses on how stigma operates specifically within the domain of employment.

OBJECTIVES

The purpose was to advance the development of theory related to the stigma of mental illness in employment to serve as a guiding framework for intervention approaches.

METHOD

The study used a constructivist grounded theory methodology to analyze over 500 Canadian documents from a diverse range of sources and stakeholders, and interviews with 19 key informants.

FINDINGS

The paper develops several key components central to the processes of stigma in the work context. These include the consequences of stigma, the assumptions underlying the expressions of stigma, and the salience of these assumptions, both to the people holding them and to the specific employment situation. Assumptions are represented as varying in intensity. Finally specific influences that perpetuate these assumptions are presented.

IMPLICATIONS

The model suggests specific areas of focus to be considered in developing intervention strategies to reduce the negative effects of stigma at work.

摘要

背景

耻辱感已被视为精神疾病患者充分参与社区活动的重要障碍。本研究聚焦于耻辱感在就业领域具体是如何发挥作用的。

目的

旨在推动与精神疾病就业耻辱感相关理论的发展,以作为干预方法的指导框架。

方法

该研究采用建构主义扎根理论方法,分析了来自不同来源和利益相关者的500多份加拿大文献,并对19名关键 informant 进行了访谈。

研究结果

本文阐述了工作环境中耻辱感形成过程的几个核心关键要素。这些要素包括耻辱感的后果、耻辱感表现背后的假设,以及这些假设对持有这些假设的人以及特定就业情况的显著程度。假设的强度各不相同。最后呈现了使这些假设持续存在的具体影响因素。

启示

该模型为制定干预策略以减少工作中耻辱感的负面影响指明了具体应关注的领域。

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