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Running head: THE STIGMA OF MENTAL ILLNESS
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Running head: THE STIGMA OF MENTAL ILLNESS
The Stigma of Mental Illness
The Stigma of Mental Illness
The importance of stigma and the lack of mental support has
suffered throughout history. Ask yourself, if people with mental
issues and the lack of support should change and be accepted
into all social norms? Or should they continue to not be
supported over something they have no control over? Stigma
has been well-defined as undesirable opinions, observations and
relations which can cause discrimination according to the
Center for Behavioral Health Statistics and Quality, (2014).
Mental illness is a syndrome that affects your mood, thought
process, actions and present distress in social functions and
occupational involvements.
As a result of mental distress, intimidation, brutality and
alienation has been known to take place because people feel you
may be unstable or dangerous, which is due to the distancing
that is the place between each other, in addition to rejection and
abandonment their reactions may become negative and
sometimes violent in the nature of harming themselves or
committing suicide all because of the lack of understanding of
what mental illness is and how it affects the individual.
Mental illness stigmatization can also result in a poor
understanding amongst family members and as an end result
making them feel they are not able to seek treatment, or cure
and cause the individual to seek other options when they feel
they have no one that can help them understand what’s going on
with themselves. These other options include marijuana,
alcohol, prescription drugs and cigarettes can be a great start
for those people scared to seek help with mental health issues
Aviram, R. B., Brodsky, B. S. (2006).
This is where peer support is needed, it is so important for
mental health patients to realize they have a sense of belonging
and that they are not alone when dealing with their mental
health issues. According to the SAMHSA.gov, peer support is
one of the strategies that can help you to improve the state of
mental health in America. Access to peer support is an effective
way of enhancing the quality of life when always understand
peer support as any form of assistance that comes from people
who share characteristics or experiences relating to things that
are in common. For instance, for patients with mental health
issues, peer support includes: knowledge, emotional and social
assistance that one may get from a person who has the same
experiences.
Additionally, mental illness stigmatization can result in
insufficient health insurance coverage of mental ailments by
organizations. This can include being turned down for job
opportunities or recognitions due to their illness. People with
emotional disabilities tend to have issues with prejuice when
seeking jobs or explaining the lapse’s in their resume because
of the bouts with their mental health. They also experience
stigma when going back to work, having their peers mistreat
them with harassment, mockery, even demotion (Parle S, 2012).
Although mental illnesses are frequently stigmatized, they are
to some extent normal and can be controlled in most instances.
Psychologists have come up with an improved understanding of
mental disorders, but at the same time, the cure and
maintenance continue to change from time to time. An
investigation paper concerning the mental ailments is a better
matter to look at without considering what class learners are
pursuing.
Thus, according to me, this is a matter of concern since
eliminating the stigma and communal isolation of individuals
with mental ailments. It would have to be an open health
priority so as to increase global mental health and minimize the
financial liability.
Stigmatized persons are alleged to possess some traits which
result in unattractive social recognition. Every year, about 11%
on people who have mental disorders look for help, and stigma
has been viewed as the primary cause why victims do not pursue
help (Corrigan, P.W. (2004). Stigma has an undesirable effect
on mentally ailing victims and is an obstacle to pursuing the
treatment, and therefore minimizing the stigma that revolves
around mental sickness is a vital communal health initiative.
Thus, this study targets how to review the study of the “effect
and influence of mental health on help-seeking in the overall
population”. The top barriers for students include: being
embarrassed, rejection, and possibly being labeled as insane or
unhinged.
These have been labeled as help seeking behaviors which
reduces social articulation with their own psychological well-
being (Corrigan, P.W., 2004). Eisenberg et al. (2011), the
population of college students have further need of attributes
and weaknesses include barriers such as: dealing with mental
issues by themselves and the mistrust of providers. Thoughts of
complaints with time restraints were caused by the lack
participation and treatment. Questions as to whether treatment
is effective when solving problems. Believing that stress and
anxiety is normal and will get better over time. Some students
also complained to the lack of financial funding it cost to seek
treatment, so they don’t participate. They have complained
about the lack of their GPA dropping and dropping out of
school.
Mowbray et al. (2006), college students worry about what
others would think about participation, the staff being
unfriendly wait times of services may be to long and
discouraging and the students may have a lack of confidentiality
of the staff.
Some research revealed advantages to mental illness awareness:
lower stigma-related attitudes than their equals. (Corrigan et
al., 2001). They would have the support and knowledge needed
around them when struggling with emotional disorders. I have
found that when dealing with people that already have mental
illnesses, it is less likely for them to have a negative influence
towards those people. “These positive attitudes may be
influenced by contact, individual experiences with people and
positive attitudes toward mental health patients (Read &
Law, 1999).” The following analyzation pursues whether the
stigma causes a barrier to healing, amongst college students.
Table 2.
College students' perceived benefits and barriers to help-
seeking for mental health problems.
n
%
Which of the following do you feel is a benefit of individuals
seeking help for mental health problems?
Improved mental health
610
89.4
Reduced stress
591
86.7
Resolving one's problems
575
84.3
Self-awareness/personal growth
564
82.7
Happiness
555
81.4
Improved life satisfaction
546
80.1
Increased relationships
533
78.2
More optimistic attitude
532
78.0
Increased self-confidence
530
77.7
Increased communication
490
72.0
Increased comfort sharing feelings with others
485
71.1
Increased social support
458
67.2
Improved sleep
422
61.9
Increased energy
416
61.0
Which of the following do you feel is a barrier for individuals
seeking help for mental health problems?
Embarrassment
619
90.8
Denial that there is a problem
595
87.2
Not wanting to be labeled as “crazy”
496
72.7
Not knowing where to go for help
483
70.8
Not feeling comfortable sharing feelings with another person
478
70.1
Not wanting to talk to a counselor about personal issues
462
67.7
Wanting to handle problems on one's own
457
67.0
Cost
423
62.0
Fear of counselors
381
55.9
Not wanting to be admitted to a hospital
377
55.3
Lack of social support
330
48.4
Not wanting to be placed on medication
324
47.5
Not wanting help
321
47.1
Lack of insurance
274
40.2
Note: n = 698; Percent refers to valid percent; and missing
values are excluded.
3.2. Results indicated that the top three perceived benefits were
improved mental health, reduced stress, and resolving one's
problems (Table 2). The lowest perceived benefits were
increased energy, improved sleep, and increased social support.
Having one on one experience seems to be appropriate, group
meetings, increasing the awareness of mental health, mental
issues, and education to college students may be a great way of
reducing the stigma. All of the articles relate to one another
because research and studies show the value of how effective
exposure and education against stigma can change the minds
and attitudes of people. Documentation from finding articles
related to the impertinence of decreasing barriers toward
beliefs, help-seeking, non-adaptive and adaptive behaviors of
students entering college by making them aware of counseling
services available to them, social transitions, and by the
National Center for Biotechnology Information (NCBI).
Table 5.
Students' perceived stigma based on perceived benefits and
barriers.
Stigma-related attitudes
Number of perceived benefits
Number of perceived barriers
M (SD)
F
P
M (SD)
F
p
I feel that individuals who go to counseling for mental health
problems are mentally weak
Low
1.79 (0.798)
15.573
<.001
1.73 (0.784)
5.724
.017
High
1.56 (0.738)
1.59 (0.756)
I feel that individuals who go to counseling for mental health
problems are crazy
Low
1.58 (0.727)
10.595
.001
1.57 (0.722)
11.683
.001
High
1.41 (0.641)
1.40 (0.636)
I feel that individuals with mental health problems should
handle problems on their own without the help of counselors
Low
1.73 (0.797)
6.199
.013
1.75 (0.831)
11.708
.001
High
1.58 (0.773)
1.54 (0.730)
I feel that individuals who go to counseling for mental health
problems are not able to solve problems
Low
1.82 (0.799)
11.227
.001
1.80 (0.795)
9.202
.003
High
1.62 (0.754)
1.62 (0.756)
I feel that individuals who go to counseling for mental health
problems are lazy
Low
1.56 (0.715)
15.441
<.001
1.54 (0.741)
14.457
<.001
High
1.35 (0.615)
1.35 (0.574)
I feel that individuals who go to counseling are different from
normal people in a negative way
Low
1.65 (0.749)
15.992
<.001
1.66 (0.785)
23.675
<.010
High
1.43 (0.678)
1.35 (0.574)
Note: n = 698; Means based on a 5-point Likert-type scale
(1 = strongly disagree and 5 = strongly agree); number of
perceived benefits dichotomized into high (11–14 perceived
benefits) and low (0–10 perceived benefits) based on the median
split; number of perceived barriers dichotomized into high (9–
14 perceived barriers) and low (0–8 perceived barriers) based
on the median split; and missing values are excluded.
It is to be conclude that it does make a difference for college
students or anyone according to the studies provided for people
to get therapy and treatment for mental illness. I can conclude
perceived benefits outweigh the barriers and stigma. It did
however show that females sought treatment before males.
There are many perceivers that may influence a students'
approach towards mental services, but their perceptions,
barriers and benefits related to seeking treatment makes all the
difference in the world. All they need to do is get the proper
peer support and seek treatment for all the success in the world.
References:
Aviram, R. B., Brodsky, B. S., & Stanley, B. (2006). Borderline
personality disorder, stigma, and treatment implications.
Harvard review of psychiatry, 14(5), 249-256.
Boysen, G., Ebersole, A., Casner, R., & Coston, N. (2014).
Gendered mental disorders: Masculine and feminine stereotypes
about mental disorders and their relation to stigma. The Journal
of Social Psychology, 154(6), 546-565.
doi:10.1080/00224545.2014.953028.
Center for Behavioral Health Statistics and Quality. (2014).
2013 National Survey on Drug Use and Health. Substance
Abuse and Mental Health Services Administration.
Corrigan, P. W. (2004). How stigma interferes with mental
health care. American Psychologist, 59, 614–625.
Corrigan P. W., Edwards A. B., Green A., Diwan S. L., Penn D.
L
Prejudice, social distance, and familiarity with mental
illness.
Schizophrenia Bulletin. 2001;(2):219–225
Eisenberg D., Hunt J., Speer N., Zivin K. Mental health
service utilization among college
students in the United States. Journal of Nervous and Mental
Disease.
2011;(5):301–308.
Feldman, D. B., & Crandall, C.S. (2007). Dimensions of mental
illness stigma: What about
mental illness causes a social rejection?
Journal of Social and Clinical Psychology, 26(2), 137-154.
Hackler, A. H., Cornish, M. A., & Vogel, D. L. (2016).
Reducing mental illness stigma: Effectiveness of hearing about
the normative experiences of others. Stigma and Health, 1(3),
201-205. doi:10.1037/sah0000028.
Health Psychol Behav Med. 2014 Jan 1; 2(1): 1009–1022.
Tables 2 and 5 Published online
2014 Oct. 24. doi: [10.1080/21642850.2014.963586].
Retrieved November 21, 2018.
Kendra, M. S., Mohr, J. J., & Pollard, J. W. (2014). The stigma
of having psychological problems: Relations with engagement,
working alliance, and depression in psychotherapy.
Psychotherapy, 51(4), 563-573. doi:10.1037/a003.
Levy, B., Celen-Demirtas, S., Surguladze, T., & Sweeney, K. K.
(2014). Stigma and
discrimination: A socio-cultural etiology of mental illness. The
Humanistic Psychologist, 42(2), 199-214.
doi:10.1080/08873267.2014.893513. Website: WWW.
MayoClinic.Org Retrieved November 6, 2018.
Mowbray C. T., Mandiberg J. M., Stein C. H., Kopels S., Curlin
C.,
Megivern D., Lett R. Campus mental health services:
Recommendations for change. American Journal of
Orthopsychiatry. 2006;(2):226–237.
(Website) National Center for Biotechnology Information.
Retrieved November 21, 2018.
Parle S (2012) How does discrimination affect people with
mental illness? Nursing.
Times; 108: 28, 12-14.
Read J., Law A. The relationship of causal beliefs and contact
with
users of mental health services to attitudes to the ‘mentally
ill.’
International Journal of Social Psychiatry. 1999;(3):216–229.
SAMHSA.gov (October 30, 2018). Five Point Plan to Improve
the Nation’s Mental Health. Blog Retrieved
November 17, 2018
Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., &
Lysaker, P. (2014). Interventions
Targeting Mental Health Self-Stigma: A Review and
Comparison. Psychiatric Rehabilitation. Journal, 38(2),
doi:10.1037/prj0000100.
Yanos, P. T., Roe, D., West, M. L., Smith, S. M., & Lysaker, P.
H. (2012). Group-based
treatment for internalized stigma among persons with severe
mental illness: Findings from a randomized controlled trial.
Psychological Services, 9(3), 248-258. doi:10.1037/a0028048.

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Running head THE STIGMA OF MENTAL ILLNESS2Running head.docx

  • 1. Running head: THE STIGMA OF MENTAL ILLNESS 2 Running head: THE STIGMA OF MENTAL ILLNESS The Stigma of Mental Illness The Stigma of Mental Illness The importance of stigma and the lack of mental support has
  • 2. suffered throughout history. Ask yourself, if people with mental issues and the lack of support should change and be accepted into all social norms? Or should they continue to not be supported over something they have no control over? Stigma has been well-defined as undesirable opinions, observations and relations which can cause discrimination according to the Center for Behavioral Health Statistics and Quality, (2014). Mental illness is a syndrome that affects your mood, thought process, actions and present distress in social functions and occupational involvements. As a result of mental distress, intimidation, brutality and alienation has been known to take place because people feel you may be unstable or dangerous, which is due to the distancing that is the place between each other, in addition to rejection and abandonment their reactions may become negative and sometimes violent in the nature of harming themselves or committing suicide all because of the lack of understanding of what mental illness is and how it affects the individual. Mental illness stigmatization can also result in a poor understanding amongst family members and as an end result making them feel they are not able to seek treatment, or cure and cause the individual to seek other options when they feel they have no one that can help them understand what’s going on with themselves. These other options include marijuana, alcohol, prescription drugs and cigarettes can be a great start for those people scared to seek help with mental health issues Aviram, R. B., Brodsky, B. S. (2006). This is where peer support is needed, it is so important for mental health patients to realize they have a sense of belonging and that they are not alone when dealing with their mental health issues. According to the SAMHSA.gov, peer support is one of the strategies that can help you to improve the state of mental health in America. Access to peer support is an effective way of enhancing the quality of life when always understand peer support as any form of assistance that comes from people
  • 3. who share characteristics or experiences relating to things that are in common. For instance, for patients with mental health issues, peer support includes: knowledge, emotional and social assistance that one may get from a person who has the same experiences. Additionally, mental illness stigmatization can result in insufficient health insurance coverage of mental ailments by organizations. This can include being turned down for job opportunities or recognitions due to their illness. People with emotional disabilities tend to have issues with prejuice when seeking jobs or explaining the lapse’s in their resume because of the bouts with their mental health. They also experience stigma when going back to work, having their peers mistreat them with harassment, mockery, even demotion (Parle S, 2012). Although mental illnesses are frequently stigmatized, they are to some extent normal and can be controlled in most instances. Psychologists have come up with an improved understanding of mental disorders, but at the same time, the cure and maintenance continue to change from time to time. An investigation paper concerning the mental ailments is a better matter to look at without considering what class learners are pursuing. Thus, according to me, this is a matter of concern since eliminating the stigma and communal isolation of individuals with mental ailments. It would have to be an open health priority so as to increase global mental health and minimize the financial liability. Stigmatized persons are alleged to possess some traits which result in unattractive social recognition. Every year, about 11% on people who have mental disorders look for help, and stigma has been viewed as the primary cause why victims do not pursue help (Corrigan, P.W. (2004). Stigma has an undesirable effect on mentally ailing victims and is an obstacle to pursuing the treatment, and therefore minimizing the stigma that revolves around mental sickness is a vital communal health initiative. Thus, this study targets how to review the study of the “effect
  • 4. and influence of mental health on help-seeking in the overall population”. The top barriers for students include: being embarrassed, rejection, and possibly being labeled as insane or unhinged. These have been labeled as help seeking behaviors which reduces social articulation with their own psychological well- being (Corrigan, P.W., 2004). Eisenberg et al. (2011), the population of college students have further need of attributes and weaknesses include barriers such as: dealing with mental issues by themselves and the mistrust of providers. Thoughts of complaints with time restraints were caused by the lack participation and treatment. Questions as to whether treatment is effective when solving problems. Believing that stress and anxiety is normal and will get better over time. Some students also complained to the lack of financial funding it cost to seek treatment, so they don’t participate. They have complained about the lack of their GPA dropping and dropping out of school. Mowbray et al. (2006), college students worry about what others would think about participation, the staff being unfriendly wait times of services may be to long and discouraging and the students may have a lack of confidentiality of the staff. Some research revealed advantages to mental illness awareness: lower stigma-related attitudes than their equals. (Corrigan et al., 2001). They would have the support and knowledge needed around them when struggling with emotional disorders. I have found that when dealing with people that already have mental illnesses, it is less likely for them to have a negative influence towards those people. “These positive attitudes may be influenced by contact, individual experiences with people and positive attitudes toward mental health patients (Read & Law, 1999).” The following analyzation pursues whether the stigma causes a barrier to healing, amongst college students. Table 2. College students' perceived benefits and barriers to help-
  • 5. seeking for mental health problems. n % Which of the following do you feel is a benefit of individuals seeking help for mental health problems? Improved mental health 610 89.4 Reduced stress 591 86.7 Resolving one's problems 575 84.3 Self-awareness/personal growth 564 82.7 Happiness 555 81.4 Improved life satisfaction 546 80.1 Increased relationships 533 78.2 More optimistic attitude 532 78.0 Increased self-confidence 530 77.7 Increased communication 490 72.0
  • 6. Increased comfort sharing feelings with others 485 71.1 Increased social support 458 67.2 Improved sleep 422 61.9 Increased energy 416 61.0 Which of the following do you feel is a barrier for individuals seeking help for mental health problems? Embarrassment 619 90.8 Denial that there is a problem 595 87.2 Not wanting to be labeled as “crazy” 496 72.7 Not knowing where to go for help 483 70.8 Not feeling comfortable sharing feelings with another person 478 70.1 Not wanting to talk to a counselor about personal issues 462 67.7 Wanting to handle problems on one's own 457 67.0 Cost
  • 7. 423 62.0 Fear of counselors 381 55.9 Not wanting to be admitted to a hospital 377 55.3 Lack of social support 330 48.4 Not wanting to be placed on medication 324 47.5 Not wanting help 321 47.1 Lack of insurance 274 40.2 Note: n = 698; Percent refers to valid percent; and missing values are excluded. 3.2. Results indicated that the top three perceived benefits were improved mental health, reduced stress, and resolving one's problems (Table 2). The lowest perceived benefits were increased energy, improved sleep, and increased social support. Having one on one experience seems to be appropriate, group meetings, increasing the awareness of mental health, mental issues, and education to college students may be a great way of reducing the stigma. All of the articles relate to one another because research and studies show the value of how effective exposure and education against stigma can change the minds and attitudes of people. Documentation from finding articles related to the impertinence of decreasing barriers toward beliefs, help-seeking, non-adaptive and adaptive behaviors of
  • 8. students entering college by making them aware of counseling services available to them, social transitions, and by the National Center for Biotechnology Information (NCBI). Table 5. Students' perceived stigma based on perceived benefits and barriers. Stigma-related attitudes Number of perceived benefits Number of perceived barriers M (SD) F P M (SD) F p I feel that individuals who go to counseling for mental health problems are mentally weak Low 1.79 (0.798) 15.573 <.001 1.73 (0.784) 5.724 .017 High 1.56 (0.738) 1.59 (0.756) I feel that individuals who go to counseling for mental health problems are crazy
  • 9. Low 1.58 (0.727) 10.595 .001 1.57 (0.722) 11.683 .001 High 1.41 (0.641) 1.40 (0.636) I feel that individuals with mental health problems should handle problems on their own without the help of counselors Low 1.73 (0.797) 6.199 .013 1.75 (0.831) 11.708 .001 High 1.58 (0.773) 1.54 (0.730) I feel that individuals who go to counseling for mental health problems are not able to solve problems Low 1.82 (0.799) 11.227 .001
  • 10. 1.80 (0.795) 9.202 .003 High 1.62 (0.754) 1.62 (0.756) I feel that individuals who go to counseling for mental health problems are lazy Low 1.56 (0.715) 15.441 <.001 1.54 (0.741) 14.457 <.001 High 1.35 (0.615) 1.35 (0.574) I feel that individuals who go to counseling are different from normal people in a negative way Low 1.65 (0.749) 15.992 <.001 1.66 (0.785) 23.675 <.010 High
  • 11. 1.43 (0.678) 1.35 (0.574) Note: n = 698; Means based on a 5-point Likert-type scale (1 = strongly disagree and 5 = strongly agree); number of perceived benefits dichotomized into high (11–14 perceived benefits) and low (0–10 perceived benefits) based on the median split; number of perceived barriers dichotomized into high (9– 14 perceived barriers) and low (0–8 perceived barriers) based on the median split; and missing values are excluded. It is to be conclude that it does make a difference for college students or anyone according to the studies provided for people to get therapy and treatment for mental illness. I can conclude perceived benefits outweigh the barriers and stigma. It did however show that females sought treatment before males. There are many perceivers that may influence a students' approach towards mental services, but their perceptions, barriers and benefits related to seeking treatment makes all the difference in the world. All they need to do is get the proper peer support and seek treatment for all the success in the world.
  • 12. References: Aviram, R. B., Brodsky, B. S., & Stanley, B. (2006). Borderline personality disorder, stigma, and treatment implications. Harvard review of psychiatry, 14(5), 249-256. Boysen, G., Ebersole, A., Casner, R., & Coston, N. (2014). Gendered mental disorders: Masculine and feminine stereotypes about mental disorders and their relation to stigma. The Journal of Social Psychology, 154(6), 546-565. doi:10.1080/00224545.2014.953028. Center for Behavioral Health Statistics and Quality. (2014). 2013 National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration. Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625. Corrigan P. W., Edwards A. B., Green A., Diwan S. L., Penn D. L Prejudice, social distance, and familiarity with mental illness. Schizophrenia Bulletin. 2001;(2):219–225 Eisenberg D., Hunt J., Speer N., Zivin K. Mental health service utilization among college students in the United States. Journal of Nervous and Mental Disease. 2011;(5):301–308. Feldman, D. B., & Crandall, C.S. (2007). Dimensions of mental illness stigma: What about mental illness causes a social rejection? Journal of Social and Clinical Psychology, 26(2), 137-154. Hackler, A. H., Cornish, M. A., & Vogel, D. L. (2016). Reducing mental illness stigma: Effectiveness of hearing about the normative experiences of others. Stigma and Health, 1(3), 201-205. doi:10.1037/sah0000028.
  • 13. Health Psychol Behav Med. 2014 Jan 1; 2(1): 1009–1022. Tables 2 and 5 Published online 2014 Oct. 24. doi: [10.1080/21642850.2014.963586]. Retrieved November 21, 2018. Kendra, M. S., Mohr, J. J., & Pollard, J. W. (2014). The stigma of having psychological problems: Relations with engagement, working alliance, and depression in psychotherapy. Psychotherapy, 51(4), 563-573. doi:10.1037/a003. Levy, B., Celen-Demirtas, S., Surguladze, T., & Sweeney, K. K. (2014). Stigma and discrimination: A socio-cultural etiology of mental illness. The Humanistic Psychologist, 42(2), 199-214. doi:10.1080/08873267.2014.893513. Website: WWW. MayoClinic.Org Retrieved November 6, 2018. Mowbray C. T., Mandiberg J. M., Stein C. H., Kopels S., Curlin C., Megivern D., Lett R. Campus mental health services: Recommendations for change. American Journal of Orthopsychiatry. 2006;(2):226–237. (Website) National Center for Biotechnology Information. Retrieved November 21, 2018. Parle S (2012) How does discrimination affect people with mental illness? Nursing. Times; 108: 28, 12-14. Read J., Law A. The relationship of causal beliefs and contact with users of mental health services to attitudes to the ‘mentally ill.’ International Journal of Social Psychiatry. 1999;(3):216–229. SAMHSA.gov (October 30, 2018). Five Point Plan to Improve the Nation’s Mental Health. Blog Retrieved November 17, 2018 Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2014). Interventions Targeting Mental Health Self-Stigma: A Review and Comparison. Psychiatric Rehabilitation. Journal, 38(2),
  • 14. doi:10.1037/prj0000100. Yanos, P. T., Roe, D., West, M. L., Smith, S. M., & Lysaker, P. H. (2012). Group-based treatment for internalized stigma among persons with severe mental illness: Findings from a randomized controlled trial. Psychological Services, 9(3), 248-258. doi:10.1037/a0028048.