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. Author manuscript; available in PMC: 2011 Dec 1.
Published in final edited form as: Clin Psychol Rev. 2010 Jun 30;30(8):907–922. doi: 10.1016/j.cpr.2010.06.004

Table 1.

The Cognitive and Behavioral Constructions of Mental Illness Stigma.

CONSTRUCTS DEFINITIONS EXAMPLES OF PUBLIC STIGMA EXAMPLES OF SELF-STIGMA
COGNITIVE Stereotypes Beliefs about groups learned while growing up in a specific society graphic file with name nihms219363t1.jpg
  • Danger: People with mental illnesses are unpredictable and potentially violent.

  • Responsible: They are to blame for their mental illnesses

  • Incompetent: They are unable to do anything but the most menial of jobs.

  • Benevolence: People with mental illnesses are childlike and innocent; as a result, they need an authority (e.g., parent or psychiatrist) to make decisions about goals and treatments.


Yes, I am dangerous, blameworthy, incompetent and childlike, and hence…
  • suffer low self-esteem (I am not worthy of a normal life.)

  • endure lower self-efficacy (I am not able to achieve a normal life.)

Prejudice Attitudes about groups. N.B. Prejudice also has emotional aspects.
BEHAVIORAL
Discrimination

The behavioral consequences of prejudice
graphic file with name nihms219363t2.jpg
  • Loss of opportunity: for example, refuse to hire or rent to a person with mental illness.

  • Failure to support: do not endorse more government funds for mental health services.

  • Take away empowerment: exclude the person with mental illness from determination of life goals. Coerce people into services

  • Segregation: direct people to institutions removed from their community (e.g., sending the person to the state hospital, or busing people to psychiatric ghettos.)


Experience the Why Try effect
  • Why should I try to get a good job? I am not worthy of it.

  • Why should I try to find a nice apartment? I am unable to manage it.