3 - STIGMA

• Crocker, Major & Steele (1998). Social stigma

  • “Stigmatised individuals possess (or are believed to posess) some attribute, or characteristic, that conveys a social identity that is devalued in a particular social context.” p. 505
• Corrigan, Larson, & Kuwabara (2010). Social psychology of the stigma of mental illness

  • Public stigma = the negative attitudes and behaviours of the general population towards SMI
  • Self-stigma = the negative consequences of internalising this stigma
• Lewis & Appleby (1988). Personality disorder: the patients psychiatrists dislike

  • Suicide attempts and behaviours in PD regarded by 240 psychiatrists as manipulative and voluntary
  • Suggest PD as a term should be abandoned
• Kendell (2002). The distinction between personality disorder and mental illness.

  • Most British psychiatrists did not regard PD as illness
  • “Commonplace” for diagnosis of PD to be used to justify a decision not to admit someone to psychiatric wards
• Newton-Howes, Weaver, & Tyrer (2008). Attitude of staff towards patients with PD in CMHT

  • PD diagnostic label associated with clinician attitude that patients will be harder to manage
  • One explanation is that the label of PD is stigmatizing
• Day et al. (2018). Clinician attitudes towards BPD a 15-year comparison

  
  

  Attitudes improving
• Stiles et al. (2023). Experiences of stigma and discrimination in BPD

  • Stigma and discrimination results in poor identification and delayed care
  • Discovered
  • Resistance from clinicians
  • Othering
  • Negative impact on self-image/esteem
  • Hopelessness surrounding perceived permeance of BPD