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社会支配取向与对精神分裂症患者的歧视:医学化及危险性信念作为正当化神话的证据

Social Dominance Orientation and Discrimination against People with Schizophrenia: Evidence of Medicalization and Dangerousness Beliefs as Legitimizing Myths.

作者信息

Lampropoulos Dimitrios, Apostolidis Thémis

机构信息

Aix Marseille Univ, LPS, Aix en Provence,France.

出版信息

Span J Psychol. 2018 Oct 25;21:E37. doi: 10.1017/sjp.2018.46.

DOI:10.1017/sjp.2018.46
PMID:30355367
Abstract

Medicalizing beliefs about schizophrenia (biogenetic causes and psychiatric labels) are connected to the belief that people with schizophrenia are dangerous and to discriminating intentions towards them. In this research, we draw on the Social Dominance theory and we examine these beliefs as legitimizing myths that are connected to the individuals' social dominance orientation (SDO) and that legitimize discrimination. In total, 238 Humanities students participated in the current research (Mage = 20.4; SD = 3.03; 107 male and 131 female). A vignette presenting a person with schizophrenia symptoms that offered no labels or explanations about the depicted person's condition was presented to research participants. A structural equation modeling analysis was carried out, in order to confirm our hypotheses in accordance with social dominance theory. Participants' social dominance orientation (SDO) was associated with higher endorsement of medicalizing (β = .16, p < .01) and dangerousness beliefs (β = .22, p < .001). In turn, medicalizing beliefs were connected to dangerousness (β = .21, p < .001) and higher discriminating intentions, both for desired social distance (β = .15, p < .05) and for deprivation of sociopolitical rights (β = .14, p < .05). Dangerousness was highly associated with both these measures (β = .28, p < .001 and β = 43, p < .001 respectively) while SDO was not significantly associated with discriminating intentions. Our model showed good fit to the data. This study confirms the role of SDO in schizophrenia stigma and the fact that ideological and power factors underpin the stigma of schizophrenia.

摘要

将关于精神分裂症的观念医学化(生物遗传学病因和精神病学标签)与认为精神分裂症患者具有危险性以及对他们的歧视意图相关联。在本研究中,我们借鉴社会支配理论,并将这些观念视为与个体的社会支配取向(SDO)相关联且使歧视合法化的正当化神话。共有238名人文专业学生参与了本研究(平均年龄=20.4岁;标准差=3.03;男性107名,女性131名)。向研究参与者呈现了一个有精神分裂症症状但未对所描绘人物的病情给出标签或解释的小插曲。进行了结构方程模型分析,以便根据社会支配理论证实我们的假设。参与者的社会支配取向(SDO)与对医学化观念的更高认可度(β = 0.16,p < 0.01)和危险性观念(β = 0.22,p < 0.001)相关联。反过来,医学化观念与危险性(β = 0.21,p < 0.001)以及更高的歧视意图相关,无论是对于期望的社会距离(β = 0.15,p < 0.05)还是对于社会政治权利的剥夺(β = 0.14,p < 0.05)。危险性与这两种测量指标都高度相关(分别为β = 0.28,p < 0.001和β = 0.43,p < 0.001),而SDO与歧视意图没有显著关联。我们的模型与数据拟合良好。本研究证实了SDO在精神分裂症污名化中的作用,以及意识形态和权力因素构成精神分裂症污名化基础这一事实。

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引用本文的文献

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Blind spots in stigma research? Broadening our perspective on mental illness stigma by exploring 'what matters most' in modern Western societies.污名研究的盲点?通过探索现代西方社会中“最重要的”因素,拓宽我们对精神疾病污名的看法。
Epidemiol Psychiatr Sci. 2021 Mar 17;30:e26. doi: 10.1017/S2045796021000111.