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概念化和发展动态污名理论。

Conceptualizing and Developing a Dynamic Stigma Theory.

机构信息

Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.

出版信息

Issues Ment Health Nurs. 2024 Sep;45(9):895-905. doi: 10.1080/01612840.2024.2367147. Epub 2024 Aug 7.

Abstract

Stigma is a form of injustice that contributes to the worsening course of the symptoms associated with mental health problems. The paper discusses the conceptualization and development of a contemporary theoretical model of stigma. Building on the findings of an initial scoping review, the author developed a theoretical model after thoroughly analyzing and redefining the key concepts of interest. This article proposes that stigmatized individuals are impacted by the religiocultural and structural violence perspectives embedded within social spaces, leading to stigma perception appraisal and subsequent coping mechanisms, which could be adaptive or maladaptive. Current models of mental illness stigma have gaps. It is time to relook at existing stigma frameworks and fill these gaps that have existed for many years for effective anti-stigma strategies.

摘要

污名是一种不公正的形式,它会加剧与心理健康问题相关的症状恶化。本文讨论了污名化的概念化和发展的当代理论模型。在初步范围审查的结果基础上,作者在深入分析和重新定义相关关键概念后,构建了一个理论模型。本文提出,受社会空间中隐含的宗教文化和结构性暴力观点的影响,被污名化的个体对污名产生感知、评价,并采取相应的应对机制,这些机制可能是适应性的,也可能是不适应的。现有的精神疾病污名模型存在缺陷。现在是时候重新审视现有的污名框架,并填补这些多年来一直存在的空白,以制定有效的反污名策略。

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