Examination of Bias in Mental Health Evaluation of Deaf Patients

Dickert, Jeffery

doi:10.1093/sw/33.3.273

Cited by 10 publications

(5 citation statements)

References 2 publications

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“…Internalization, in turn, was predicted to be detrimental to one’s self-esteem (Cooley, 1956; Merton, 1948). Given that the attitudes of the hearing majority toward deaf people are mostly negative (e.g., Blood & Blood, 1982; Cowen, Bobrove, Rockway, & Stevenson, 1967; Dickert, 1988; Lane, 1992), it is predicted that deaf people should have lower levels of self-esteem than hearing people (H1).…”

Section: Self-esteem In Members Of Minority Groupsmentioning

confidence: 99%

Antecedents of self-esteem in deaf people: A meta-analytic review.

Bat-Chava

1993

Rehabilitation Psychology

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This meta-analysis of 42 empirical studies assessed the effect of six constructs on self-esteem: hearing status, parents' hearing status, type of school attended, communication mode used at home and in school, and group identification. Differences in self-esteem between deaf and hearing people varied based on (a) the self-esteem measure and (b) its format, and (c) the communication mode in which tests were administered. People whose parents were deaf compared favorably to those whose parents were hearing, as did people whose parents used sign language at home compared to those who used oral communication. School setting and classroom communication were unrelated to self-esteem. Finally, group identification was positively related to self-esteem. Results inform recommendations for guiding hearing parents in fostering self-esteem in their deaf children.

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Section: Self-esteem In Members Of Minority Groupsmentioning

confidence: 99%

Antecedents of self-esteem in deaf people: A meta-analytic review.

Bat-Chava

1993

Rehabilitation Psychology

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“…Some studies suggest that misconceptions about the etiology of mental health among deaf persons contribute significantly to stigma and biased psychiatric evaluation and treatment of deaf patients. It has been reported that even though deaf and hearing patients have similar psychiatric symptoms, the deaf patients were given more dosage of medication, had longer stay in the hospital, and more clinical supervision than their hearing counterparts, which also contribute to stigma [43].…”

Section: Discussionmentioning

confidence: 99%

Double Tragedy: Examining the Effects of Mental Health Stigma on Help Seeking Behaviour among Deaf People in Ghana

Duorinaah,

Mprah,

Adwan-Kamara

et al. 2023

OJPsych

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Background: Globally, mental health is recognized as one of the major public health issues, and mental health stigma is one of the main barriers to mental healthcare. While several studies have been conducted on the stigma associated with mental health, very little is known about the mental health stigma experienced by deaf persons with mental health conditions in Ghana. This study examines the experiences of double stigmatization by deaf people with mental health conditions in Ghana. Methodology: A descriptive, mixed method data collection was used for seventy-nine (79) participants. The paper presents findings from the only qualitative component of the study. Results:The findings from the study showed that deaf people with mental illness experienced double stigma, namely being stigmatized for being deaf and for having mental illness. This hindered access to mental health services for deaf people with mental health condition. Conclusion: Deaf people with mental health conditions experience double stigmatization which discourages them from seeking professional psychiatric care. This implies that efforts to reduce mental health stigma and create awareness on deafness should be improved upon. It is recommended that, in view of the impact of stigma on the provision and use of mental health care services, strategies to improve access to mental health care, should seriously consider concerns about stigma.

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“…As a result much of the literature is also critical of the accuracy of deaf assessments cautioning high false-positive or false-negative diagnostic error rates (e.g., Monteiro & Neeney, 1992, cited in Young et al, 2001. This diagnostic error has also been examined experimentally by Dickert (1988). O' Rourke and Grewer (2005) suggest that unreliable assessment have a negative impact on formulation and treatment.…”

Section: Deaf Patient Assessmentmentioning

confidence: 90%

The Psychological Treatment Needs of Deaf Mental Health Patients in High-Secure Settings: A Review of the Literature

Mitchell

Braham

2011

International Journal of Forensic Mental Health

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A review of the literature relating to the psychological treatment needs of deaf mentally disordered offenders residing in high secure settings was conducted. Four literature searches were conducted relating to offending, mental illness, assessment and treatment with the deaf. The literature regarding these areas was found to be highly limited. Despite this, evidence suggests that deaf people are over represented in high secure facilities. It is also suggested that deaf offenders show higher levels of violent and sexual offences than their hearing counterparts. Most theories accounting for this difference in offending relate to the insufficient acquirement of social understanding however the finding may be an artefact of biases in the criminal justice system. Overall deaf people appear to experience similar levels of mental illness but greater levels of learning disability than hearing people. There are numerous sources of error when conducting assessments with deaf people. Similarly there are a number of challenges when delivering interventions with deaf people. These issues are discussed in terms of their implications for the psychological treatment needs of deaf mentally disordered offenders. Suggestions for future research include making use of systematic case studies to avoid some of the methodological challenges of researching this population.

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Examination of Bias in Mental Health Evaluation of Deaf Patients

Cited by 10 publications

References 2 publications

Antecedents of self-esteem in deaf people: A meta-analytic review.

Antecedents of self-esteem in deaf people: A meta-analytic review.

Double Tragedy: Examining the Effects of Mental Health Stigma on Help Seeking Behaviour among Deaf People in Ghana

The Psychological Treatment Needs of Deaf Mental Health Patients in High-Secure Settings: A Review of the Literature

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