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This critical review of historical and contemporary literature explores the role of television media in the prevalence of stigma towards persons experiencing a mental health challenge. In addition to this, the purpose of this paper is to examine the notion of perceived dangerousness, which is a concept where persons with mental illness are thought by others to be inherently dangerous.

A vigorous search of databases was undertaken for articles published between 2000 and 2016. Some seminal literature prior to 2000 was used to compare historical data with current literature. In total, 1,037 publications were reviewed against inclusion criteria.

While mental illness stigma has received much attention in the literature, television media and public perceptions of dangerousness have not. While these concepts are complex and multi-factorial, what we do understand is that approaches to address stigma have been largely unsuccessful, and that persons experiencing mental health challenges continue to be significantly disadvantaged.

Implications to practice for clinicians working in mental health on this issue have not been adequately explored within the literature. While media guidelines assist journalists to make informed choices when they portray mental health issues in television news, there are no such guidelines to inform drama television viewing.

Significantly, television’s role in perpetuation of perceptions of dangerousness has not been adequately explored as a combined co-occurring factor associated with the stigmatisation and avoidance of persons experiencing a mental health challenge. In an era when mental health challenges are on the rise, it is of great importance that we collectively seek to minimise negative impacts and improve the experiences of those with a mental health challenge through addressing stigma both individually and in television media.

This paper reviews the medico‐legal background to the development of the pilot programme for treatment and assessment of dangerous individuals with severe personality disorder. It raises the question: is personality disorder related to dangerousness, and (if so) what mediates the relationship? It then reviews recent findings suggesting that patients deemed to be dangerous and severely personality disordered are characterised by a combination of antisocial and borderline traits, and as such are a source of distress both to themselves and to others. It remains for future research to determine how this particular constellation of personality disorders is functionally linked to dangerousness, and whether the link is mediated by neuropsychological impairment resulting from early‐onset alcohol abuse, as recently proposed by Howard (2006). It is recommended that the current criteria for ‘dangerous and severe personality disorder’ be dispensed with.

Mortality is a salient factor during capital sentencing. The purpose of this paper is to examine the role death plays in jurors’ decisions when sentencing a severely mentally ill defendant who is subject to possible discrimination in a capital trial because of that status.

The current experiment measured venire jurors’ (n=133) mental illness dangerousness beliefs, and then experimentally manipulated type of mortality salience (dual-focused: participants who contemplated their own mortality and were exposed to trial-related death references vs trial focused: only exposed to death references) and the type of defendant (severely mentally ill vs neutral) accused of a capital offense.

Mock jurors perceived mental illness to be an important mitigating factor when dual (i.e. self) focused mortality (DFM) salience was induced, whereas participants only exposed to trial-related death references considered mental illness to be an aggravating factor in sentencing and were more likely to evidence stereotype adherence toward the defendant.

The implications of the authors’ findings are problematic for the current legal system. During the majority of capital sentencing, jurors will only be exposed to trial-related death references, as individuals in the trial-focused mortality condition were. The findings suggest that these jurors are likely to engage in discriminatory stereotypes that do not consider fair process when making sentencing decisions. This research also suggests that mortality salience may be able to increase jurors’ attention to such concerns in a trial scenario even when negative mental illness stereotypes are present.

Research builds on existing terror management theory and offers a more nuanced perspective of how focusing on one’s own death can affect jurors’ reliance on stereotypes and lead to inappropriate decisions. Mortality salience can lead to decisions based upon procedural fairness when stereotypes and mortality salience are both present.

The purpose of this paper is to examine a time trend in newspaper reporting of mental illness in Japan between 1987 and 2014.

Four high-circulation national newspapers (the Yomiuri newspaper, the Asahi newspaper, the Mainichi newspaper and the Nikkei Newspaper) were selected for analysis. Articles were analysed using qualitative content analysis (n=448).

Whilst articles concerning the dangerousness of those with mental illness occupied a high proportion of coverage between 1987 and 2014, an overall shift is apparent whereby there is now more reporting of mental illness in relation to stress than in relation to dangerousness, particularly for depression. In contrast, schizophrenia was often reported in the context of violent crime. Information on the treatment, symptoms and prevalence of mental illness was rarely reported.

While the nature of newspaper coverage of mental illness has been changing, there still is over-representation of dangerousness of mental illness, particularly of schizophrenia. For improving the public’s images of mental illness, it is hoped to reduce the proportion of reporting about dangerousness and to increase the proportion of reporting about treatment, symptoms and prevalence of mental illness and personal stories of those affected.

The present study is the first to examine changes in Japanese newspaper coverage over time and at the variation in reporting among diagnoses.

This paper reviews the current issues in risk assessment and risk management facing practitioners, and draws upon current literature to argue for an holistic approach to assessment. The demands of risk management in a climate of risk avoidance are briefly reviewed, and key principles for effective risk management offered.

This study aims to examine the reliability and validity of the Arabic version of the attribution questionnaire (AQ).

The AQ is designed to assess attitudes, affects and behavioral intentions related to a hypothetical person diagnosed with schizophrenia. The original English version was translated into Literary Arabic. A total of 310 students registered in different universities, with medical and paramedical establishments excluded completed the Arabic version of AQ. Reliability was tested using Cronbach’s alpha coefficients. Structural equation modeling was used to test hypothesized paths. Correlations among exogenous (e.g. responsibility) and endogenous (e.g. help) variables in the path were examined. Fit indicators were then examined for equations that were identified.

The results revealed that the Arabic version of AQ showed acceptable psychometric properties in the assessment of stigma in the Tunisian population. All factors of this Arabic version showed Cronbach’s alpha values equal to or greater than 0.72. Structural equation models for the responsibility and dangerousness models were mostly supported. The Arabic version of AQ is valid and reliable for the assessment of stigma in Tunisian and Arabic-speaking populations.

The Arabic version of AQ may be used to promote research on stigma toward people with mental illness in larger and more representative Tunisian and Arabic-speaking populations, which will help to further address the complex and multifaceted phenomenon of stigma toward people with mental illness.

This is the first validated stigma measure in the Tunisian socio-cultural context.

Stigma and discrimination towards people with mental health problems is a global issue, imposing a considerable public health burden in terms of social isolation, limited life chances, delayed help‐seeking behaviour and stress. While numerous initiatives have been undertaken to address these issues, an evidence base for what works is still emerging. This paper explores the impact of 15 population‐level awareness workshops delivered over a five‐month period to 137 participants. These were employees drawn from workplaces identified as being important in the day‐to‐day lives of people with mental health problems. Evaluation approaches maximised specificity, sensitivity and anonymity and they assessed participant knowledge, attitude and behaviour. The workshops significantly improved participant knowledge. Attitude change was more complex with an overall significant improvement in attitudes, particularly in relation to unpredictability and recovery, but not dangerousness, which had more positive baseline attitudes. Social distance, a proxy for behavioural intent, had significant improvements in relation to ‘moderate’ social contact only. Qualitative feedback indicated that complex, unanticipated and positive messages had been absorbed by participants and influenced beliefs and behavioural intent. Service user narratives focusing on recovery were identified as the most valuable component of the intervention.

While deinstitutionalization has changed how and where those with serious mental illness receive mental health treatment, the high rate of homelessness among those with mental illness, the number of mentally ill incarcerated, and the general inadequacy and underfunded nature of public psychiatric resources suggest an inadequate social reaction to their needs. While United States (US) policies have appeared to deemphasize long-term confinement in hospitals, the author contends that various ideologies maintain a process of social control whereby those with serious mental illness continue to be minimized and disempowered within American society.

The author presents three different ideologies for examination: the “otherness” of mental illness, stigma and social exclusion, and perspectives of dangerousness. These ideologies are hypothesized to limit the social capital and power of those with serious mental illness. Considering Antonio Gramsci’s definition of hegemony and “common sense,” this chapter urges a challenge to these hardened ideologies if those with serious mental illness are to have greater inclusion in US society.

Paedophilic individuals are a highly misunderstood and stigmatised group, with the general public tending to equate paedophilia with child sexual abuse. Given that paedophilia is often conflated as a psychiatric/mental health disorder and an extreme violent offence, the current study examined whether the stigma towards paedophilic individuals is related to negative associations with severe mental illness and extreme violence. The authors also used the terror management theory (TMT) to provide further insights into why paedophilia is so highly stigmatised.

A sample of 126 participants was split into one of six conditions and provided punitive and moral character judgements, as well as salience of death thoughts. Conditions were divided into three main stigma conditions (paedophilia vs schizophrenia vs homicidal ideation), which were further divided into two conditions (offending vs non-offending).

Results showed that judgements were harsher in the offending conditions than the non-offending conditions. Results also showed that the stigmatisation of paedophilic and schizophrenic individuals may be mediated by terror management processes. These findings suggest that paedophilia is believed to be associated with severe forms of mental illness where an individual is not able to control their own state of mind.

Thus, addressing perceptions of dangerousness towards individuals with severe mental illness is a crucial step towards developing effective strategies to help reduce such stigma.

As one of the first studies to use TMT in this way, the current study provided much-needed insight into an important and under-researched area using available methods for such a sensitive topic.