The Impact of Illness Identity on Recovery from Severe Mental Illness
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TLDR
It is proposed that accepting a definition of oneself as mentally ill and assuming that mental illness means incompetence and inadequacy impact hope and self-esteem, which further impact suicide risk, coping, social interaction, vocational functioning, and symptom severity.Abstract:
The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe mental illness and reviews relevant research. We propose that accepting a definition of oneself as mentally ill and assuming that mental illness means incompetence and inadequacy impact hope and self-esteem, which further impact suicide risk, coping, social interaction, vocational functioning, and symptom severity. Evidence supports most of the predictions made by the model. Implications for psychiatric rehabilitation services are discussed.read more
Citations
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Reducing Self-Stigma by Coming Out Proud
TL;DR: A program that might diminish stigma's effect by helping some people to disclose to colleagues, neighbors, and others their experiences with mental illness, treatment, and recovery is assessed.
Journal ArticleDOI
Narrative enhancement and cognitive therapy: a new group-based treatment for internalized stigma among persons with severe mental illness.
TL;DR: This article discusses the development of a new group-based approach to the treatment of internalized stigma which is termed “narrative enhancement and cognitive therapy (NECT)” and describes the treatment approach by way of a case vignette.
Journal ArticleDOI
Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope
Michal Mashiach-Eizenberg,Ilanit Hasson-Ohayon,Philip T. Yanos,Paul H. Lysaker,Paul H. Lysaker,David Roe +5 more
TL;DR: The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem, which may point to the need for the development of interventions that targetinternalized stigma as well as self- esteem.
Journal ArticleDOI
Prevalence of Internalized Stigma among Persons with Severe Mental Illness.
TL;DR: It is concluded that internalized stigma affects a relatively high percentage of people with severe mental illness.
Journal ArticleDOI
Group-based treatment for internalized stigma among persons with severe mental illness: findings from a randomized controlled trial.
TL;DR: It is concluded that Nect is feasible and tolerable, but findings did not support the hypothesis that NECT was more effective than TAU, although small sample size and significant dropout may have restricted the ability to detect an effect.
References
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Book
Asylums: Essays on the Social Situation of Mental Patients and Other Inmates
TL;DR: "Asylums" is an analysis of life in 'total institutions' - closed worlds like prisons, army camps, boarding schools, nursing homes and mental hospitals that focuses on the relationship between the inmate and the institution.
Journal ArticleDOI
Recovery from mental illness: The guiding vision of the mental health service system in the 1990s.
TL;DR: The fundamental services and assumptions of a recovery-oriented mental health system are outlined, which could have major implications for how future mental health systems are designed.
Journal ArticleDOI
Asylums: Essays on the Social Situation of Mental Patients and other Inmates
TL;DR: Goffman’s Asylums, a key text in the development of deinstitutionalisation, anticipated and indeed predicted some of these changes in psychiatry and has become a concept that is nearly impossible to criticise.
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Public conceptions of mental illness: labels, causes, dangerousness, and social distance.
TL;DR: While there is reason for optimism in the public's recognition of mental illness and causal attributions, a strong stereotype of dangerousness and desire for social distance persist and are likely to negatively affect people with mental illness.
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The Paradox of Self-Stigma and Mental Illness
TL;DR: In this article, a more careful review of the research literature suggests a paradox; namely, personal reactions to the stigma of mental illness may result in significant loss in self-esteem for some, while others are energized by prejudice and express righteous anger.