Dr. Corrigan is with the Illinois Institute of Technology, Chicago. Dr. Rüsch is with Psychiatry II, University of Ulm, Ulm, Germany. Dr. Scior is with the Department of Clinical Educational and Health Psychology, University College London, London.
Psychiatr Serv. 2018 Jul 1;69(7):826-828. doi: 10.1176/appi.ps.201700478. Epub 2018 Apr 2.
A 2016 report from the National Academy of Sciences describes strategies that reduce the stigma of mental illness. Prominent among these are contact between people with and without mental illness and strategic disclosure for lessening both public and self-stigma. The report also recognizes the complexity of stigma in the realm of psychiatric phenomena. As a socially constructed phenomenon, mental illness stigma intersects with race-ethnicity, gender, age, and sexual orientation to affect ways in which it is perceived and experienced. Stigma also differs by condition, such as mental illness versus substance use disorder. Hence, antistigma strategies need to actively incorporate diversity concerns into future adaptation. This Open Forum reviews adaptations of the Honest, Open, Proud (HOP) program to reflect adaptation challenges for age and condition. HOP is an evidence-based program that involves strategic disclosure to manage both self- and public stigma. This essay ends with consideration of the additional intersectionality challenges of adaptation.
2016 年美国国家科学院的一份报告描述了减少精神疾病污名的策略。其中突出的策略包括有精神疾病和没有精神疾病的人之间的接触，以及有策略地披露信息以减少公众和自我污名。该报告还认识到精神科现象领域污名的复杂性。作为一种社会建构的现象，精神疾病污名与种族-民族、性别、年龄和性取向相交织，影响人们对其的看法和体验方式。污名也因条件而异，例如精神疾病与物质使用障碍。因此，反污名策略需要将多样性问题积极纳入未来的调整中。本论坛回顾了对诚实、公开、自豪（HOP）计划的调整，以反映年龄和条件方面的适应挑战。HOP 是一个基于证据的计划，涉及有策略地披露信息，以管理自我和公众污名。本文最后考虑了适应的其他交叉性挑战。
