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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
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
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

References

Byrne, P. (2001) Psychiatric stigma. British Journal of Psychiatry, 178, 281284.CrossRefGoogle Scholar
Corrigan, P.W. & Watson, A. C. (2002) Understanding the impact of stigma on people with mental illness. Journal of World Psychiatry, 1, 1620.Google ScholarPubMed
Corrigan, P.W., Rowan, D., Green, A., et al (2002) Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizophrenia Bulletin, 28, 293310.CrossRefGoogle ScholarPubMed
Corrigan, P.W., Watson, A. C. & Ottati, V. (2003) From whence comes mental illness stigma? International Journal of Social Psychiatry, 49, 142157.Google ScholarPubMed
Crisp, A. H., Gelder, M. G., Rix, S., et al (2000) Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177, 47.CrossRefGoogle ScholarPubMed
Kendall, R. E. (2001) The distinction between mental and physical illness. British Journal of Psychiatry, 178, 490493.CrossRefGoogle Scholar
Martin, J. K., Pescosolido, B. A. & Tuch, S. A. (2000) Of fear and loathing; the role of ‘disturbing behaviour’, labels, and causal attributions in shaping public attitudes toward people with mental illness. Journal of Health, Society and Behaviour, 41, 208223.CrossRefGoogle Scholar
Ostman, M. & Kjellin, L. (2002) Stigma by association. British Journal of Psychiatry, 181, 494498.CrossRefGoogle ScholarPubMed
Pescosolido, B., Monahan, J., Link, B., et al (1999) The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems. American Journal of Public Health, 89, 13391345.CrossRefGoogle ScholarPubMed
Phelan, J. C., Bromet, E. J. & Link, B. G. (1998) Psychiatric illness and family stigma. Schizophrenia Bulletin, 24, 115126.CrossRefGoogle ScholarPubMed
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