mental health iillness stigma
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Behind the Eyes: A Look at Mental Illness Stigma
Sam Carpenter
Hesser College Manchester
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Behind the Eyes:
A look at Mental Illness Stigma
It has been said that people who suffer from mental illness often face more than just the initial
diagnosis, Not only do they have to learn to cope with their new condition often with little help from
family or friends as well as trying to cope with the new life changes and responsibilities such as
medications and therapy appointments, but they are also subjected to the social stigma of being wrong in
the head or dangerous.
You might think that in today' supposedly accepting culture we would have done away with
ostracizing people and letting stereotypes and stigma affect our reasoning towards other people. After all
we have come along way since the atrocities of the Laconia state school and other such schools for the
mentally ill, But in fact you would be wrong according to a study done by Indiana and Columbia
universities. Prejudice and discrimination in the U.S. arent moving, In fact, in some cases, it may be
increasing. Its time to stand back and rethink our approach. ( Pescosolido,2010 )
People often do not think about how much something like this can destroy someones life, it goes
far beyond simply having a few people look down on you. It can produce discrimination in
employment, housing, medical care and social relationships, and negatively impact the quality of life for
these individuals, their families and friends. (Pescosolido, 2010) To summarize the mental health stigma,
that many patients face, affects every aspect of their lives, from where they live and work to the types of
medical care they can receive and the types of interpersonal relationships that they are able to pursue.
Stigma is defined as A mark of disgrace associated with a particular circumstance, quality, or
person. So if we apply that to mental illness then that would mean a mark of disgrace associated with
mental illness. Sadly it would seem that even though we have made such huge advances in the fields of
mental health and how we care for those who suffer from mental illness a large part of the population still
see's these people as a disgrace and that there is something wrong with them that makes them somehow
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less than human.
We could spend the next four hundred pages going over how this affects every type of mental
illness and how we could combat these ignorant perceptions but for the sake of time and my own sanity I
am going to focus on only what I consider to be the top 5 mental disorders in the context of severity of
the stigma related to them. These conditions are, in order of severity, Schizophrenia, Bi-Polar Disorder,
Depression, Tourette Syndrome and Mental Retardation.
Schizophrenia is generally accepted as a psychotic disorder affecting only about one percent of
the population. In order to be diagnosed with schizophrenia you must have persistent hallucinations and
delusions. Often these symptoms manifest in the form of hearing voices and seeing people that are not
based in the real world but only exist within the mind of the patient. People with this condition are
generally considered crazy because they see and hear things that do not truly exist. Due to the nature of
the psychosis involved with this condition it is difficult to keep patients on their medications because the
delusions tell them that the pills are poison or that they are not necessary. Often patients go off of their
medications without telling their doctor and thus relapse back into the psychosis that the medications
control.
Due to the volatile nature of this condition and the issue of staying on ones medications it is
difficult for patients to hold down careers and thus many patients end up in less than favorable living
situations. It is also difficult for these patients to have long lasting relationships, many people simply can
not handle that much pressure and eventually leave. More often than not it is left to the immediate family
of the patient to take care of them and sadly more often than not it is to much for them to handle. The
impact of stigmatization on schizophrenia sufferers has added a new dimension to the illness experience
and has led to social isolation, limited life chances and delayed help-seeking behavior. (Harrison, 2010)
People often look at those with schizophrenia and see only the condition and not the person
behind the condition. Because the illness may cause unusual, inappropriate and sometimes unpredictable
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and disorganized behavior, people who are not effectively treated are often shunned and the targets of
social prejudice. ("Nami|schizophrenia," 2011) This is the knee jerk reaction of many people who don't
do the research about schizophrenia before they make a judgment call.
Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood,
energy, and functioning. These changes may be subtle or dramatic and typically vary greatly over the
course of a persons life as well as among individuals. Bipolar disorder is a chronic and generally life-
long condition with recurring episodes of mania and depression that can last from days to months.
(Duckworth, 2006)
Many People who suffer from Bipolar Disorder do not see that there is a difference between the
manic or hypo manic states and the Depressive states. As such it can be difficult to accept that one has
this condition, this is another condition in which medication is needed but the patient may not take that
medication all the time due to not seeing the need for it. Medication is a very necessary part of
controlling this condition for now.
Unfortunately this condition has become trendy with many people claiming to have it just so
that they can feel special, that being said it is a legitimate condition that over ...ten million people in the
US suffer from. (Duckworth, 2006) Many people who do not know what bipolar disorder is or what it
does can not even begin to imagine how difficult it can be to live with. Sadly many refuse to accept that
this a real condition even when the evidence is directly in front of them, many see it as controllable
without medication, even though the high majority of people who suffer from this can not go without
medication for now.
Tourette syndrome (TS) is a neuropsychiatric disorder that is characterized by the presence of a
range of both motor and vocal tics. Individuals with the condition frequently have a wide array of
difficulties, such as problems with attention, hyperactivity, depression, obsessivecompulsive symptoms
as well as speech problems and learning disability. (Khalifa, 2010)
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Tourette syndrome is quite possibly the most stereotyped mental illness, most people assume that
everyone with this condition randomly blurts out offensive words and flails their arms and legs and a
plethora of other outlandish tics, when in reality only a very few cases are actually severe enough to
manifest in such grandiose ways. Even television shows like Comedy Central's South Park have Drawn
upon the stereotype that people with this condition are all at the extreme end of the spectrum.(Parker,
2007)
Depression is quite possibly the most widely diagnosed mental illness today. When we refer to
someone being diagnosed with depression we are not talking about someone who gets depressed from
time to time but rather someone who is constantly depressed and often feels no joy or hope at all.
Depression has certainly become a trendy condition, many teens claim to have this condition because
more often than not those who have not been diagnosed with depression are the minority.
That being said those people who truly suffer from depression often are the subjects of ridicule
and verbal abuse for not being able to handle life sadly many people who suffer from depression
attempt suicide at least once due to feelings of being overwhelmed and under appreciated. Many people
who truly suffer from depression do not get the kind of help that they actually need because many do not
see themselves as worth getting the help and so they never stand up and ask for the help.
I believe that the single most Stigmatized condition in all of the mental disorders is mental
retardation.Mental retardation is a disorder that is characterized by below-average intellectualfunctioning. It is usually diagnosed before age eighteen. Today, the term mental retardation is often
replaced with other terms such as mentally challenged, and intellectual disability.("Mental illness,"
2011)
Mental Retardation comes in many forms, most often the stigma related to mental retardation
comes into play in the school yard with children. As much as I would like to say that the school yard is
the only place we see this, It is not, many mentally challenged people have a very hard time finding work
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because people assume that they are useless and can learn nothing. More often then not people with this
condition end up working for very low wages at exceedingly menial jobs, and yet unlike most of us who
hate our jobs these people often do their jobs with a smile on their face because they are just happy to
have a job.
So how can we stop the stigma, to be quite honest the easiest way to stop a lot of the stigma that
goes with having a mental illness is the dissemination of knowledge. The more people find out about
mental illness the more prepared they are to handle it. The more prepared they are the less scared they
are. There are many wonderful books and websites and magazines and all manner of media out there to
help people understand the ins and outs of mental illness and I think that more needs to be done to get
that material into the hands of the ignorant.
Another way for fighting the stigma is to actually stand up and fight it, verbally of coarse. If you
see someone making fun of or laughing at or calling someone names because they have a mental illness
or actually for any reason stand up and tell the bully that those kinds of things are not cool and then go
and tell a supervisor. This may sound like something that would be intended for a child to hear but
frankly its something that we all must do. Adults can be just as mean as children if not more and in a lot
of ways adults are just older grade school kids. Just remember if you do not stand up for what you believe
in , in this case the end of mental illness stigma, then your no better than those who are pushing the
stigma.
Mental illness runs deep in my family and so this is a topic that I grew up living. My mother
suffered from Schizophrenia, Bipolar disorder, Multiple personality disorder, Depression, Anxiety,
Paranoia, Post traumatic stress disorder, as well as several other mental illnesses that I was not privy to. I
myself have been diagnosed with Attention deficit hyperactivity disorder, Post traumatic stress disorder,
and it is suspected that I also suffer from major depressive disorder although I have not been diagnosed as
of yet.
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Mental illness stigma is something that I have fought against all my life at first for the sake of my
mother and then also for myself. There have been times where it has been an uphill battle and all seemed
hopeless, but thanks to a loving family and girlfriend and understanding friends I have been able to fight
the good fight so to speak and I will continue to fight until either the battle is won or this soldier is no
more.
Pescosolido, B. (2010). Study:mental illness stigma entrenched in american culture; new strategiesneeded. Retrieved from http://newsinfo.iu.edu/news/page/normal/15444.html
HARRISON, J. J., & GILL, A. A. (2010). The experience and consequences of people with mental health
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problems, the impact of stigma upon people with schizophrenia: a way forward.Journal Of Psychiatric& Mental Health Nursing, 17(3), 242-250. doi:10.1111/j.1365-2850.2009.01506.x
Nami|schizophrenia. (2011). Retrieved from http://www.nami.org/Template.cfm?Section=schizophrenia9
Duckworth, K. (2006, October).Nami: Mental illness . Retrieved from
http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=23037
Khalifa, N., Dalan, M., & Rydell, A. (2010). Tourette syndrome in the general child population:Cognitive functioning and self- perception.Nordic Journal Of Psychiatry,64(1), 11-18.
doi:10.3109/08039480903248096
Parker, T. (Writer) (2007). Le petit tourette [Television series episode]. In Garefino, A. (Executive
Producer), South Park. New York: Comedy Central.
Mental illness. (2011). Retrieved from http://www.stigma.org/