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stigma

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The spurned diagnosisShame"By shame, I have in mind the terrible, at times unfathomable, feeling of being outcast from human society, of being shunned and spurned, of being wanted by no one, and having no one who empathizes with you (Lynd 1958). Part of this experience of shame is the focus on the inadequacies of oneself in the eyes of others and oneself, and of feeling mortified, wanting to disappear, to hide inside a crack in the wall (Lewis 1971).

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Elizabeth Howell

Knowing, Not-Knowing and Sort-Of-Knowing: Psychoanalysis and the Experience of Uncertainty

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Despite the growing clinical and research interest in dissociative symptoms and disorders, it is also true that the substantial prevalence rates for dissociative disorders are still disproportional to the number of studies addressing these conditions. For example, schizophrenia has a reported rate of 0.55% to 1% of the normal population (Goldner, Hus, Waraich, & Somers, more or less similar to the prevalence of DID. Yet a PubMed search generated 25,421 papers on research related to schizophrenia, whereas only 73 publications were found for DID-related research.

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Here I want to stress that perception of losing one__ mind is based on culturally derived and socially ingrained stereotypes as to the significance of symptoms such as hearing voices, losing temporal and spatial orientation, and sensing that one is being followed, and that many of the most spectacular and convincing of these symptoms in some instances psychiatrically signify merely a temporary emotional upset in a stressful situation, however terrifying to the person at the time. Similarly, the anxiety consequent upon this perception of oneself, and the strategies devised to reduce this anxiety, are not a product of abnormal psychology, but would be exhibited by any person socialized into our culture who came to conceive of himself as someone losing his mind.

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Erving Goffman

Asylums: Essays on the Social Situation of Mental Patients and Other Inmates

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Results of two independent factor analyses of the survey responses of more than 2000 English and American citizens parallel these findings (19,33):- fear and exclusion: persons with severe mental illness should be feared and, therefore, be kept out of most communities;- authoritarianism: persons with severe mental illness are irresponsible, so life decisions should be made by others;- benevolence: persons with severe mental illness are childlike and need to be cared for."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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Severe mental illness has been likened to drug addiction, prostitution, and criminality (37,38). Unlike physical disabilities, persons with mental illness are perceived by the public to be in control of their disabilities and responsible for causing them (34,36). Furthermore, research respondents are less likely to pity persons with mental illness, instead reacting to psychiatric disability with anger and believing that help is not deserved (35,36,39).Understanding the impact of stigma on people with mental illness. World Psychiatry. Feb 2002; 1(1): 16_20.PMCID: PMC1489832PATRICK W. CORRIGAN and AMY C. WATSON

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According to Hoge and colleagues (2007), the key to reducing stigma is to present mental health care as a routine aspect of health care, similar to getting a check up or an X-ray. Soldiers need to understand that stress reactions-difficulty sleeping, reliving incidents in your mind, and emotional detachment-are common and expected after combat... The soldier should be told that wherever they go, they should remember that what they're feeling is "normal and it's nothing to be ashamed of.

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Joan Beder

Advances in Social Work Practice with the Military

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The authors analyzed 695 news items. The content of 47.9% (n = 333) of the articles was not strictly related to mental illness, but rather clinical or psychiatric terms were used metaphorically, and frequently in a pejorative sense. The remaining 52.1% (n = 362) consisted of news items related specifically to mental illness. Of these, news items linking mental illness to danger were the most common (178 texts, 49.2%), specifically those associating mental illness with violent crime (130 texts, 35.9%) or a danger to others (126 texts, 34.8%). The results confirm the hypothesis that the press treats mental illness in a manner that encourages stigmatization. The authors appeal to the press's responsibility to society and advocate an active role in reducing the stigma towards mental illness.Reinforcing Stigmatization: Coverage of Mental Illness in Spanish Newspapers. Journal of Health Communication: International Perspectives. Volume 19, Issue 11, 2014