An Attribution Model of Public Discrimination Towards Persons with Mental Illness

Corrigan, Patrick; Markowitz, Fred E.; Watson, Amy; Rowan, David; Kubiak, Mary Ann

doi:10.2307/1519806

Cited by 1,407Mental Health Treatment and AccessSocial and Intergroup PsychologyPsychology and Mental Health

An Attribution Model of Public Discrimination Towards Persons with Mental Illness

Corrigan, Patrick, Markowitz, Fred E., Watson, Amy, Rowan, David, Kubiak, Mary Ann·2003·Journal of Health and Social Behavior

DOI 10.2307/1519806

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Abstract

In this study, we build on previous work by developing and estimating a model of the relationships between causal attributions (e.g., controllability, responsibility), familiarity with mental illness, dangerousness, emotional responses (e.g., pity, anger, fear), and helping and rejecting responses. Using survey data containing responses to hypothetical vignettes, we examine these relationships in a sample of 518 community college students. Consistent with attribution theory, causal attributions affect beliefs about persons' responsibility for causing their condition, beliefs which in turn lead to affective reactions, resulting in rejecting responses such as avoidance, coercion, segregation, and withholding help. However, consistent with a danger appraisal hypothesis, the effects of perceptions of dangerousness on helping and rejecting responses are unmediated by responsibility beliefs. Much of the dangerousness effects operate by increasing fear, a particularly strong predictor of support for coercive treatment. The results from this study also suggest that familiarity with mental illness reduces discriminatory responses.

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Community stigma was operationalized using a 12-item scale adapted from Corrigan et al.'s Attribution Questionnaire.
“Community stigma was operationalized using a 12-item scale adapted from Corrigan et al.'s Attribution Questionnaire [29]”
From Co-creating systems change for mental health: a theory of change approach from the MeHPriC initiative in Lagos, Nigeria (2025) · cites this paper as [29]

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Authors: Corrigan, P., Markowitz, F. E., Watson, A., Rowan, D., & Kubiak, M. A.
Affiliations: University of Chicago (US)
Northern Illinois University (US)
Prairie State College (US)
ORCID: Corrigan, Patrick
Markowitz, Fred E.
Watson, Amy
Venue: Journal of Health and Social Behavior
Publisher: SAGE Publications
Published: 2003-06
Volume: 44
Issue: 2
Pages: 162
ISSN: 0022-1465 (ISSN-L)
DOI: 10.2307/1519806
OpenAlex: W2104804522
Cited by: 1,407
References: 81
Citations by year: 2026: 73 · 2025: 98 · 2024: 83 · 2023: 88 · 2022: 95 · 2021: 123 · 2020: 99 · 2019: 85 · 2018: 57 · 2017: 71 · 2016: 76 · 2015: 63 · 2014: 56 · 2013: 50 · 2012: 52
FWCI: 19.68
Type: journal article
Language: en
Open access: closed
Locations: Journal of Health and Social Behavior (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r24mh062198-06)
National Institute of Mental Health (5 R24 MH62198)
Topics: Social Sciences › Psychology › Social Psychology › 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 illness, causal attribution, attribution theory, perceived dangerousness, responsibility beliefs, fear, pity, anger, rejection response, involuntary treatment, segregation, community college students, stigma
MeSH terms: Adult, Attitude to Health, Mental Disorders, Female, Humans, Male, Models, Psychological, Prejudice, Social Environment, Stereotyping, Students, Universities, Midwestern United States, Behavioral Research

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An Attribution Model of Public Discrimination Towards Persons with Mental Illness

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