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1 – 10 of over 2000This study aims to examine how experience with mental illness influences perceptions of stigma and realism in a specific direct-to-consumer advertisement (DTCA) for bipolar…
Abstract
Purpose
This study aims to examine how experience with mental illness influences perceptions of stigma and realism in a specific direct-to-consumer advertisement (DTCA) for bipolar depression.
Design/methodology/approach
An online survey had participants watch a 90 s advertisement for a prescription bipolar depression drug and then answer 24 questions about stigma, mental illness experience and the realism of the portrayals in the advertisement.
Findings
Findings show that people who identify as having experience with mental illness tend to see the ad as more stigmatizing and less realistic. Additionally, people who expressed more stigmatizing beliefs also tended to see more stigma present in the ad. Finally, the study reconfirms conclusions of previous research that people who have experience with mental health conditions possess fewer stigmatizing beliefs overall regarding mental illness.
Research limitations/implications
The sample population, while diverse in age and somewhat diverse in location, were highly educated, suggesting that they were not representative of the general population. Future studies may want to use more representative samples. A more nuanced approach to understanding experience is needed. While the sample in this study was purposively derived from communities with a higher rate of mental illness, a comprehensive experience scale to measure degrees of experience with mental illness would enhance understanding of this construct. Researchers may also want to look more deeply into the emotional responses of consumers who view these ads. To develop a greater understanding of the trajectory of DTCA, studies of online advertising for psychiatric drugs are needed.
Practical implications
The results of the study suggest that respondents with experience with mental illness may find ads that sell psychiatric medications unrealistic. This study presents the topic of realism in DTCA as an important construct for determining how consumers may perceive portrayals of disorders.
Social implications
The fact that people who have experience with mental illness found the Latuda ad to be generally unrealistic suggests that DTCA may be failing to represent mental illness in a way that demonstrates care for patients. Additionally, this research confirms that people who have had exposure to and experience with mental illness tend to hold less stigmatizing beliefs, (Link and Cullen, 1986; Corrigan et al., 2001; Angermeyer et al., 2004) a finding which supports the continuing project of increasing mental health literacy and awareness in the general population.
Originality/value
This study investigates the reactions of people who identify as having some experience with mental illness to see if they accept the portrayals of mental illness in DTCA or resist them by challenging their realism or identifying stigmatizing elements.
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Beatrice Meda Wendeln and Lindsay Sheehan
The purpose of this study was to evaluate the effects of an online mental health ally program on several measurements of readiness to help and stigma reduction. Allyship is one…
Abstract
Purpose
The purpose of this study was to evaluate the effects of an online mental health ally program on several measurements of readiness to help and stigma reduction. Allyship is one way to support people with mental health challenges beyond traditional care services.
Design/methodology/approach
The efficacy of the program was evaluated in pre and postintervention surveys (n = 26) including measures of self-care, help-seeking intentions, peer-support self-efficacy, advocacy, knowledge of resources and stigma. A within-subject, repeated measures design was conducted analyzing changes at completion. Twenty-six participants who completed the program (either with or without lived experience of mental illness) were included in the study. A subgroup of participants (n = 11) who reported lived experiences of mental illness were assigned additional measures of internalized stigma, stigma stress, stigma resistance and self-esteem.
Findings
Analysis of mean differences indicated a statistically significant change in scores pre and postcompletion. The program increased peer-support, help-seeking intentions and self-esteem, while reducing internalized stigma and stigma stress. Findings provide preliminary support for program effectiveness in training individuals to support others and themselves through mental health challenges.
Research limitations/implications
Trained allies might improve the lives of individuals with mental health challenges by reducing discrimination and improving social support. We discuss the implication of allies to complement the mental health system.
Originality/value
To the best of the authors’ knowledge, this is the first exploratory study on the efficacy of an online ally training program for individuals with mental illness. The NoStigmas Ally Program is a novel and original development in ally training.
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Irina Kuznetsova, Layla Garapshina and Laysan Mukharyamova
This paper aims to fill the gap in social sciences research on parents’ strategies in navigating preschool education in Russia. It focusses on the barriers that children with…
Abstract
Purpose
This paper aims to fill the gap in social sciences research on parents’ strategies in navigating preschool education in Russia. It focusses on the barriers that children with developmental disabilities and autism face in preschool education in Russia and highlights the emerging facilitators of inclusive education.
Design/methodology/approach
It uses a modified labelling approach analysing strategies of withdrawal and resistance. The research included semi-structured interviews with parents of children with Down syndrome, Rett syndrome and autism spectrum disorders (ASD) in 2013–2014 and 2018–2019 and semi-structured interviews with professionals in Tatarstan, Russia. The data analysis was based on constructivist methods and grounded theory.
Findings
Although Russian law guarantees equal access to education for every child and requires the development of inclusive education, children with developmental disabilities, including autism, are often stigmatised at the preschool stage, both in special needs and mainstream institutions. Parents use various strategies to navigate access to preschool education and try more than one strategy from secrecy and withdrawal to resistance. Parents challenged the mainstream educational structures in Kazan and established groups for children with autism in some mainstream kindergartens and classes in mainstream schools.
Research limitations/implications
There should be informational support for parents with different options for special needs education, providing integrative and inclusive education. It is necessary to increase the number of trained specialists in special needs and mainstream kindergartens in Russia for children with developmental disabilities and ASD. More study is required to overcome stigmatisation and increase tolerance towards persons with developmental disabilities in Russia both on a national and local level.
Practical implications
The research findings can be useful for countries which have recently recognised ASD and do not have inclusive preschool educational practices and where labelling towards children with developmental disabilities is still common. The study recommends that resources are required to provide free or affordable preschool education for children with developmental disabilities. It is also crucial to help parents navigate preschool education and select the best options for each child’s needs.
Social implications
This study’s findings add value to the importance of addressing the stigma towards people with disabilities within professional groups and broader society, which form barriers for preschool education and in some cases result in withdrawal from preschool education. To overcome the stigmatisation of children with developmental disabilities in preschool education, it is necessary to establish modern targeted pedagogical approaches and training for professionals and informational campaigns for the broader audience.
Originality/value
The paper is novel as there was no sociological research into preschool education of children with developmental disabilities in Russia. It argues that the parents’ experiences are much broader than just interactions with special needs or mainstream education. Parents navigate across special needs institutions, specialised groups in mainstream and private kindergartens, mixed groups in mainstream kindergartens and home education with various strategies from secrecy and withdrawal to resistance and challenge. Preschool education for children with developmental disabilities in Russia is hindered by a lack of professional resources and the stigma embedded into professional and societal responses.
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In this paper I analyze Sex and the City as performances of contemporary post-modern culture of femininity and engage in a multi-modal, semiotic reading of their socio-cultural…
Abstract
In this paper I analyze Sex and the City as performances of contemporary post-modern culture of femininity and engage in a multi-modal, semiotic reading of their socio-cultural significance. In particular, I argue that the same discursive formation underlies the ideology of the show: a discourse largely coinciding with the Standard North American Family Code (Smith, 1999) and therefore a discourse that stigmatizes single women and reinforces the value of marriage as both symbolic and material capital. Drawing in part from Goffman, I argue that an oppositional reading of the show also yields another interesting connotation: the show offers its viewers techniques and scripts of stigma resistance.
Kristen Marcussen and Christian Ritter
This chapter examines the effects of mental health services and stigma on changes in self-concept and well-being for individuals with SPMI.
Abstract
Purpose
This chapter examines the effects of mental health services and stigma on changes in self-concept and well-being for individuals with SPMI.
Methodology/approach
Data for this chapter come from structured interviews and service data for 140 individuals with severe and persistent mental illnesses. We use structural equation modeling to examine the relationship between perceived and internalized stigma, as well as the relationships among stigma, self-concept (self-esteem and mastery), and well-being (quality of life and functioning).
Findings
We find that case management is negatively related to quality of life and psychiatric services are positively related to functioning. Crisis services and assessment are associated with mastery in opposite directions. Internalized stigma is positively associated with self-esteem and mastery, and negatively associated with functioning. We do not find a relationship between services and stigma.
Research limitations/implications
A limitation to this chapter is the sample size, which prohibits us from examining a full range of services and outcomes. Nonetheless, our findings provide information about how services and stigma impact well-being, and may be used as a starting point for considering strategies for improving services and reducing stigma. Future work should consider pairing outcomes with services to determine their effectiveness.
Originality/value
This chapter builds on previous research that examines the relative effects of services and stigma among individuals in community health care by extending measures of both services and stigma, and by examining the relationship between them, in order to better determine their implications for self-concept and well-being.
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The analysis presented here is based upon interviews conducted with 34 women in Maryland in 1997, one year after the passage of the PRA of 1996, or welfare reform. To locate…
Abstract
The analysis presented here is based upon interviews conducted with 34 women in Maryland in 1997, one year after the passage of the PRA of 1996, or welfare reform. To locate participants, I distributed fliers to educational and community centers asking for single women raising children and receiving aid who would be willing to share their experiences with welfare. I offered to compensate participants $15 for their time in participating in the interviews. After several initial interviewees were chosen from these sites, other respondents were located using an informal snowball sample.
Corey Shdaimah and Chrysanthi S. Leon
Very little research has examined how prostitute women relate to each other. Drawing on interviews, focus groups, and observations with 76 women engaged in street-level…
Abstract
Very little research has examined how prostitute women relate to each other. Drawing on interviews, focus groups, and observations with 76 women engaged in street-level prostitution in Baltimore, Philadelphia, and a mid-Atlantic state, we show how prostitute women provide mutual assistance both to meet their basic needs and as part of their ethical norms, in contrast to the stigmatized characterizations of prostitute women as morally deficient. Women’s relationships offer them concrete support and encouragement while simultaneously producing a counter-narrative that challenges their stigmatized identities.
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This study examines weight loss surgery patients’ experiences with vanity stigma. First, the research explores if and how vanity stigma occurrences differ for female and male…
Abstract
Purpose
This study examines weight loss surgery patients’ experiences with vanity stigma. First, the research explores if and how vanity stigma occurrences differ for female and male surgery patients. Second, the research interrogates the role of this stigma in shaping patients’ feelings about their bodies.
Methodology/approach
The data stems from qualitative interviews (n = 44) and surveys (n = 55) with pre-operative and post-operative weight loss surgery patients. The author used narrative interview analysis to inductively identify and analyze prevalent themes.
Findings
Participants’ stigma experiences are differentiated by gender. Approximately half of female participants reported perceiving vanity stigma. Women who faced negative accusations were likely to distance themselves from such claims by citing personal disinterest in their bodies, whereas women who did not perceive vanity accusations were likely to express approval and pleasure in their post-weight loss bodies. Men, in contrast, were not accused of vanity. Men frequently characterized their post-surgical, post-weight loss bodies as having utilitarian value.
Research limitations/implications
The study concludes that gender norms play a role in shaping bariatric surgery patients’ experiences with vanity stigma and body-related feelings. Limitations include the small number (n = 9) of male participants and the lack of a representative sampling frame for bariatric surgery patients.
Originality/value
Previous studies have not explored how gender shapes bariatric surgery patients’ experiences with appearance-related social scrutiny. This chapter adds to existing research on gendered body norms and reveals gendered dimensions of vanity stigma.
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Abd Hasan, Anas Alsharawneh and Nofaa Alasamee
The purpose of this study is to evaluate the effectiveness of a self-stigma reduction programme on self-stigma.
Abstract
Purpose
The purpose of this study is to evaluate the effectiveness of a self-stigma reduction programme on self-stigma.
Design/methodology/approach
A randomized controlled trial was conducted from November 2017 to December 2018 with 278 people diagnosed with schizophrenia (PDwS). Participants were randomly assigned to receive a self-stigma reduction programme (psychoeducation, cognitive behavioural therapy and social skills training) or treatment as usual.
Findings
PDwS in the intervention group experienced a greater reduction in the level of self-stigma (20.19 vs −0.62; p < 0.001) at post-intervention and (37.35 vs −0.66; p < 0.001) at six-month follow-up.
Originality/value
The first RCT examines the problem and implements intervention in middle east country. Also, the authors have conducted high-quality RCT.
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This chapter is based on 68 interviews in 12 mobile home parks that were part of a larger ethnographic study, conducted in 2005–2010 in West-Central Florida. Data analysis…
Abstract
This chapter is based on 68 interviews in 12 mobile home parks that were part of a larger ethnographic study, conducted in 2005–2010 in West-Central Florida. Data analysis revealed diverse patterns of perception, sentiment, and interaction among neighbours, here understood as ‘neighbour culture’, both across and within communities. American mobile home communities are characterised by a high propinquity of residents and exposure to cultural housing stigma; however, these conditions alone did not determine local neighbour culture. In the analysis, I illustrate prominent patterns of neighbouring, ranging from perceptions and treatments of neighbours as (imagined) ‘family’ in senior communities to, partially, ‘trailer trash’ in suburban family communities. Going beyond description, I argue that the identified supportive, minimalist, and antagonistic forms of neighbour culture are linked to broader spatial and social structural contexts, as well as personal identities. This chapter’s findings have the potential to strengthen the theoretical framing and research of neighbouring in local and global perspectives in the future.
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