Cited by 1,262Mental Health Treatment and AccessMental Health and PsychiatryPsychology and Mental Health

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“A Disease Like Any Other”? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence

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Pescosolido, Bernice A., Martin, Jack K., Long, J. Scott, Medina, Tait R., Phelan, Jo C., Link, Bruce G.·2010·American Journal of Psychiatry

DOI 10.1176/appi.ajp.2010.09121743PMC PMC4429867

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Abstract

OBJECTIVE: Clinicians, advocates, and policy makers have presented mental illnesses as medical diseases in efforts to overcome low service use, poor adherence rates, and stigma. The authors examined the impact of this approach with a 10-year comparison of public endorsement of treatment and prejudice. METHOD: The authors analyzed responses to vignettes in the mental health modules of the 1996 and 2006 General Social Survey describing individuals meeting DSM-IV criteria for schizophrenia, major depression, and alcohol dependence to explore whether more of the public 1) embraces neurobiological understandings of mental illness; 2) endorses treatment from providers, including psychiatrists; and 3) reports community acceptance or rejection of people with these disorders. Multivariate analyses examined whether acceptance of neurobiological causes increased treatment support and lessened stigma. RESULTS: In 2006, 67% of the public attributed major depression to neurobiological causes, compared with 54% in 1996. High proportions of respondents endorsed treatment, with general increases in the proportion endorsing treatment from doctors and specific increases in the proportions endorsing psychiatrists for treatment of alcohol dependence (from 61% in 1996 to 79% in 2006) and major depression (from 75% in 1996 to 85% in 2006). Social distance and perceived danger associated with people with these disorders did not decrease significantly. Holding a neurobiological conception of these disorders increased the likelihood of support for treatment but was generally unrelated to stigma. Where associated, the effect was to increase, not decrease, community rejection. CONCLUSIONS: More of the public embraces a neurobiological understanding of mental illness. This view translates into support for services but not into a decrease in stigma. Reconfiguring stigma reduction strategies may require providers and advocates to shift to an emphasis on competence and inclusion.

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Authors: Pescosolido, B. A., Martin, J. K., Long, J. S., Medina, T. R., Phelan, J. C., & Link, B. G.
Affiliations: Indiana University (US)
ORCID: Pescosolido, Bernice A.
Phelan, Jo C.
Link, Bruce G.
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2010-11
Volume: 167
Issue: 11
Pages: 1321-1330
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.2010.09121743
PMC: PMC4429867
OpenAlex: W2130559519
Cited by: 1,262
References: 42
Citations by year: 2026: 36 · 2025: 61 · 2024: 64 · 2023: 73 · 2022: 65 · 2021: 64 · 2020: 75 · 2019: 99 · 2018: 79 · 2017: 118 · 2016: 98 · 2015: 100 · 2014: 90 · 2013: 97 · 2012: 84
FWCI: 97.60
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH074985)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: public attitudes toward mental illness, schizophrenia, major depressive disorder, alcoholism, mental health stigma, treatment support, social distance, perceived danger, psychiatrists, community acceptance, mental health service utilization, General Social Survey
MeSH terms: Adult, Alcoholism, Character, Dangerous Behavior, Data Collection, Major Depressive Disorder, Female, Health Policy, Hospitalization, Humans, Male, Middle Aged, Morals, Neurobiology, Patient Care Team, Prejudice, Psychiatry, Public Opinion, Schizophrenia, Schizophrenic Psychology, Social Behavior Disorders, Psychological Distance, Social Support, United States, Causality

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“A Disease Like Any Other”? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence

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