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from
Part III
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Social factors and the outcome of psychosis
By
Graham Thornicroft, Health Service and Population Research Department, Box 29, Institute of Psychiatry De Crespigny Park, London, UK,
Aliya Kassam, Health Service and Population Research Department, Box 29, Institute of Psychiatry De Crespigny Park, London, UK
This chapter focuses on people who have diagnoses of mental illnesses. The stigma concept has been used extensively for some particular physical conditions. The focus on the core concept of stigma has also separated the field of mental illness from the mainstream of disability-related policy and, in particular, the stigma idea has offered policymakers and politicians few recommendations for action. 'Stigma' can be seen as an overarching term that contains three important elements: problems of knowledge (ignorance); problems of attitudes (prejudice); and problems of behaviour (discrimination). Most of the published work on mental health and stigma consists of attitude surveys, but very few have been repeated over time to see if attitudes are becoming more or less favourable. A series of common beliefs about mental illnesses have developed, which are firmly held but not based firmly on evidence. These are often described by experts as 'myths'.
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