Department of Communication Arts & Sciences, The Pennsylvania State University, University Park, PA 16802, USA.
Health Commun. 2010 Jul;25(5):410-22. doi: 10.1080/10410236.2010.483335.
In modified labeling theory, Link and colleagues (1987, 1989) explicate how people use communication to cope with being labeled as members of a stigmatized group. In this paper, we change perspectives and investigate how a confidant's awareness of discrimination and devaluation associated with being labeled as a member of a stigmatized group ("mentally ill" or "smoker") motivates him or her to encourage a labeled loved one to engage in secrecy, withdrawal, or education to avoid the adverse actions associated with stigmatization. Results showed that a model of relationships among perceived devaluation and discrimination, coping strategies, and future disclosures extended well to unexpected confidants of a labeled loved one. This advice included encouraging the labeled loved one not to tell different people about their condition, which included health care providers. These findings also showed that people with experience in the labeling condition may have particular concern about stigmatization or rejection from different types of listeners, including close friends and health care providers.
在修正后的标签理论中，Link 及其同事（1987，1989）阐述了人们如何通过沟通来应对被贴上污名化群体成员标签的问题。在本文中，我们改变视角，研究一个知己对与被贴上污名化群体（“精神病患者”或“吸烟者”）相关的歧视和贬低的认识如何激励他或她鼓励被贴上标签的爱人保持秘密、退缩或接受教育以避免与污名化相关的不利行为。结果表明，一个感知到的贬值和歧视、应对策略和未来披露之间关系的模型很好地扩展到了被贴上标签的爱人的意外知己。这些建议包括鼓励被贴上标签的爱人不要向不同的人（包括医疗保健提供者）透露自己的病情。这些发现还表明，有过标签经历的人可能特别担心来自不同类型听众的污名化或排斥，包括亲密的朋友和医疗保健提供者。
