
Paradigms Lost: Fighting Stigma and the Lessons Learned
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Content
- Cover
- Contents
- PART I: Eroding Paradigms
- 1. Introduction-The Nature and Nurture of Stigma
- The Origins and Meaning of Stigma
- Consequences of Stigma for People with a Mental Illness
- Consequences for Family Members
- Consequences of Stigma for Mental Health Systems and Societies
- Anti-Stigma Initiatives Are Growing
- 2. Paradigm 1: Developed Countries Have Eradicated Stigma Related Discrimination
- Mental Health Development
- Employment Inequity
- NIMBYism, Homelessness, and the Inverse Care Law
- Media Depictions and Public Tolerance
- 3. Paradigm 2: There Is Little Stigmatization in Developing Countries
- Exploding the Myth
- Stigma in Other Cultures
- 4. Paradigm 3: Stigma Reduction Requires Well-Developed Plans
- A Case for Enlightened Opportunism
- Networks of Practice
- Network Governance and Leadership
- General Principles, Rather than Specific Plans, Guide Anti-Stigma Activities
- 5. Paradigm 4: Science Is the Best Guide for Programmes
- Evidence-Based Advocacy
- Evidence is In the Eye of the Beholder
- To Be Successful, Programs Must Target Local Needs
- To Be Successful, Programs Must Build Better Practices
- 6. Paradigm 5: Psychiatrists Should Lead Antistigma Programmes
- Mental Health Professionals Are Worthy Targets of Anti-Stigma Programs
- Stigma in General Health-Care Settings
- Mental Health Systems as Agents of Social Control
- What Can Mental Health Professionals Do Differently?
- 7. Paradigm 6: Improved Knowledge About Mental Illness Will Eradicate Stigma
- The Nature of Prejudice
- Can Prejudice Respond to Nuggets of Knowledge?
- What About Mental Health Literacy?
- Anti-Stigma Programs as Purveyors of Medical Knowledge
- 8. Paradigm 7: Attitude Change Is the Yardstick of Success
- The Knowledge-Attitude-Behavior Continuum
- What We Don't Know About Prejudice Reduction
- How Much Change Is Change?
- When Are Anti-Stigma Programs Successful?
- Environments Are Not Just Containers
- 9. Paradigm 8: Community Care Is Destigmatizing
- Stigma as a Consequence of Institutionalization
- Stigma as a Consequence of Community Care
- Stigma as a Social Barrier to Recovery
- 10. Paradigm 9: Anti-Stigma Campaigns Work
- The Cause De Jour
- Can Social Inclusion Be Sold Like Soap?
- 11. Paradigm 10: Mental Illnesses Are Like Any Other Illnesses
- Forced Confinement and Treatment
- Anti-Psychiatry Sentiments
- Violence and Unpredictability
- An Illness Like Any Other?
- 12. Paradigm 11: Stigma Can't Be Beaten
- The Importance of Fighting Back
- Overcoming NIMBYism-the "Not In My Back Yard" Syndrome
- Changing the Way Emergency Departments Do Business
- Connecting with Teachers and Students
- Engaging the Police
- Engaging the Media
- Can Community Projects Make a Population Difference?
- 13. Summary of Part I
- Implications for Anti-Stigma Programming-Paradigms Lost
- PART II: Building Programs Against Stigma and Its Consequences
- 14. Getting Going
- Introduction
- Developing a Program Committee
- Creating an Advisory Committee
- Setting Clear Goals
- Creating Interest
- Acquiring and Monitoring Resources
- Chapter Summary and Chapter Checklist
- 15. Identifying Program Priorities
- Identifying Program Priorities Through Qualitative Investigation
- Identifying Program Priorities Using Semi-Structured Interviews
- Identifying Program Priorities Using Surveys
- Chapter Summary and Chapter Checklist
- 16. Program Development
- Picking Target Groups
- Choosing a Program Approach
- Including People Who Have Experienced a Mental Illness in Program Delivery
- Families
- Using Media Wisely
- Pilot Testing
- Chapter Summary and Chapter Checklist
- 17. Program Monitoring and Evaluation
- Using Qualitative Data to Monitor Program Implementation
- Assessing Change
- Devising and Implementing a Data Collection Plan
- Identifying Lessons Learned
- Ethical Issues in Evaluation
- Communicating Results
- Chapter Summary and Chapter Checklist
- Bibliography and Suggested Readings
- The Nature of Stigma
- Evaluation Methods
- Works Cited
- Appendix: Inventories of Stigma Experiences
- Personal Experiences with the Stigma of Mental Illness
- Family Experiences with the Stigma of Mental Illness
- Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
- Z
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