The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Stigma and mental disorder: Conceptions of illness, public attitudes, personal disclosure, and social policy
Abstract
The end of the last millennium witnessed an unprecedented degree of public awareness regarding mental disorder as well as motivation for policy change. Like Sartorius, we contend that the continued stigmatization of mental illness may well be the central issue facing the field, as nearly all attendant issues (e.g., standards of care, funding for basic and applied research efforts) emanate from professional, societal, and personal attitudes towards persons with aberrant behavior. We discuss empirical and narrative evidence for stigmatization as well as historical trends regarding conceptualizations of mental illness, including the field's increasing focus on genetic and neurobiological causes and determinants of mental disorder. We next define stigma explicitly, noting both the multiple levels (community, societal, familial, individual) through which stigma operates to dehumanize and delegitimize individuals with mental disorders and the impact of stigma across development. Key developmental psychopathology principles are salient in this regard. We express concern over the recent oversimplification of mental illness as “brain disorder,” supporting instead transactional models which account for the dynamic interplay of genes, neurobiology, environment, and self across development and which are consistent with both compassion and societal responsibility. Finally, we consider educational and policy-related initiatives regarding the destigmatization of mental disorder. We conclude that attitudes and policy regarding mental disorder reflect, in microcosmic form, two crucial issues for the next century and millennium: (a) tolerance for diversity (vs. pressure for conformity) and (b) intentional direction of our species' evolution, given fast-breaking genetic advances.
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“Major problems in suicide prevention are the paucity of specialized mental health services and the reluctance of many at-risk people, especially men, to avail themselves of treatment due to stigma [91] and social norms [92].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [91]
Citations
Cites
Ariès, P. (1960) · Cited by 1,299
Markowitz, F. E. (1998) · Journal of Health and Social Behavior · doi:10.2307/2676342 · Cited by 556
Dispelling the Stigma of Schizophrenia: II. The Impact of Information on Dangerousness
Penn, D. L., Kommana, S., Mansfield, M. R., & Link, B. G. (1999) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033391 · Cited by 245
(2009) · PsycEXTRA Dataset · doi:10.1037/e562142009-001 · Cited by 196
Developmental psychopathology and disorders of affect
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Self-citationSchizophrenia as a brain disease
Henn, F. A., & Nasrallah, H. A. (1982) · Oxford University Press eBooks · Cited by 116
Social Attitudes toward Discharged Mental Patients
Whatley, C. D. (1959) · Social Problems · doi:10.2307/799364 · Cited by 115
Neural plasticity and emotional memory
Post, R., Weiss, S. R., Li, H., Smith, M. A., Zhang, L.-X., Xing, G., Osuch, E., & Mccann, U. (1998) · Development and Psychopathology · doi:10.1017/s0954579498001898 · Cited by 75
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Milenova, M., Parry, S., Mehta, N., & Thornicroft, G. (2025) · The International Library of Bioethics · doi:10.1007/978-94-024-2274-0_12
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“Another plausible explanation is the fact that, for many people, having a mental disorder is still associated with feelings of stigma and self-stigmatization (Hinshaw and Cicchetti, 2000).”
Martí‐García, C., Quemada, C., Aguilera‐Serrano, C., Mejías-Martín, Y., & García-Caro, M. P. (2025) · PLoS ONE · doi:10.1371/journal.pone.0335008 · Cited by 2
“Film, press, and television present a manipulated image designed to capture public attention, employing the sensationalism typical of entertainment programs [11]; this portrayal often emphasizes rarity, social incompetence, and a propensity for violence [12].”
Examining the Mental Health of Siblings of Children with a Mental Disorder: A Scoping Review
Goddard, J. A., Wade, T. J., Andrade, B. F., Browne, D. T., Krzeczkowski, J. E., & Patte, K. A. (2026) · Child Psychiatry & Human Development · doi:10.1007/s10578-026-01995-8
Candenas, M. P., & García, L. N. D. L. R. (2026) · Philosophical Psychology · doi:10.1080/09515089.2026.2664667
Pelc, M., Żołubak, M., Mikołajewski, D., Adamczewski, K., Bialas, K., Chałupnik, R., Luckiewicz, A., Krutul, D., Koryciński, M., Wolkiewicz, D., et al. (2026) · Applied Sciences · doi:10.3390/app16104697
Lin, X., Ma, R., Zhong, L., Ba, Z., & You, Z. (2026) · Medicine · doi:10.1097/md.0000000000048994
From Autonomy to Alienation: Exploring Organisational Dehumanisation Among Ride-Hailing Drivers
Shaiwalini, S. (2026) · Group & Organization Management · doi:10.1177/10596011261469248
It's not (just) about privacy: a new perspective on health databases.
Schrecker, T. (2003) · PubMed
Perceived causes of postnatal depression
Meki, A. (2014) · Staffordshire Online Repository (Staffordshire University)
Metadata
- Authors
- HINSHAW, S. P., & CICCHETTI, D.
- Affiliations
- University of California, Berkeley (US)
- University of Rochester (US)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-12
- Volume
- 12
- Issue
- 4
- Pages
- 555-598
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2136434200
- Cited by
- 311
- References
- 8
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 12 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 9 · 2019: 10 · 2018: 9 · 2017: 12 · 2016: 19 · 2015: 10 · 2014: 21 · 2013: 22 · 2012: 32
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 45064, MH45027, MH50461, U01MH050461)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- mental health stigma, self-disclosure, mental health policy, conceptualization of mental illness, transactional model, developmental psychopathology, stigma reduction, dehumanization, social responsibility, genetic advance
- MeSH terms
- Attitude to Health, Mental Disorders, Deinstitutionalization, Humans, Mental Health Services, Prejudice, Public Policy, Self Disclosure, Stereotyping
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