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Article 30.docx

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PSYC 3690
Benjamin Gottlieb

1 Article 30: Recovery and Stigma in People with Psychiatric Disabilities (Corrigan & Lee, 1989) Intro -Ideas of recovery and stigma have mutual effects on each other -Recovery has reintroduced goal-directedness, hope, and self-determination into comprehensive conversations about mental health and its service -Stigma is a major hurdle to recovery -People with serious mental illness are sometimes unable to achieve important life goals when the public endorses stereotypes and discriminate against them -Recovery challenges stigma -All stakeholders are coming to understand and adopt the principles of recovery -Chapter begins with most contemporary definition of recovery, social cognitive models of stigma are also discussed, outlining where definitions of stigma and recovery interact -2 ½ proposes ways to promote recovery and confront stigma -Chapter is about people who are seriously mentally ill –psychiatrically disabled (unable to achieve major life goals) Historical and Theoretical Overview of Recovery -Recovery can be described in 2 ways: 1. Outcomes -people with psychiatric disabilities are able to totally overcome or learn to live with symptoms or dysfunctions, and are successful on full time employment, living independently, intimate relationships, etc. 2. Process -processes such as hope about the future, psychological well-being, goal orientation, and personal empowerment are important to rehabilitation th -In the early 19 century ideas about diagnosis and prognosis were very pessimistic -People diagnosed with schizophrenia or other psychoses were expected to be unresponsive to treatment, overwhelmed by psychotic symptoms and unable to function in important life domains (work, home, relationships, etc.) -Research found many people are able to pursue “normal” life goals, and some move beyond mental health system entirely Recovery as a Process -Recovery as a movement emerged from consumers, survivors and ex-patients to reject pessimism -From this perspective recovery is more about how people with mental illnesses pursue a meaningful life -Process of empowerment is essential -People need the power to act on decisions that produce an optimistic future that reflects their personal goals Harmful Effects of Stigma -Quality and effectiveness of mental health services and treatments and services have improved dramatically in the last 50 years -But many people fail to complete recovery b/c they don’t obtain needed services or they don’t fully adhere to treatment regimes -People with mental illnesses have varied responses to stigma depending on the situation Cognitive Behavioural Model of Stigma -Stigma is multidimensional and based on a complex process 2 -3 main components 1. Cognition -Stereotypes are knowledge structures that the public has learned about a social group,often framed as fact-based with a negative evaluative component (e.g. mentally ill people are often seen as violent and dangerous, incompetent, and weak), learned through contact and media
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