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An Attribution Model of Public Discrimination Towards Persons with Mental Illness
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 [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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“anger, avoidance, coercion, punishment) and can influence how people with substance use disorders view themselves [37,38].”
BackgroundPescosolido, B. A., & Martin, J. K. (2015) · Annual Review of Sociology · doi:10.1146/annurev-soc-071312-145702 · Cited by 1,038
“Negative Affect Simply stated, negative affect captures popular public views of how uneasy individuals felt or would feel in an interaction with a person with mental illness (Corrigan et al. 2003, Link et al. 2004).”
Background
Metadata
- 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)
- Venue
- Journal of Health and Social Behavior
- Publisher
- SAGE Publications
- Published
- 2003-06
- Volume
- 44
- Issue
- 2
- Pages
- 162
- ISSN
- 0022-1465 (ISSN-L)
- 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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