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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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“Reflective thinking could result in questioning existing thought patterns, including mental health stigma and stereotypes, which in turn possibly result in stigma reduction (Corrigan, 2000; Hecht et al., 2022).”
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“From a socio-cognitive perspective (Corrigan, 2006), stigma is made up of three structures: stereotypes (cognitive), prejudices (emotional), and discrimination (behavioral).”
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Stigmatisierung psychisch Kranker
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“Corrigan & O'Shaughnessy, 2007). This approach is difficult to implement widely, however, because it requires extensive training to prepare people to speak about their psychiatric disabilities and the logistics of personal interaction make it more complex than disseminating educational materials. The authors focus on…”
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“This theory is especially appealing for understanding and changing stigma, as path models developed from it have mapped the relationship between signaling events, mediating knowledge structures (attributions), emotional reactions, and behavioral responses [38].”
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Jin, Y., Zheng, M.-C., Yang, X., & Zhang, J.-E. (2026) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2026.103205 · Cited by 2
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“…disability), related to an internal locus of causality (e.g., biological condition), outside of the individual's personal responsibility (e.g., hereditary), and stable over time (e.g., long-term condition), we may feel sympathy and wish to help that person (e.g., Corrigan, 2000; Weiner, 1995).”
InfluentialWinn, J. S. (2016) · Indo-Pacific Journal of Phenomenology · doi:10.1080/20797222.2016.1164992 · Cited by 2
“It is current, as the social stigma of mental illness continues to be prevalent (Corrigan, 2000), with this stigma in itself being a significant cause of depression, self-deprecation, low self-esteem, and lowered life satisfaction in individuals who have suffered severe mental illness symptoms (Corrigan, 1998; Corriga…”
BackgroundInfluentialLucia, A., & Soffer, M. (2019) · Learning Disability Quarterly · doi:10.1177/0731948719892013 · Cited by 2
“Although ample research supports the AMRS (e.g., see Armstrong & Dagnan, 2011; Bos et al., 2013; Chavira et al., 2000; Corrigan, 2000; Corrigan et al., 2003; Crandall & Moriarty, 1995; Feldman & Crandall, 2007; Weiner et al., 1988), the model has also been criticized for examining hypothetical…”
BackgroundInfluentialA structural equation model for behaviors of pharmacy students toward mentally ill patients
Arslan, M. (2020) · Current Psychology · doi:10.1007/s12144-020-00642-2 · Cited by 2
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“Conceptual ID:ti0030 Framework According ID:p0125 to the socio-cognitive model of stigma as formulated by Corrigan (2000, 2007) four components of stigmatization are recognized: (a) First of all, a signal marks someone as a potential target of negative reactions such as a sign of mental illness or…”
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“비난을 연민으로 바꿔주는 감정적 전략이 도움 행동을 설득하 는 데 효과적이라는 선행연구들을 보더라도[21,22], 인지와 감 정적 평가가 함께 반영된 자살 낙인 척도는 향후 자살 예방을”
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“…responsibilities do not do justice to the various social determinants of health, but they may also have a negative effect on the public perception of these health issues (Heley et al., 2020; Niederdeppe et al., 2011) or lead to negative emotions toward those affected (Corrigan, 2000; Weiner, 2006).”
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“…coping mechanisms are more likely to develop PTSD. Physical assault, academic and social discrimination, bullying, and other situations that can elicit strong emotional responses are examples of traumatic stressors that can lead to PTSD (Banyard et al., 2019; Corrigan, 2000; Lester et al., 2020).”
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“This can be problematic because it shapes public perception negatively (Heley et al., 2020) or may result in negative attitudes towards patients (Corrigan,2000; Weiner,2006).”
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“impacted the way society interacts with and allocates resources toward these populations.(59,60) Reducing the stigma of”
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“In today’s society, stigmatizing attitudes toward those struggling with mental illness are common (Corrigan, 2000).”
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“…showing that causal attribution beliefs (e.g. the perception of a person’s ability to control their illness), is strongly correlated with negative attitudes and low tolerance toward the person experiencing the illness (Weiner et al. 1988; Corrigan, 2000; Corrigan et al. 2006; Creswell 2014).”
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Akinola, O. (2015) · ScholarWorks (Walden University) · Cited by 3
Griffiths, K. M., & Christensen, H. M. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2004.01374.x · Cited by 2
Cunningham, H. (2016) · doi:10.26686/wgtn.17068652.v1 · Cited by 2
Watson, A. C., Corrigan, P. W., & Kosyluk, K. A. (2014) · Early Intervention in Psychiatry · doi:10.1002/9781118557174.ch26 · Cited by 3
Self-citationMental Health and Religious Beliefs
Ivey, C. A. S. (2024) · Springer eBooks · doi:10.1007/978-3-031-38971-9_354-1 · Cited by 2
Abdikarim, H., Ali, M. A., Abokor, A. H., Abdirashid, H., Farih, O. A., Abdillahi, A. M., Yousuf, A. M., & Muse, A. H. (2024) · Research Square · doi:10.21203/rs.3.rs-5640573/v1 · Cited by 2
Scior, K. (2013) · UCL Discovery (University College London) · Cited by 2
Stigma Experience and Formation Mechanism in Female Patients with Disease
李, 嘉. (2023) · Advances in Psychology · doi:10.12677/ap.2023.1310571 · Cited by 1
Ravikumar, M., & Muralidharan, S. (2024) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/979-8-3693-3176-7.ch001 · Cited by 1
Overcoming Stigma: Asking for and Receiving Mental Health Support
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Sager, K. L., Duan, C., Lawrence, R., & Warlick, C. A. (2022) · Counseling and Values · doi:10.1163/2161007x-67020001 · Cited by 1
Addressing Campus Cultures of Mental Illness Stigma: An Introduction
Brennan, K. M., & Gorman, K. S. (2025) · Knowledge studies in higher education · doi:10.1007/978-3-031-86496-4_1 · Cited by 1
Stigma and Diagnostic Overshadowing in People with Mental Disorder and Substance Addiction
Martínez‐Martínez, C., Olave, L., Gea-Caballero, V., & Villanueva‐Blasco, V. J. (2025) · Springer eBooks · doi:10.1007/978-3-031-94813-8_5 · Cited by 1
Recognition and Stigma of Gambling Disorder in Singapore
Tan, R., Tay, E. H., Shahwan, S., Tan, Y. B., Gunasekaran, S., Tan, B. C. W., Ong, W. J., Abdin, E., Shafie, S., Thomas, S. A., et al. (2025) · Journal of Gambling Studies · doi:10.1007/s10899-025-10457-0 · Cited by 1
“Corrigan (2000) explains that stigma against mental disorders could be established by the Social Attribution Theory, where stigmatizing beliefs are formed by how people perceive the cause, controllability, and stability of the condition—and these attributions themselves can vary across…”
Smith, J. R., Dymond, S., & Torrance, J. (2025) · Journal of Gambling Studies · doi:10.1007/s10899-025-10463-2 · Cited by 1
“Within this framework, individuals assign attributions for others’ development of mental health concerns, which can foster stigmatising attitudes toward the person (Correll et al., 2021; Corrigan, 2000).”
Göktaş, P., & Dıkeç, G. (2026) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-025-03003-1 · Cited by 1
“Moreover, the contribution from Corrigan [ 13] explores the social attributions of stigma-focused mental health research, and Mossman [ 39] discusses the accuracy of violence predictions in mental health settings.”
Designing Computational Tools for Exploring Causal Relationships in Qualitative Data
Meng, H., Lyu, Q., Qin, P., Yang, Y., Zhang, R., Lin, W.-C., & Lee, Y. (2026) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3791953 · Cited by 1
“We drew the name and definition of four concepts from the attribution theory of mental-health stigma [27] (i.e., signaling event, cognitive mediator, affective response, and behavioral reaction), with their reference(s) field left empty.”
Cwik, J. C., Woud, M. L., Blackwell, S. E., Teismann, T., Keita, I., & Margraf, J. (2026) · BMC Psychology · doi:10.1186/s40359-026-04627-x · Cited by 1
“It is also consistent with previous literature showing that stigmatization of mental illness tends to be more pronounced than that of physical illness [7, 58, 73–75].”
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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