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同行员工和临床医生对公众精神疾病污名和歧视的看法。

Peer employees' and clinicians' perceptions of public mental illness stigma and discrimination.

机构信息

Arizona State University, School of Social Work, Phoenix, Arizona 85004, USA.

出版信息

Psychiatr Rehabil J. 2012 Sep;35(5):406-8. doi: 10.1037/h0094502.

Abstract

OBJECTIVE

Stigma and discrimination against people with mental illnesses are serious problems that can lead to many negative effects. This study examined providers' awareness of consumers' daily lived experience of discrimination.

METHOD

We surveyed 51 peer employees and 52 licensed clinicians to learn how they viewed the extent of public stigma and discrimination.

RESULTS

Clinicians, women, and those who had observed a friend with a mental illness treated unfairly perceived significantly higher levels of public discrimination than did their counterparts (adjusted R² = .399, p < .001). Men's perceptions of public discrimination were more strongly affected by personal contact.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Mental health providers are uniquely situated to help consumers deal with the effects of discrimination and should incorporate this issue into their clinical practice. Further research should examine the reasons for differences in perception and how these differences relate to provider behavior and consumer outcomes.

摘要

目的

针对精神疾病患者的污名化和歧视是严重的问题,可能会导致许多负面影响。本研究旨在调查服务提供者对消费者日常经历歧视的认知。

方法

我们调查了 51 名同伴员工和 52 名持照临床医生,以了解他们如何看待公众污名化和歧视的程度。

结果

与对照组相比,临床医生、女性以及那些目睹过患有精神疾病的朋友受到不公平对待的人,他们认为公众歧视的程度更高(调整后的 R²=.399,p<.001)。男性对公众歧视的看法更多地受到个人接触的影响。

结论和对实践的启示

心理健康服务提供者处于独特的位置,可以帮助消费者应对歧视的影响,应将这一问题纳入其临床实践。进一步的研究应探讨感知差异的原因,以及这些差异与提供者行为和消费者结果的关系。

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