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Structural Levels of Mental Illness Stigma and Discrimination
Abstract
Most of the models that currently describe processes related to mental illness stigma are based on individual-level psychological paradigms. In this article, using a sociological paradigm, we apply the concepts of structural discrimination to broaden our understanding of stigmatizing processes directed at people with mental illness. Structural, or institutional, discrimination includes the policies of private and governmental institutions that intentionally restrict the opportunities of people with mental illness. It also includes major institutions' policies that are not intended to discriminate but whose consequences nevertheless hinder the options of people with mental illness. After more fully defining intentional and unintentional forms of structural discrimination, we provide current examples of each. Then we discuss the implications of structural models for advancing our understanding of mental illness stigma, including the methodological challenges posed by this paradigm.
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“This need for task-sharing interventions to be more responsive to and resistant against macro-level factors is echoed by emerging research that has highlighted the role that structural forces play in not only impeding implementation in their own right but also perpetuating and reinforcing other barriers (e.g., stigma, deprioritization of mental health care) [97–99].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [97]
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Testa, V., Heber, A., Groll, D., Ritchie, K., Tam‐Seto, L., Mulligan, A., Sullo, E., Schick, A., Bose, E., Jabbari, Y., et al. (2023) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.43.10/11.09 · Cited by 97
Williams, E., Dingle, G. A., Jetten, J., & Rowan, C. (2018) · Journal of Applied Social Psychology · doi:10.1111/jasp.12561 · Cited by 101
Metadata
- Authors
- Corrigan, P. W., Markowitz, F. E., & Watson, A. C.
- Affiliations
- Northwestern University (US)
- Northern Illinois University (US)
- Corresponding author
- Corrigan, P. W.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-01-01
- Volume
- 30
- Issue
- 3
- Pages
- 481-491
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- OpenAlex
- W2116487032
- Cited by
- 756
- References
- 48
- Citations by year
- 2026: 37 · 2025: 26 · 2024: 39 · 2023: 30 · 2022: 63 · 2021: 37 · 2020: 44 · 2019: 44 · 2018: 43 · 2017: 68 · 2016: 59 · 2015: 38 · 2014: 39 · 2013: 36 · 2012: 30
- FWCI
- 14.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Huskie Commons (Northern Illinois University) (submittedVersion)
- Funders
- Northern Illinois University
- Northwestern University
- National Institute of Mental Health (R24MH062198, MH-62198)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- mental health stigma, structural discrimination
- MeSH terms
- Mental Disorders, Persons with Disabilities, Humans, Prejudice, Social Conditions, Stereotyping, Organizational Policy, Models, Organizational, Private Sector, Federal Government
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