UL3 Stuart

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Fighting Stigma & Discrimination: Recent Advances: 

Fighting Stigma & Discrimination: Recent Advances Heather Stuart, Canada Norman Sartorius, Switzerland Of behalf of the Ad Hoc Section on Stigma of Mental Disorders

Classical View….: 

Classical View…. Stigma as a social process of Devaluation Distancing Disadvantage (Goffman, 1963)

Courtesy-stigma: 

Courtesy-stigma Stigma-by-association… Families Friends Mental health infrastructure Research infrastructure

Self-stigma: 

Self-stigma Shame Guilt Low self-esteem Wish for secrecy Social withdrawal

Slide5: 

Origins of stigma (WPA Open the Doors Volume II)

Slide6: 

Labelling Stereotyping Separation Discrimination Status Loss POWER Modified Labelling Theory (Link & Phelan, 2001)

Implications….: 

Implications…. Stigma is multi-faceted and persistent Power allows stigma to work hydraulically Long term, multi-level, multi-method programs are required

Stigma is of growing international concern…: 

Stigma is of growing international concern… 1996 – World Psychiatric Association 2001 – World Health Organization 2004 – World Association of Social Psychiatry (Kobe Declaration) World Psychiatric Association World Assoc Psychosocial Rehab World Federation of Mental Health Japanese Society of Soc. Psychiatry

Slide9: 

Stigma a key barrier to mental health. The fight against stigma and its consequences is the most important challenge of our time. World Health Organization, World Health Report 2001; World Psychiatric Association, Open the Doors, Sartorius, 2002; World Association of Social Psychiatry, Kobe Declaration, 2004

Academic interest also growing…: 

Academic interest also growing… * 2% of all articles relating to mental disorders

Three main anti-stigma approaches…: 

Three main anti-stigma approaches… Protest Education Contact Social advocacy under used (Corrigan & Watson, 2002)

The Road Ahead…: 

The Road Ahead… Program targets meaningful to those stigmatized Focus on discrimination Long-term programs Social advocacy Expand evidence base Creation Translation

Stigma Section contributions…: 

Stigma Section contributions… Become a fulcrum for knowledge translation, linkage and exchange Position papers & reviews Training materials & opportunities Symposia & other scholarly works Participate in knowledge creation Opportunities for collaborative research Idea exchange