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‘You don't bring me flowers any more’: an investigation into the experience of stigma by psychiatric in-patients

Published online by Cambridge University Press:  02 January 2018

Joanna S. Bromley  and
Sara J. Cunningham
Joanna S. Bromley
Affiliation:
Avon and Wiltshire Mental Health Partnership Trust, Blackberry Hill Hospital, Manor Road, Bristol BS16 2EW
Sara J. Cunningham
Affiliation:
Plymouth Primary Care Trust, Plymouth
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Abstract

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Aims and Method

A structured interview-based questionnaire was used to measure the number of cards and gifts received by 40 people undergoing psychiatric in-patient treatment, compared with an age- and gender-matched group of medical in-patients. The study also assessed the amount of disclosure of admission and diagnosis to family and friends in the two groups.

Results

The psychiatric patients received about half as many cards as the medical patients (60 v. 112). Gifts to the psychiatric patients were often practical in nature and seldom included luxury items such as flowers. Disclosure of admission for mental illness (compared with the physical illness group) was significantly lower, both to family members (139 v. 193, P=0.041) and friends (74 v. 332, P=0.0001).

Clinical Implications

The stigma of mental illness is reflected in the secrecy surrounding disclosure of hospital admission and the lack of tokens of support. Clinicians should be aware of the resulting sense of isolation and shame, and the consequences for mental health in view of reduced social networks increasing the risk of future relapse rates. Reduced contact with mentally ill patients has implications for society as a whole in maintaining the status quo of stigma.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 28 , Issue 10 , October 2004 , pp. 371 - 374
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 2004

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