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Chapter 10 - The Benefits of Disclosure

Published online by Cambridge University Press:  23 June 2022

By
Sai Snigdha Talluri  and
Patrick W. Corrigan
Edited by
Georg Schomerus  and
Patrick William Corrigan
Georg Schomerus
Affiliation:
Universität Leipzig
Patrick William Corrigan
Affiliation:
Illinois Institute of Technology
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Summary

Disclosure involves sharing information with others. It may lead to improvements in mental and physical health. Prior to disclosure, individuals must identify with a health condition. Individuals who identify with a condition are likely to experience pride in their identity. Pride includes: (1) a sense of accomplishment that comes from overcoming challenges associated with their condition and (2) authenticity that includes expressing any part of one’s identity in the face of an imposing world. Honest Open Proud (HOP) was developed to help individuals with stigmatized health conditions disclose their experiences. The aims of HOP are: (1) to help individuals weigh the costs and benefits of disclosing aspects of their health condition, (2) teach ways to disclose, and (3) provide a format for telling one’s story. Multiple randomized controlled trials have demonstrated support for HOP. The potential to adapt HOP for SUD is discussed in this chapter.

Keywords

DisclosureIdentity and addictionHonest open proudApproaches to disclosureIntersectionality and SUD; Community Based Participatory Research (CBPR)
Type
Chapter
Information
The Stigma of Substance Use Disorders , pp. 180 - 192
Publisher: Cambridge University Press
Print publication year: 2022

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References

Berry-Cyprian, D., Nelson, R., & Yang, B. (2017). Self-disclosure, culture and situational influence: An analysis of interracial interaction. Concordia Journal of Communication Research, 4(1), Article 2.Google Scholar
Birtel, M. D., Wood, L., & Kempa, N. J. (2017). Stigma and social support in substance abuse: Implications for mental health and well-being. Psychiatry Research, 252, 1–8.CrossRefGoogle ScholarPubMed
Bos, A. E., Kanner, D., Muris, P., Janssen, B., & Mayer, B. (2009). Mental illness stigma and disclosure: Consequences of coming out of the closet. Issues in Mental Health Nursing, 30(8), 509–513.CrossRefGoogle ScholarPubMed
Broman-Fulks, J. J., Ruggiero, K. J., Hanson, R. F., et al. (2007). Sexual assault disclosure in relation to adolescent mental health: Results from the National Survey of Adolescents. Journal of Clinical Child and Adolescent Psychology, 36(2), 260–266.CrossRefGoogle ScholarPubMed
Buckingham, S. A., Frings, D., & Albery, I. P. (2013). Group membership and social identity in addiction recovery. Psychology of Addictive Behaviors, 27(4), 1132–1140.Google Scholar
Chen, F. P., Lai, G. Y. C., & Yang, L. (2013). Mental illness disclosure in Chinese immigrant communities. Journal of Counseling Psychology, 60(3), 379–391.Google Scholar
Conley, C. S., Hundert, C. G., Charles, J. L., et al. (2020). Honest, Open, Proud–College: Effectiveness of a peer-led small-group intervention for reducing the stigma of mental illness. Stigma and Health, 5(2), 168–178.CrossRefGoogle Scholar
Corrigan, P. W. (2018). The stigma effect: Unintended consequences of mental health campaigns. Columbia University Press.Google Scholar
Corrigan, P. W., Kosyluk, K. A., & Rüsch, N. (2013). Reducing self-stigma by coming out proud. American Journal of Public Health, 103(5), 794–800.CrossRefGoogle ScholarPubMed
Corrigan, P. W., Larson, J. E., Michaels, P. J., et al. (2015). Diminishing the self-stigma of mental illness by coming out proud. Psychiatry Research, 229(1–2), 148–154.CrossRefGoogle ScholarPubMed
Corrigan, P. W., Morris, S., Larson, J., et al. (2010). Self‐stigma and coming out about one’s mental illness. Journal of Community Psychology, 38(3), 259–275.Google Scholar
Corrigan, P. W., Rüsch, N., & Scior, K. (2018). Adapting disclosure programs to reduce the stigma of mental illness. Psychiatric Services, 69(7), 826–828.Google Scholar
Corrigan, P. W., Schomerus, G., & Smelson, D. (2017). Are some of the stigmas of addictions culturally sanctioned?. The British Journal of Psychiatry, 210(3), 180–181.Google Scholar
Dingle, G. A., Cruwys, T., & Frings, D. (2015). Social identities as pathways into and out of addiction. Frontiers in Psychology, 6, Article 1795.CrossRefGoogle ScholarPubMed
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford.Google Scholar
Herman, N. J. (1993). Return to sender: Reintegrative stigma-management strategies of ex psychiatric patients. Journal of Contemporary Ethnography, 22(3), 295–330.CrossRefGoogle Scholar
Hughes, K. (2007). Migrating identities: The relational constitution of drug use and addiction. Sociology of Health & Illness, 29(5), 673–691.Google Scholar
Livingston, J. D., Milne, T., Fang, M. L., & Amari, E. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review. Addiction, 107(1), 39–50.CrossRefGoogle ScholarPubMed
Luoma, J. B., Twohig, M. P., Waltz, T., et al. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviors, 32(7), 1331–1346.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(2), 149–165.CrossRefGoogle ScholarPubMed
Lysaker, P. H., Davis, L. W., Warman, D. M., Strasburger, A., & Beattie, N. (2007). Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: Associations across 6 months. Psychiatry Research, 149(1–3), 89–95.Google Scholar
Montes, K. S., Cruz, M. D., Weinstein, A. P., et al. (2021). Alcohol and marijuana protective behavioral strategies mediate the relationship between substance use identity and use-related outcomes: A multi-sample examination. Addictive Behaviors, 112, Article 106613.Google Scholar
Mulfinger, N., Müller, S., Böge, I., et al. (2018). Honest, Open, Proud for adolescents with mental illness: Pilot randomized controlled trial. Journal of Child Psychology and Psychiatry, 59(6), 684–691.CrossRefGoogle ScholarPubMed
National Institute on Drug Abuse. (1978). Services research report. Skills training and employment for ex-addicts in Washington, DC: A report on TREAT. US Department of Health, Education, and Welfare. US Government Printing Office.Google Scholar
Oakes, P. J. (1987). The salience of social categories. In Turner, J. C., Hogg, M. A., Oakes, P. J., Rieche, S. D., & Wetherell, M. S. (Eds.), Rediscovering the social group: A self categorization theory (pp. 117–141). Sage Publications.Google Scholar
Omarzu, J. (2000). A disclosure decision model: Determining how and when individuals will self-disclose. Personality and Social Psychology Review, 4(2), 174–185.CrossRefGoogle Scholar
Quinn, D. M., Williams, M. K., Quintana, F., et al. (2014). Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE, 9(5), e96977.Google Scholar
Ruggiero, K. J., Smith, D. W., Hanson, R. F., et al. (2004). Is disclosure of childhood rape associated with mental health outcome? Results from the National Women’s Study. Child Maltreatment, 9(1), 62–77.CrossRefGoogle ScholarPubMed
Rüsch, N., Abbruzzese, E., Hagedorn, E., et al. (2014). Efficacy of Coming Out Proud to reduce stigma’s impact among people with mental illness: Pilot randomised controlled trial. The British Journal of Psychiatry, 204(5), 391–397.Google Scholar
Rüsch, N., Corrigan, P. W., Wassel, A., et al. (2009). Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use. The British Journal of Psychiatry, 195(6), 551–552.Google Scholar
Rüsch, N., Lieb, K., Bohus, M., & Corrigan, P. W. (2006). Self-stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness. Psychiatric Services, 57(3), 399–402.Google Scholar
Sheehan, L., Oexle, N., Bushman, M., et al. (2021). To share or not to share? Evaluation of a strategic disclosure program for suicide attempt survivors. Death Studies [in press].Google Scholar
Shuster, M. M., & Lewin, M. L. (1968). Needle tracks in narcotic addicts. New York State Journal of Medicine, 68(24), 3129–3134.Google Scholar
Stephens, R. C., & McBride, D. C. (1976). Becoming a street addict. Human Organization, 35(1), 87–93.Google Scholar
Sullivan, G. B. (Ed.). (2014). Understanding collective pride and group identity: New directions in emotion theory, research and practice. Routledge.Google Scholar
Walters, G. D. (1996). Addiction and identity: Exploring the possibility of a relationship. Psychology of Addictive Behaviors, 10(1), 9–17.Google Scholar
Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin, 33(6), 1312–1318.Google Scholar

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