Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness

IntroductionA qualitative evaluation of mental illness stigma experienced by people with mental illness (PMI) is currently lacking in Singapore. This study aims to employ qualitative methods to identify the common encounters of mental illness stigma experienced by PMI in Singapore and uncover their...

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Main Authors: Wei Jie Ong, Shazana Shahwan, Chong Min Janrius Goh, Gregory Tee Hng Tan, Siow Ann Chong, Mythily Subramaniam
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2020.590844/full
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author Wei Jie Ong
Shazana Shahwan
Chong Min Janrius Goh
Gregory Tee Hng Tan
Siow Ann Chong
Mythily Subramaniam
author_facet Wei Jie Ong
Shazana Shahwan
Chong Min Janrius Goh
Gregory Tee Hng Tan
Siow Ann Chong
Mythily Subramaniam
author_sort Wei Jie Ong
collection DOAJ
description IntroductionA qualitative evaluation of mental illness stigma experienced by people with mental illness (PMI) is currently lacking in Singapore. This study aims to employ qualitative methods to identify the common encounters of mental illness stigma experienced by PMI in Singapore and uncover their individual strategies and efforts to reduce mental illness stigma.MethodsThis study is part of a larger research project that explores the concept of mental illness stigma among different stakeholders in Singapore. Focus group discussions (FGDs) were conducted with 42 PMI to collect qualitative data on their experience with mental illness stigma, including encounters of stigma and individual strategies to reduce stigma. The inductive thematic analysis method was employed to analyze the data.ResultsThe eight emergent themes associated with encountering stigma in PMI’s everyday life were categorized into two over-arching themes, public stigma (i.e., negative beliefs and attitudes, subjected to contemptuous treatment, social exclusion, over-scrutinizing, and receiving excessive care and concern) and structural stigma (i.e., the requirement to declare psychiatric conditions during job interviews, excluded from consideration after the declaration, and requirement of medical endorsements for employment). Four themes regarding PMI’s individual strategies to reduce stigma were also identified (i.e., non-disclosure of condition, standing up for themselves, individual efforts in raising awareness, improving themselves, and living life as per normal).LimitationsParticipants may be influenced by social desirability bias due to the presence of other participants in an FGD setting. Also, those who agreed to participate in the study may possess strong views or beliefs about mental illness stigma and may therefore be inherently different from those who refused to participate.ConclusionOur findings on instances of public and structural stigma encountered by PMI in Singapore can guide policymakers with the development of future policies and strategies to reduce mental illness stigma in the Singapore society. Furthermore, our study also identified individual strategies that PMI employed to reduce mental illness stigma. However, the effectiveness of these strategies was unclear and little is known of their effect on PMI themselves. Hence, there is a need for future studies to examine these strategies.
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spelling doaj.art-b7af76a490dc4095ae9db91871f2176d2022-12-21T19:27:33ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-10-011110.3389/fpsyg.2020.590844590844Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental IllnessWei Jie OngShazana ShahwanChong Min Janrius GohGregory Tee Hng TanSiow Ann ChongMythily SubramaniamIntroductionA qualitative evaluation of mental illness stigma experienced by people with mental illness (PMI) is currently lacking in Singapore. This study aims to employ qualitative methods to identify the common encounters of mental illness stigma experienced by PMI in Singapore and uncover their individual strategies and efforts to reduce mental illness stigma.MethodsThis study is part of a larger research project that explores the concept of mental illness stigma among different stakeholders in Singapore. Focus group discussions (FGDs) were conducted with 42 PMI to collect qualitative data on their experience with mental illness stigma, including encounters of stigma and individual strategies to reduce stigma. The inductive thematic analysis method was employed to analyze the data.ResultsThe eight emergent themes associated with encountering stigma in PMI’s everyday life were categorized into two over-arching themes, public stigma (i.e., negative beliefs and attitudes, subjected to contemptuous treatment, social exclusion, over-scrutinizing, and receiving excessive care and concern) and structural stigma (i.e., the requirement to declare psychiatric conditions during job interviews, excluded from consideration after the declaration, and requirement of medical endorsements for employment). Four themes regarding PMI’s individual strategies to reduce stigma were also identified (i.e., non-disclosure of condition, standing up for themselves, individual efforts in raising awareness, improving themselves, and living life as per normal).LimitationsParticipants may be influenced by social desirability bias due to the presence of other participants in an FGD setting. Also, those who agreed to participate in the study may possess strong views or beliefs about mental illness stigma and may therefore be inherently different from those who refused to participate.ConclusionOur findings on instances of public and structural stigma encountered by PMI in Singapore can guide policymakers with the development of future policies and strategies to reduce mental illness stigma in the Singapore society. Furthermore, our study also identified individual strategies that PMI employed to reduce mental illness stigma. However, the effectiveness of these strategies was unclear and little is known of their effect on PMI themselves. Hence, there is a need for future studies to examine these strategies.https://www.frontiersin.org/articles/10.3389/fpsyg.2020.590844/fullmental illness stigmaindividual strategiesreducing stigmapublic stigmastructural stigmaSingapore
spellingShingle Wei Jie Ong
Shazana Shahwan
Chong Min Janrius Goh
Gregory Tee Hng Tan
Siow Ann Chong
Mythily Subramaniam
Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
Frontiers in Psychology
mental illness stigma
individual strategies
reducing stigma
public stigma
structural stigma
Singapore
title Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
title_full Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
title_fullStr Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
title_full_unstemmed Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
title_short Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma – Perspectives of People With Mental Illness
title_sort daily encounters of mental illness stigma and individual strategies to reduce stigma perspectives of people with mental illness
topic mental illness stigma
individual strategies
reducing stigma
public stigma
structural stigma
Singapore
url https://www.frontiersin.org/articles/10.3389/fpsyg.2020.590844/full
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