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Erschienen in: Community Mental Health Journal 6/2020

07.04.2020 | Original Paper

Self-Destigmatization Process? Experiences of Persons Living with Bipolar Disorder: A Qualitative Study

verfasst von: Hélène Richard-Lepouriel, Sophie Favre, Françoise Jermann, Jean-Michel Aubry

Erschienen in: Community Mental Health Journal | Ausgabe 6/2020

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Abstract

This qualitative study investigated subjective experiences of self-stigmatization and self-destigmatization among people living with bipolar disorder (BD). We conducted in-depth interviews focusing on self-stigmatization and self-destigmatization with 22 individuals living with BD. The interview transcripts were thematically analyzed using a mixed inductive and deductive approach. Thirty-six codes were extracted and organized into six themes: language, behaviors, relationships, personal experience, identity, and healthcare. Each theme was characterized by an evolution process, and the codes were distributed in a step-by-step order as landmarks. The process begins with the experience of self-stigmatization, and develops toward self-destigmatization. This study presents a new six-dimension process called the “self-destigmatization process” (SDP), a personal and interrelational process that deconstructs self-stigmatization. Clinicians can use the landmarks of the process for clinical assessment and therapeutic interventions to increase recovery orientation.
Literatur
Zurück zum Zitat Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry,37, 586–594.PubMedCrossRef Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry,37, 586–594.PubMedCrossRef
Zurück zum Zitat Aubin-Auger, I., Mercier, A., Baumann, L., Lehr-Drylewicz, A. M., Imbert, P., & Letrilliart, L. (2008). Introduction à la recherche qualitative. Exercer,84(19), 142–145. Aubin-Auger, I., Mercier, A., Baumann, L., Lehr-Drylewicz, A. M., Imbert, P., & Letrilliart, L. (2008). Introduction à la recherche qualitative. Exercer,84(19), 142–145.
Zurück zum Zitat Aydemir, O., & Akkaya, C. (2011). Association of social anxiety with stigmatisation and low self-esteem in remitted bipolar patients. Acta Neuropsychiatry,23, 224–228.CrossRef Aydemir, O., & Akkaya, C. (2011). Association of social anxiety with stigmatisation and low self-esteem in remitted bipolar patients. Acta Neuropsychiatry,23, 224–228.CrossRef
Zurück zum Zitat Braun, V., & Clake, V. (2006). Using thematic analysis in psychology. Quality in Research Psychology,3, 77–101.CrossRef Braun, V., & Clake, V. (2006). Using thematic analysis in psychology. Quality in Research Psychology,3, 77–101.CrossRef
Zurück zum Zitat Brohan, E., Elgie, R., Sartorius, N., Thornicroft, G., & GAMIAN-Europe Study Group. (2010). Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophrenia Research,122(1–3), 232–238.PubMedCrossRef Brohan, E., Elgie, R., Sartorius, N., Thornicroft, G., & GAMIAN-Europe Study Group. (2010). Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophrenia Research,122(1–3), 232–238.PubMedCrossRef
Zurück zum Zitat Brohan, E., Gauci, D., Sartorius, N., & Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study. Journal of Affective Disorders,129, 56–63.PubMedCrossRef Brohan, E., Gauci, D., Sartorius, N., & Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study. Journal of Affective Disorders,129, 56–63.PubMedCrossRef
Zurück zum Zitat Carpenter, C. M., & Suto, M. (2008). Qualitative research for occupational and physical therapists: A practical guide. New York: Wiley. Carpenter, C. M., & Suto, M. (2008). Qualitative research for occupational and physical therapists: A practical guide. New York: Wiley.
Zurück zum Zitat Cerit, C., Filizer, A., Tural, U., & Tufan, A. E. (2012). Stigma: A core factor on predicting functionality in bipolar disorder. Comprehensive Psychiatry,53, 484–489.PubMedCrossRef Cerit, C., Filizer, A., Tural, U., & Tufan, A. E. (2012). Stigma: A core factor on predicting functionality in bipolar disorder. Comprehensive Psychiatry,53, 484–489.PubMedCrossRef
Zurück zum Zitat Chan, R. C., Mak, W. W., & Lam, M. Y. (2018). Self-stigma and empowerment as mediating mechanisms between ingroup perceptions and recovery among people with mental illness. Stigma and Health,3(3), 283.CrossRef Chan, R. C., Mak, W. W., & Lam, M. Y. (2018). Self-stigma and empowerment as mediating mechanisms between ingroup perceptions and recovery among people with mental illness. Stigma and Health,3(3), 283.CrossRef
Zurück zum Zitat Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: Understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin,136, 236–256.PubMedPubMedCentralCrossRef Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: Understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin,136, 236–256.PubMedPubMedCentralCrossRef
Zurück zum Zitat Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine,45, 11–27.PubMedCrossRef Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine,45, 11–27.PubMedCrossRef
Zurück zum Zitat Combs, G., & Freedman, J. (2016). Narrative therapy's relational understanding of identity. Family Process,55, 211–224.PubMedCrossRef Combs, G., & Freedman, J. (2016). Narrative therapy's relational understanding of identity. Family Process,55, 211–224.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W. (2002). Testing social cognitive models of mental illness stigma: The prairie state stigma studies. Psychiatriatic and Rehabilitation Skills,6, 232–254.CrossRef Corrigan, P. W. (2002). Testing social cognitive models of mental illness stigma: The prairie state stigma studies. Psychiatriatic and Rehabilitation Skills,6, 232–254.CrossRef
Zurück zum Zitat Corrigan, P. W. (2004). Target-specific stigma change: A strategy for impacting mental illness stigma. Psychiatric Rehabilitation Journal,28, 113–121.PubMedCrossRef Corrigan, P. W. (2004). Target-specific stigma change: A strategy for impacting mental illness stigma. Psychiatric Rehabilitation Journal,28, 113–121.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Larson, J. E., & Kuwabara, S. A. (2010). Social psychology of the stigma of mental illness: Public and self-stigma models. Corrigan, P. W., Larson, J. E., & Kuwabara, S. A. (2010). Social psychology of the stigma of mental illness: Public and self-stigma models.
Zurück zum Zitat Corrigan, P. W., Rafacz, J., & Rusch, N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research,189, 339–343.PubMedPubMedCentralCrossRef Corrigan, P. W., Rafacz, J., & Rusch, N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research,189, 339–343.PubMedPubMedCentralCrossRef
Zurück zum Zitat Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. Canadian Journal of Psychiatry,57, 464–469.PubMedCrossRef Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. Canadian Journal of Psychiatry,57, 464–469.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical and Psychological Science Practice,9, 35–53.CrossRef Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical and Psychological Science Practice,9, 35–53.CrossRef
Zurück zum Zitat Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology,25, 875–884.CrossRef Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology,25, 875–884.CrossRef
Zurück zum Zitat Cuhadar, D., & Cam, M. O. (2014). Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Archives of Psychiatric Nursing,28, 62–66.PubMedCrossRef Cuhadar, D., & Cam, M. O. (2014). Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Archives of Psychiatric Nursing,28, 62–66.PubMedCrossRef
Zurück zum Zitat Cunningham, K. C., & Lucksted, A. (2017). Social cognition, internalized stigma, and recovery orientation among adults with serious mental illness. Psychiatric Rehabilitation Journal,40, 409–411.PubMedPubMedCentralCrossRef Cunningham, K. C., & Lucksted, A. (2017). Social cognition, internalized stigma, and recovery orientation among adults with serious mental illness. Psychiatric Rehabilitation Journal,40, 409–411.PubMedPubMedCentralCrossRef
Zurück zum Zitat Dinos, S., Stevens, S., Serfaty, M., Weich, S., & King, M. (2004). Stigma: The feelings and experiences of 46 people with mental illness. Qualitative study. British Journal of Psychiatry,184, 176–181.PubMedCrossRef Dinos, S., Stevens, S., Serfaty, M., Weich, S., & King, M. (2004). Stigma: The feelings and experiences of 46 people with mental illness. Qualitative study. British Journal of Psychiatry,184, 176–181.PubMedCrossRef
Zurück zum Zitat Drapalski, A. L., Lucksted, A., Perrin, P. B., Aakre, J. M., Brown, C. H., DeForge, B. R., et al. (2013). A model of internalized stigma and its effects on people with mental illness. Psychiatric Services (Washington, D. C.),64, 264–269.CrossRef Drapalski, A. L., Lucksted, A., Perrin, P. B., Aakre, J. M., Brown, C. H., DeForge, B. R., et al. (2013). A model of internalized stigma and its effects on people with mental illness. Psychiatric Services (Washington, D. C.),64, 264–269.CrossRef
Zurück zum Zitat Ellison, N., Mason, O., & Scior, K. (2013). Bipolar disorder and stigma: A systematic review of the literature. Journal of Affective Disorders,151, 805–820.PubMedCrossRef Ellison, N., Mason, O., & Scior, K. (2013). Bipolar disorder and stigma: A systematic review of the literature. Journal of Affective Disorders,151, 805–820.PubMedCrossRef
Zurück zum Zitat Ellison, N., Mason, O., & Scior, K. (2015). Public beliefs about and attitudes towards bipolar disorder: Testing theory based models of stigma. Journal of Affective Disorders,175, 116–123.PubMedCrossRef Ellison, N., Mason, O., & Scior, K. (2015). Public beliefs about and attitudes towards bipolar disorder: Testing theory based models of stigma. Journal of Affective Disorders,175, 116–123.PubMedCrossRef
Zurück zum Zitat Etikan, I. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Applied Statistics,5, 1–4. Etikan, I. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Applied Statistics,5, 1–4.
Zurück zum Zitat Firmin, R. L., Luther, L., Lysaker, P. H., Minor, K. S., McGrew, J. H., Cornwell, M. N., et al. (2017). Stigma resistance at the personal, peer, and public levels: A new conceptual model. Stigma and Health,2, 182–194.CrossRef Firmin, R. L., Luther, L., Lysaker, P. H., Minor, K. S., McGrew, J. H., Cornwell, M. N., et al. (2017). Stigma resistance at the personal, peer, and public levels: A new conceptual model. Stigma and Health,2, 182–194.CrossRef
Zurück zum Zitat Gilkes, M., Perich, T., & Meade, T. (2019). Predictors of self-stigma in bipolar disorder: Depression, mania, and perceived cognitive function. Stigma and Health,4(3), 330–336.CrossRef Gilkes, M., Perich, T., & Meade, T. (2019). Predictors of self-stigma in bipolar disorder: Depression, mania, and perceived cognitive function. Stigma and Health,4(3), 330–336.CrossRef
Zurück zum Zitat Gyamfi, S., Hegadoren, K., & Park, T. (2018). Individual factors that influence experiences and perceptions of stigma and discrimination towards people with mental illness in Ghana. International Journal of Mental Health Nursing,27(1), 368–377.PubMedCrossRef Gyamfi, S., Hegadoren, K., & Park, T. (2018). Individual factors that influence experiences and perceptions of stigma and discrimination towards people with mental illness in Ghana. International Journal of Mental Health Nursing,27(1), 368–377.PubMedCrossRef
Zurück zum Zitat Hofer, A., Post, F., Pardeller, S., Frajo-Apor, B., Hoertnagl, C. M., Kemmler, G., et al. (2019). Self-stigma versus stigma resistance in schizophrenia: Associations with resilience, premorbid adjustment, and clinical symptoms. Psychiatry Research,271, 396–401.PubMedCrossRef Hofer, A., Post, F., Pardeller, S., Frajo-Apor, B., Hoertnagl, C. M., Kemmler, G., et al. (2019). Self-stigma versus stigma resistance in schizophrenia: Associations with resilience, premorbid adjustment, and clinical symptoms. Psychiatry Research,271, 396–401.PubMedCrossRef
Zurück zum Zitat Kondrat, D., & Early, T. J. (2010). An exploration of the working alliance in mental health case management. Soc Work Res,34, 201–211.CrossRef Kondrat, D., & Early, T. J. (2010). An exploration of the working alliance in mental health case management. Soc Work Res,34, 201–211.CrossRef
Zurück zum Zitat Latalova, K., Ociskova, M., Prasko, J., Kamaradova, D., Jelenova, D., & Sedlackova, Z. (2013). Self-stigmatization in patients with bipolar disorder. Neuro-Endocrinological Letters,34, 265–272. Latalova, K., Ociskova, M., Prasko, J., Kamaradova, D., Jelenova, D., & Sedlackova, Z. (2013). Self-stigmatization in patients with bipolar disorder. Neuro-Endocrinological Letters,34, 265–272.
Zurück zum Zitat Levy, B., Tsoy, E., Brodt, M., Petrosyan, K., & Malloy, M. (2015). Stigma, social anxiety, and illness severity in bipolar disorder: Implications for treatment. Annals of Clinical Psychiatry,27, 55–64.PubMed Levy, B., Tsoy, E., Brodt, M., Petrosyan, K., & Malloy, M. (2015). Stigma, social anxiety, and illness severity in bipolar disorder: Implications for treatment. Annals of Clinical Psychiatry,27, 55–64.PubMed
Zurück zum Zitat Lipfird, A. C. (2015). Self-stigma: A personal journey. Psychiatric Rehabilitation Journal,38, 201–202.PubMedCrossRef Lipfird, A. C. (2015). Self-stigma: A personal journey. Psychiatric Rehabilitation Journal,38, 201–202.PubMedCrossRef
Zurück zum Zitat Lucksted, A., Drapalski, A., Calmes, C., Forbes, C., DeForge, B., & Boyd, J. (2011). Ending self-stigma: Pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses. Psychiatric Rehabilitation Journal,35, 51–54.PubMedCrossRef Lucksted, A., Drapalski, A., Calmes, C., Forbes, C., DeForge, B., & Boyd, J. (2011). Ending self-stigma: Pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses. Psychiatric Rehabilitation Journal,35, 51–54.PubMedCrossRef
Zurück zum Zitat Lucksted, A., & Drapalski, A. L. (2015). Self-stigma regarding mental illness: Definition, impact, and relationship to societal stigma. Psychiatric Rehabilitation Journal,38, 99–102.PubMedCrossRef Lucksted, A., & Drapalski, A. L. (2015). Self-stigma regarding mental illness: Definition, impact, and relationship to societal stigma. Psychiatric Rehabilitation Journal,38, 99–102.PubMedCrossRef
Zurück zum Zitat Lucksted, A., Drapalski, A. L., Brown, C. H., Wilson, C., Charlotte, M., Mullane, A., et al. (2017). Outcomes of a psychoeducational intervention to reduce internalized stigma among psychosocial rehabilitation clients. Psychiatric Services (Washington, D. C.),68, 360–367.CrossRef Lucksted, A., Drapalski, A. L., Brown, C. H., Wilson, C., Charlotte, M., Mullane, A., et al. (2017). Outcomes of a psychoeducational intervention to reduce internalized stigma among psychosocial rehabilitation clients. Psychiatric Services (Washington, D. C.),68, 360–367.CrossRef
Zurück zum Zitat Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry,134, 382–389.PubMedCrossRef Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry,134, 382–389.PubMedCrossRef
Zurück zum Zitat Morton, E., Michalak, E. E., Hole, R., Buzwell, S., & Murray, G. (2018a). 'Taking back the reins': A qualitative study of the meaning and experience of self-management in bipolar disorder. Journal of Affective Disorders,228, 160–165.PubMedCrossRef Morton, E., Michalak, E. E., Hole, R., Buzwell, S., & Murray, G. (2018a). 'Taking back the reins': A qualitative study of the meaning and experience of self-management in bipolar disorder. Journal of Affective Disorders,228, 160–165.PubMedCrossRef
Zurück zum Zitat Morton, E., Michalak, E., Hole, R., Buzwell, S., & Murray, G. (2018b). The ‘new normal’: Relativity of quality of life judgments in individuals with bipolar disorder: A qualitative study. Quality of Life Research,27(6), 1493–1500.PubMedCrossRef Morton, E., Michalak, E., Hole, R., Buzwell, S., & Murray, G. (2018b). The ‘new normal’: Relativity of quality of life judgments in individuals with bipolar disorder: A qualitative study. Quality of Life Research,27(6), 1493–1500.PubMedCrossRef
Zurück zum Zitat Oexle, N., Müller, M., Kawohl, W., Xu, Z., Viering, S., Wyss, C., et al. (2018). Self-stigma as a barrier to recovery: A longitudinal study. European Archives of Psychiatry and Clinical Neuroscience,268(2), 209–212.PubMedCrossRef Oexle, N., Müller, M., Kawohl, W., Xu, Z., Viering, S., Wyss, C., et al. (2018). Self-stigma as a barrier to recovery: A longitudinal study. European Archives of Psychiatry and Clinical Neuroscience,268(2), 209–212.PubMedCrossRef
Zurück zum Zitat Pérez-Corrales, J., Pérez-de-Heredia-Torres, M., Martínez-Piedrola, R., Sánchez-Camarero, C., Parás-Bravo, P., & Palacios-Ceña, D. (2019). ‘Being normal’ and self-identity: The experience of volunteering in individuals with severe mental disorders: A qualitative study. British Medical Journal Open,9(3), e025363. Pérez-Corrales, J., Pérez-de-Heredia-Torres, M., Martínez-Piedrola, R., Sánchez-Camarero, C., Parás-Bravo, P., & Palacios-Ceña, D. (2019). ‘Being normal’ and self-identity: The experience of volunteering in individuals with severe mental disorders: A qualitative study. British Medical Journal Open,9(3), e025363.
Zurück zum Zitat Rapp, C. A., & Goscha, R. J. (2012). The strengths model: A recovery oriented approach to mental health services (3rd ed.). New York: Oxford University Press. Rapp, C. A., & Goscha, R. J. (2012). The strengths model: A recovery oriented approach to mental health services (3rd ed.). New York: Oxford University Press.
Zurück zum Zitat Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure [Research Support, US Gov’t, Non-PHS]. Psychiatry Research,121(1), 31–49.PubMedCrossRef Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure [Research Support, US Gov’t, Non-PHS]. Psychiatry Research,121(1), 31–49.PubMedCrossRef
Zurück zum Zitat Rosenberg, S. (2018). Coming in: Queer narratives of sexual self-discovery. Journal of Homosex,65, 1788–1816.CrossRef Rosenberg, S. (2018). Coming in: Queer narratives of sexual self-discovery. Journal of Homosex,65, 1788–1816.CrossRef
Zurück zum Zitat Sarisoy, G., Kacar, O. F., Pazvantoglu, O., Korkmaz, I. Z., Ozturk, A., Akkaya, D., et al. (2013). Internalized stigma and intimate relations in bipolar and schizophrenic patients: A comparative study. Comprehensive Psychiatry,54, 665–672.PubMedCrossRef Sarisoy, G., Kacar, O. F., Pazvantoglu, O., Korkmaz, I. Z., Ozturk, A., Akkaya, D., et al. (2013). Internalized stigma and intimate relations in bipolar and schizophrenic patients: A comparative study. Comprehensive Psychiatry,54, 665–672.PubMedCrossRef
Zurück zum Zitat Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., et al. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity,52(4), 1893–1907.CrossRef Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., et al. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity,52(4), 1893–1907.CrossRef
Zurück zum Zitat Suto, M. (2012). Stigma shrinks my bubble: A qualitative study of understandings and experiences of stigma and bipolar disorder. Stigma Research Action,2, 85–92. Suto, M. (2012). Stigma shrinks my bubble: A qualitative study of understandings and experiences of stigma and bipolar disorder. Stigma Research Action,2, 85–92.
Zurück zum Zitat Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., et al. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet,387, 1123–1132.CrossRef Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., et al. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet,387, 1123–1132.CrossRef
Zurück zum Zitat Tzouvara, V., Papadopoulos, C., & Randhawa, G. (2018). Self-stigma experiences among older adults with mental health problems residing in long-term care facilities: A qualitative study. Issues on Mental and Health Nursing,39, 403–410.CrossRef Tzouvara, V., Papadopoulos, C., & Randhawa, G. (2018). Self-stigma experiences among older adults with mental health problems residing in long-term care facilities: A qualitative study. Issues on Mental and Health Nursing,39, 403–410.CrossRef
Zurück zum Zitat Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., Liang, Y., et al. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology,16, 146.PubMedPubMedCentralCrossRef Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., Liang, Y., et al. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology,16, 146.PubMedPubMedCentralCrossRef
Zurück zum Zitat Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin,33, 1312–1318.PubMedPubMedCentralCrossRef Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin,33, 1312–1318.PubMedPubMedCentralCrossRef
Zurück zum Zitat West, M. L., Yanos, P. T., Smith, S. M., Roe, D., & Lysaker, P. H. (2011). Prevalence of internalized stigma among persons with severe mental illness. Stigma Research Action,1(1), 3.PubMedCrossRef West, M. L., Yanos, P. T., Smith, S. M., Roe, D., & Lysaker, P. H. (2011). Prevalence of internalized stigma among persons with severe mental illness. Stigma Research Action,1(1), 3.PubMedCrossRef
Zurück zum Zitat Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal,38, 171–178.PubMedCrossRef Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal,38, 171–178.PubMedCrossRef
Zurück zum Zitat Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978). A rating scale for mania: Reliability, validity and sensitivity. British Journal of Psychiatry,133, 429–435.PubMedCrossRef Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978). A rating scale for mania: Reliability, validity and sensitivity. British Journal of Psychiatry,133, 429–435.PubMedCrossRef
Metadaten
Titel
Self-Destigmatization Process? Experiences of Persons Living with Bipolar Disorder: A Qualitative Study
verfasst von
Hélène Richard-Lepouriel
Sophie Favre
Françoise Jermann
Jean-Michel Aubry
Publikationsdatum
07.04.2020
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 6/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-020-00614-7

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