Institute of Psychology, Illinois Institute of Technology, Chicago, Illinois 60616, USA.
J Ment Health. 2010 Aug;19(4):318-27. doi: 10.3109/09638237.2010.492484.
Stigma associated with mental illness has been shown to have devastating effects on the lives of people with psychiatric disorders, their families, and those who care for them. In the current article, the relationship between diagnostic labels and stigma is examined in the context of the forthcoming DSM-V. Three types of negative outcomes are reviewed in detail - public stigma, self-stigma, and label avoidance. The article illustrates how a clinical diagnosis may exacerbate these forms of stigma through socio-cognitive processes of groupness, homogeneity, and stability. Initial draft revisions recently proposed by the DSM-V work groups are presented, and their possible future implications for stigma associated with mental illness are discussed.
与精神疾病相关的污名已被证明对精神障碍患者、他们的家人以及照顾他们的人产生了毁灭性的影响。在本文中,即将发布的《精神疾病诊断与统计手册》(DSM-V)背景下,对诊断标签与污名之间的关系进行了探讨。详细回顾了三种负面结果——公众污名、自我污名和标签回避。文章说明了临床诊断如何通过群体、同质性和稳定性的社会认知过程加剧这些形式的污名。本文还介绍了 DSM-V 工作组最近提出的初始草案修订,并讨论了它们对与精神疾病相关的污名可能产生的未来影响。