Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-16T17:12:57.621Z Has data issue: false hasContentIssue false

A Comparison of Responses to the Mentally Ill in Two Communities

Published online by Cambridge University Press:  03 January 2018

Peter Hall*
Affiliation:
The Woodbourne Clinic, Birmingham, lately Senior Consultant Psychiatrist Worcester Royal Infirmary
Ian F. Brockington
Affiliation:
University of Birmingham
Jenny Levings
Affiliation:
Department of Health Care of the Elderly, University of Birmingham, lately Research Fellow, Worcester, World Health Organization Field Research Centre
Christopher Murphy
Affiliation:
West Midlands Health Authority
*
(paper II): The Woodbourne Clinic, 21 Woodbourne Road, Edgbaston, Birmingham B17 8BY

Abstract

Vignettes representing mentally ill people were presented to about 2000 randomly selected residents in Bromsgrove, served by a mental hospital, and Malvern, served by a community-based psychiatric service. They were asked about the likely cause of the condition, what action they would take, and what agencies were most likely to help. In Malvern, residents seemed more enterprising in involving various agencies and more tolerant. It is possible to derive simple ‘action scores' as an indicator of such tolerance. Although there were significant demographic differences between subgroups, overall identification of vignette subjects as mentally ill was surprisingly low, and so was knowledge both of community psychiatric nurses as an agency, and of the location of dispersed treatment facilities in both areas.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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

Angermeyer, M. C., Link, B. & Majchev, A. (1987) Stigma perceived by patients attending modern treatment settings. Journal of Nervous and Mental Disease, 175, 410.CrossRefGoogle ScholarPubMed
Bentz, W. K., Edgerton, J. W. & Kherlopian, M. (1969) Perceptions of mental illness among people in a rural area. Mental Hygiene, 53, 459465.Google Scholar
Bhugra, D. (1989) Attitudes towards mental illness, a review of the literature. Acta Psychiatrica Scandinavica, 80, 112.Google Scholar
Bourne, P. (1978) The psychiatrist's responsibility and the public trust. American Journal of Psychiatry, 135, 174177.Google Scholar
Brockman, J., D'Arcy, C. & Edmonds, L. (1979) Facts or artifacts? Changing attitudes towards the mentally ill. Social Science and Medicine, 13A, 673682.Google Scholar
Brown, G. W., Carstairs, G. M. & Topping, G. G. (1958) The post hospital adjustment of chronic mental patients. Lancet, 2, 685689.CrossRefGoogle ScholarPubMed
Cohens, J. & Struenig, E. L. (1962) Opinions about mental illness in the personnel of two large mental hospitals. Journal of Abnormal and Social Psychology, 64, 349360.Google Scholar
Corin, E., Uchoa, E. & Bibeou Harnois, G. (1989) Attitudes in the Field of Mental Health, Theoretical and Methodological Guidelines for an Ethographic and Comparative Study (unpublished report). Montreal: WHO Collaborating Centre.Google Scholar
Cumming, E. & Cumming, J. (1957) Closed Ranks: An Experiment in Mental Health. Cambridge, Massachusetts: Harvard University Press.Google Scholar
Dohrenwend, B. P. & Chin-Shong, E. (1967) Social status and attitudes toward psychological disorder: the problem of tolerance of deviance. American Sociological Review, 32, 417433.Google Scholar
Farina, A. & Ring, K. (1965) The influence of perceived mental illness on interpersonal relations. Journal of Abnormal Psychology, 70, 4751.Google Scholar
Felix, R. H. (1964) The image of the psychiatrist, past, present and future. Psychiatry, 121, 318322.Google Scholar
Groves, G. D., Krupinski, J., Stoller, A., et al (1972) A survey of community attitudes towards mental illness. Australian and New Zealand Journal of Psychiatry, 5, 18.Google Scholar
Hall, P. & Brockington, I. F. (1990) The Closure of Mental Hospitals. London: Gaskell.Google Scholar
Hall, P., Brockington, I. F., Murphy, C. J., et al (1990) Tolerance of the Mentally Ill in Two West Midlands Communities (unpublished report). Health Promotion Research Trust, Birmingham University.Google Scholar
Hall, P., Brockington, I., Eisemann, M., et al (1991) Difficult to place psychiatric patients. British Medical Journal, 302, 1150.Google Scholar
Horwitz, A. (1982) The Social Control of Mental Illness. New York: Wiley.Google Scholar
Johannsen, W. (1969) Attitudes towards mental patients. Mental Hygiene, 53, 219227.Google Scholar
Kirkby, R. J. & James, R. A. (1979) Attitudes of medical practitioners to mental illness. Australian and New Zealand Journal of Psychiatry, 13, 165168.Google Scholar
Knapp, M., Beldom, J., Anderson, J., et al (1990) The TAPS project. Predicting the community costs of closing psychiatric hospitals. British Journal of Psychiatry, 157, 661670.Google Scholar
McPherson, I. G. & Cocks, F. J. (1983) Attitudes towards mental illness, influence of data collection procedures. Social Psychiatry, 18, 5760.Google Scholar
MORI (1979) Public Attitudes to Mental Illness (unpublished report). Mental Health Appeal.Google Scholar
Muhlin, G. & Cohen, P. W. (1984) What the neighbours think: community attitudes toward local psychiatric facilities. Community Mental Health Journal, 20, 304311.Google Scholar
Mulvihill, E. (1989) Is Stigma the Key to Understanding Public Attitudes to Mental Disorder? Unpublished thesis, University of Salford.Google Scholar
National Schizophrenia Fellowship (1988) Slipping Through the Net. London: NSF.Google Scholar
Nieradzik, K. & Cochrane, R. (1985) Public attitudes to mental illness. Journal of Social Psychiatry, 31, 2333.Google Scholar
Norman, R. M. G. & Malla, A. K. (1983) Adolescents' attitudes towards mental illness. Social Psychiatry; 18, 4550.Google Scholar
Nunally, J. C. (1961) Popular Conceptions of Mental Health. New York: Holt, Rinestart and Winston.Google Scholar
Perris, C. (1984) A Multinational Evaluation to Psychiatric Hospital Care and an Attempt to Assess Tolerance of Communities for Disability (unpublished report). WHO Collaborating Centre, Umea.Google Scholar
Phillips, D. L. (1964) Rejection of the mentally ill – the effects of behaviour and sex. American Sociological Review, 5, 679687.Google Scholar
Platt, S. (1985) Measuring the burden of psychiatric illness on the family. Psychological Medicine, 15, 383393.Google Scholar
Rabkin, J. (1972) Opinions about mental illness, a review of the literature. Psychological Bulletin, 77, 153171.Google Scholar
Rabkin, J. (1974) Public attitudes toward mental illness: a review of the literature. Schizophrenia Bulletin, 10, 933.CrossRefGoogle Scholar
SAS (1985) SAS Users' Guide, Statistics X5. Cary, North Carolina: SAS.Google Scholar
Segal, S., Baumohl, J. & Mayles, E. (1980) Neighbourhood types and community reaction to the mentally ill. Journal of Health and Social Behaviour, 21, 343359.Google Scholar
Sellick, K. & Goodyear, J. (1985) Community attitudes towards mental illness: the influence of contact and demographic variables. Australian and New Zealand Journal of Psychiatry, 19, 293298.Google Scholar
Shurka, E. (1983) The evaluation of ex-mental patients by other ex-mental patients. International Journal of Social Psychiatry, 29, 286291.Google Scholar
Star, S. A. (1955) The Public's Ideas about Mental Illness (unpublished monograph). National Opinion Research Center, University of Chicago.Google Scholar
Star, S. A. (1956) Psychiatry, the Press and the Public (unpublished report). National Opinion Research Center, University of Chicago.Google Scholar
Taylor, J. & Taylor, D. (1989) Mental Health in the 1990's, From Custody to Care? London: Office of Health Economics.Google Scholar
Taylor, S. M. & Dear, M. J. (1980) Scaling community attitudes toward the mentally ill. Schizophrenia Bulletin, 7, 225240.Google Scholar
Turner, T. H. (1986) Responding to stigma. Bulletin of the Royal College of Psychiatrists, 10, 359.Google Scholar
Weiss, M. F. (1986) Children's attitudes to the mentally ill. Psychological Report, 58, 1120.Google Scholar
Yamamoto, K. & Dizney, H. (1967) Rejection of the mentally ill. Journal of Counselling Psychology, 14, 264268.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.