Stigma in mental health settings

心理健康环境中的耻辱

基本信息

批准号：
7644383
负责人：
Elizabeth H. Flanagan
金额：
$ 17.69万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-07-01 至 2011-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7644383
关键词：
Address Anxiety Area Award Behavioral Behavioral Paradigm Belief Caring Clinical Cognitive Communities Discrimination Effectiveness Foundations Freedom General Population Geon Gifts Goals Health Personnel Individual Intervention Laboratories Life Experience Link Measures Mental Health Mental disorders Mentored Research Scientist Development Award Mentors Mentorship Methodology Methods Modeling National Institute of Mental Health Obesity Occupations Outcome Participant Persons Play Principal Investigator Psychologist Public Health Qualitative Research Quality of life Reading Recovery Reporting Request for Applications Research Research Design Research Methodology Research Personnel Review Literature Role Self Efficacy Series Shipping Ships Social Environment Social isolation Source Stereotyping Stigmata Supervision Surgeon Symptoms Talents Testing Training Translating United States Dept. of Health and Human Services Work base career disability help-seeking behavior member peer prevent programs psychologic self esteem severe mental illness social social stigma theories ward

项目摘要

DESCRIPTION (provided by applicant): This K01 Mentored Research Scientist Development Award proposes training in public health theory and research methodology in order to prepare a clinical psychologist to conduct independent research translating basic cognitive, behavioral, and social psychological principles to a public health model of stigma in mental health settings. Stigma against people with mental illness was identified as an important public health problem by the U.S. Surgeon General (1999) and the President's New Freedom Commission (2003) along with subsequent request-for-applications for research investigating stigma (e.g., PAR-04-112) by the National Institute of Mental Health. The training plan for this proposal enlists the mentorship of Drs. Larry Davidson, Bruce Link, and Patrick Corrigan leading researchers in stigma and recovery from mental illness, along with other internationally recognized experts in stigma (Amerigo Farina, Jo Phelan) and qualitative research methodology (Tanya Luhrmann, Patricia Deegan). Training in public health theory and methodology is proposed through intensive mentored supervision, a focused series of public health classes, and individualized directed readings related to a multi-method research design whose goal is to determine the factors most important to the establishment and perpetuation of stigma in mental health settings. Study 1 will empirically test a theoretically-based, comprehensive public health model of stigma using established measures to determine the variables that are the most important to stigma in mental health settings. Study 2 will use experimental vignettes to manipulate a variable in this model (i.e., attributions about the causes of mental illness) to observe its effects on other model variables. Study 3 will use a laboratory-based behavioral paradigm to experimentally evaluate the power differential between clinicians and consumers in mental health settings. Study 4 will use qualitative research methods to understand the social context of mental health settings and the lived experience of consumers and clinicians in mental health settings in order to enhance the understanding of the empirical results from the earlier studies. This multi-method research is the first comprehensive study of the important public health problem of stigma within mental health settings. Results from these studies could serve as a foundation for targeted interventions to reduce stigma in these settings.

描述（由申请人提供）：该K01指导的研究科学家发展奖提出了公共卫生理论和研究方法论的培训，以便准备临床心理学家，以进行独立的研究，将基本认知，行为和社会心理学原理翻译为心理健康环境中污名的公共卫生模型。美国外科医生（1999）和总统的新自由委员会（2003年）将针对精神疾病的人的污名确定为重要的公共卫生问题，以及随后由国家心理健康研究所对研究调查污名（例如，PAR-04-112）的研究请求。该提案的培训计划获得了DRS的指导。拉里·戴维森（Larry Davidson），布鲁斯·林克（Bruce Link）和帕特里克·科里根（Patrick Corrigan）以及污名领域的主要研究人员以及从精神疾病中恢复的领先，以及其他国际认可的污名专家（Amerigo Farina，Jo Phelan）和定性研究方法（Tanya Luhrmann，Patricia Deegan）。公共卫生理论和方法论的培训是通过密集的指导监督，一系列集中的公共卫生班级，以及与多方法研究设计有关的个性化的定向阅读，其目标是确定对精神卫生环境中耻辱感最重要的因素。研究1将使用已建立的措施来确定对心理健康环境中最重要的变量的验证，从经验上检验基于理论上的全面公共卫生模型。研究2将使用实验小插曲来操纵该模型中的变量（即有关精神疾病原因的归因），以观察其对其他模型变量的影响。研究3将使用基于实验室的行为范例来实验评估心理健康环境中临床医生和消费者之间的功率差异。研究4将使用定性研究方法来了解心理健康环境的社会环境以及在心理健康环境中消费者和临床医生的生活经验，以增强对较早研究的经验结果的理解。这项多方法研究是对心理健康环境中重要的公共卫生问题的首次全面研究。这些研究的结果可能是针对性干预措施减少这些环境中污名的基础。