Post on 22-Feb-2018
Patrick CorriganIllinois Institute of Technology
What says the dodo bird?
“I must fight in the open!”
0
50
100
150
200
250
300
1970 1980 1990 2000 2010
.
.
050
100150200250300350400450
1970 1980 1990 2000 2010 2014
.
.
77
N=213
Stigmatizing Attitudes andBehavioral Intentions
Education:Responsibility
Contact:Dangerousness
Education:Dangerousness
Contact:Responsibility
Control
Attitudes and Intentions @ post and 1 wk f-up
-2.5
-2
-1.5
-1
-0.5
0
0.5
1
1.5
control ed:danger ed:respon ct:danger ct:respon
prepost
0.3
0.35
0.4
0.45
0.5
0.55
0.6
0.65
Pos Neg
6.8
7.3
7.8
8.3
8.8
9.3
9.8
10.3
10.8
control ed:danger ed:respon ct:danger ct:respon
pref-up
0
1
2
3
4
5
6
7
8
low mod high
stigma change
0
1
2
3
4
5
6
7
8
low mod high
stigma change
LP6
Slide 7
LP6 centered chart
fixed connecting lines
capitalized "control" to match other boxesLab's PC, 11/7/2008
UNINTENDED CONSEQUENCES
Everybody has won and all must have
prizes!
PsychoanalysisCognitive Therapy
BEAT RACISM
DON’T ASKDON’T TELL
BEAT HOMOPHOBIA
“THE POOR!”“THE WEAK!”
“THE LEAST IMPORTANT!”
“THE POOR!”“THE WEAK!”
“THE LEAST IMPORTANT!”“Whatsoever you do to the least of my brethren,
that you do unto me!”John
BESTOW
EMPOWER
EASY STUFF:Just change the words!Just cure the disease!
Leprosy to Hansen’s Disease
Dementia to Alzheimer’s
Mental Retardation to Intellectual Disability
Mania to Bipolar Illness
Japan: Seishin-Bunretsu-Byo to togo shitco sho
Korea: Jeongshin-bunyeol to Johyun-byung
Hong Kong: Jing Shen Fen Lie to Si Jue Shi Tiao
Singapore, China
“mind split disease” “integration disorder”
“attunement disorder”“mind splitted disorder”
“dysfunction of thought and perception”
“splitting of the mind”
Sartorius et al., 2014
The Data◦ Japan: mixed findings (Takashi et al., 2009, 2011)
◦ Relationship between name recognition and recovery (Sato in preparation, 2014)
◦ Hansen’s Disease (Oliveria et al., 2003; Van Brakel et al., in press)
Perpetuates the difference
Prejudice and discrimination more than words.◦ MODERN RACISM
It Looks Easy:SAMHSA forbids “stigma”NIMH and other funders decrease supportAdvocacy groups: No longer a problem
KNOWLEDGE IS GOLD:Educate stigma away!
21
Protest Education Contact
Media‐basedIn vivo
vehicle
-------processes--------
22
Protest Education Contact
Media‐basedIn vivo
vehicle
-------processes--------
EDUCATION
75% US school districts43 countries
RESEARCH
Uncertain effects No effectsRTI (1994) Cal Dept Ed (1995)
U Maryland (1998)Worse effects APA (1999)
Indiana U (1992)
RECOVERY
RECOVERY
HIRE THEM?RENT TO THEM?EQUAL HEALTH CARE?
Myths of Mental Illness vs Facts◦ People with mental illness are dangerous.◦ Epidemiological research.
Disseminate◦ Manuals◦ Internet
Resonates with our education system◦ LITERACY
Sixteen representative samples of nation-defined populations
230 to 6000 Ss
Response rates: 65-85%
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
0
10
20
30
40
50
60
70
1990 1994 1998 2002 2006
SzDep
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Inherited/Genetic
META-ANALYSIS FINDINGS: CAUSE
0
10
20
30
40
50
60
70
80
1990 1994 1998 2002 2006
SzDep
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Brain Disease
META-ANALYSIS FINDINGS: CAUSE
0
10
20
30
40
50
60
1990 1994 1998 2002 2006
SzDep
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Co-worker
META-ANALYSIS FINDINGS: ACCEPTANCE
0
10
20
30
40
50
60
1990 1994 1998 2002 2006
SzDep
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Neighbor
META-ANALYSIS FINDINGS: ACCEPTANCE
33
Protest Education Contact
Media‐basedIn vivo
vehicle
-------processes--------
PROTEST
PROTEST:The Pros and CONs!
35
Protest◦Review stigmatizing images◦Shame on you for thinking that way
36
37
Beware the rebound effect
the white bear
NAMI - stigmabusters
The JASONUT
The CRAZY FACE
The SUICIDE SQUEEZE
Located in Campbell and San Jose California
Join the national on-line food fight.
Help turn lemon donuts into lemonade.
Join the national on-line food fight.
Help turn lemon donuts into lemonade.
I'm an advocate of equal rights and a more tolerant world toward all people of different races, religion, gender, and sexual orientation; but that is it. Any thing else is just moronic.
Stan Rezaee, Aug, 2009
FRANCHISEOPPORTUNITIES
43
Protest Education Contact
Media‐basedIn vivo
vehicle
-------processes--------
CONTACT
CONTACT vs EDUCATIONThe Pros and CONs!
45
Contact
“Meet Bob Lundin”
46
Bob’s story◦ My name is ______ and I have a severe mental
illness called schizo-affective disorder
◦ My childhood was not unusual…
◦ Unfortunately, my mental illness was traumatic. It did not go away quickly…
◦ Despite these problems, I have achieved several accomplishments.
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
overall attitudes behavior
education
contact
p<.05 p<.05p<.05
CORRIGAN ET AL., 2012
0
0.1
0.2
0.3
0.4
0.5
0.6
overall attitudes
education
contactns
*ns
***
*** ***
k=190 k=16k=136k=43
Mean effect sizes:Pre-Follow-up
SOCIAL MARKETINGIts Promise and Limitations
What a DIFFERENCE a friend makes!
51
Change a Mind
REAL WARRIORS + REAL BATTLES
REAL STRENGTHS
Connecting Veterans and their friends and family members with information, resources, and solutions to issues affecting their health, well-being, and everyday lives.
MAKETHECONNECTION.NET
What a DIFFERENCE a friend makes!
55
27%
27%
28%
28%
29%
29%
30%
30%
31%
31%
32%
(March 2008) (May, 2009)
frequency
frequ
Video Games
56
Website visits
57
Odds Ratio 2.81***
58
MILLIONS
thousands
59
MILLIONS
thousands
Just going to the site is not enough
88% left after one minute!
TLC 3
TargetedLocalCredibleContinuousContact
61
Corrigan, 2011
LandlordsHealth care professionalsTeachersLegislators Employers
x
CHICAGO: the heart and brains of Illinois
ILLINOIS
Does it play in
PEORIA?
CityOfficeChurch, synagogue, mosque
School
67
68
Good stigma change
credible
continuous
Contact with whom?
Example◦Military (PTSD)◦Other enlisted membersMarines from marinesSailors from sailors
69
Once is not enough
And cannot be carbon copies
70
TargetedLocalCredibleContinuousContact
71
The GRAND PLAN
Come out everyone
Come out everywhere
Come out Mad
Come out Proud
Three Lessons◦ Consider the pros and cons of disclosing◦ There are different ways to disclose◦ Telling your story
77
National Center on Stigma and Empowerment
www.ncse1.org
corrigan@iit.edu