Aims: This study aimed to analyze the process in which individual values and beliefs affected social distance against people with mental illness by mediating cognition, based on applying the justification–suppression model to the stigma of mental illness. Methods: An online survey was conducted with 491 adults aged 20 to 64 years. Their sociodemographic characteristics, personal values, and beliefs, justification for discrimination, and social distance were measured to assess their perceptions of, and behaviors towards, persons with mental illness. Path analysis was performed to examine the magnitude and significance of the hypothetical relationship between variables. Results: Protestant ethic values and morality significantly affected the justification of inability and dangerousness and attribute responsibility. Excluding attribute responsibility, the justification of inability and dangerousness significantly predicted social distance. In other words, the higher the Protestant ethic values, the higher the morality of binding, and the lower the morality of individualizing, the higher the level of justification based on inability and dangerousness. Such justification has been found to increase social distance from persons with mental illness. In addition, mediating effects were the largest in the path of the morality of binding → justification of dangerousness → social distance. Conclusions: The study proposes various strategies to deal with individual values, beliefs, and justification logic to reduce social distance against those with mental illness. These strategies include a cognitive approach and empathy, both of which inhibit prejudice.

Human rights sensitivity (HRS) is essential for social workers advocating for and providing services to people with mental illness. In this study, the authors employed vignettes of two chronic mental illnesses—schizophrenia and alcoholism—to analyze the moderating effect of HRS on association between empathy and working relationship by hierarchical regression analysis. In total 245 social workers in mental health (M age = 36.44, SD = 6.61, male 22.0%, female 78.0%) participated in the study. Differences were found in empathy levels and working relationships in schizophrenia and alcoholism vignettes. Levels of empathy, intrinsic helping and emotional support (behavioral dimension), client respect, and emotional relatedness as well as respect and acceptance in working relationships were significantly higher for schizophrenia than for the alcoholism vignette. Further, empathy and HRS significantly predicted the quality of working relationships in schizophrenia and alcoholism vignettes. Levels for positive work relationships increased with empathy and HRS. The effects of empathy on working relationship were augmented among social workers with a high level of HRS only in the vignette of schizophrenia. Based on these results, the authors emphasize the importance of HRS and propose strategies to enhance it.