Dyad conversations about self-stigma in two Scottish communities

Mackay, R., Bradstreet, S. , McArthur, A. and Dunion, L. (2015) Dyad conversations about self-stigma in two Scottish communities. Psychiatric Rehabilitation Journal, 38(2), pp. 194-200. (doi:10.1037/prj0000149) (PMID:26075529)

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Abstract

Objective: This study explored self-stigma in 2 Scottish communities and strategies for challenging stigma and discrimination. Methods: A mixed-methods approach was used encompassing a survey including the Internalized Stigma of Mental Illness Inventory (ISMI) and facilitated dyad conversations with people with lived experience of mental illness. Results: Self-reported experience of self-stigma across 2 communities was most closely associated with the ISMI Alienation cluster, accompanied by a high level of agreement with the Stigma Resistance cluster. Some 44% agreed that stereotypes about people with mental health problems applied to them, and almost 2/3 felt that having a mental health problem had spoiled their lives. Many participants reported reduced confidence, loss of hope, a sense of failure, and protecting oneself through social withdrawal. The findings also offer hope through narratives from people who have "pushed back" and are striving to reduce their own self-stigma by engaging with others and managing their own recovery journey. Conclusions and Implications for Practice: The journey through self-stigma and beyond has to be informed by what we know works with recovery from a mental health problem. At a policy and practice level, we recommend emphasis on 4 priorities: (a) refocusing antistigma and discrimination efforts more on the experiences of people who report stigma, (b) rights-based approaches, (c) identity-based work, and (d) information sharing and educational strategies.

Item Type:Articles
Keywords:Self-stigma, modern power, narratives, resistance, empowerment.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Bradstreet, Dr Simon
Authors: Mackay, R., Bradstreet, S., McArthur, A., and Dunion, L.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Psychiatric Rehabilitation Journal
Publisher:American Psychological Association
ISSN:1095-158X
ISSN (Online):1559-3126

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