Stigma

Smith, Michael Sharwood

doi:10.1192/apt.8.5.317

Cited by 54 publications

(32 citation statements)

References 25 publications

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“…It is believed that an undesirable perception of difference can feed into the generation of stigma. 9 In this study a number of sources of stigma were identified which could have been reinforced by the students' negative perceptions of difference within the specialty. This is interesting in light of the finding that a powerful source of stigma was from other medical students who had already undertaken an attachment in psychiatry.…”

Section: Discussionmentioning

confidence: 96%

Qualitative study of medical students' experiences of a psychiatric attachment

2013

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There have been numerous discussions about how to address the current recruitment problem in British psychiatry. This concern is not limited to the UK, with international research also highlighting a declining interest in the specialty.1 As a result there is a drive by the Royal College of Psychiatrists to increase interest at an undergraduate level in the hope that future students give consideration to psychiatry as a career.Previous literature reports that medical students can develop more positive attitudes to psychiatry after completing a psychiatric clinical attachment.2-4 Positive attitudes post attachment have been linked to an increased intention to pursue psychiatry as a career.3 Despite these findings, the recruitment problem persists. This could partly be explained by studies which have found that these positive changes are not enduring and decline over a year. If undergraduate education is to be used effectively to influence recruitment, the factors which affect a student's experience of psychiatry and their career intentions need to be examined. For example, it is known that role models within medical school can influence a student's career choice, 6 although there is limited knowledge on how medical students perceive and experience role models within psychiatry. A recent study has also suggested that the stigmatisation of psychiatry discourages medical students from pursuing the specialty as a career, 7 and this requires further investigation.In this study, qualitative methods have been utilised to explore what it is really like for medical students to experience a clinical attachment in psychiatry and how this relates to their career intentions. It is hoped that the results will enable medical educators to optimise the benefits of psychiatric undergraduate education. Method ParticipantsParticipants were chosen through criterion sampling and comprised all 4th-year medical students at the University of Bristol who had completed a clinical attachment in psychiatry in their third year. An independent administrator sent an email to the entire year which explained the study and included a participant information sheet. All students who expressed an interest in participating were contacted for interview. Data collectionEach student was interviewed by either C.A. or T.A. The interviews took place at the University Academic Unit of Psychiatry or at a hospital base convenient to the student and lasted approximately 30-45 min. A topic guide was devised by the authors of this paper and used for each interview. This guide covered students' attitudes to psychiatry and mental illness, their experience of the attachment and views on future careers. The interviews were digitally audio-recorded and students signed a consent form. Aims and method This study utilised qualitative methods to explore medical students' experiences of a clinical attachment in psychiatry and examine the impact of these on career intentions. Fifteen 4th-year students from the University of Bristol were interviewed and their responses analys...

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Section: Discussionmentioning

confidence: 96%

Qualitative study of medical students' experiences of a psychiatric attachment

2013

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“…First, the lack of opportunity to ask personalized questions and engage in dialogue with the consumers potentially limited the ability to confront more complex stigmas such as controllability and blame. Such stigmas have been evidenced to be complicated by their relationship to limited and inconsistent education about etiology and treatment [63][64][65][66][67][68][69]. Another factor may be the fact that while the majority of MHCES were involved in both interventions the MHCEs in the direct contact workshops generally appeared to talk more substantially about their experiences with a variety of mental illnesses including psychotic, affective and anxiety disorders, than in the filmed interviews.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students

Nguyen

Chen

O’Reilly

2011

Soc Psychiatry Psychiatr Epidemiol

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“…An illinformed positive opinion could ultimately lead to more discrimination. Smith (2002) referred to this as 'normalisation', emphasising that although differences cannot always be ignored, they can be accepted.…”

Section: Discussionmentioning

confidence: 99%

Support workers' attitudes to mental illness: implications for reducing stigma

Tipper¹,

Mountain

Lorimer

et al. 2006

Psychiatr. bull.

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Aims and MethodWe conducted an anonymous survey of support workers to examine attitudes to people with different types of mental illness. Scores were based on a previously demonstrated stigmatisation score.ResultsA total of 133 questionnaires were returned, representing 27% of all possible recipients. Fewer than 20% of respondents considered people with schizophrenia to be dangerous, although nearly half thought that they would never fully recover. More stigmatising responses were demonstrated to alcohol and drug addiction than to other disorders.Clinical ImplicationsSupport workers who spend large amounts of time with people with mental illness, in particular schizophrenia, have a low perception of their dangerousness. This may have implications for planning further measures to reduce stigmatisation.

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Stigma

Cited by 54 publications

References 25 publications

Qualitative study of medical students' experiences of a psychiatric attachment

Qualitative study of medical students' experiences of a psychiatric attachment

Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students

Support workers' attitudes to mental illness: implications for reducing stigma

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