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פטריק קוריגן
- 1. Knowledge Database • Presentation for the lecture of: Patrick Corrigan, USA • Topic of lecture: Erasing the Stigma of Mental Illness: What Says the Dodo Bird? • The lecture was given at the 6th International Conference on Disabilities Beit Issie Shapiro - Israel • Year: 2015
- 2. Patrick Corrigan Illinois Institute of Technology What Says the Dodo Bird?
- 4. STOP
- 5. What is stigma? How might it be fixed? ◦ Unintended consequences Contact-based approaches BLENDING ◦ Social Cognitive Approaches ◦ Health Services Research Approach
- 7. UNINTENDED CONSEQUENCES Everybody has won and all must have prizes!
- 8. Psychoanalysis Unintended Consequences What do we do? Cognitive Therapy
- 10. BEAT RACISM X
- 11. DON’T ASK DON’T TELL BEAT HOMOPHOBIA
- 12. “THE POOR!” “THE WEAK!” “THE LEAST IMPORTANT!”
- 13. “THE POOR!” “THE WEAK!” “THE LEAST IMPORTANT!” “Whatsoever you do to the least of my brethren, that you do unto me!” John BESTOW EMPOWER
- 15. 15
- 16. 16
- 17. 17
- 19. 19 In the movies
- 20. 20
- 21. 21
- 23. 23
- 25. 25
- 27. 27
- 30. 30
- 31. 31 In comics
- 32. 32
- 36. 36
- 37. 37
- 38. 38
- 39. 39
- 40. 40
- 41. Trenton State Hospital has fire.
- 42. 42 Roasted Nuts
- 43. DANGER Phelan, Link et al 43 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1956 1996 danger
- 44. DANGER Phelan, Link et al 44 0% 5% 10% 15% 20% 25% 30% 35% 40% 1956 1996 danger
- 45. DANGER Phelan, Link et al 45 0% 5% 10% 15% 20% 25% 30% 35% 40% 1956 1996 danger
- 46. DANGER Phelan, Link et al 46 0% 5% 10% 15% 20% 25% 30% 35% 40% 1956 1996 2006 danger
- 48. 48 STEREOTYPES ◦ All Irish Americans are drunks and beat their wives. PREJUDICE ◦ That’s right. They’re drunks and I loathe them. DISCRIMINATION ◦ So, don’t: hire, rent, or befriend them
- 49. 49 STEREOTYPES ◦ People with MI are: weak, dangerous…. PREJUDICE ◦ They are bad because: scary, shameful. DISCRIMINATION ◦ So, don’t: hire, serve, or rent to them
- 51. Lost employment Subpar housing Worse health care Worse educational opportunities Diminished legislative support Alienated faith communities Coercive treatment
- 52. PTCA: percutaneous transluminal coronary angioplasty Druss et al., 2000
- 53. June 14, 1965 Affirming attitudes and actions ERASING STIGMA IS NOT ENOUGH
- 54. People with mental illness recover. They should determine all their goals and interventions to reach those goals. Actions: ◦ Reasonable accommodations ◦ Community supports
- 55. STOP
- 56. EASY STUFF: Just change the words! Just cure the disease!
- 57. Leprosy to Hansen’s Disease Dementia to Alzheimer’s Mental Retardation to Intellectual Disability Mania to Bipolar Illness
- 58. Japan: Seishin-Bunretsu-Byo to togo shitco sho Korea: Jeongshin-bunyeol to Johyun-byung Hong Kong: Jing Shen Fen Lie to Si Jue Shi Tiao Singapore, China “mind split disease” “integration disorder” “attunement disorder”“mind splitted disorder” “dysfunction of thought and perception” “splitting of the mind” Sartorius et al., 2014
- 59. The Data ◦ Japan: mixed findings (Takashi et al., 2009, 2011) ◦ Relationship between name recognition and recovery (Sato in preparation, 2014) ◦ Hansen’s Disease (Oliveria et al., 2003; Van Brakel et al., in press) Perpetuates the difference Prejudice and discrimination more than words. ◦ MODERN RACISM .
- 60. It Looks easy: NIMH and other funders decrease support Advocacy groups: No longer a problem
- 61. KNOWLEDGE IS GOLD: Educate stigma away!
- 62. 75% US school districts 43 countries RESEARCH Uncertain effects No effects RTI (1994) Cal Dept Ed (1995) U Maryland (1998) SIGNIFICANT effects APA (1999) Indiana U (1992)
- 64. RECOVERY
- 65. RECOVERY HIRE THEM? RENT TO THEM? EQUAL HEALTH CARE?
- 66. Knowledge: Causal Beliefs Stigma: Acceptance Sixteen representative samples of nation- defined populations 230 to 6000 Ss Response rates: 65-85% Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
- 67. 0 10 20 30 40 50 60 70 1990 1994 1998 2002 2006 Sz Dep Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Inherited/Genetic META-ANALYSIS FINDINGS: CAUSE
- 68. 0 10 20 30 40 50 60 70 80 1990 1994 1998 2002 2006 Sz Dep Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Brain Disease META-ANALYSIS FINDINGS: CAUSE
- 69. 0 10 20 30 40 50 60 1990 1994 1998 2002 2006 Sz Dep Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Co-worker META-ANALYSIS FINDINGS: ACCEPTANCE
- 70. 0 10 20 30 40 50 60 1990 1994 1998 2002 2006 Sz Dep Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Neighbor META-ANALYSIS FINDINGS: ACCEPTANCE
- 71. PROTEST: The Pros and CONs!
- 72. 72 Protest ◦Review stigmatizing images ◦Shame on you for thinking that way
- 73. 73
- 74. 74 Beware the rebound effect the white bear
- 76. The JASONUT The CRAZY FACE The SUICIDE SQUEEZE Located in Campbell and San Jose California
- 77. Join the national on-line food fight. Help turn lemon donuts into lemonade. Join the national on-line food fight. Help turn lemon donuts into lemonade.
- 78. I'm an advocate of equal rights and a more tolerant world toward all people of different races, religion, gender, and sexual orientation; but that is it. Any thing else is just moronic. Stan Rezaee, Aug, 2009
- 80. CONTACT vs EDUCATION The Pros and CONs!
- 82. 82 Bob’s story ◦ My name is ______ and I have a severe mental illness called schizo-affective disorder ◦ My childhood was not unusual… ◦ Unfortunately, my mental illness was traumatic. It did not go away quickly… ◦ Despite these problems, I have achieved several accomplishments.
- 83. Contact vs Education DV’s ◦ Overall ◦ Attitudes ◦ Behavior > 38,000 Ss 79 studies; 13 RCTs Corrigan, Michaels et al., 2012
- 84. p<.05
- 86. TLC 3
- 92. x CHICAGO: the heart and brains of Illinois ILLINOIS Does it play in PEORIA?
- 93. City Neighborhoods What defines a neighborhood? Faith-based communities 93
- 94. 94 Good stigma change credible continuous
- 95. Contact with whom? Example ◦ Military (PTSD) ◦ Other enlisted members Marines from marines Sailors from sailors 95
- 96. Once is not enough And cannot be carbon copies 96
- 97. The GRAND PLAN
- 98. Come out everyone Come out everywhere
- 99. Come out Mad Come out Proud
- 100. Rod Steiger Mike Wallace Margot Kidder Patty Duke
- 105. LGBT agenda ◦ Confusing ◦ Objectionable ◦Honest, Open, Proud CHICAGO
- 107. DONT BE A MENTAL PATIENT
- 108. EMBRACE WHO YOU ARE
- 109. Three Lessons ◦ Consider the pros and cons of disclosing ◦ There are different ways to disclose ◦ Telling your story 2 RCTs
- 110. 3.6 3.8 4 4.2 4.4 4.6 4.8 5 HOP Cntrl Pre Post 3-wk F-up 2X3 ANOVA F=4.70, p<.01 N=100 Rusch et al., 2014 p<.05
- 111. HOPMULTI-SITE
- 112. 9 10 11 12 13 14 15 16 17 HOP control HOP control pre post follow-up * * ** HARMAPPLY SELF STIGMA * Corrigan et al., in press
- 113. 15 16 17 18 19 20 21 22 23 HOP control HOP control pre post follow-up ± p<.10 * p<.05 ** p<.01 COPING RESOURCESSTIGMA HARM ** + +* **
- 114. What are the pros and cons of disclosing? ◦ Which vary by setting: work, vs family vs faith- based comm What are rarely safe ways to come out? What is your story? www.HOPprogram.org
- 116. Clifford Beers - 1909
- 117. 117
- 118. National Consortium on Stigma and Empowerment www.ncse1.org Honest,Open, Proud to erase the stigma of mental illness www.hopprogram.org corrigan@iit.edu