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

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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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“…for social distance’ to capture this concept of unwillingness to engage socially that is a core component of stigma, and highlighted how particular kinds of stereotypes, including ‘dangerousness’ are key in driving desire for social distance from the stereotyped group (Corrigan et al., 2003).”
The effects of brief indirect contact on mental illness stigma: Preliminary evidence from an Italian vocational rehabilitation center
Atal, Z., Wang, S., & Biella-Battista, R. (2017) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-170876 · Cited by 2
“The SDS, adapted from the AQ-27 (Corrigan et al., 2003) and Graves et al. (2011), was administered at baseline and post-contact.”
Youth Participatory Action Research in Urban Public Education
Baker, J., Flaspohler, P. D., Wargel, K., & Schwartz, T. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108551830.031 · Cited by 2
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Yamakawa, I., & Sakamoto, S. (2015) · International Journal of Psychological Studies · doi:10.5539/ijps.v7n2p146 · Cited by 2
Sino-American employer perspective about behavioral-driven health conditions: Predictive analyses
Tsang, H. W. H., Corrigan, P. W., Fung, K. M. T., Shi, K., Lam, C. S., Larson, J. E., Morris, S. B., & Chung, R. C. K. (2012) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651501.2011.644562 · Cited by 2
Self-citation
Moralização sobre o uso de álcool entre estudante de curso de saúde
Martins, L. F., da Silveira, P. S., Soares, R. G., Gomide, H. P., & Ronzani, T. M. (2010) · Estudos de Psicologia (Natal) · doi:10.1590/s1413-294x2010000100005 · Cited by 2
“Entretanto, vale ressaltar que outros estudos conduzidos em diferentes culturas e populações apontam na mesma direção e dão suporte às conclusões obtidas (Corrigan et al., 2003; Corrigan et al., 2005).”
Background
Stigmatisierung psychischer Erkrankung unter Schülern
Meyers, M., Geldmacher, J., Mattausch, S., Brand, M., Heitmann, D., Juckel, G., & Haussleiter, I. S. (2016) · Der Nervenarzt · doi:10.1007/s00115-016-0189-7 · Cited by 2
A CROSS - SECTIONAL AND COMPARATIVE STUDY OF STIGMA IN UNDERGRADUATE MEDICAL STUDENTS TOWARDS MENTALLY ILL PATIENTS
Sireesha, S. R., Lanka, U. V. R., Mayurnath Reddy, J., & Kumar, C. S. (2015) · Journal of Evolution of Medical and Dental Sciences · doi:10.14260/jemds/2015/2326 · Cited by 2
Psychopathological profile and antipsychotic treatment may be linked to internalised stigma in schizophrenia – a cross-sectional study
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“Both stereotypes and prejudice may lead to discrimination towards patients with schizophrenia, resulting in exclusion, active evasion and a reluctance to help, thus limiting access to employment or accommodation [5].”
Background
Supporting Psychological Well-Being in Emerging Adults with Mental Illness: Effect of a Self-Affirmation Intervention on Resilience, Empowerment, and Self-Stigma
Manning, R. B. (2019) · Digital Commons @ Connecticut College (Connecticut College) · Cited by 2
Social Justice and Children in Pakistan
Younus, S., Chachar, A. S., & Mian, A. I. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108551830.025 · Cited by 2
The Impact of Decades of Political Violence on Palestinian Children in the Gaza Strip and the West Bank
Thabet, A. A. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108551830.026 · Cited by 3
The importance of familiarity with caregiving for public caregiver stigma: Evidence from a cross-sectional study in Germany
Zwar, L., Angermeyer, M. C., Matschinger, H., Riedel-Heller, S. G., König, H., & Hajek, A. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104301 · Cited by 2
A “Paradigm Shift” in Mental Health Care
Mahomed, F., Stein, M. A., Patel, V., & Sunkel, C. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.003 · Cited by 3
‘The Revolution Will Not Be Televised’: Recent Developments in Mental Health Law Reform in Zambia and Ghana
Combrinck, H., & Chilemba, E. M. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.015 · Cited by 2
Involvement of People with Lived Experience of Mental Health Conditions in Decision-Making to Improve Care in Rural Ethiopia
Souraya, S., Abyaneh, S., Hanlon, C., & Asher, L. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.029 · Cited by 2
Decisional Autonomy and India’s Mental Healthcare Act, 2017: A Comment on Emerging Jurisprudence
Pathare, S., & Kapoor, A. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.013 · Cited by 2
Recovery and stigma: issues of social justice
Flanagan, E. A., Ben‐Zeev, D., & Corrigan, P. W. (2012) · Oxford University Press eBooks · doi:10.1093/med/9780199691319.003.0017 · Cited by 2
Self-citation
Effects of a brief education on psychologists’ attitudes and diagnostic impressions of paedophilic obsessive-compulsive intrusive thoughts
Munslow-Davies, S., & Anderson, R. (2021) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2021.100707 · Cited by 2
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Yang, O. K., Kim, S., Hyun, J., Lee, K., Paik, J., & Lee, Y. (2022) · Psychiatry Investigation · doi:10.30773/pi.2021.0364 · Cited by 2
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Botansky, C., & Innes, J. M. (2022) · Journal of Psychedelic Studies · doi:10.1556/2054.2022.00203 · Cited by 2
Should we be doing more to reduce stigma?
Galbraith, V. E., & Galbraith, N. D. (2008) · Counselling Psychology Review · doi:10.53841/bpscpr.2008.23.4.53 · Cited by 2
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Jiménez-Arista, L. E., & Caldera, K. (2023) · Journal of Sexual Aggression · doi:10.1080/13552600.2023.2233552 · Cited by 2
“Such reactions appear to be consistent with the attribution model of mental illness proposing that when the illness is perceived as not under the control of the individual (i.e. “ unwanted attraction ” ), people show increased levels of pity (Corrigan et al., 2003).”
Background
Stereotype-driven emotional responses and their impact on discriminatory intentions towards suicidal individuals
Lee, H., & An, S. (2024) · BMC Psychology · doi:10.1186/s40359-024-01633-9 · Cited by 2
“The present study is anchored on Corrigan et al.’s stigma path model [16] and aims to elucidate the intricate relationship between stereotypes, emotional reactions, and behavioral intentions towards individuals with suicidal ideation.”
BackgroundMethodInfluential
Stigma: An Old Unmet Need in Psychiatric Practice
Stuart, H. L., Linden, B., & Sartorius, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-42637-8_13 · Cited by 2
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McMahan, M. M. (2011) · Digital Commons - University of South Florida (University of South Florida) · Cited by 2
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Quintana, F. J. (2013) · OpenCommons - UConn (University of Connecticut) · Cited by 2
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van der Sanden, R. L. M. (2015) · doi:10.26481/dis.20150611rs · Cited by 2
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de Graaff-Wijnberg, C. M., Bos, A. E. R., & Lodewijkx, H. F. M. (2006) · Nederlands tijdschrift voor de psychologie en haar grensgebieden · doi:10.1007/bf03062362 · Cited by 2
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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: 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 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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