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. Author manuscript; available in PMC: 2016 Jun 9.
Published in final edited form as: Psychiatr Rehabil J. 2016 Mar 31;39(2):90–96. doi: 10.1037/prj0000168

Table 1.

Individual discrimination stratified by gender and comparing persons without and with severe mental illness (SMI).
MEN WOMEN

Not SMI
N=59
SMI
N=210
Not SMI
N=130
SMI
N=242
% n % n % n % n
How often has someone ever
 • made fun of you because you have a mental illness? (sometimes or often) 49% 29 64% 134 50% 65 73% 177
 • called you “crazy”, “loca/o” or “nuts”? (sometimes or often) 59% 35 64% 134 49% 64 73% 176
 • ignored you or not taken seriously what you had to say because you have a mental illness? (sometimes or often) 44% 26 60% 127 44% 57 69% 167
How often have you ever
 • been treated differently from others after they learned that you had a mental illness? (sometimes or often) 44% 26 60% 126 45% 58 67% 163
 • experienced people trying to take advantage of you because they know that you have a mental illness? (sometimes or often) 34% 20 60% 126 27% 35 56% 134
Thinking about all the people you had or wanted to have a romantic or sexual relationship with
 • How many of them said they didn ’t want to be involved with you because you were a user of mental health services? (most of the time or always) 3% 2 8% 17 2% 3 6% 15
Structural discrimination stratified by gender and comparing persons without and with severe mental illness (SMI)
MEN WOMEN

Not SMI
N=59
SMI
N=210
Not SMI
N=130
SMI
N=242
% n % n % n % n
From Their Mental Health Care Providers
Mental health care providers
 • make patients feel comfortable to talk about sexuality and sex issues (agree) 78% 46 70% 147 75% 95 71% 170
 • are supportive when clients express interest in having a romantic or sexual relationship (agree) 69% 38 73% 149 70% 83 67% 155
 • are not supportive when users talk about sex issues (agree) 21% 11 39% 77 18% 21 38% 89
How often has a mental health care provider ever said that since you are a user of mental health services
 • you should not have sex? (sometimes or often) 2% 1 7% 14 0% 0 4% 10
 • you should not have a romantic or sexual relationship with other patients? (sometimes or often) 0% 0 8% 17 2% 2 5% 11
 • you should not have a romantic or sexual relationship with people who do not have a mental illness? (sometimes or often) 0% 0 4% 9 1% 1 3% 7
From Family
How often has someone in your family ever said that since you are a user of mental health services
 • you should not have sex? (sometimes or often) 7% 4 12% 25 6% 8 14% 34
 • you should not have a romantic or sexual relationship with other patients? (sometimes or often) 12% 7 21% 44 12% 15 23% 56
 • you should not have a romantic or sexual relationship with people who do not have a mental illness? (sometimes or often) 3% 2 10% 21 5% 6 12% 30
Social psychological processes stratified by gender and comparing persons without and with severe mental illness (SMI)
MEN WOMEN

Not SMI
N=59
SMI
N=210
Not SMI
N=130
SMI
N=242
%a n % n % n % n
Devaluation
Most people
• …don’t show interest in having a romantic or sexual relationship with someone who has a mental illness. 81% 48 77% 162 89% 113 80% 194
• …think that a person with mental illness won’t be a good partner for someone who doesn’t have a mental illness. 71% 42 68% 142 84% 107 73% 175
• …when they find out someone is a user of mental health services, don’t think that person is sexually desirable. 75% 42 66% 137 69% 88 66% 159
• …think that users of mental health services should not have sexual or romantic relationships. 44% 25 43% 91 50% 64 55% 133
 Coping
• You hide the fact that you have been diagnosed with a mental illness from people you are interested in having a romantic or sexual relationship with. 42% 25 44% 93 34% 43 39% 93
• You feel more comfortable having a romantic or sexual relationship with people who also have used mental health services. 27% 16 33% 67 16% 20 23% 54
• You avoid approaching someone you are interested in having a romantic or sexual relationship with if you think he/she has negative attitudes about users of mental health services. 63% 37 67% 140 65% 82 75% 180
• You explain what mental illness is to those you are interested in having a sexual or romantic relationship with. 72% 41 66% 138 70% 91 69% 168
 Low Attractiveness
• Having a mental illness has a negative impact on your opportunities for sexual relationships. 56% 33 55% 116 58% 76 57% 137
• Having a mental illness makes you feel less attractive than other women/men. 41% 24 34% 72 42% 55 46% 111
 Locus of Sexual Control
• You are the one who chooses the course of your sexual life. 93% 55 91% 192 87% 113 88% 214
• In order to be sexually active, you always do what other people ask of you. 29% 17 24% 51 23% 30 23% 55