The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Being treated differently: Stigma experiences with family, peers, and school staff among adolescents with mental health disorders
Abstract
Stigma directed at adolescents diagnosed with emotional and behavioral disorders by individuals in their interpersonal network likely undermines their wellbeing, yet little is known about their subjective stigma experiences. In particular, the prospect of diagnosed youth experiencing prejudice and discrimination by family members has not previously been examined. This study examines adolescents' perceptions of being treated 'differently' because of mental health problems by family members, peers, and school staff. Qualitative analysis of narratives from mixed method interviews with 56 adolescents in a mid-western US city demonstrated variation in the perceived extent and nature of stigma and in contextual factors perceived as promoting or protecting from stigmatization, depending on the interpersonal domain. The greatest number of participants experienced stigmatization in relationships with peers (62%); this often led to friendship losses and transitions. Participants reporting no peer stigmatization often reported socializing with others "in the same boat" or concealing problems--methods of avoiding potentially stigmatizing interactions. Close to half (46%) described experiencing stigmatization by family members, which often took the form of unwarranted assumptions, distrust, avoidance, pity, and gossip. About one third (35%) of participants reported stigma perpetrated by school staff, who expressed fear, dislike, avoidance, and under-estimation of their abilities. Fortunately, 22% reported "different" treatment by school staff, but this treatment was interpreted as positive and supportive. Results showed that perceived stigmatization in one domain was associated with perceived stigma in other domains. The results suggest that efforts to combat stigmatization of youth with mental health disorders must help family members, peers, and school staff overcome their inclinations to make negative assumptions and discriminate against these youth.
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“Detrimental stigma outcomes in young people were mostly related to their need to preserve social identity and social capital.87,88”
From The Lancet Commission on ending stigma and discrimination in mental health (2022) · cites this paper as [87]
Citations
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The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014) · Psychological Science in the Public Interest · doi:10.1177/1529100614531398 · Cited by 1,642
“Although it has been suggested that some family members may stigmatize their relatives with mental illness (e.g., Moses, 2010), caution must be exercised to discriminate family stigmatization from normative family tensions and conflict that arise when family members first learn about the illness…”
BackgroundThe Lancet Commission on ending stigma and discrimination in mental health
Thornicroft, G., Sunkel, C., Alikhon Aliev, A., Baker, S., Brohan, E., el Chammay, R., Davies, K., Demissie, M., Duncan, J., Fekadu, W., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(22)01470-2 · Cited by 748
“87,88 Young people in that survey also reported stigma perpetrated by school staff, who expressed fear, dislike, avoidance, and underestimation of their abilities.”
BackgroundThe stigma of mental illness in children and adolescents: a systematic review
Kaushik, A., Kostaki, E., & Kyriakopoulos, M. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.042 · Cited by 307
“Parental factors were also of relevance, in that parental optimism and a greater faith in the child ’ s ability to control behavior was protective against self-stigmatization, whereas parental secrecy increased self-stigma (Moses, 2010a), resulting in greater personal rejection and shame.”
BackgroundFadus, M. C., Ginsburg, K. R., Sobowale, K., Halliday‐Boykins, C. A., Bryant, B. E., Gray, K. M., & Squeglia, L. M. (2019) · Academic Psychiatry · doi:10.1007/s40596-019-01127-6 · Cited by 279
Pinto, M. D., Logsdon, M. C., & Myers, J. A. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.04.006 · Cited by 213
“Adolescents with mental illness fear the discovery of their mental illness by their peers, school personnel, and others in their social network (Moses, 2010).”
Background
Metadata
- Authors
- Moses, T.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Moses, Tally
- ORCID
- Moses, Tally
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 70
- Issue
- 7
- Pages
- 985-993
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W1963733748
- Cited by
- 314
- References
- 50
- Citations by year
- 2026: 17 · 2025: 17 · 2024: 22 · 2023: 25 · 2022: 18 · 2021: 15 · 2020: 36 · 2019: 26 · 2018: 18 · 2017: 33 · 2016: 23 · 2015: 19 · 2014: 14 · 2013: 13 · 2012: 9
- FWCI
- 13.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- stigma, adolescents, mental illness, emotional and behavioral disorders, family stigma, peer stigma, school staff, discrimination, friendship loss, interpersonal relationships
- MeSH terms
- Adolescent, Psychology, Adolescent, Mental Disorders, Child, Cross-Sectional Studies, Faculty, Family, Female, Humans, Interpersonal Relations, Interviews as Topic, Male, Peer Group, Schools, Social Environment, Social Perception, Social Support, Stereotyping, United States, Qualitative Research
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