Schizophrenia Case Study

While stigma may not necessarily be a cause of a person’s mental disorder, it can certainly contribute to the complication and perpetuation of their illness. The effect of stigma goes well beyond just the patient and provides a commentary on society’s overall level of intolerance of those who are considered different from the majority. By recognizing the level of stigma that exists, perhaps we can alter that behavior and gravitate towards a more productive attitude towards mental illness.

Perhaps social tolerance of mental illness, as suggested by Morant, is inversely correlated with its perceived “otherness.” In other words: disorders that seem to affect the personality, identity, or “humanness” of a patient are subject to the most discrimination and misinterpretation. One counterargument is that familiarity with mental illness is linked to tolerance, the result being that the most common disorders, such as generalized anxiety, are the most accepted in society. However, this argument quickly falls apart with substance abuse disorders, as addiction is both common in the American population (≈23 million affected) and highly stigmatized. Indeed, several reviews (Poreddi et. al 2015, Morant 1995), done on this matter have amassed evidence that physicians and healthcare providers, despite extensive training, continue to see schizophrenic patients as, in their own words, “different”, “very ill,” and “… strangers on earth …” (Morant 1995). This suggests that education alone is not enough to combat prejudice against schizophrenia.

While the treatment methodology for mental illness has improved over the last few decades, the negative stigma surrounding those who seek care is still a major roadblock. (Corrigan, 2004) To better understand the term stigma, the definition must first be examined. According to Merriam Webster’s Dictionary Stigma is defined as “a set of negative often unfair beliefs that a society or group of people have about something; a mark of shame or discredit.” (Stigma, 2015). These views are often

From the survey results concluded that the public has a better understanding of mental illness however, the amount of stigmatization towards people with mental illnesses has not been reduced significantly. The survey results from 2006 show that the public endorses medical care for people who have mental illnesses, it was felt both general health care and specialty mental health care were deserved accessible to people with mental illnesses. However, the percentage of people who felt forced hospitalization was the best treatment for people with schizophrenia was greatly increased. A majority of the people surveyed still expressed unwillingness to interact socially with a person who has a mental illness, in fact even more of the participants were unwilling to have a person with schizophrenia as a neighbor in 2006 compared to the 1996 survey results. Furthermore, it was commonly felt that people with schizophrenia and alcoholism would act violent towards the

People suffering from mental illness and other problems are often the most discriminated, socially excluded, stigmatized, and vulnerable members of the society. They have to constantly struggle and face a double problem. Firstly, they have to struggle with the symptoms of the mental illness itself. They may face with problems such as illusions, delusions, hallucinations and other symptoms, which depend on a particular mental disorder. These symptoms do not allow the person to live a satisfactory life. They do not allow the person to work and independently achieve something in their life. And secondly, they are challenged by several stereotypes and prejudices, which gradually result in many misconceptions about mental illness known as “stigma”. Therefore, mental illness results not only in the difficulties arising from the symptoms of the disorder but also in the negative attitudes and beliefs that motivates the people to fear, reject, avoid and exclusion of people with mental illness. Some people with mental illness could lose self confidence, accept the prejudices and may also turn them against themselves. This is referred to as ‘self-stigma’, loosening the confidence of the person suffering with mental illness.

It is believed that the majority American public hold the beliefs that the mentally ill are “unpredictable, irrational, dangerous, bizarre, incompetent, and unkempt”, and these stereotypes have only strengthened from the 1950s to the present. (Thoits, 2011) Despite educational campaigns, there is still a strong desire among the public to keep a social distance from the mentally ill in an attempt to avoid awkward social interactions. Studies have shown that there’s a direct correlation between discrimination and low self-esteem issues among mental patients. Low self-esteem is also linked to negative health effects. Not all patients who experienced social rejection report a low self-worth. It is stated that patients who experienced social rejection already demonstrated low self-worth and self-esteem issues. Some studies even find that stigmatized patients have a very high self-esteem. (Thoits, 2011) A study done by National Alliance for the Mentally Ill consumers, Wahl (1999) expressed that eighteen percent of the sample took the stigma as a form of empowerment. Another study done by Lysaker (2007) showed that patients with a high insight on their stigma were associated with lower depression, lower quality of life, and lower self-esteem. It was also found that these associations are stronger for patients with a high self-stigma than for those with a low self-stigma. Low

Some studies revealed that suggested associations between increased acceptance of biogenetic causes and social acceptance were not significant either (Angermeyer, M., Holzinger, A., Carta, M., & Schomerus, G. (2011) and found that social acceptance of mental illness varies with diagnosis, with sufferers of schizophrenia being perceived as the most dangerous according to the data reviewed. One theory may be that although there is a decrease in blame associated with mental health conditions, that the increase in perceived danger negates any possible positive effect this may have. Therefor whether those with mental illness are seen as being to blame for their condition or not the stigma associated remains negative.

In 1968 the Diagnostic and Statistical Manual of Mental Disorders (DSM) updated the definition of schizophrenia to include hostility, aggressiveness, and lack of acceptance of oneself. The next social, or cultural influence is that of stigma against mental illness in our daily lives. These attitudes play on decisions made in our lives that affect the larger world. In a recent poll released by the National Alliance on Mental Illness (NAMI) finds misconceptions to be prominent by American society. “Slightly more than 70 percent of those surveyed would be afraid for their own safety around a person who has not received treatment for schizophrenia, and 21 percent would be afraid for their own safety around a person who had been treated for the disorder, according to the results” (American Psychiatric Association, 2011).

People with mental illness are experiencing a lot of stigma and judgment from the society, they are judged for not being able to fit into their societal roles. Schizophrenia is one form of mental illness that is not as often researched or understood as other mental illness such as depression or anxiety disorder. Individuals that are diagnosed with schizophrenia in our society are dealing with a lot of prejudice and discrimination, which causes them to distant themselves from society. Stigma imposed by societal norms can affect the social identity of individuals with mental illness; this can be seen by the example of individuals with schizophrenia.

Stigma has been said to be “a feeling of being negatively differentiated owing to a particular condition, group membership or state in life”(Arboleda-Florez & Stuart, 2012, p. 458). There are typically two types of mental illness stigma that are discussed. Public stigma, also known as societal stigma, is the stigma associated with the prejudicial attitudes the public holds towards those people who suffer from mental illness (Arboleda-Florez & Stuart, 2012; Corrigan, Markowitz, Watson, Rowan & Kubiak, 2003). Self-stigma, also known as internalized stigma, is the loss of self-esteem, withdrawal, and personal shame that some with mental illness will experience. Self-stigma is usually developed when those who suffer from mental illness associate the negative stereotypes the public holds with themselves (Chronister, Chou, & Lieo, 2013; Corrigan et al., 2003).

Mental health and its stigma are an important issue plaguing today’s society. Many do not understand or acknowledge the severity of mental illness. The stigma against mental

There is a stigma in our country regarding mental health and its treatment. These stigma are divided between social stigma and perceived or self-stigma. Social stigma are those that society places negative feelings towards a certain group, which can lead to discrimination. Perceived or self-stigma are those internalized feelings of the mentally ill individual on how they feel society views them. Both types of stigma can lead to negative feelings of the mentally ill individual through feelings of shame, depression, hopelessness, and anxiety. Current policies on mental health are limited by federal legislation and may only address the aspect of public discrimination.

Throughout psychology today there are six different theoretical models that seek to explain and treat abnormal functioning or behavior. These different models have been a result of different ideas and beliefs over the course of history. As psychology began to grow so did the improvements in research techniques. As a result psychologists are able to explain a variety of disorders in terms of the six different theoretical models. In the movie A Beautiful Mind it follows the mathematician John Nash as he struggles with schizophrenia. It an attempt to explain John Nash’s disorder the six different theoretical models will be looked at, they include biological model, psychodynamic model, behavioral model, cognitive model, humanistic model,

Individuals with serious mental illness are doubly affected by their disease; not only do they experience the often debilitating symptoms of their condition, but they must also endure mundane mental health stigmas and prejudices. Stigmatized attitudes are perceived to be one of the greatest impediments to living a complete and fulfilling life. Stigma has been defined as a combination of three related problems: ignorance, prejudice and discrimination (Rose, Thornicroft, Pinfold, & Kassam, 2007). Ignorance implies a lack of knowledge, prejudice entails negative attitudes, and discrimination involves exclusionary actions against people deemed to be different. Two forms of stigma are commonly distinguished in literature. Public stigma describes the attitudes of society towards people with mental illness, while self-stigma results from the internalization of prejudice by people who suffer from mental health conditions (Corrigan, Powell, & Rüsch, 2012). The World Health Organization announced that stigma was the most crucial obstacle to overcome for a community to functioning effectively and efficiently (Ontario Hospital Association, 2013).

           The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days.  While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head.  She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.”  She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her.  She is cognizant of the strangeness of her claims but believes them to be real