Mental health literacy, stigma, shame and self criticism: a study among young adults
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Mental health literacy (MHL) and mental illness stigma (MIS) represent new horizons of study and intervention, particularly important, for both communities and clinical settings (European Commission y Portuguese Ministry of Health, 2010). In this paper we aimed to: a) describe a clinical sample (CS) and non clinical group (NCG) in aspects related to family history of psychopathology, contact with mental illness and “learning about mental illness”; b) differentiate groups in terms of MHL, shame and self criticism; c) test associations between MHL with shame and self criticism; and, in the clinical sample, d) test the relationship between self stigma, shame and self criticism; e) explore the predictor role of other’s support in self stigma. To do so we collected data from a sample of 187 young adults, including CS and NCG, using: a Sociobiographic Questionnaire; Opinions about Mental Illness (Cohen y Struening, 1962); Other as Shamer Scale (Goss, Gilbert y Allan, 1994); Internalized Shame Scale (Cook, 1994); and Forms of Self Criticizing and Self Reassuring Scale (Gilbert, Clarke, Hempel, Miles, y Irons, 2004). Our results show that: most of the subjects learned what is mental illness at school; CS know more people that has or had mental illness than NCG; there are no differences on MHL within samples; shame and self criticism are higher in the CS and correlate with self stigma; others support predict self-stigma. Several research and clinical implications are presented.
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BMC - Bourget Management Consulting for the Canadian Alliance on Mental Illness (2007). Mental Health Mental Health Literacy: A Review of the Literature, retrieved from: http://www.camimh.ca/files/literacy/LIT_REVIEW_MAY_6_07.pdf
Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in. Psychiatric Treatment, 6, 65-72.
Campos, L. (2014). Abrir espaço à saúde mental. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.
Carrigan P, Watson A (2002) The paradox of self-stigma and mental illness. Clinical Psychology Science and Practice, 9(1), 35–53.
Castilho, P. & Pinto-Gouveia, J. (2011). Autocriticismo: Estudo de validação da versão portuguesa da escala das formas do auto-criticismo e auto-tranquilização (FSCRS) e da escala das funções do auto-criticismo e auto-ataque (FSCS). Psychologica, 54, 63-86.
Cohen, J. & Struening, E.L. (1962). Opinions about mental illness in the personnel of two large mental hospitals. Journal of Abnormal and Social Psychology, 64, 349–360.
Cook, D. R. (1994). Internalized Shame Scale: Professional manual. Menomonie, WI: Channel Press, Available from author: E 5886 803rd Ave., Menomonie, WI 54751.
Corrigan, P.W., Demming Lurie, B., Goldman, H.H., Slopen, N., Medasani, K., & Phelan, S. (2005). How Adolescents Perceive the Stigma of Mental Illness and Alcohol Abuse. Psychiatric Services, 56, 544-550.
Eisenberg, D., Downs, M., Golberstein, E., Zivin, K. (2009). Stigma and Help-seeking for Mental Health among College Students. Medical Care Research & Review, 66(5), 522-541.
European Commission & Portuguese Ministry of Health (2010) [on line]. Background document for the thematic conference - Promoting Social Inclusion and Combating Stigma for better Mental Health and Well-being. Available at: http://ec.europa.eu/health/mental_health/docs/ev_20101108_bgdocs_en.pdf.
Gilbert, P. (2007). Psychotherapy and Counselling for Depression (3rd Eds). London: Sage.
Gilbert, P., Clarke, M., Hempel, S., Miles, J. N. V., & Irons, C. (2004) Criticising and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43, 31-50.
Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 235–263). London: Brunner-Routledge.
Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures. I: The other as shamer scale. Personality and Individual Differences, 17, 713–717.
Hogan, M. F. (2003). New Freedom Commission Report: The President’s New Freedom Commission. Recommendations to transform mental healthcare in America. Psychiatric Services,54,1467–1474.
Jorm, A. (Fevereiro, 2014). Literacia em saúde mental uma década de investigação e desafios. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.
Jorm, A. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177, 396-401.
Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollit, P. (1997). “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166, 182-186.
Jorm, A.F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67, 231-243.
Loureiro, L., Mendes, A., Barroso, T., Santos, J., Oliveira, R., & Ferreira, R. (2012). Literacia em Saúde Mental de Adolescentes e Jovens: conceitos e desafios. Revista de Enfermagem Referência, 3 (6), 157-166.
Loureiro, L., Dias, C. & Aragão, R. (2008). Crenças e Atitudes acerca das doenças e doentes mentais – Contributos para o estudo das representações sociais da loucura. Revista Referência, 8, 33-44. Disponível em: http://www.esenfc.pt/rr/rr/index.phpid_website=3&d=1&target=DetalhesArtigo&id_artigo=2118&id_rev=4&id_edicao=24
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2011). Other as Shamer. Versão portuguesa e propriedades psicométricas de uma medida de vergonha externa [Other as Shamer: Portuguese version and psychometric properties of a measure of external shame]. Manuscript submitted for publication.
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2012a). Above and beyond emotional valence: The unique contribution of central and traumatic shame memories to psychopathology vulnerability.
Memory, 20 (5), 461-477.
Matos, M., Pinto-Gouveia J., & Duarte, C. (2012b). When I don’t like myself: Psychometric properties of the Portuguese version of the Internalized Shame Scale. Spanish Journal of Psychology, 15 (3), 1411-1423.
Nestad G., Samuels J., Romanoski A., Folstein M. & McHugh P. (1994). Obsessions and compulsions in the community. Acta Psychiatrica Scandinavica, 89, 219-224.
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21 st century. Health Promotion International, 15(3), 259–267.
Organização Mundial de Saúde (OMS) (2001). Saúde mental, nova concepção, nova esperança: Relatório sobre a Saúde no Mundo. Genebra: OMS.
Palha, F. (Fevereiro, 2014). O estigma como inibidor da procura de ajuda em saúde mental. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.
Phelan, J.C., Link, B.G., Stueve, A. & Pescosolido, B.A. (2000). Public conceptions of mental illness in 1950 and 1996: What is mental illness and is it to be feared? Journal of Health and Social Behavior, 41(2), 188-207.
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental problems [Supplement]. Australian e-Journal for the Advancement of Mental Health, 4(3), 2–34.
Tangney, J. P., & Dearing R. L. (2002). Shame and Guilt. New York: Guilford.
World Health Organization (1998). Health promotion glossary. World Health Organization: Geneva. Retrieved from: http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf
Zuroff, D. C., Santor, D., & Mongrain, M. (2005). Dependency, self-criticism, and maladjustment. In J. S. Auerbach, K. J. Levy & C. E. Schaffer (Eds.), Relatedness, Self-Definition and Mental Representation: Essays in Honor of Sidney J. Blatt. London: Brunner- Routledge.