Gyamfi Sebastian, Boakye Priscilla, Giannotti Natalie, Cruz Edward
Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.
Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
Int J Ment Health Nurs. 2025 Aug;34(4):e70121. doi: 10.1111/inm.70121.
The societal stigma surrounding mental illness emerges because of dysfunctional social dynamics between patients, their families and the broader community. This phenomenon, referred to as public stigma, manifests through discriminatory actions or the exclusion of individuals within power structures. Public stigma detrimentally affects the well-being and recovery of those grappling with mental illness, impeding their quality of life. This paper discusses public stigma, examining society's negative attitudes toward individuals diagnosed with mental illness, the systemic injustices perpetuating their marginalisation and the ramifications for nursing practice. Ultimately, the authors propose a theoretical framework to educate and inform health professionals across both mental health and general medical domains, as well as policymakers, about the impact of structural violence in perpetuating public stigma and providing recommendations for remedial action.
围绕精神疾病的社会污名化现象源于患者、其家庭与更广泛社区之间功能失调的社会动态。这种被称为公众污名的现象，通过权力结构中的歧视性行动或对个人的排斥表现出来。公众污名对患有精神疾病的人的福祉和康复产生不利影响，阻碍他们的生活质量。本文讨论公众污名，审视社会对被诊断患有精神疾病的个人的负面态度、使他们边缘化持续存在的系统性不公正现象以及对护理实践的影响。最终，作者提出一个理论框架，以教育和告知心理健康及普通医学领域的卫生专业人员以及政策制定者，关于结构性暴力在使公众污名长期存在方面的影响，并提供补救行动的建议。
