Dobransky Kerry M
James Madison University, Department of Sociology and Anthropology, MSC 7501, 71 Alumnae Dr., Harrisonburg, VA, 24401, USA.
Soc Sci Med. 2020 Mar;249:112861. doi: 10.1016/j.socscimed.2020.112861. Epub 2020 Feb 15.
Research on mental illness stigma tends to focus on the most severe diagnoses and settings, and it pays insufficient attention to how the treatment process itself relates to stigma. This study, calling on 28 interviews with providers treating a wide range of mental problems in varied settings, addresses these issues. Findings reveal that stigma is associated with treatment across settings and severity, although dynamics vary based on the intensity of setting. Mental illness stigma competes with other stigmas in presenting for treatment. Once in treatment, mental health care acts as a stigma-mitigating "stamp" of risk containment for other societal systems and institutions, signifying that risks posed by clients' problems are being officially contained.
对精神疾病污名化的研究往往聚焦于最严重的诊断和场景，而对治疗过程本身与污名化之间的关系关注不足。本研究通过对在不同场景中治疗各种精神问题的提供者进行28次访谈，探讨了这些问题。研究结果表明，尽管不同场景下污名化的动态变化因场景强度而异，但在各种场景和不同严重程度的情况下，污名化都与治疗相关。在寻求治疗时，精神疾病污名与其他污名相互竞争。一旦开始接受治疗，精神卫生保健就成为其他社会系统和机构减轻污名的“印记”，表明客户问题所带来的风险已得到官方控制。
