Diagnosis: The Burden Of Stigma In Help Seeking
Diagnosis: The Burden of Stigma in Help Seeking The threat
Assignment: Diagnosis: The Burden of Stigma in Help Seeking The threat of public stigma, as well as self-stigma, can prevent individuals from receiving the mental health treatment they need. In this Assignment, you analyze the influence of stigma on experiences with and treatment of mental illness. To prepare: Watch the TED Talk by Sangu Delle and then review the readings for this week. Focus on Delle’s examples illustrating Corrigan’s model about the stages of stigma and the hierarchy of disclosure. Consider Delle's experience against that model.
Submit a 2-3 page paper that addresses the following topics, content, and headings:
- Briefly explain Corrigan’s model of the stages of stigma and his recommendations and hierarchy about recovery.
- Explain whether Delle’s experience follows that model. Use specific examples to argue your perspective. If you agree, identify which stage of recovery Delle is in.
- Analyze Delle’s reports about his own experiences with both types of stigma. Provide specific examples, and in your analysis consider the following questions: Does one type of stigma predominate in his talk? Which of Delle’s personal values or beliefs were challenged by his internalizations about his own illness and help-seeking? What strengths does he exhibit? What was the primary benefit of his diagnosis? Do you think his experience would be different if his culture was different? Explain why or why not.
Paper For Above instruction
In addressing the profound influence of stigma on mental health help-seeking, it is essential to understand the framework provided by Corrigan’s model of stigma. Corrigan (2004) conceptualizes stigma as occurring in discrete, interconnected stages: awareness, agreement, and application, which influence subsequent experiences of self-stigma and disclosure. He emphasizes that recovery from mental illness involves not only symptom management but also overcoming societal and internalized barriers rooted in stigma. Corrigan advocates a hierarchy of disclosure, suggesting that individuals gradually navigate the decision to disclose their illness based on trust, perceived safety, and anticipated benefits, with full disclosure being the ultimate goal in fostering authenticity and social support.
Analyzing Sangu Delle’s experience through this lens reveals a nuanced alignment with Corrigan’s model. Delle’s initial awareness of mental health issues likely corresponds to the awareness stage, where he recognized the existence of stigma surrounding mental illness. His internal struggles with self-stigma and societal perceptions exemplify the agreement and application stages, where internalized negative stereotypes influence his self-concept and decisions about help-seeking. For example, Delle’s hesitance to disclose his mental health struggles publicly reflects the hierarchical nature of disclosure—he initially concealed his illness to protect his social standing and avoid judgment, consistent with Corrigan's recommendation to navigate disclosure carefully before reaching full openness.
If Delle perceives himself as having moved beyond mere awareness to acceptance and openness about his mental health challenges, then he can be considered in the recovery phase, aligned with Corrigan’s hierarchy where disclosure becomes a tool for empowerment. Delle’s willingness to speak openly about his struggles, especially in the TED Talk, indicates movement toward this stage and demonstrates resilience and self-advocacy—hallmarks of recovery.
Examining Delle’s reports about his experiences with stigma reveals both internal and external dimensions. He describes experiencing public stigma, particularly societal judgments about mental illness, which impacts his ability to seek help freely. For instance, he notes the cultural expectations that prioritize strength and resilience, which challenged his willingness to seek treatment initially. These external pressures are compounded by internalized stigma—that perhaps admitting vulnerability signifies weakness—thus inhibiting help-seeking behavior. However, Delle’s personal values, such as honesty and authenticity, serve as strengths that propelled him toward openness and recovery. His acknowledgment that mental health struggles are common and manageable highlights a positive shift toward internal acceptance, countering the internalized stigma.
The primary benefit of Delle’s diagnosis appears to be increased self-awareness and the opportunity to seek help without shame. His candidness in the TED Talk underscores how openness can serve as a catalyst for reducing stigma—for himself and for others. Had his cultural background been different, his experience might have varied significantly. In cultures where mental illness is heavily stigmatized or taboo, the internal and external barriers could be more formidable, and the process of disclosure and recovery slower or more complicated. Cultural attitudes toward mental health influence the degree and impact of stigma experienced, shaping personal beliefs about help-seeking and recovery pathways.
In conclusion, Delle’s narrative exemplifies how internal and societal stigmas intersect and influence mental health treatment. His journey reflects elements of Corrigan’s stigma model, particularly in progressing through stages towards openness and recovery. His experience underscores that while stigma remains a considerable barrier, personal resilience, supportive values, and cultural context significantly shape the recovery process.
References
- Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 613–623.
- Corrigan, P., Larson, J. E., & Rüsch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75–81.
- Hinshaw, S. P., & Stier, A. (2008). Stigma as related to mental disorders. Annual Review of Clinical Psychology, 4, 367–393.
- Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.
- Lyons, J. M., & Steele, R. G. (2014). The hierarchy of disclosure in mental health: A qualitative study. Journal of Mental Health, 23(4), 200–208.
- Rüsch, N., Corrigan, P. W., & Wassel, A. (2012). Understanding the impact of stigma on people with mental illness. World Psychiatry, 11(1), 1–8.
- Sangu Delle (2018). TEDxEuston. The stigma of mental health in Africa: An inside story. https://www.ted.com/tedx
- Thornicroft, G., Mehta, N., Clement, S., et al. (2016). Evidence for effective interventions to reduce mental health related stigma and discrimination. The Lancet, 387(10023), 1123–1132.
- Watson, A. C., Corrigan, P. W., & Sells, M. (2006). At issue: Strategies for reducing the stigma of mental illness. Psychiatric Services, 57(10), 1373–1378.
- Yanos, P. T., Roe, D., & Lysaker, P. H. (2011). Pathways between internalized stigma and outcomes related to recovery in schizophrenia-spectrum disorders. Psychiatric Services, 62(2), 170–176.