"Unfortunately, we treat the chart:" sources of stigma in mental health settings

Psychiatr Q. 2009 Mar;80(1):55-64. doi: 10.1007/s11126-009-9093-7. Epub 2009 Feb 4.

Abstract

Background: Stigma within mental health settings may be equally detrimental to people with mental illnesses as societal stigma.

Aims: This study investigated stigma in mental health settings through a mixed qualitative-quantitative design.

Method: Practitioners at a community mental health center indicated (1) their subjective experience of treating people with mental illness, and (2) descriptive features of people with mental illness.

Results: Interpretive phenomenological analysis found that a primary theme across practitioners was the causes and effects of labeling patients, a process practitioners attributed to other practitioners and/or to systemic pressures to "treat the chart" instead of the patient. Beyond symptoms and deficits, practitioners rated people with mental illnesses as "insightful" and "able to recover."

Conclusions: These data suggest that stigma in mental health settings may be due to structural, systemic pressures on practitioners, with practitioners' emphasis on symptoms and deficits as a secondary factor.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Community Mental Health Centers*
  • Data Collection
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / therapy*
  • Middle Aged
  • Prejudice*
  • Prognosis
  • Stereotyping*
  • United States