Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T19:49:34.807Z Has data issue: false hasContentIssue false

10 - The Intersection of Mental Health Stigma and Marginalized Identities

from Part III - Stigma and Mental Health in Specific Contexts

Published online by Cambridge University Press:  28 July 2022

David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
Get access

Summary

Individuals with mental illness can experience stigma and discrimination, which can cause adverse consequences (Zerger et al., 2014). Mental illness stigma and discrimination can also intersect with other marginalized social identities that individuals may possess, resulting in unique outcomes for individuals. Unfortunately, the research in this area is somewhat limited, often assumes an additive effect, and does not always consider less visible or more invisible marginalized identities (Turan et al., 2019; Williamson et al., 2017). The additive effect does not take into account the individual’s particular social context, such as elements of privilege, disadvantage, resiliency, which can impact the individual’s experiences (Mizock & Russinova, 2015). There is a need to better capture the experiences of people who face multiple stigmas, which could also help develop more effective mental health interventions (Oexle et al., 2018). This chapter will synthesize the literature in this area on mental illness stigma among various intersecting stigmatized groups, provide a critique of the current literature, and present implications for future treatment and research.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Benbow, S., Forchuk, C., & Ray, S. L. (2011). Mothers with mental illness experiencing homelessness: A critical analysis. Journal of Psychiatric and Mental Health Nursing, 18(8), 687695.CrossRefGoogle ScholarPubMed
Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943951.Google Scholar
Bostwick, W. B., Boyd, C. J., Hughes, T. L., West, B. T., & McCabe, S. E. (2014). Discrimination and mental health among lesbian, gay, and bisexual adults in the United States. American Journal of Orthopsychiatry, 84(1), 3545.CrossRefGoogle ScholarPubMed
Cain, R., Jackson, R., Prentice, T., et al. (2013). The experience of HIV diagnosis among Aboriginal people living with HIV/AIDS and depression. Qualitative Health Research, 23(6), 815824.Google Scholar
Cairney, J., Veldhuizen, S., Vigod, S., et al. (2014). Exploring the social determinants of mental health service use using intersectionality theory and CART analysis. Journal of Epidemiology and Community Health, 68(2), 145150.CrossRefGoogle ScholarPubMed
Canavan, R., Barry, M. M., Matanov, A., et al. (2012). Service provision and barriers to care for homeless people with mental health problems across 14 European capital cities. BMC Health Services Research, 12, 222.CrossRefGoogle ScholarPubMed
Collins, P. H. (2000). Gender, Black feminism, and Black political economy. The Annals of the American Academy of Political and Social Science, 568(1), 4153.CrossRefGoogle Scholar
Corrigan, P. W., Sokol, K. A., & Rusch, N. (2013). The impact of self-stigma and mutual help programs on the quality of life of people with serious mental illness. Community Mental Health Journal, 49, 16.Google Scholar
Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9, 3553.Google Scholar
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum, 140(1), 139167.Google Scholar
Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.). Sage.Google Scholar
DuPont-Reyes, M. J., Villatoro, A. P., Phelan, J. C., Painter, K., & Link, B. G. (2020). Adolescent views of mental illness stigma: An intersectional lens. American Journal of Orthopsychiatry, 90(2), 201211.Google Scholar
Flanigan, R. L. (2019, Spring). When stigma strikes close to home. Bipolar Magazine, 23–30. www.bphope.com/stigma-friends-family/Google Scholar
Folsom, D. P., Hawthorne, W., Lindamer, L., et al. (2005). Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. The American Journal of Psychiatry, 162(2), 370376.CrossRefGoogle Scholar
Fuchs, C. H., West, L. M., Graham, J. R., et al. (2016). Reactions to an acceptance-based behavior therapy for GAD: Giving voice to the experiences of clients from marginalized backgrounds. Cognitive and Behavioral Practice, 23(4), 473484.CrossRefGoogle Scholar
Ghabrial, M. A. (2017). “Trying to figure out where we belong”: Narratives of racialized sexual minorities on community, identity, discrimination, and health. Sexuality Research and Social Policy, 14(1), 4255.CrossRefGoogle Scholar
Ghavami, N., & Peplau, L. A. (2013). An intersectional analysis of gender and ethnic stereotypes: Testing three hypotheses. Psychology of Women Quarterly, 37, 113127.Google Scholar
Haarmans, M., Vass, V., & Bentall, R. P. (2016). Voices’ use of gender, race and other social categories to undermine female voice-hearers: Implications for incorporating intersectionality within CBT for psychosis. Psychosis, 8(3), 203213.CrossRefGoogle Scholar
Hallett, K. (2015). Intersectionality and serious mental illness – A case study and recommendations for practice. Women & Therapy, 38(1–2), 156174.Google Scholar
Hensley, A. (2008). Being bipolar and dealing with obesity: Personal lessons. Psychiatric Rehabilitation Journal, 31, 247248.Google Scholar
Holley, L. C., Mendoza, N. S., Del-Colle, M. M., & Bernard, M. L. (2016a). Heterosexism, racism, and mental illness discrimination: Experiences of people with mental health conditions and their families. Journal of Gay & Lesbian Social Services, 28(2), 93116.Google Scholar
Holley, L. C., Tavassoli, K. Y., & Stromwall, L. K. (2016b). Mental illness discrimination in mental health treatment programs: Intersections of race, ethnicity, and sexual orientation. Community Mental Health Journal, 52(3), 311322.CrossRefGoogle ScholarPubMed
Holley, L. C., Oh, H., & Thomas, D. S. (2019). Mental illness discrimination and support experienced by people who are of color and/or LGB: Considering intersecting identities. American Journal of Orthopsychiatry, 89(1), 1626.Google Scholar
Jackson-Best, F., & Edwards, N. (2018). Stigma and intersectionality: A systematic review of systematic reviews across HIV/AIDS, mental illness, and physical disability. BMC Public Health, 18(1), 919.CrossRefGoogle ScholarPubMed
Kelleher, C. (2009). Minority stress and health: Implications for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) young people. Counselling Psychology Quarterly, 22(4), 373379.Google Scholar
Lawson, N. D. (2016). Public perception of the lifetime morbid risk of mental disorders in the United States and associations with public stigma. Springer Plus, 5(1342), 17.CrossRefGoogle ScholarPubMed
Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30, 511515.Google Scholar
Livingston, J., Patel, N., Bryson, S., et al. (2018). Stigma associated with mental illness among Asian men in Vancouver, Canada. International Journal of Social Psychiatry, 64(7), 679689.Google Scholar
Logie, C. H., James, L., Tharao, W., & Loutfy, M. R. (2011). HIV, gender, race, sexual orientation, and sex work: A qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada. PLoS Medicine, 8(11), 112.Google Scholar
Mantovani, N., Pizzolati, M., & Edge, D. (2017). Exploring the relationship between stigma and help‐seeking for mental illness in African‐descended faith communities in the UK. Health Expectations, 20(3), 373384.Google Scholar
Martinez, A. R. (2017). Intersectionality, voz, and agency: A culture-centered approach to understanding US-born Mexican Americans’ depression experiences. Southern Communication Journal, 82(5), 278297.Google Scholar
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674697.Google Scholar
Mizock, L. (2012). The double stigma of obesity and serious mental illnesses: Promoting health and recovery. Stigma and Health, 1(S), 8691.CrossRefGoogle Scholar
Mizock, L., & Russinova, Z. (2015). Intersectional stigma and the acceptance process of women with mental illness. Women & Therapy, 38(1–2), 1430.Google Scholar
Muenzenmaier, K., Margolis, F., Langdon, S., G., et al. (2015). Transcending bias in diagnosis and treatment for women with serious mental illness. Women & Therapy, 38(1–2), 141155.Google Scholar
Oexle, N., Hum, B., & Corrigan, P. W. (2018). Understanding mental illness stigma toward persons with multiple stigmatized conditions: Implications of intersectionality theory. Psychiatric Services, 69(5), 587589.CrossRefGoogle ScholarPubMed
Pearl, R. L., Wadden, T. A., Tronieri, J. S., et al. (2018). Everyday discrimination in a racially diverse sample of patients with obesity. Clinical Obesity, 8(2), 140146.CrossRefGoogle Scholar
Quinn, K., Bowleg, L., & Dickson-Gomez, J. (2019). “The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men. Social Science & Medicine, 232, 8693.Google Scholar
Rice, C., Harrison, E., & Friedman, M. (2019). Doing justice to intersectionality in research. Cultural Studies↔ Critical Methodologies, 19(6), 409420.Google Scholar
Shields, S. A. (2008). Gender: An intersectionality perspective. Sex Roles, 59(5–6), 301311.Google Scholar
Taylor, T. N., DeHovitz, J., & Hirshfield, S. (2019). Intersectional stigma and multi-level barriers to HIV testing among foreign-born Black men from the Caribbean. Frontiers in Public Health, 7, 115.Google Scholar
Turan, J. M., Elafros, M. A., Logie, C. H., et al. (2019). Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Medicine, 17(7), 115.Google Scholar
Van Den Tillaart, S., Kurtz, D., & Cash, P. (2009). Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis. International Journal of Mental Health Nursing, 18(3), 153163.Google Scholar
Wadsworth, L. P., Potluri, S., Schreck, M., & Hernandez-Vallant, A. (2020). Measurement and impacts of intersectionality on obsessive-compulsive disorder symptoms across intensive treatment. The American Journal of Orthopsychiatry. Advance online publication. https://doi.org/10.1037/ort0000447CrossRefGoogle Scholar
Warner, L. R. (2008). A best practices guide to intersectional approaches in psychological research. Sex Roles, 59(5–6), 454463.Google Scholar
Whaley, A. L., & Dubose, J. (2018). Intersectionality of ethnicity/race and gender in the phenomenology of African American college students’ presenting problems: A profile analysis using nonmetric multidimensional scaling. International Journal for the Advancement of Counselling, 40(3), 279297.Google Scholar
Williams, A., Sethi, B., Duggleby, W., et al. (2016). A Canadian qualitative study exploring the diversity of the experience of family caregivers of older adults with multiple chronic conditions using a social location perspective. International Journal for Equity in Health, 15(1), 4056.Google Scholar
Williamson, T. J., Mahmood, Z., Kuhn, T. P., & Thames, A. D. (2017). Differential relationships between social adversity and depressive symptoms by HIV status and racial/ethnic identity. Health Psychology, 36(2), 133142.Google Scholar
Wirth, J. H., & Bodenhausen, G. V. (2009). The role of gender in mental-illness stigma: A national experiment. Psychological Science, 20, 169173.Google Scholar
Zerger, S., Bacon, S., Corneau, S., et al. (2014). Differential experiences of discrimination among ethnoracially diverse persons experiencing mental illness and homelessness. BMC Psychiatry, 14(1), 111.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×