Psychiatr Prax 2004; 31: 246-250
DOI: 10.1055/s-2004-828477
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Stigmatisierung psychisch Kranker in der Gesellschaft

Stigmatization of Mentally Ill Patients by the SocietyMatthias  C.  Angermeyer1
  • 1Klinik und Poliklinik für Psychiatrie, Universität Leipzig
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Publikationsverlauf

Publikationsdatum:
08. Dezember 2004 (online)

Zusammenfassung

Psychisch Kranke sind in unserer Gesellschaft vielfältigen Diskriminierungen ausgesetzt. Prinzipiell kann dabei zwischen individueller und struktureller Diskriminierung sowie Diskriminierung aufgrund von Selbststigmatisierungsprozessen unterschieden werden. Alle drei Diskriminierungsformen werden anhand von Beispielen dargestellt, wobei ich mich auf Ergebnisse eigener Studien stütze. Anschließend werden die negativen Auswirkungen auf die Betroffenen (Beeinträchtigung des Selbstwertgefühls und des subjektiven Befindens, soziale sowie behandlungsrelevante Benachteiligungen) beschrieben. Zum Schluss werden anhand der Aktivitäten von „Irrsinnig menschlich e. V.” in Leipzig Ansätze zur Reduzierung der Diskriminierung psychisch Kranker vorgestellt.

Abstract

In our society, people with mental illness are exposed to various forms of discrimination. In principle, individual and structural discrimination plus discrimination due so self-stigmatisation can be distinguished. All three forms of discrimination will be illustrated based on results from our own studies. Next, negative consequences of discrimination for those afflicted will be described such as lack of self-confidence and reduced subjective well-being as well as social disadvantages and disadvantages with regard to treatment and rehabilitation. Finally, using the association „Irrsinnig menschlich” („Madly human”) in Leipzig as an example, approaches to reduce discrimination of mentally ill people will be presented.

Literatur

  • 1 Link B G, Phelan J C. Conceptualizing stigma.  Ann Rev Sociol. 2001;  27 363-385
  • 2 Bogardus E S. Measuring social distances.  J Appl Sociol. 1925;  9 299-308
  • 3 Angermeyer M C, Matschinger H. The stigma of mental illness. Effects of labelling on public attitudes towards people with mental disorders.  Acta Psychiatr Scand. 2003;  108 304-309
  • 4 Angermeyer M C, Buyantugs L, Kenzine D U, Matschinger H. Effects of labelling on public attitudes towards people with schizophrenia: Are there cultural differences?.  Acta Psychiatr Scand. 2004;  109 420-425
  • 5 Beck M, Dietrich S, Matschinger H, Angermeyer M C. Alcoholism: Low standing with the public? Attitudes towards spending financial resources on medical care and research on alcoholism.  Alcohol Alcoholism. 2003;  38 602-605
  • 6 Link B G. Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejection.  Am Sociol Rev. 1987;  52 96-112
  • 7 Link B G, Phelan J C, Bresnahan M, Stueve A, Pescosolido B A. Public conceptions of mental illness: Labels, causes, dangerousness, and social distance.  Am J Publ Health. 1999;  9 1328-1333
  • 8 Holzinger A, Beck M, Munk I, Weithaas S, Angermeyer M C. Das Stigma psychischer Krankheit aus der Sicht schizophren und depressiv Erkrankter.  Psychiat Prax. 2003;  30 395-401
  • 9 Markowitz F E. The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness.  J Health Soc Behav. 1998;  39 335-347
  • 10 Link B G, Struening E L, Neese-Todd S, Asmussen S, Phelan J C. The consequences of stigma for the self-esteem of people with mental illnesses.  Psychiatr Serv. 2001;  52 1621-1626
  • 11 Link B G, Mirotznik J, Cullen F T. The effectiveness of stigma coping orientations: Can negative consequences of mental illness labelling be avoided?.  J Health Soc Behav. 1991;  32 301-320
  • 12 Link B G, Struening E L, Rahav M, Phelan J C, Nuttbrock L. On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnosis of mental illness and substance abuse.  J Health Soc Behav. 1997;  38 177-190
  • 13 Angermeyer M C, Lammers R, Hoffmann J. Sozialer Rückzug: Reaktion auf das Stigma psychischer Krankheit?.  Medizin Mensch Gesellschaft. 1985;  10 132-136
  • 14 Link B G, Cullen F T, Struening E L, Shrout P, Dohrenwend B P. A modified labeling theory approach in the area of mental disorders: An empirical assessment.  Am Sociol Rev. 1989;  54 100-123
  • 15 Perlick D A, Rosenheck R A, Clarkin J F, Sirey J A, Salahi J, Struening E L, Link B G. Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar disorder.  Psychiatr Serv. 2001;  52 1627-1632
  • 16 Sirey J A, Bruce M L, Alexopoulos C S, Perlick D A, Raue P, Friedman S J, Meyers B S. Perceived stigma as a predictor with depression.  Am J Psychiatry. 2001;  158 479-481
  • 17 Sirey J A, Bruce M L, Alexopoulos C S, Perlick D A, Raue P, Friedman S J, Meyers B S. Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence.  Psychiatr Serv. 2001;  52 1615-1620
  • 18 Mechanic D, McAlpine D, Rosenfield S, Davis D. Effects of illness attribution and depression on the quality of life among persons with serious mentall illness.  Soc Sci Med. 1994;  39 155-164
  • 19 Rosenfield S. Labeling mental illness: The effects of received services and perceived stigma on life satisfaction.  Am Sociol Rev. 1997;  62 660-672
  • 20 Sartorius N. Stigma: what psychiatrists can do about it?.  Lancet. 1998;  325 1058-1059
  • 21 Angermeyer M C, Matschinger H, Corrigan P W. Familiarity with mental illness and social distance from people with schizophrenia and major depression: Testing a model using data from a representative population survey.  Schizophr Res. 2004;  69 175-182
  • 22 Schulze B, Richter-Werling M, Matschinger H, Angermeyer M C. Crazy? So what! Project weeks on mental health and illness. Their effect on secondary school students' attitudes towards people with schizophrenia.  Acta Psychiatr Scand. 2003;  107 142-150

Prof. Dr. Matthias C. Angermeyer

Klinik und Poliklinik für Psychiatrie · Universität Leipzig

Johannisallee 20

04317 Leipzig

eMail: krausem@medizin.uni-leipzig.de