DSM-V and the stigma of mental illness

Institute of Psychology, Illinois Institute of Technology, Chicago, Illinois 60616, USA.
Journal of Mental Health (Impact Factor: 1.01). 08/2010; 19(4):318-27. DOI: 10.3109/09638237.2010.492484
Source: PubMed


Stigma associated with mental illness has been shown to have devastating effects on the lives of people with psychiatric disorders, their families, and those who care for them. In the current article, the relationship between diagnostic labels and stigma is examined in the context of the forthcoming DSM-V. Three types of negative outcomes are reviewed in detail - public stigma, self-stigma, and label avoidance. The article illustrates how a clinical diagnosis may exacerbate these forms of stigma through socio-cognitive processes of groupness, homogeneity, and stability. Initial draft revisions recently proposed by the DSM-V work groups are presented, and their possible future implications for stigma associated with mental illness are discussed.

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    • "Nothing achieves the stigmatization of the patient in the framework of mental health care, as the very diagnosis of his illness/disease (Ben-Zeev et al., 2010). Careless use of the diagnostic label constitutes an obvious source of stigmatization by health professionals. "
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    ABSTRACT: Introduction:The stigma of mental illness is not a modern phenomenon, but it can now be approached scientifically. The stigma, because of the mental illness which characterizes a person, can be explained by the natural propensity of man to deliver biased and stereotyped estimates to phenomena he cannot explain, accept or face. Methodology:This study is an attempt to describe the concept of stigma and the impact of the stigma of mental illness in the personal and social life of the individual. The search for sources of this review was made through books on the topic and articles of the last twenty years, from online internet sources (pubmed, scopus, google scholar). Literature Review:Stigma brought about by illness from mental illness, is a complex process and concept, located in social interaction and the dynamics of social relations. The social stigma borne by mental illness in general, as well as the lack of information, ignorance, stereotypes, myths and prejudices, are the main reasons that characterize, even today, depression as a taboo subject. The stigma of mental illness is indeliblyimprinted in the identity of human suffering. In any case, the impact of stigma is critical for people who are sick. The psychological stress and difficult conditions that shape their daily lives aggravate their already compromised mental health, having a significant impact on the course and outcome of the disease itself. Key strategies to address stigma are protest, education and contact. Conclusions:A significant step in combating the stigma is to raise public awareness on the issues of mental health and their inclusion in society.
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    • "Label avoidance is the phenomenon leading individuals to avoid mental health services in order to avoid the deleterious impact of a stigmatizing label. In addition, three processes can further exacerbate the stigma associated with psychiatric labels (Ben-Zeev et al., 2010). The first is groupness defined as the degree to which a collection of people is perceived as a unified or meaningful entity (Campbell, 1958; Hamilton and Sherman, 1996). "
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    ABSTRACT: In this paper we review the Diagnostic and Statistical Manual of mental health (DSM), its scientific bases and utility. The concepts of "normality," "pathology," and boundaries between them are critically reviewed. We further use the concepts of mindfulness and mindlessness, and evidence from cognitive and social sciences to investigate the DSM clinical and social impact and we argue against its assigned overpower. We recommend including alternative perspectives to the DSM, such as mindfulness and positive psychology. We also argue for including mindfulness training in psychiatric residency and clinical psychology programs.
    Frontiers in Psychology 06/2014; 5:602. DOI:10.3389/fpsyg.2014.00602 · 2.80 Impact Factor
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    • "Similarly, while different models of patient involvement in nosology have been proposed and developed [30], much additional work is needed to compare carefully such models and their impacts. Furthermore, it needs to be kept in mind that even if a diagnostic system incorporates patient perspectives, assessment and intervention should proceed with appropriate care in order to diminish stigma [31,32]. "
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    ABSTRACT: The revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) provides a useful opportunity to revisit debates about the nature of psychiatric classification. An important debate concerns the involvement of mental health consumers in revisions of the classification. One perspective argues that psychiatric classification is a scientific process undertaken by scientific experts and that including consumers in the revision process is merely pandering to political correctness. A contrasting perspective is that psychiatric classification is a process driven by a range of different values and that the involvement of patients and patient advocates would enhance this process. Here we draw on our experiences with input from the public during the deliberations of the Obsessive Compulsive-Spectrum Disorders subworkgroup of DSM-5, to help make the argument that psychiatric classification does require reasoned debate on a range of different facts and values, and that it is appropriate for scientist experts to review their nosological recommendations in the light of rigorous consideration of patient experience and feedback.
    BMC Medicine 05/2013; 11(1):133. DOI:10.1186/1741-7015-11-133 · 7.25 Impact Factor
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