Kreiner Glen E
Department of Management, University of Utah, Salt Lake City.
Focus (Am Psychiatr Publ). 2025 Jan;23(1):2-8. doi: 10.1176/appi.focus.20240036. Epub 2025 Jan 15.
Stigma has been a pervasive and stubborn part of the mental illness landscape, but it need not be. This article explores the nature of mental health stigma, where it comes from, how it is manifested, how it harms people, and what can be done about it. The article articulates the need to clearly understand three major levels of mental health stigma-structural (e.g., laws and policies in society, institutions, and organizations), social (e.g., biases and attitudes toward others), and self (e.g., beliefs and feelings that those with mental health conditions have about themselves). Psychiatrists, psychologists, medical doctors, and counselors have, unfortunately, too often reinforced these mental health stigmas through policies, practices, and discourse. This article provides tips and strategies for collective and individual stigma reduction, with a particular focus on what mental health practitioners can do attitudinally, linguistically, and behaviorally.
耻辱感一直是精神疾病领域中普遍存在且顽固的一部分,但它并非必然如此。本文探讨了心理健康耻辱感的本质、其来源、表现形式、对人们的伤害以及应对之策。文章明确指出,有必要清晰理解心理健康耻辱感的三个主要层面——结构性层面(例如社会、机构和组织中的法律与政策)、社会层面(例如对他人的偏见和态度)以及自我层面(例如有心理健康问题的人对自己的信念和感受)。不幸的是,精神科医生、心理学家、医生和咨询师常常通过政策、实践和言论强化了这些心理健康耻辱感。本文提供了减少集体和个人耻辱感的建议与策略,尤其着重于心理健康从业者在态度、语言和行为方面可以采取的措施。