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Digital Therapeutics for Sleep and Mental Health
Published in Oleksandr Sverdlov, Joris van Dam, Digital Therapeutics, 2023
Peter Hames, Christopher B. Miller
In the United States, 42% of Americans reported a mental health issue during December 2020.2 Sixty percent of people who report mental health problems will not seek help.3 This is partly due to the perceived, experienced, and self-directed stigma surrounding mental health diagnoses. Social stigma can lead to delays in individuals seeking treatment, poor adherence to treatment, and an increase in the number of untreated cases (Shrivastava et al., 2012). Although the aim of mental health services should be to help reduce the stigma surrounding mental health concerns, there is a need for treatment privacy that an individual can initiate themselves.
Profiling in public health
Published in Sridhar Venkatapuram, Alex Broadbent, The Routledge Handbook of Philosophy of Public Health, 2023
Patients may also be harmed as a result of being profiled in medicine. Take, for example, cases of profiling patients for socially stigmatized medical conditions such as HIV/AIDS, sexually transmitted diseases, various mental health conditions, teenage and unwanted pregnancy, being overweight or obese, and so on. Profiling individuals based on their group membership in relation to such stigmatized conditions could result in various kinds of harms—individuals might, for example, feel morally wronged in virtue of being associated accurately or inaccurately with a socially stigmatized condition, and they might consequently also be treated differently by other members of society in virtue of their being deemed to be more likely to have the stigmatized condition, etc.—despite the beneficent intention to help them. In comparison, we do not find ourselves (too) ethically troubled by profiling a patient for a medical condition that does not bear a social stigma such as diabetes or heart disease. Consider, for example, the following case involving a health condition that does not bear a social stigma:
Designing for Veterans
Published in Rupa S. Valdez, Richard J. Holden, The Patient Factor, 2021
Arjun H. Rao, Farzan Sasangohar
Studies have shown that veterans experiencing mental health-related conditions face several challenges in reintegrating into civil society. Many of these challenges arise from difficulties related to social stigma. In particular, social stigma associated with seeking support prevents those affected from seeking formal and informal care and consequently causes them to suffer in isolation. Our patient ergonomic design study highlighted the need for discreetness. That is, veterans wanted to appear normal and did not want to attract attention to their condition. Overall, the veterans wanted a tool that would allow them to approach life without being exposed to stigma. This resulted in our approach to use off-the-shelf-products such as smartwatches and smartphones in contrast to alternative sensor arrangements or products that provided better sensitivity or bandwidth but were not discreet.
Personal Narratives of Mental Illness: From Hostage to Survivor
Published in Issues in Mental Health Nursing, 2023
Luciana White, Leanne Staniford
Despite being so prevalent in society, mental health issues are still represented negatively in different types of media, generating feelings of rejection towards the mentally ill (Klin & Lemish, 2008) and interfering with social integration. These representations have also been associated with prejudice, social and self-stigma (Atanasova et al., 2019; Klin & Lemish, 2008; Stuart, 2006; Wahl, 2004). Social stigma is defined by the reaction of the public towards a stigmatised group. According to the widely cited definition produced by Goffman (2009), stigma refers to an “attribute that is deeply discrediting” (p. 3). Link and Phelan (2001) further developed the concept by identifying key components, that together, create stigma. These components go from the recognition of differences and labelling of people, to the association of the labelled people with undesirable attributes. This association is guided by dominant cultural ideology. Subsequently, labelled people are categorised, experiencing loss of social status and discrimination, which in turn lead to unfavourable outcomes. In short, social stigma is a mark that devaluates individuals and affects them adversely (Tsao et al., 2008), bringing consequences such as social isolation, poor health care, decreased job opportunities and inadequate housing (Corrigan & Watson, 2002).
Health professionals’ perception of social stigma and its relationship to compassion satisfaction, burnout, compassion fatigue, and intention to leave the profession during the COVID-19 pandemic
Published in Journal of Workplace Behavioral Health, 2022
K. Tari Selçuk, D. Avci, M. Ataç
In the context of health, social stigma is defined as stigmatizing, stereotyping and discrimination of people due to illness (Grover, Singh, Sahoo, & Mehra, 2020). In several studies, it is reported that during the COVID-19 pandemic process, healthcare workers have become the target of stigmatization because they are perceived as a source of infection and avoided by individuals, and thus are excluded from the society (Taylor et al., 2020; Bagcchi, 2020). In studies in which the effect of social stigmatization on healthcare workers during the COVID-19 outbreak is investigated, it has been indicated that social stigma is the most important determinant of psychological distress (Khan, Akter, Khan, Shariar, & Miah, 2022; Ramaci et al., 2020) and that it is correlated with increased levels of depression, anxiety, and burnout (Trumello et al., 2020). It is also reported that these psychological problems associated with social stigma can change the attention and decision-making ability of healthcare professionals, which can affect their success of managing the ongoing crisis (Singh & Subedi, 2020).
Policies and Interventions to Reduce Familial Mental Illness Stigma: A Scoping Review of Empirical Literature
Published in Issues in Mental Health Nursing, 2021
Joseph Adu,, Abram Oudshoorn,, Kelly Anderson,, Carrie Anne Marshall,, Heather Stuart,, Meagan Stanley,
This review highlights a dearth of empirical studies on policies and interventions to reduce familial mental illness stigma in the countries studied. The limited number of primary studies (n = 7) published within the last two decades (2000–2020), in the four countries, highlights the need for further work. Without this foundation of research evidence, there is a lack of guidance for both best policies and best practices. There is a need for high-quality empirical studies in this area to inform future policies and interventions to reduce the occurrence of familial mental illness stigma, as well as other forms of stigma within communities. Also, familial mental illness stigma appears to be deeply interconnected with social or public stigma. It will be insightful for researchers and policymakers to evaluate the connections between social stigma and familial mental illness stigma going forward to find pragmatic and specific interventions to reduce its harmful impacts on persons with mental illnesses. Therefore, it is our recommendation that established mental illness stigma policies could be adapted to create specific policies and interventions to confront familial mental illness stigma in society.