Cited by 954Mental Health Treatment and AccessSocial and Intergroup PsychologyPsychology and Mental Health

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Mental health stigma as social attribution: Implications for research methods and attitude change.

Corrigan, Patrick W.·2000·Clinical Psychology: Science and Practice

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Abstract

The course and outcomes of mental illness are hampered by stigma and discrimination. Research on controllability attributions has mapped the relationships between signaling events, mediating stigma, emotional reactions, and discriminating behavior. In this article, I describe how an attribution model advances research questions related to mental health stigma in three areas. (1) Stigma research needs to examine signaling events related to psychiatric stigma including the label of mental illness, behaviors associated with psychiatric symptoms, and physical appearance. (2) Research into mediating knowledge structures needs to bridge information about controllability attributions with public attitudes about dangerousness and self-care. (3) Ways in which these knowledge structures lead to emotional reactions (pity, anger, and fear) as well as behavioral responses (helping and punishing behaviors) need to be examined. The attribution model has significant implications for social change strategies that seek to decrease mental illness stigma and discrimination.

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“In social psychiatry, the term mental health stigma is related to the process of prejudice against and discrimination of individuals suffering from mental illness, a process in which their normal identity is debased (Corrigan, 2000; Goffman, 1986).”
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Biogenetic explanations and public acceptance of people with eating disorders
Angermeyer, M. C., Mnich, E. E., Daubmann, A., Herich, L., Wegscheider, K., Kofahl, C., & Knesebeck, O. V. D. (2013) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0648-9 · Cited by 29
“According to attribution theory a stigmatized condition evokes more rejection if it is perceived as controllable (and thus not controlling it is seen as the fault or guilt of the ill person), whereas a biogenetically caused and therefore uncontrollable condition may elicit more positive reactions [6, 7].”
An examination of stigmatising attributions about mental illness amongst police custody staff
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“opportunities from many life domains, such as employment, housing, and education [9,36,43,47].”
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Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia
Shoesmith, W. D., Borhanuddin, A. F. B. A., Lin, P. Y. P., Abdullah, A. F., Nordin, N., Giridharan, B., Forman, D., & Fyfe, S. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017739643 · Cited by 28
“Attribution theory gives three dimensions which affect the way illnesses are stigmatised (Corrigan, 2000): locus, control and causal stability.”
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Shame-Focused Attitudes Toward Mental Health Problems
Hampton, N. Z., & Sharp, S. E. (2013) · Rehabilitation Counseling Bulletin · doi:10.1177/0034355213501722 · Cited by 28
“…on mental illness stigma published by pioneer researcher Corrigan and his associates in journals of psychology, psychiatry, and mental health (P. W. Corrigan, 2000; P. W. Corrigan, Edwards, Green, Diwan, & Penn, 2001; P. Corrigan, Markowitz, Watson, Rowan, & Kubiak, 2003; P. W. Corrigan & Penn,…”
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Neuroessentialism: Theoretical and Clinical Considerations
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“For example, Corrigan (2000) explained, “Moral models yield attributions that mental illness is onset controllable and persons with mental illness are to blame for their symptoms.”
Background
Attitudes towards mental health, mental health research and digital interventions by young adults with type 1 diabetes: A qualitative analysis
Clarke, J., Proudfoot, J. G., Vatiliotis, V., Verge, C. F., Holmes-Walker, D. J., Campbell, L. V., Wilhelm, K. A., Moravac, C. C., Indu, P. S., & Bridgett, M. (2018) · Health Expectations · doi:10.1111/hex.12662 · Cited by 27
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“Corrigan [24] and Corrigan & Watson [25] asserted the cognitive, affective and behavioural components of stigma, whereby people who share a particular characteristic that marks them out as different, e.”
Background
Development of an 18‐item abbreviated Chinese version of Berger's HIV Stigma Scale
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“…stigma are associated with various conditions, such as mental illnesses (Chang, Wu, Chen, & Lin, 2016; Chang, Yen, Jang, Su, & Lin, 2017; Corrigan, 2000), infectious diseases (Mak et al, 2006; Zhang, Liu, Bromley, & Tang, 2007), sexual orientations (Herek, 2007), race, and obesity…”
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“Πέραν της παραπάνω κατηγοριοποίησης των διαστάσεων του στίγματος, σύμφωνα με τον Corrigan οι εκφάνσεις του στίγμα τος διακρίνονται σε δύο κατηγορίες: το κοινωνικό/ δημόσιο στίγμα, που αφορά στην αρνητική αντίδρα ση του πληθυσμού απέναντι στα άτομα με ψυχική ασθένεια, και τον αυτοστιγματισμό, τη συνθήκη όπου τα ίδια…”
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Affiliate stigma and related factors among parents of autism spectrum condition: A pilot study from mainland China
Ma, Y., Lee, L. Y., & Zhang, X. (2023) · Autism & Developmental Language Impairments · doi:10.1177/23969415231168567 · Cited by 32
“Stigma refers to a major group ’ s negative attitude or belief against a minority group perceived as different (Corrigan, 2000).”
Background
Sexism and Racism, Why Not Ableism?
Harpur, P. D. (2009) · Alternative Law Journal · doi:10.1177/1037969x0903400304 · Cited by 26
The Use of a Video to Reduce Mental Health Stigma Among Adolescents
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Diagnostic Disclosure and Social Marginalisation of Adults with ASD: Is There a Relationship and What Mediates It?
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“Traditional attribution theory perspectives predict reduced negative responses when undesirable behaviours are attributed to something beyond that person’s control, such as a clinical disorder (Corrigan 2000; Corrigan et al.”
Background
Does genetics matter for disease-related stigma? The impact of genetic attribution on stigma associated with rheumatic heart disease in the Western Cape, South Africa
Faure, M. C., Matshabane, O. P., Marshall, P. A., Appelbaum, P. S., Stein, D. J., Engel, M. E., & de Vries, J. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2019.112619 · Cited by 25
Reckless spreader or blameless victim? How vaccination status affects responses to COVID-19 patients
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“During the causal exploration, people assess various dimensions of the perceived cause of the event, which form the basis for subsequent judgements and inferences of a person ’ s responsibility and blame (e.g., Corrigan, 2000; Weiner, 1985).”

Authors: Corrigan, P. W.
Affiliations: University of Chicago (US)
Corresponding author: Corrigan, Patrick W.
ORCID: Corrigan, Patrick W.
Venue: Clinical Psychology: Science and Practice
Publisher: American Psychological Association (APA)
Published: 2000
Volume: 7
Issue: 1
Pages: 48-67
ISSN: 0969-5893 (ISSN-L)
1468-2850
DOI: 10.1093/clipsy.7.1.48
OpenAlex: W1981532063
Cited by: 954
References: 171
Citations by year: 2026: 28 · 2025: 43 · 2024: 44 · 2023: 51 · 2022: 68 · 2021: 76 · 2020: 69 · 2019: 56 · 2018: 54 · 2017: 47 · 2016: 65 · 2015: 53 · 2014: 43 · 2013: 45 · 2012: 31
FWCI: 22.38
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 5722 d)
Locations: Clinical Psychology Science and Practice (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: mental health stigma, social attribution, attitude change, stigma reduction, discrimination against people with mental illness

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Mental health stigma as social attribution: Implications for research methods and attitude change.

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