Book contents
- The Cambridge Handbook of Stigma and Mental Health
- The Cambridge Handbook of Stigma and Mental Health
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- 1 Introduction to the Handbook of Stigma and Mental Health
- Part I Understanding Stigma and Mental Health
- Part II Impact of Stigma on Mental Health
- Part III Stigma and Mental Health in Specific Contexts
- Part IV Reducing Stigma to Promote Mental Health
- 18 Interventions to Reduce Mental Illness Stigma and Discrimination at the Person-Level for Individuals and Small Groups
- 19 Population-Based Interventions to Reduce the Stigma of Mental Illness
- 20 Interventions to Reduce Help-Seeking Stigma for Mental Health Conditions
- 21 Self-Affirmation Interventions to Reduce Mental Health Stigma
- 22 Mindfulness and Self-Compassion Interventions to Address Mental Health Stigma
- 23 What Is Left to Be Done
- Index
- References
22 - Mindfulness and Self-Compassion Interventions to Address Mental Health Stigma
from Part IV - Reducing Stigma to Promote Mental Health
Published online by Cambridge University Press: 28 July 2022
Book contents
- The Cambridge Handbook of Stigma and Mental Health
- The Cambridge Handbook of Stigma and Mental Health
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- 1 Introduction to the Handbook of Stigma and Mental Health
- Part I Understanding Stigma and Mental Health
- Part II Impact of Stigma on Mental Health
- Part III Stigma and Mental Health in Specific Contexts
- Part IV Reducing Stigma to Promote Mental Health
- 18 Interventions to Reduce Mental Illness Stigma and Discrimination at the Person-Level for Individuals and Small Groups
- 19 Population-Based Interventions to Reduce the Stigma of Mental Illness
- 20 Interventions to Reduce Help-Seeking Stigma for Mental Health Conditions
- 21 Self-Affirmation Interventions to Reduce Mental Health Stigma
- 22 Mindfulness and Self-Compassion Interventions to Address Mental Health Stigma
- 23 What Is Left to Be Done
- Index
- References
Summary
Mental health stigma has proven to be resilient against many intervention approaches. For example, previous interventions incorporating strategies like psychoeducation, cognitive restructuring, and motivational interviewing have shown inconsistent results (Mittal et al., 2012), prompting researchers and clinicians to search for novel approaches to stigma reduction. Mindfulness and self-compassion, two constructs rooted in the positive psychology movement, have been linked to lower levels of stigma endorsement, suggesting that interventions using these strategies could be beneficial in reducing stigma. Additionally, mindfulness and self-compassion interventions might reduce the deleterious effects of mental health stigma on related outcomes, given the link between these constructs and shame, self-worth, and psychological help-seeking. This chapter outlines the theoretical connection between mindfulness, self-compassion, and mental health stigma; summarizes the extant literature linking mindfulness and self-compassion activities to stigma reduction; and discusses areas for future research and intervention development.
- Type
- Chapter
- Information
- The Cambridge Handbook of Stigma and Mental Health , pp. 449 - 465Publisher: Cambridge University PressPrint publication year: 2022
References
Acosta, J., Becker, A., Cerully, J., et al. (2014). Mental Health Stigma in the Military. RAND Corporation.Google Scholar
Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44, 1849–1858.Google Scholar
Barr, N., Davis, J. P., Diguiseppi, G., Keeling, M., & Castro, C. (2019). Direct and indirect effects of mindfulness, PTSD, and depression on self-stigma of mental illness in OEF/OIF Veterans. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication.Google Scholar
Bishop, S. R., Lau, M., Shapiro, S., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.Google Scholar
Booth, N. R., McDermott, R. C., Cheng, H. L., & Borgogna, N. C. (2019). Masculine gender role stress and self-stigma of seeking help: The moderating roles of self-compassion and self-coldness. Journal of Counseling Psychology, 66, 755–762.Google Scholar
Bränström, R., & Duncan, L. G. (2014). Mindfulness and balanced positive emotion. In Gruber, J. & Moskowitz, J. T. (Eds.), Positive Emotion: Integrating the Light Sides and Dark Sides (pp. 496–514). Oxford University Press.Google Scholar
Brem, M. J., Shorey, R. C., Anderson, S., & Stuart, G. L. (2017). Dispositional mindfulness, shame, and compulsive sexual behaviors among men in residential treatment for substance use disorders. Mindfulness, 8, 1552–1558.Google Scholar
Brown, S. A., Evans, Y., Espenschade, K., & O’Connor, M. (2010). An examination of two brief stigma reduction strategies: Filmed personal contact and hallucination simulations. Community Mental Health Journal, 46, 494–499.CrossRefGoogle ScholarPubMed
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.Google Scholar
Brown-Iannuzzi, J. L., Adair, K. C., Payne, B. K., Richman, L. S., & Fredrickson, B. L. (2014). Discrimination hurts, but mindfulness may help: Trait mindfulness moderates the relationship between perceived discrimination and depressive symptoms. Personality and Individual Differences, 56, 201–205.CrossRefGoogle ScholarPubMed
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33.Google Scholar
Carpenter, T. P., Pennington, M. L., Seebeck, J., et al. (2020). Dispositional self-forgiveness in firefighters predicts less help-seeking stigma and fewer mental health challenges. Stigma and Health, 5, 29–37.Google Scholar
Chan, K. K. S., & Lam, C. B. (2017). Trait mindfulness attenuates the adverse psychological impact of stigma on parents of children with autism spectrum disorder. Mindfulness, 8, 984–994.Google Scholar
Chan, K. K. S., Lee, C. W., & Mak, W. W. (2018). Mindfulness model of stigma resistance among individuals with psychiatric disorders. Mindfulness, 9, 1433–1442.Google Scholar
Clement, S., Lassman, F., Barley, E., et al. (2013). Mass media interventions for reducing mental health‐related stigma. Cochrane Database of Systematic Reviews, 7, CD009453.Google Scholar
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.Google Scholar
Corrigan, P. W., Larson, J., Sells, M., Niessen, N., & Watson, A. C. (2007). Will filmed presentations of education and contact diminish mental illness stigma? Community Mental Health Journal, 43, 171–181.Google Scholar
Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self–stigma of mental illness: Implications for self–esteem and self–efficacy. Journal of Social and Clinical Psychology, 25, 875–884.Google Scholar
Demyan, A. L., & Anderson, T. (2012). Effects of a brief media intervention on expectations, attitudes, and intentions of mental health help seeking. Journal of Counseling Psychology, 59, 222–229.Google Scholar
Dickstein, B. D., Vogt, D. S., Handa, S., & Litz, B. T. (2010). Targeting self-stigma in returning military personnel and veterans: A review of intervention strategies. Military Psychology, 22, 224–236.CrossRefGoogle Scholar
Finkelstein, J., Lapshin, O., & Wasserman, E. (2008). Randomized study of different anti-stigma media. Patient Education and Counseling, 71, 204–214.Google Scholar
FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics, 18, 19.CrossRefGoogle ScholarPubMed
Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134.Google Scholar
French, P., Hutton, P., Barratt, S., et al. (2011). Provision of online normalising information to reduce stigma associated with psychosis: Can an audio podcast challenge negative appraisals of psychotic experiences? Psychosis, 3, 52–62.Google Scholar
Garriott, P. O., Raque-Bogdan, T. L., Yalango, K., Ziemer, K. S., & Utley, J. (2017). Intentions to seek counseling in first-generation and continuing-generation college students. Journal of Counseling Psychology, 64, 432–442.CrossRefGoogle ScholarPubMed
Gilbert, P. (Ed.). (2005). Compassion: Conceptualisations, Research and Use in Psychotherapy. Routledge.Google Scholar
Goffman, E. (1963). Stigma: Notes on the Management of Spoiled Identity. Simon & Schuster .Google Scholar
Goldsmith, R. E., Gerhart, J. I., Chesney, S. A., et al. (2014). Mindfulness-based stress reduction for posttraumatic stress symptoms: Building acceptance and decreasing shame. Journal of Evidence-Based Complementary & Alternative Medicine, 19, 227–234.Google Scholar
Graham, J. R., West, L. M., & Roemer, L. (2013). The experience of racism and anxiety symptoms in an African-American sample: Moderating effects of trait mindfulness. Mindfulness, 4, 332–341.Google Scholar
Hammer, J. H., & Vogel, D. L. (2010). Men’s help seeking for depression: The efficacy of a male-sensitive brochure about counseling. The Counseling Psychologist, 38, 296–313.Google Scholar
Hammer, J. H., & Vogel, D. L. (2017). Development of the Help-Seeker Stereotype Scale. Stigma and Health, 2, 121–136.Google Scholar
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.Google Scholar
Heath, P. (2019). Masculinity and psychological help seeking: An application of Social Identity Theory [Doctoral dissertation, Iowa State University]. Iowa State University Digital Repository (17462).Google Scholar
Heath, P. J., Brenner, R. E., Lannin, D. G., & Vogel, D. L. (2018). Self-compassion moderates the relationship of public and anticipated self-stigma of seeking help. Stigma and Health, 3, 65–68.Google Scholar
Heath, P. J., Brenner, R. E., Vogel, D. L., Lannin, D. G., & Strass, H. A. (2017). Masculinity and barriers to seeking counseling: The buffering role of self-compassion. Journal of Counseling Psychology, 64, 94–103.Google Scholar
Hilbert, A., Braehler, E., Schmidt, R., et al. (2015). Self-compassion as a resource in the self-stigma process of overweight and obese individuals. Obesity Facts, 8, 293–301.Google Scholar
Hoge, C. W., Castro, C. A., Messer, S. C., et al. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351, 13–22.CrossRefGoogle ScholarPubMed
Johnson, E. A., & O’Brien, K. A. (2013). Self-compassion soothes the savage ego-threat system: Effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology, 32, 939–963.CrossRefGoogle Scholar
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.Google Scholar
Kabat-Zinn, J. (1993). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology Science and Practice, 10, 144–156.Google Scholar
Kang, Y., Gray, J. R., & Dovidio, J. F. (2014). The nondiscriminating heart: Lovingkindness meditation training decreases implicit intergroup bias. Journal of Experimental Psychology: General, 143(3), 1306–1313.Google Scholar
Kirschner, B., Goetzl, M., & Curtin, L. (2020). Mental health stigma among college students: Test of an interactive online intervention. Journal of American College Health, 1–8. Advance online publicationGoogle Scholar
Komiya, N., Good, G. E., & Sherrod, N. B. (2000). Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. Journal of Counseling Psychology, 47, 138–143.Google Scholar
Lannin, D. G., Guyll, M., Vogel, D. L., & Madon, S. (2013). Reducing the stigma associated with seeking psychotherapy through self-affirmation. Journal of Counseling Psychology, 60, 508–519.Google Scholar
Lannin, D. G., Vogel, D. L., Brenner, R. E., Abraham, W. T., & Heath, P. J. (2016). Does self-stigma reduce the probability of seeking mental health information? Journal of Counseling Psychology, 63, 351–358.Google Scholar
Lannin, D. G., Vogel, D. L., Brenner, R. E., & Tucker, J. R. (2015). Predicting self-esteem and intentions to seek counseling: The Internalized Stigma Model. The Counseling Psychologist, 43, 64–93.Google Scholar
Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904.Google Scholar
Leyland, A., Rowse, G., & Emerson, L. M. (2019). Experimental effects of mindfulness inductions on self-regulation: Systematic review and meta-analysis. Emotion, 19, 108–122CrossRefGoogle ScholarPubMed
Liao, K. Y. H., Kashubeck-West, S., Weng, C. Y., & Deitz, C. (2015). Testing a mediation framework for the link between perceived discrimination and psychological distress among sexual minority individuals. Journal of Counseling Psychology, 62, 226–241.Google Scholar
Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69.Google Scholar
Liu, S., Li, C. I., Wang, C., Wei, M., & Ko, S. (2020). Self-compassion and social connectedness buffering racial discrimination on depression among Asian Americans. Mindfulness, 11, 672–682.Google Scholar
Lueke, A., & Gibson, B. (2014). Mindfulness meditation reduces implicit age and race bias: The role of reduced automaticity of responding. Social Psychological and Personality Science, 6, 284–291.Google Scholar
Luoma, J. B., Kohlenberg, B. S., Hayes, S. C., Bunting, K., & Rye, A. K. (2008). Reducing self-stigma in substance abuse through acceptance and commitment therapy: Model, manual development, and pilot outcomes. Addiction Research & Theory, 16, 149–165.Google Scholar
Lyons, A. (2016). Mindfulness attenuates the impact of discrimination on the mental health of middle-aged and older gay men. Psychology of Sexual Orientation and Gender Diversity, 3, 227–235.CrossRefGoogle Scholar
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.Google Scholar
Masuda, A., Hayes, S. C., Fletcher, L. B., et al. (2007). Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders. Behaviour Research and Therapy, 45, 2764–2772.Google Scholar
Mesmer-Magnus, J., Manapragada, A., Viswesvaran, C., & Allen, J. W. (2017). Trait mindfulness at work: A meta-analysis of the personal and professional correlates of trait mindfulness. Human Performance, 30(2-3), 79–98.Google Scholar
Mittal, D., Sullivan, G., Chekuri, L., Allee, E., & Corrigan, P. W. (2012). Empirical studies of self-stigma reduction strategies: A critical review of the literature. Psychiatric Services, 63(10), 974–981.Google Scholar
Neff, K. D. (2003a). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101.Google Scholar
Neff, K. D. (2003b). Development and validation of a scale to measure self-compassion. Self and Identity, 2 , 223–250.Google Scholar
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of Clinical Psychology, 69, 28–44.Google Scholar
Neff, K. D., & Tirch, D. (2013). Self-compassion and ACT. In Kashdan, T. B. & Ciarrochi, J. (Eds.), Mindfulness, Acceptance, and Positive Psychology: The Seven Foundations of Well-Being (pp. 78–106). Context Press/New Harbinger Publications.Google Scholar
Parks, S., Birtel, M. D., & Crisp, R. J. (2014). Evidence that a brief meditation exercise can reduce prejudice toward homeless people. Social Psychology, 45, 458–465.Google Scholar
Shapira, L. B., & Mongrain, M. (2010). The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. The Journal of Positive Psychology, 5, 377–389.Google Scholar
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.CrossRefGoogle ScholarPubMed
Sirois, F. M., Kitner, R., & Hirsch, J. K. (2015). Self-compassion, affect, and health-promoting behaviors. Health Psychology, 34, 661–669.Google Scholar
Smeets, E., Neff, K., Alberts, H., & Peters, M. (2014). Meeting suffering with kindness: Effects of a brief self‐compassion intervention for female college students. Journal of Clinical Psychology, 70, 794–807.Google Scholar
Terry, M. L., & Leary, M. R. (2011). Self-compassion, self-regulation, and health. Self and Identity, 10, 352–362.Google Scholar
Valaitis, R. K. (2005). Computers and the internet: Tools for youth empowerment. Journal of Medical Internet Research, 7, e51.Google Scholar
Vigna, A. J., Poehlmann-Tynan, J., & Koenig, B. W. (2018). Does self-compassion facilitate resilience to stigma? A school-based study of sexual and gender minority youth. Mindfulness, 9, 914–924.Google Scholar
Vogel, D. L., & Heath, P. J. (2016). Men, masculinities, and help-seeking patterns. Wester, S. R. & Wong, J. (Eds.), APA Handbook for the Psychology of Men and Masculinities (pp. 685–707). American Psychological Association.Google Scholar
Vogel, D. L., Heimerdinger-Edwards, S. R., Hammer, J. H., & Hubbard, A. (2011). “Boys don’t cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, 58, 368–382.Google Scholar
Vogel, D. L., Strass, H. A., Heath, P. J., et al. (2017). Stigma of seeking psychological services: Examining college students across ten countries/regions. The Counseling Psychologist, 45, 170–192.Google Scholar
Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325–337.Google Scholar
Wasylkiw, L., & Clairo, J. (2018). Help seeking in men: When masculinity and self-compassion collide. Psychology of Men & Masculinity, 19, 234–242.Google Scholar
Webb, M., Burns, J., & Collin, P. (2008). Providing online support for young people with mental health difficulties: Challenges and opportunities explored. Early Intervention in Psychiatry, 2, 108–113.Google Scholar
Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: The COVID-19 experience. Current Treatment Options in Psychiatry, 1–5. Advance online publication.Google Scholar
Winkler, P., Janoušková, M., Kožený, J., et al. (2017). Short video interventions to reduce mental health stigma: A multi-centre randomised controlled trial in nursing high schools. Social Psychiatry and Psychiatric Epidemiology, 52, 1549–1557.Google Scholar
Wong, C. C. Y., Knee, C. R., Neighbors, C., & Zvolensky, M. J. (2019). Hacking stigma by loving yourself: A mediated-moderation model of self-compassion and stigma. Mindfulness, 10, 415–433.Google Scholar
Yadavaia, J. E., & Hayes, S. C. (2012). Acceptance and commitment therapy for self-stigma around sexual orientation: A multiple baseline evaluation. Cognitive and Behavioral Practice, 19, 545–559.Google Scholar
Yadavaia, J. E., Hayes, S. C., & Vilardaga, R. (2014). Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science, 3, 248–257.Google Scholar
Yang, X., & Mak, W. W. (2017). The differential moderating roles of self-compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8, 595–602.Google Scholar
Yanos, P. T., DeLuca, J. S., & Gonzales, L. (2020, March 23). The United States has a national prostigma campaign: It needs a national, evidence-based antistigma campaign to counter it. Stigma and Health. Advance online publication.Google Scholar
Zhang, J. W., & Chen, S. (2016). Self-compassion promotes personal improvement from regret experiences via acceptance. Personality and Social Psychology Bulletin, 42, 244–258.Google Scholar
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