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2 - Theoretical Models to Understand Stigma of Mental Illness

from Part I - Understanding Stigma and Mental Health

Published online by Cambridge University Press:  28 July 2022

By
Lindsay Sheehan ,
Carlo Vittorio Palermo  and
Patrick Corrigan
Edited by
David L. Vogel  and
Nathaniel G. Wade
David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
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Summary

Stigma is a socially constructed phenomenon that occurs on multiple levels and has broad implications for both individuals with mental illness and society as a whole. Theoretical orientations provide a framework for organizing and advancing research on the stigma of mental illness. This chapter describes theoretical perspectives on types of mental illness stigma, including public stigma, self-stigma, associative stigma, and structural stigma. In terms of public stigma (stereotypes, prejudice, and discrimination directed at people with mental illness), we discuss five theories: (1) modified labeling theory, (2) social-cognitive model, (3) stereotype content model, (4) implicit stigma, and (5) attribution theory. In terms of self-stigma (the internalization of public stigma), we describe the progressive model of self-stigma, stigma resistance, and two theoretical approaches to understand disclosure of mental illness: the disclosure process model and the disclosure decision-making model. While theoretical models to guide research on associative and structural stigma are limited, we review these concepts and suggest areas for future scholarship. Finally, we describe and critique several multi-level models of stigma including the Mental Illness Stigma Framework and the Health and Stigma Discrimination Framework.

Keywords

mental illnessmental disordersstigmatheoreticalprejudicediscrimination
Type
Chapter
Information
The Cambridge Handbook of Stigma and Mental Health , pp. 11 - 30
Publisher: Cambridge University Press
Print publication year: 2022

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