Dr. Oexle is with the Department of Psychiatry II, University of Ulm and BKH Günzburg, Günzburg, Germany. Dr. Corrigan is with the Department of Psychology, Illinois Institute of Technology, Chicago.
Psychiatr Serv. 2018 May 1;69(5):587-589. doi: 10.1176/appi.ps.201700312. Epub 2018 Feb 1.
People with mental illness are often members of multiple stigmatized social groups. Therefore, experienced disadvantage might not be determined solely by mental illness stigma. Nevertheless, most available research does not consider the effects and implications of membership in multiple stigmatized social groups among people with mental illness. Reflecting on intersectionality theory, the authors discuss two intersectional effects determining disadvantage among people with mental illness who are members of multiple stigmatized social groups, namely double disadvantage and prominence. To be effective, interventions to reduce disadvantage experienced by people with mental illness need to be flexible and targeted rather than universal in order to address the implications of intersectionality. Whereas education-based approaches usually assume homogeneity and use universal strategies, contact-based interventions consider diversity among people with mental illness.
精神疾病患者通常是多个受污名化社会群体的成员。因此，经验劣势可能不仅仅是由精神疾病污名化导致的。然而，大多数现有研究并未考虑到精神疾病患者属于多个受污名化社会群体的影响和含义。作者通过对交叉性理论进行反思，讨论了两个交叉性效应，这两个效应决定了属于多个受污名化社会群体的精神疾病患者的劣势，即双重劣势和突出劣势。为了提高效果，减少精神疾病患者所经历的劣势的干预措施需要具有灵活性和针对性，而不是普遍性，从而解决交叉性的含义。虽然基于教育的方法通常假设同质性并使用普遍性策略，但基于接触的干预措施考虑了精神疾病患者之间的多样性。
