Controversies in Psychiatry Flashcards

1
Q

Stigma

A

A social construction that devalues people due to a distinguishing characteristic or mark

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2
Q

Discrimination

A

The actual behaviour towards another group. It involves excluding or restricting members of one group from opportunities that are available to other groups

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3
Q

Prejudice

A

A prejudgement i.e. an assumption made about someone or something before having adequate knowledge to be able to do so with guaranteed accuracy

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4
Q

What essentially is stigma?

A
  • Negative differentiation due to particular condition or state
  • Leads to discriminatory practices
  • Like prejudice, stigma involves definitions of character and class identification
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5
Q

How is stigma developed?

A
  • Attitudes develop early in childhood
  • Stigmas are usually over many years
  • Influenced by personal experience
  • Usually older males with less education
  • Tolerance depends on closeness of interaction
  • Little change in attitudes over last 50 years
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6
Q

How is stigmatisation reinforced?

A
  • Beliefs reinforce by sensational media reports
  • Portrayal of uncontrollable killers
  • Relatives: depiction of mental illness in movies most important contributor to stigmatisation
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7
Q

How can stigma be reduced?

A
  • See Me campaign: government campaign
  • Speak to the public

Individual level

  • Good med management
  • CBT approach to overcome it
  • Consider own attitudes
  • Influence of celebrities
  • Abolish ‘Us and Them’ attitude
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8
Q

What issues are there with the psychiatry diagnosis?

A
  • Diagnosis is purely clinical
  • Social control
  • Treatment without consent
  • Rising rates of antidepressant prescription
  • Security
  • Detention
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