Stigmatization, scapegoating and discrimination in sexually transmitted diseases: Overcoming ‘them’ and ‘us’

Gilmore, Norbert; Somerville, Margaret

doi:10.1016/0277-9536(94)90365-4

Cited by 240 publications

(208 citation statements)

References 31 publications

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“…Micro discourse on control, then, maintains the macro discourse that produces HIV-related stigma by maintaining accountability for the illness. This further illustrates a point that has previously been noted: individuals are not always aware when or that they engage in stigmatising behaviour (Gilmore & Somerville, 1994). The participants in this study were by no means engaging in stigmatising behaviour, but rather describing their own behaviour as controlled and not risky.…”

Section: Discussionsupporting

confidence: 76%

“…Scholars have previously argued that stigmatisation is simply a form of maintaining social orders, norms, and values (Gilmore & Somerville, 1994;Joffe, 1995;Tewksbury & McGaughey, 1997); through stigmatisation, transgressors are punished (Campbell et al, 2005). As noted above, HIV-related stigma has routinely been coupled with the perception of an individual's character and lifestyle, and such perceptions in turn are dependent on the prevailing norms in any given society.…”

Section: Discussionmentioning

confidence: 99%

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The micro and the macro: How discourse of control maintains HIV-related stigma

2014

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In this article we examine how HIV/AIDS caregivers negotiate stigma in their discourse of providing care to HIV-positive individuals. Using interview data, we demonstrate how participants employed discourse of control in attempting to avoid and counter HIV-related stigma: participants rejected fear of associating with HIV-positive individuals by drawing on their knowledge of HIV/AIDS transmission and their ability to control and avoid infection. Such discourses backfire, however, as the concept of HIV/AIDS infection being controllable and thus avoidable maintains accountability for the disease. Thus, participants' micro discourse of control can maintain the macro discourse that produces HIV-related stigma.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

The micro and the macro: How discourse of control maintains HIV-related stigma

2014

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“…[20][21][22] The relevance of internalised stigma is that the stigmatised group may come to believe that the stigma is deserved and that their group is less socially valuable than other groups. Group devaluation may impact negatively on personal self-esteem and self-worth and at an institutional level can serve to justify experiences of discriminatory behaviour by health care workers.…”

Section: Discussionmentioning

confidence: 99%

Alcohol and other drug treatment experiences of hepatitis C-positive and negative clients: implications for hepatitis C treatment

Brener¹,

Treloar²

2009

Aust. Health Review

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To assess whether HCV-positive clients perceive that alcohol and other drug (AOD) staff discriminate against them, this study compared the treatment experiences of 120 HCV-positive clients with those of 120 HCV-negative clients attending the same AOD treatment facility. Despite the overall findings of favourable attitudes of HCV-positive clients toward their health care workers, these attitudes were less positive than those of their HCV-negative counterparts. Clients with HCV also rated their interpersonal treatment by their health care workers less favourably. These findings suggest that HCV-positive clients' attitudes towards their health care workers and their experiences of differential treatment by these health care workers might be a barrier to HCV treatment uptake in

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“…This accords with Gillmore and Somerville's (1994) definition of a stigmatising process; 'the identification of a bad or negative characteristic, in a person or group of persons and treating them as not deserving of respect or less worthy than others on this basis'. Goffman ( 1963) has described two types of stigma: enacted stigma refers to sanctions individually or collectively applied to the victim, and felt stigma to feelings of shame, an oppressive fear of enacted stigma and concealment of the condition.…”

Section: Introductionmentioning

confidence: 83%