Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T19:19:46.188Z Has data issue: false hasContentIssue false

Social Dominance Orientation and Discrimination against People with Schizophrenia: Evidence of Medicalization and Dangerousness Beliefs as Legitimizing Myths

Published online by Cambridge University Press:  25 October 2018

Dimitrios Lampropoulos*
Affiliation:
Aix Marseille Univ, LPS, Aix en Provence, France
Thémis Apostolidis
Affiliation:
Aix Marseille Univ, LPS, Aix en Provence, France
*
*Correspondence concerning this article should be addressed to Dimitrios Lampropoulos. Aix-Marseille Université. Laboratoire de Psychologie Sociale (EA849). Département de Psychologie Sociale et du Travail. Aix-en-Provence (France). E-mail: dimilamprop@gmail.com

Abstract

Medicalizing beliefs about schizophrenia (biogenetic causes and psychiatric labels) are connected to the belief that people with schizophrenia are dangerous and to discriminating intentions towards them. In this research, we draw on the Social Dominance theory and we examine these beliefs as legitimizing myths that are connected to the individuals’ social dominance orientation (SDO) and that legitimize discrimination. In total, 238 Humanities students participated in the current research (Mage = 20.4; SD = 3.03; 107 male and 131 female). A vignette presenting a person with schizophrenia symptoms that offered no labels or explanations about the depicted person’s condition was presented to research participants. A structural equation modeling analysis was carried out, in order to confirm our hypotheses in accordance with social dominance theory. Participants’ social dominance orientation (SDO) was associated with higher endorsement of medicalizing (β = .16, p < .01) and dangerousness beliefs (β = .22, p < .001). In turn, medicalizing beliefs were connected to dangerousness (β = .21, p < .001) and higher discriminating intentions, both for desired social distance (β = .15, p < .05) and for deprivation of sociopolitical rights (β = .14, p < .05). Dangerousness was highly associated with both these measures (β = .28, p < .001 and β = 43, p < .001 respectively) while SDO was not significantly associated with discriminating intentions. Our model showed good fit to the data. This study confirms the role of SDO in schizophrenia stigma and the fact that ideological and power factors underpin the stigma of schizophrenia.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Funding information: Region of PACA (Provence-Alpes-Côte d’Azur)

References

Angermeyer, M. C., & Matschinger, H. (2003). Public beliefs about schizophrenia and depression: Similarities and differences. Social Psychiatry and Psychiatric Epidemiology, 38(9), 526534. https://doi.org/10.1007/s00127-003-0676-6CrossRefGoogle ScholarPubMed
Angermeyer, M. C., Millier, A., Rémuzat, C., Refaï, T., & Toumi, M. (2013). Attitudes and beliefs of the French public about schizophrenia and major depression: Results from a vignette-based population survey. BMC Psychiatry, 13. https://doi.org/10.1186/1471-244X-13-313CrossRefGoogle ScholarPubMed
Corrigan, P., Markowitz, F. E., Watson, A., Rowan, D., & Kubiak, M. A. (2003). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44(2), 162179. https://doi.org/10.2307/1519806CrossRefGoogle ScholarPubMed
Corrigan, P. W., & Watson, A. C. (2004). At Issue: Stop the stigma: Call mental illness a brain disease. Schizophrenia Bulletin, 30(3), 477479. https://doi.org/10.1093/oxfordjournals.schbul.a007095CrossRefGoogle ScholarPubMed
Corrigan, Patrick W. (2014). Erasing stigma is much more than changing words. Psychiatric Services, 65(10), 12631264. https://doi.org/10.1176/appi.ps.201400113CrossRefGoogle ScholarPubMed
Duarte, S., Dambrun, M., & Guimond, S. (2004). Social dominance and legitimizing myths: Validation of a French form of the Social Dominance Orientation scale. Revue Internationale de Psychologie Sociale, 17(4), 97126.Google Scholar
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity . New York, NY: Simon & Schuster.Google Scholar
Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74(6), 14641480. https://doi.org/10.1037/0022-3514.74.6.1464CrossRefGoogle ScholarPubMed
Haqanee, Z., Lou, E., & Lalonde, R. N. (2014). Natural kind and entitative beliefs in relation to prejudice toward mental disorders. Journal of Applied Social Psychology, 44(2), 145153. https://doi.org/10.1111/jasp.12249CrossRefGoogle Scholar
Haslam, N. (2000). Psychiatric categories as natural kinds: Essentialist thinking about mental disorder. Social Research, 67(4), 10311058.Google Scholar
Kvaale, E. P., Gottdiener, W. H., & Haslam, N. (2013). Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople. Social Science & Medicine, 96, 95103. https://doi.org/10.1016/j.socscimed.2013.07.017CrossRefGoogle ScholarPubMed
Kvaale, E. P., & Haslam, N. (2016). Motivational orientations and psychiatric stigma: Social motives influence how causal explanations relate to stigmatizing attitudes. Personality and Individual Differences, 89, 111116. https://doi.org/10.1016/j.paid.2015.09.044CrossRefGoogle Scholar
Lampropoulos, D., Wolman, A., & Apostolidis, T. (2017). Analyzing the presentation and the stigma of schizophrenia in French newspapers. Social Psychiatry and Psychiatric Epidemiology, 52(12), 15411547. https://doi.org/10.1007/s00127-017-1455-0CrossRefGoogle ScholarPubMed
Link, B. G., Cullen, F. T., Frank, J., & Wozniak, J. F. (1987). The social rejection of former mental patients: Understanding why labels matter. American Journal of Sociology, 92(6), 14611500. https://doi.org/10.1086/228672CrossRefGoogle Scholar
Link, B. G., & Phelan, J. C. (2013). Labeling and stigma. In Aneshensel, C. S., Phelan, J. C., & Bierman, A. (Eds.), Handbook of the sociology of mental health (pp. 525541). Dordrecht, The Netherlands: Springer.CrossRefGoogle Scholar
Magallares, A., Perez-Garin, D., & Molero, F. (2016). Social stigma and well-being in a sample of schizophrenia patients. Clinical Schizophrenia & Related Psychoses, 10(1), 5157. https://doi.org/10.3371/csrp.MAPE.043013CrossRefGoogle Scholar
Michinov, N., Dambrun, M., Guimond, S., & Méot, A. (2005). Social dominance orientation, prejudice, and discrimination: A new computer-based method for studying discriminatory behaviors. Behavior Research Methods, 37(1), 9198. https://doi.org/10.3758/BF03206402CrossRefGoogle ScholarPubMed
Pescosolido, B. A. (2013). The public stigma of mental illness: What do we think; what do we know; what can we prove? Journal of Health and Social Behavior, 54(1), 121. https://doi.org/10.1177/0022146512471197CrossRefGoogle ScholarPubMed
Pescosolido, B. A., Martin, J. K., Long, J. S., Medina, T. R., Phelan, J. C., & Link, B. G. (2010). “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. The American Journal of Psychiatry, 167(11), 13211330. https://doi.org/10.1176/appi.ajp.2010.09121743CrossRefGoogle ScholarPubMed
Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The ‘backbone’ of stigma: Identifying the global core of public prejudice associated with mental illness. American Journal of Public Health, 103(5), 853860. https://doi.org/10.2105/AJPH.2012.301147CrossRefGoogle ScholarPubMed
Peterson, R. A. (2001). On the use of college students in social science research: Insights from a second-order meta-analysis. Journal of Consumer Research, 28(3), 450461. https://doi.org/10.1086/323732CrossRefGoogle Scholar
Phelan, J. C. (2005). Geneticization of deviant behavior and consequences for stigma: The case of mental illness. Journal of Health and Social Behavior, 46(4), 307322. https://doi.org/10.1177/002214650504600401CrossRefGoogle ScholarPubMed
Pratto, F., Sidanius, J., & Levin, S. (2006). Social dominance theory and the dynamics of intergroup relations: Taking stock and looking forward. European Review of Social Psychology, 17(1), 271320. https://doi.org/10.1080/10463280601055772CrossRefGoogle Scholar
Read, J., Haslam, N., Sayce, L., & Davies, E. (2006). Prejudice and schizophrenia: A review of the ‘mental illness is an illness like any other’ approach. Acta Psychiatrica Scandinavica, 114(5), 303318. https://doi.org/10.1111/j.1600-0447.2006.00824.xCrossRefGoogle ScholarPubMed
Roelandt, J.-L., Caria, A., Defromont, L., Vandeborre, A., & Daumerie, N. (2010). Représentations sociales du « fou », du « malade mental » et du « dépressif » en population générale en France [Representations of insanity, mental illness and depression in General Population in France]. L’Encéphale, 36(3), 713. https://doi.org/10.1016/S0013-7006(10)70012-9CrossRefGoogle Scholar