Labeling and stigma chapter 29 a handbook for the study of. Concepts of stigma and its relevance in mental health. This chapter addresses the psychological effects of social stigma. Feb 15, 2019 stigma in health facilities undermines diagnosis, treatment, and successful health outcomes. Mohr university of maryland, college park individuals with concealable stigmatized identities face many options regarding whether, when, how, and to whom to conceal or disclose information about their marginalized social. Stigmas, or discredited personal attributes, emanate from social perceptions of physical characteristics, aspects of character, and tribal associations e. Stigma management among gaybisexual men with hivaids. Sep 03, 2014 concepts of stigma and its relevance in mental health 1. Jan 16, 20 a comprehensive understanding of the social and psychological impact of diabetes mellitus is important for informing policy and practice. The stigma and the negative characteristics associated with it are perceived as belonging to them, for example, someone who is stigmatized is perceived as immoral 2. In conceptualizing stigma 2001, sociologists jo phelan and bruce link interpret stigma as the convergence of four different factors. Since the beginning of the twentyfirst century, research on stigma has continued. In 2001, link and phelan expanded our understanding of stigma by conceptualizing stigma as a social process in which individuals are 1 labeled as different, 2 stereotyped or associated with negative attributes, 3 conceived of as an other, and then 4 subjected to status loss and discrimination.
The conceptual understanding of stigma which underpins most sociological research has its roots in the groundbreaking account penned by erving goffman in his bestselling book stigma. Conceptualizing stigma in contexts of pregnancy and opioid. Concepts of stigma and its relevance in mental health 2. Public stigma is the phenome non of large social group s endo rsing stere otypes about, and subsequ ently actin g again st, a stigmatize d group. Revisiting stigma and conceptualizing its guiding mechanism. A conceptual framework for understanding the stigmatization. Logie, 1, 2 amaya perezbrumer, 3 tampose mothopeng, 4 maya latif, 1 amelia ranotsi, 5 and stefan d. Not only does this shed light on the construction and contestation of. Both modified labeling theory and the conceptualization of stigma developed by link and phelan point to the importance of attitudes. These results support the conceptualization of stigma as a latent construct that abstracts stereotyping, prejudice and intention to discriminate. Link and phelan 2001 have advanced a conceptual model of stigma where the labelling, stereotyping, distancing from others and loss of status that characterize. We state our conceptualization as concisely as we can and then elaborate the components it contains. Jun 12, 2018 stigma is not a selfevident phenomenon but like all concepts has a history. Stigma, mental illness, interventions, middle east, education.
The influence of communitylevel stigma and psychological processes. Addressing stigma is fundamental to delivering quality healthcare and achieving optimal health. Conceptualizing hivassociated stigma and exploring the. A theoretical framework for conceptualizing and contextualizing. Conceptualizing stigma 365 a shared belief that a person ought to behave in a certain way at a certain time p. Using material from three qualitative studies into the social and psychological consequences of racism, this paper explores the insights gained from conceptualizing race as stigma. Article information, pdf download for the burden of stigma on health and wellbeing.
This essay examines the major conceptual issues concerning medicalization and social control, emphasizing studies published on the topic since 1980. Although the last decade has seen a proliferation of research on mental illness stigma, lack of consistency and clarity in both the conceptualization and measurement of mental illness stigma has limited the accumulation of scientific knowledge about mental illness stigma and its consequences. Journal of community and applied social psychology, 16 6. Outline introduction components of stigma mental health stigma types of stigma formation of stigma cycle of stigma origin of stigmatisation psychosocial theories reactions to stigma culture and stigma tools to assess stigma. Conceptualizing hivassociated stigma and exploring the correlates of hiv testing behaviors for incarcerated men in north carolina public deposited. However, research often examines stigmas separately, thus underestimating the overall impact of stigma and. Measuring intersecting stigma among key populations living with.
In our conceptualization, stigma exists when the following interrelated components converge. Sociocultural mechanisms linking lgbt stigma, depression, substance use, and hiv among lgbt persons in lesotho are understudied. This model helps to explain why families conceal the fact that a childs parent is. Gjb conceptualizing stigma 365 a shared belief that a person ought to behave in a certain way at a certain time. Mar 18, 2021 women with histories of opioid misuse face drugrelated stigma, which can be amplified during pregnancy. A social process guiding experiences of stigma, termed as the principle of gradient rationality pogr, is proposed. People with mental illness frequently confront public stigma and may experience self stigma. May 11, 2020 social marginalization harms lesbian, gay, bisexual, and transgender lgbt persons wellbeing in lesotho. Stigma is a greek word that originally referred to a kind of tattoo or identifying mark cut or burned into the skin of animals. Constructs and concepts comprising the stigma of mental. Conceptualizing and measuring mental illness stigma.
Conceptualizing hivassociated stigma and exploring the correlates of hiv testing behaviors for incarcerated men in north carolina. Yet the ways stakeholders within the sociocommercial sphere create. Standard beliefs have been challenged, the relationship between stigma research and public debates reconsidered, and new. One potentially significant, yet underresearched, issue is the social stigma surrounding diabetes. Social science research on stigma has grown dramatically over the past two decades, particularly in social psychology, where researchers have elucidated the ways in which people construct cognitive categories and link those categories to stereotyped beliefs. In summary, public stigma consists of these three ele ments stereotypes, prejudice. Building on conceptual and empirical work, the recent period clarifies new types of stigmas, expansion of measures, identification of new directions, and increasingly complex levels. Aug 01, 2001 conceptualizing stigma conceptualizing stigma link, bruce g phelan, jo c.
Pdf how clinical diagnosis might exacerbate the stigma. Jul 28, 2009 recent analyses suggest that lack of clarity in the conceptualization and measurement of hiv stigma at an individual level is a significant barrier to hiv prevention and treatment efforts. Also discussed are the relation of medicalization and social control, the. Recommendations based on findingsin the article conceptualizing stigma link and phelan 2001 offered several. In the midst of this growth, the stigma concept has been criticized as being too vaguely defined and individually focused.
In order to address this concern, we articulate a new framework designed to aid in clarifying the conceptualization and measurement of hiv stigma among individuals. Brumer 3 tampose mothopeng 4 maya latif 1 amelia ranotsi 5. However, those with high levels of both substance use stigma and hiv stigma had higher odds of poor general access to healthcare aor 1. According to gove 1975, the label does not influence the cognitive structures of stigma that is, elicit negative stigmatizing reactions. The construction and validation of a new hepatitis c virus social. Jul, 2010 stigmatization is often listed as one of the adverse consequences of parental incarceration. Recommendations based on findingsin the article conceptualizing stigma link and phelan 2001 offered several approaches to ending stigma. Rethinking the sociology of stigma imogen tyler, tom. This correspondence article seeks to assess how developments over the past 5 years have contributed to the state of programmatic knowledgeboth approaches and methodsregarding interventions to reduce. Text 2016 the stigma turbine, a theoretical framework for conceptualizing and contextualizing marketplace stigma. Article download pdf crossref view record in scopus. Conceptualizing mental health care utilization using the health belief model.
A brief history of international disease control activities, 19182008, forum on public policy online. Rethinking the sociology of stigma imogen tyler, tom slater. Pdf conceptualizing stigma catalina suarez academia. Conceptualizing lgbt stigma and associated hiv vulnerabilities among lgbt persons in lesotho carmen h. Notes on the management of spoiled identity inspired a profusion of research on the. A theoretical framework for conceptualizing and contextualizing marketplace stigma show all authors. Pdf conceptualizing mental health care utilization using. Link and phelans 2001 conceptualization adopts this modifiedlabeling theory stance with regard to stigmatized characteristics in general. Extant research has emphasized the perspective of the stigma target, with some scholars exploring how social institutions shape stigma.
Stigma directly affects the stigmatized via mechanisms of discrimination, expectancy confirmation, and automatic stereotype activation, and indirectly via threats to personal and social identity. Differentiating stigma concealment and nondisclosure processes skyler d. In unpacking the stigma turbine, the authors reveal the critical role that market stakeholders can play in destigmatization, explore implications for marketing practice and public policy, and offer a research agenda to further understanding of marketplace stigma and stakeholder welfare. Download pdf did you struggle to get access to this article. Nov 25, 2008 59 in the component of conceptualizing stigma as distinguishing and labellizing. We address this knowledge deficit by providing a conceptual model of stigmatization and describing how it may apply to children with parents in jail or prison. Erving goffman 1963, 3 classically defined stigma as an attribute that is deeply discrediting. We explore associations between lgbt stigma, mental health stressors, and hiv vulnerabilities among lgbt persons in lesotho. In link and phelans 2001 conceptualization of stigma, labelling, that is when other people distinguish and label a person as different, is the first.
419 842 1362 564 716 143 1045 1376 1429 338 1200 404 345 499 403 1038 1208 166 1176 196 689 937 904 233 1031 1562 260 408 1527 1545 1093 549 269 848 445