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Several themes describe misconceptions about mental illness and corresponding stigmatizing attitudes. Media analyses of film and print have identified three: people with mental illness are homicidal maniacs who need to be feared; they have childlike perceptions of the world that should be marveled; or they are responsible for their illness because they have weak character (29-32)."World Psychiatry. 2002 Feb; 1(1): 16_20.PMCID: PMC1489832Understanding the impact of stigma on people with mental illnessPATRICK W CORRIGAN and AMY C WATSON

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With the rationalization of culture, and the corresponding disenchantment of religious ideas and beliefs, the modern world is ordered increasingly upon instrumentally rational grounds, and hence organizes itself less and less according to value-rational principles. This leads in turn to a world in which social action is separated increasingly from the sphere of (ethical) meaning, as particular (often technical) means are employed to realize specific ends regardless of the ethical significance or meaning of such action.

NG
Nicholas Gane

Max Weber and Postmodern Theory: Rationalization Versus Re-enchantment

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Holding one's self responsible is a critical feature in stigma and in the generation of shame since violation of standards, rules, and goals are insufficient in its elicitation unless responsibility can be placed on the self. Stigma may differ from other elicitors of shame and guilt, in part because it is a social appearance factor. The degree to which the stigma is socially apparent is the degree to which one must negotiate the issue of blame, not only for one's self but between one's self and the other who is witness to the stigma. Stigmatization is a much more powerful elicitor of shame and guilt in that it requires a negotiation not only between one's self and one's attributions, but between one's self and the attributions of others.