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患者、客户、消费者还是服务使用者?标签对污名化态度影响的实证研究。

Patient, client, consumer, or service user? An empirical investigation into the impact of labels on stigmatizing attitudes.

机构信息

Indiana University-Purdue University Indianapolis.

Brown University Medical School.

出版信息

Psychiatr Rehabil J. 2020 Sep;43(3):197-204. doi: 10.1037/prj0000406. Epub 2020 Feb 20.

Abstract

OBJECTIVE

Currently there is no universally agreed upon language for those seeking psychiatric treatment, and labels commonly include patient, client, consumer, and service user. Although there is some research regarding preferences for label (Dickens & Picchioni, 2012), little is known about how people perceive an individual differently based on the label used. The current study examined whether specific labels were associated with more stigmatizing attitudes.

METHOD

Participants recruited through MTurk ( = 526) were randomized to read a vignette of a man named Harry, described as a patient, client, consumer, or service user with mental illness. After correctly recalling the label from the vignette, participants were assessed for stigmatizing attitudes toward Harry.

RESULTS

ANOVAs indicated a no main effects of label on stigmatizing attitudes. A number of variables (e.g., overall stigma, dangerousness, segregation, and distance) revealed a significant interaction between label and prior mental health treatment: For those who have sought prior mental health treatment, the term client may be more stigmatizing than other labels.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The current study did not find general differences in stigmatizing attitudes associated with mental health treatment label. Although preliminary, these findings suggest treatment labels may not significantly impact stigmatizing attitudes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

目的

目前,寻求精神治疗的人没有普遍认同的语言,标签通常包括患者、客户、消费者和服务用户。虽然有一些关于标签偏好的研究(Dickens & Picchioni, 2012),但人们对基于使用的标签如何对个体产生不同的看法知之甚少。本研究考察了特定标签是否与更具污名化的态度有关。

方法

通过 MTurk(n=526)招募参与者,并将他们随机分配阅读一个名为哈利的男性案例,描述为患有精神疾病的患者、客户、消费者或服务用户。在正确回忆案例中的标签后,参与者会对哈利的污名化态度进行评估。

结果

方差分析表明,标签对污名化态度没有主要影响。一些变量(如总体污名、危险、隔离和距离)显示出标签和先前心理健康治疗之间存在显著的交互作用:对于那些寻求过先前心理健康治疗的人来说,客户这个术语可能比其他标签更具污名化。

结论和对实践的启示

本研究没有发现与心理健康治疗标签相关的污名化态度存在普遍差异。尽管这是初步的,但这些发现表明治疗标签可能不会显著影响污名化态度。

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