Subjective accounts of the causes of mental illness in the USA

被引:18
作者
Elliott, Marta [1 ]
Maitoza, Robyn [2 ]
Schwinger, Erik [3 ]
机构
[1] Univ Nevada, Coll Liberal Arts, Dept Sociol 300, Reno, NV 89557 USA
[2] Univ Nevada, Interdisciplinary PhD Program Social Psychol, Reno, NV 89557 USA
[3] Davidson Inst Talent Dev, Reno, NV USA
关键词
subjective accounts; attributions; mental illness; EXPLANATORY MODELS; DISORDERS; DEPRESSION; BELIEFS; SELF;
D O I
10.1177/0020764011415207
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Psychiatrists and advocates for persons with mental illness in the USA argue that the biomedical model of mental illness as a brain disease is both accurate and effective in reducing stigma. Few studies have queried individuals diagnosed with mental illness to determine the extent to which they define their condition as biologically based versus caused by social and psychological factors. Method: Fifty inpatients in a behavioral health unit of a non-profit hospital in Western USA were interviewed in depth regarding their perceptions of the nature and causes of the condition that brought them into the hospital. Results: The vast majority of patients, regardless of diagnosis, emphasized painful life experiences brought about by others and outside their own control as the primary cause of their mental illness. Conclusions: The biomedical model of mental illness does not necessarily dominate the minds of people with mental illness; therefore mental health practitioners should understand and respect their patients' explanatory models in order to enlist their trust and compliance.
引用
收藏
页码:562 / 567
页数:6
相关论文
共 23 条
[1]  
[Anonymous], 1986, An attributional model of motivation and emotion, DOI DOI 10.1007/978-1-4612-4948-1
[2]  
[Anonymous], 1984, The Broken Brain: The Biological Revolution in Psychiatry
[3]   Explanatory models for mental distress: implications for clinical practice and research [J].
Bhui, K ;
Bhugra, D .
BRITISH JOURNAL OF PSYCHIATRY, 2002, 181 :6-7
[4]   Patient satisfaction: Ethnic origin or explanatory model? [J].
Callan, A ;
Littlewood, R .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 1998, 44 (01) :1-11
[5]   EVERYBODY GOT A LITTLE MENTAL-ILLNESS - ACCOUNTS OF ILLNESS AND SELF AMONG PEOPLE WITH SEVERE, PERSISTENT MENTAL ILLNESSES [J].
ESTROFF, SE ;
LACHICOTTE, WS ;
ILLINGWORTH, LC ;
JOHNSTON, A .
MEDICAL ANTHROPOLOGY QUARTERLY, 1991, 5 (04) :331-369
[6]  
Heider F., 2013, The psychology of interpersonal relations
[7]  
Horwitz AllanV., 2002, Creating Mental Illness
[8]   Common mental disorders, explanatory models and consultation behaviour among Indian women living in the UK [J].
Jacob, KS ;
Bhugra, D ;
Lloyd, KR ;
Mann, AH .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1998, 91 (02) :66-71
[9]   A new intellectual framework for psychiatry [J].
Kandel, ER .
AMERICAN JOURNAL OF PSYCHIATRY, 1998, 155 (04) :457-469
[10]   ILLNESS AMBIGUITY AND THE SEARCH FOR MEANING - A CASE-STUDY OF A SELF-HELP GROUP FOR AFFECTIVE-DISORDERS [J].
KARP, DA .
JOURNAL OF CONTEMPORARY ETHNOGRAPHY, 1992, 21 (02) :139-170