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Mental health stigma as social attribution: Implications for research methods and attitude change.
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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“it became apparent in our framework refinement process that, particularly in mental health, stigma (e.g. self-stigma, family/community stigma, provider stigma, organizational or institutional-level stigma) is a force that can exert powerful influences on perceptions of mental health issues and treatments across all social actors and processes—including those in the intervention domain [39–42].”
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“Mental health stigma refers to negative stereotypes and beliefs towards people with mental illness (Corrigan, 2000).”
BackgroundStigma in Bipolar Affective Disorder: A Systematic Quantitative Literature Review of Indian Studies
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The impact of social media coverage on attitudes towards mental illness and violent offending
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Ching, B. H., & Chen, T. T. (2022) · Archives of Sexual Behavior · doi:10.1007/s10508-021-02262-8 · Cited by 14
“For example, attribution theory contends that less blame and more positive attitudes will be elicited if a stigmatized status is believed to stem from a cause that is uncontrollable and immutable (Corrigan, 2000; Weiner, 1986).”
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“Attitudes, contact, mental illness, stigma, teaching Mental illness stigma is often conceptualized as negative thoughts, emotions, and behaviors directed at and experienced by people with a mental illness (Corrigan, 2000; Corrigan & Lee, 2013; Link & Phelan, 2001).”
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Genetics, addiction, and stigma
Phelan, J. C., & Link, B. G. (2012) · Cambridge University Press eBooks · doi:10.1017/cbo9781139058971.013 · Cited by 13
Psychometric validation of the Reported and Intended Behavior Scale (RIBS) with adolescents.
Mansfield, R., Humphrey, N., & Patalay, P. (2019) · Stigma and Health · doi:10.1037/sah0000200 · Cited by 13
“Existing conceptualizations of stigma suggest it is a process involving labelling, stereotyping, cognitive separation, emotional reactions, status loss, and discrimination (Corrigan, 2000; Link et al., 2004).”
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“negative stereotypes about people labeled as having a mental illness (Boyd-Ritsher et al. 2003; Corrigan 2000).”
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Almeida, O. F. X., & Sousa, N. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2021.812184 · Cited by 13
“…from three sequential processes: stereotyping (negative beliefs about a group), prejudice (agreement with stereotyped beliefs and/or negative emotional reactions), and discrimination (behavioral consequences of prejudice such as exclusion from social and other opportunities) (Corrigan, 2000).”
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“…of Attribution Theory, the expected responsibility to “overcome” the current state of disability evokes stigmatizing attitudes since respondents may have attributed a lack of effort and taking this responsibility if the vignette person decided against a BCI (Corrigan, 2006; Weiner, 1993).”
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Subica, A. M., & Link, B. G. (2024) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-024-02259-8 · Cited by 16
“In particular, contact-based educational programs that use narratives such as testimo-nies or fictional stories to increase participant knowledge and exposure to individuals with mental illness have been shown to be effective in reducing stigma [39, 67–69].”
Li, Z., Zhu, Z., Gui, X., & Luo, Y. (2025) · International Journal of Human-Computer Studies · doi:10.1016/j.ijhcs.2025.103555 · Cited by 19
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“These are the attributes over which actors are expected to hold some degree of control (Corrigan 2000; Crocker, Major, and Steele 1998; Goffman 1963; Thoits 2011).”
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“…mental health is reproduced daily, found often in the language used when discussing mental health with people displaying mental illness or seeking treatment called “crazy,” or “not being all there”, as if because of their mental health they are missing something (Larson, 2008; Corrigan, 2000).”
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“To guide the development of eligibility criteria, the theoretical model put forward by Corrigan (2000) has been used to delineate stereotypes (i.e. generalised beliefs about MHCs/people with MHCs), prejudice (i.e. negative affective reactions towards MHCs/people with MHCs), and discrimination (i.e.…”
Krupchanka, D., & Thornicroft, G. (2016) · Springer eBooks · doi:10.1007/978-3-319-27839-1_7 · Cited by 13
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“Research in other domains suggests that empathy and sympathy, can also influence likelihood of supportive or prosocial behaviour [31], and they have been postulated as contributors to responses to those with mental illness [32-35].”
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“In workplace settings, productivity and competence are valued worker characteristics (Foster & Wass, 2013), which contradict the stereotypes associated with individuals with mental illness (Follmer & Jones, 2017) who are believed to be incompetent, lazy, and crazy (Corrigan, 2000; Martin, 2010).”
BackgroundPeer Perceptions of Students With Autism Spectrum Disorders
Griffin, W. (2018) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/1088357618800035 · Cited by 12
“Campbell et al. (2004) and Corrigan (2000) have discussed the concept of attribution theory as it relates to people's attitudes towards individuals with disabilities.”
BackgroundInfluentialThe impact of mental health diagnoses on perceptions of risk of criminality
Garcia, J. L., Johnson, A. J., Carlucci, M. E., & Grover, R. L. (2020) · International Journal of Social Psychiatry · doi:10.1177/0020764020913322 · Cited by 13
“Corrigan (2000) refers to mental illness as a ‘double edged sword’: Not only do individuals with mental illness struggle with the symptoms related to their psychiatric diagnosis, but they also become the victims of stereotype and prejudice as a result of misconceptions about mental illness…”
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“This is in line with previous research and discussion of the relationship between stigma components in general [22,56].”
ResultStigma toward Wuhan people during the COVID-19 epidemic: an exploratory study based on social media
Di, Y., Li, A., Li, H., Wu, P., Yang, S., Zhu, M., Zhu, T., & Liu, X. (2021) · BMC Public Health · doi:10.1186/s12889-021-12001-2 · Cited by 12
The status and stigma consequences of mental illness labels, deviant behavior, and fear
Manago, B. N., & Mize, T. D. (2021) · Social Science Research · doi:10.1016/j.ssresearch.2021.102690 · Cited by 12
Kim, J. (2022) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-221213 · Cited by 12
“Disability stigma, characterized by negative attitudes as well as discriminatory behaviors based on structural power imbalance, is regarded as one of the biggest risk factors in the employment of people with disabilities (Corrigan, 2000).”
Psychosocial Correlates of Internalized Stigma Among Chinese Individuals With Severe Mental Illness
Liu, X., Yin, M., Li, Z., & Wang, D. (2023) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20230726-05 · Cited by 12
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Aromaa, E. (2011) · STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) · Cited by 12
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“This can include employment or housing discrimination (Corrigan 2006), both of which are risk factors for entering the criminal justice system.”
Examining public stigma of Alzheimer’s disease and its correlates among Korean Americans
Lee, S. E., Hong, M., & Casado, B. L. (2020) · Dementia · doi:10.1177/1471301220918328 · Cited by 13
“FS-ADS was developed and tested for its validity specifically for AD context based on Corrigan (2007)’s conceptualization of stigma as a process of different attributions.”
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Mental Health Stigma and Discrimination: The Experience Within Social Work
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Changing the Meaning of Help: Clinical Approaches to Reducing Stigma among Suicidal Young Adults
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“Corrigan (2000) describes how a person’s beliefs about the causal mechanisms of mental illness affect his or her attitudes. for example, the notion of controllability—the idea that certain psychological disorders are under an individual’s personal control—is one attributional factor associated with…”
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“Despite this, stigma targeted towards mental illness continues to exist in society today, contributing to discrimination towards, and negative outcomes for, individuals experiencing mental health issues [3].”
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Sarkar, A. (2010) · QSpace (Queen's University Library) · Cited by 12
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“Self-stigma results from the internalization of stigmatizing beliefs by the person living with mental illness [5], which often causes deep feelings of shame and guilt and may compromise the help-seeking and treatment process [6].”
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McChesney, J. E., & Thompson, L. F. (2023) · Journal of Business and Psychology · doi:10.1007/s10869-023-09907-6 · Cited by 12
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Understanding and Addressing the Stigma in Mental Health Within the Asian and Asian-American Culture
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Wohnungsnot, Geschlecht und Gesundheit
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La création d’une nouvelle génération d’études épidémiologiques en santé mentale
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Volunteering as a community mental health educator: Positives and negatives for recovery
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“Disclosing one’s mental illness can have both benefits and costs to the individual (Corrigan, 2000; Corrigan & Matthews, 2003).”
BackgroundBarthow, C. A., Jones, B. H., Macdonald, L., Vernall, S., Gallagher, P., & McKinlay, E. M. (2014) · Primary Health Care Research & Development · doi:10.1017/s1463423614000097 · Cited by 11
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Beyond the dichotomy: Modernizing stigma categorization.
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“Instead, some researchers using attributional approaches have distinguished between stigma onset and offset (Corrigan, 2000; Weiner et al., 1988).”
BackgroundThe Meaning of Stigma for People with Mental Disorders in Brazil
Vedana, K. G. G., Silva, D. R. A., Miasso, A. I., Zanetti, A. C. G., & Borges, T. L. (2017) · Issues in Mental Health Nursing · doi:10.1080/01612840.2017.1346013 · Cited by 11
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“…& Society, 15 (2) The immense difficulty of encouraging people to develop empowering or empathetic views towards something that is often seen as emotionally destabilizing is clearly understandable (see Corrigan 2000: 53-54; Corrigan et al. 2003; Overton and Medina 2008; Ahmedani 2011).”
BackgroundSharing Access to Behavioural and Personal Health Data
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A Review of School-Based Interventions to Reduce Stigma towards Schizophrenia
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“Research on the stigmatization of mental illness has focused on the importance of an individual’s beliefs and attitudes about mental illness or the mentally ill in determining their reactions to those with psychiatric disorders (Angermeyer & Matschinger, 2004; Corrigan, 2000; van ’t Veer et al., 2006).”
BackgroundCommunity perceptions of mental disorders: a Greek perspective
Zissi, A. (2006) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.852 · Cited by 11
Attitudes of the police towards individuals with a known psychiatric diagnosis
Mengual-Pujante, M., Morán‐Sánchez, I., Ruíz-Cabello, A. L., & Pérez-Cárceles, M. D. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04234-1 · Cited by 10
“Our results seem to support the conclusions of attribution theory that suggests that emotion (anger or sympathy) mediates cognition (attribution and judgment of responsibility) and action (helping or punishing behavior) [44, 45].”
ResultAtienza-Carbonell, B., Balanzá‐Martínez, V., Bermejo-Franco, A., & Iranzo, L. C. (2024) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2023-0708 · Cited by 12
Henderson, N. L., & Dressler, W. W. (2019) · Cross-Cultural Research · doi:10.1177/1069397119868775 · Cited by 10
“This is the question of stigma attribution (Corrigan, 2000).”
BackgroundLee, S. Y., Kim, S. J., Lee, H. J., & Chock, T. M. (2022) · Mass Communication & Society · doi:10.1080/15205436.2022.2095917 · Cited by 10
“Blame attribution theory posits that people have a tendency to explore the cause of events (Corrigan, 2000).”
Baminiwatta, A., Alahakoon, H., Herath, N. C., Kodithuwakku, K. M., & Nanayakkara, T. (2023) · Mindfulness · doi:10.1007/s12671-023-02108-5 · Cited by 15
“Corrigan and colleagues (Corrigan, 2000; Corrigan et al., 2003) further studied the role of these causal attributions, particularly the fundamental attribution error or correspondence bias, in the genesis of stigma towards psychiatric patients, and how it leads to avoidance, segregation, coercion,…”
BackgroundKang, H., & An, S. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.798378 · Cited by 10
“Emphasizing onset controllability without offset controllability could lead people to perceive those with stigmatized illnesses as dangerous (Corrigan, 2000) and may also cause another type of stigma called “different species” by categorizing those with the stigmatized illnesses as the “other” group (Mehta & Farina, 1…”
BackgroundPope, M. A., MALLA, A. K., & Iyer, S. N. (2018) · International Journal of Social Psychiatry · doi:10.1177/0020764017752019 · Cited by 10
“…the morality of caring and interpersonal responsibilities (Barrett et al., 2004; Janoff-Bulman & Leggatt, 2002; Keller et al., 1998; Miller, 1994), attitudes towards the welfare state (Blekesaune & Quadagno, 2003; Shirazi & Biel, 2005) and attributions of illness controllability (Corrigan, 2000).”
BackgroundInfluentialImpact of causal explanations for social anxiety disorder on stigma and treatment perceptions
Schofield, C. A., Abdul-Chani, M. M., & Gaudiano, B. A. (2019) · Journal of Mental Health · doi:10.1080/09638237.2018.1487543 · Cited by 13
“Attribution theory posits that such a shift may have beneficial social consequences given that biological explanations for symptoms arguably conceptualize sufferers as blameless victims of biology, as opposed to blame-worthy agents in their symptoms (Corrigan, 2000).”
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Erfarenheter av stigmatisering och diskriminering bland personer med psykisk sjukdom
Lundberg, B. (2010) · Lund University Publications (Lund University) · Cited by 10
Hazell, C. M., Fielding-Smith, S. F., Koç, Y., & Hayward, M. (2022) · Journal of Mental Health · doi:10.1080/09638237.2022.2069707 · Cited by 13
“This model of mental health stigma has been well-CONTACT evidenced, with studies showing robust relationships between the three constructs (e.g. Corrigan, 2000; Corrigan et al., 2003); and therein provides three potential targets for anti-stigma initiatives (i.e., increasing accurate knowledge,…”
The Impacts of Stigma on People with Disabilities: A Systematic Review
Cui, J. (2023) · BCP Social Sciences & Humanities · doi:10.54691/bcpssh.v21i.3433 · Cited by 9
“Misconceptions and generalizations about a stigmatized group inevitably lead to bias and discrimination in some form or another [10-11].”
Background(De)Stigmatizing Depression on Social Media: The Role of Responsibility Frames
Schaller, S., Wiedicke, A., Reifegerste, D., & Temmann, L. J. (2023) · Journal of Health Communication · doi:10.1080/10810730.2023.2266702 · Cited by 9
“In particular, strengthening attributions to external factors, such as ones’ social network, could counteract the public stigmatization of the illness by increasing positive emotional (i.e., pity) and behavioral (i.e., more social acceptance) reactions (Corrigan, 2000).”
BackgroundMethodInfluentialConceptualizing and Developing a Dynamic Stigma Theory
Gyamfi, S. (2024) · Issues in Mental Health Nursing · doi:10.1080/01612840.2024.2367147 · Cited by 12
“Over the years, stigma researchers have developed diverse theoretical approaches, including Goffman (1963), Link (1987), Link & Phelan (2001), Corrigan (1998, 2000), and Major & O'Brien (2005), to address public stigma.”
Wu, P., Zou, S., Chen, C., & Song, Y. (2025) · Computers in Human Behavior · doi:10.1016/j.chb.2025.108716 · Cited by 10
Stakeholder perspectives of Community Mental Health Forums: a qualitative study in Sierra Leone
Adams, B., Vallières, F., Duncan, J., Higgins, A., & Eaton, J. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00382-7 · Cited by 11
Zvonkovic, A., & Lucas‐Thompson, R. G. (2015) · Social Work in Mental Health · doi:10.1080/15332985.2014.924463 · Cited by 10
“…to a movement that emphasizes the biological or brain causes of schizophrenia, which is based on the idea that if people view the disorder as being rooted outside of the individual’s control they will not blame or stigmatize him or her for being ill (Angermeyer & Matschinger, 2005; Corrigan, 2000).”
BackgroundThe medicalization of Nonhuman Animal rights: frame contestation and the exploitation of disability
Wrenn, C. L., Clark, J., Judge, M., Gilchrist, K. A., Woodlock, D., Dotson, K., Spanos, R., & Wrenn, J. (2015) · Disability & Society · doi:10.1080/09687599.2015.1099518 · Cited by 9
“As a group, people with disabilities have experienced extreme social stigmatization and discrimination (Corrigan 2000).”
BackgroundHuang, C.-H., Li, S.-M., & Shu, B. (2015) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000124 · Cited by 9
“…as a set of subconcepts, including cognition (e.g., stereotypes), emotion (e.g., prejudicial affect), and behavior (e.g., discriminatory behavior) (Corrigan, 2000; Mak&Cheung, 2008) and ‘‘biased cultural structures that are endorsed by a sizable group about a discredited subgroup’’ (Mak & Cheung,…”
BackgroundA Behavioral Addiction Model of Revenge, Violence, and Gun Abuse
Kimmel, J., & Rowe, M. (2020) · The Journal of Law Medicine & Ethics · doi:10.1177/1073110520979419 · Cited by 9
Implicit and Explicit Stigma Surrounding Bulimia and Depression in a College Population
Morse, E. (2013) · Digital Commons @ Connecticut College (Connecticut College) · Cited by 8
Nemli, S. A., Ranjbar, H. A., & Turan, B. (2025) · BMC Medical Education · doi:10.1186/s12909-025-06768-w · Cited by 8
“Thus, in a sample of medical students, we examined a serial mediation model that has been proposed for other stigmatized conditions [59, 60]: Political conservatism → Negative Stereotypes about PLWH → Negative Intergroup Emotions toward PLWH → Social Distancing from PLWH.”
Rasch Analysis of the Indonesian Mental Health Screening Tools
Yusuf, S., Budiman, N., Yudha, E. S., Suryana, D., & Yusof, S. M. J. B. (2021) · The Open Psychology Journal · doi:10.2174/1874350102114010198 · Cited by 8
Palou, R. G., Prat, G., Torà, N., Romeu‐Labayen, M., & Tort‐Nasarre, G. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12976 · Cited by 8
Muschetto, T., & Siegel, J. T. (2022) · Current Psychology · doi:10.1007/s12144-022-02708-9 · Cited by 8
“Perceived controllability and stability are highly relevant to understanding human motivation (Corrigan, 2000) and often are studied in interpersonal contexts.”
BackgroundESTIGMA DE CORTESIA E CONDIÇÕES DE SAÚDE: REVISÃO SISTEMÁTICA DE LITERATURA
Maldonado, D., Ronzani, T. M., & Martins, L. F. (2023) · Psicologia em Estudo · doi:10.4025/psicolestud.v28i0.52111 · Cited by 8
“Diversos efeitos deletérios surgem como consequência desta segregação, fazendo com que pessoas estigmatizadas tenham dificuldade de acesso à moradia, ao emprego, à saúde, dentre outros direitos fundamentais (Corrigan, 2000; Mak & Cheung, 2008).”
BackgroundStites, S. D., Midgett, S., Largent, E. A., Harkins, K. A., Schumann, R., Sankar, P. L., & Krieger, A. Μ. (2024) · Ethnicity and Health · doi:10.1080/13557858.2024.2385110 · Cited by 8
“It measures AD stigma across a range of cognitive, emotional, and behavioral attributions consistent with Link and Phelan ’ s (2001) theory of stigma, modi fi ed labeling theory (Link et al. 1989), and the social-cognitive model of stigma (W. Corrigan 2006; Corrigan 2007).”
Peut-on faire du journaliste un acteur de la prévention du suicide ?
Notredame, C.-É., Pauwels, N., Vaïva, G., Danel, T., & Walter, M. (2016) · L Encéphale · doi:10.1016/j.encep.2015.12.024 · Cited by 8
A hybrid intervention for challenging the stigma of mental illness
Coman, A., & Sas, C. (2016) · Lancaster EPrints (Lancaster University) · Cited by 8
Mental health campaigns and social representations theory: a consideration
Foster, J. (2018) · Apollo (University of Cambridge) · doi:10.17863/cam.28049 · Cited by 8
Nitzan, A., & Orkibi, H. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.12956 · Cited by 8
Al‐Ma'ani, M., & Hamdan‐Mansour, A. M. (2020) · Open Journal of Nursing · doi:10.4236/ojn.2020.103018 · Cited by 8
“The stigma of mental illness is best defined as a construct of interrelated components of poor knowledge (stereotypes), negative attitudes (prejudice), and negative behaviors (discrimination) [4] [5] [6].”
BackgroundVerbal and Visual Framing of Responsibility for Type 1 Diabetes by Patient Influencers on Instagram
Wiedicke, A., Reifegerste, D., Temmann, L. J., & Scherr, S. (2022) · Social Media + Society · doi:10.1177/20563051221136114 · Cited by 9
“…on the public perception of health issues (Heley et al., 2020; McGlynn & McGlone, 2019), on recipient’s attributions of responsibility, emotions (Corrigan, 2000; Gollust et al., 2013; Starr & Oxlad, 2021) and their intentions for individual health behavior, interpersonal behavior, and societal…”
Veltro, F., Raimondo, A., Porzio, C., Nugnes, T., & Ciampone, V. (2005) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00006424 · Cited by 8
Metadata
- Authors
- Corrigan, P. W.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Corrigan, Patrick W.
- ORCID
- Corrigan, Patrick W.
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2000
- Volume
- 7
- Issue
- 1
- Pages
- 48-67
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- 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
- 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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