This engaging and thought-provoking book interrogates the workings of stigma within a historical, political and sociological framework. In so doing, it highlights the way in which particular individuals and groups are ‘othered’, and the implications such a process has for how they are viewed and treated within society. A discussion of the various ways in which stigma has been conceptualised is followed by an analysis of the workings of stigma within the sphere of social welfare. The focus then turns to a consideration of the way specific groups and their allies have challenged their stigmatised status, and, in the process, have utilised and developed our understanding of the theoretical, political and practical ways in which stigma operates within society. In paying particular attention to mental health, disability and transgender politics, the book highlights both the progressive and regressive aspects of theoretical and practical campaigns to challenge stigma. In particular, it gives warning as to the way such developments often exhibit a marked disdain for the public and have become institutionalised in such a way as to constitute a threat to our political freedom.
From the author of The Presentation of Self in Everyday Life, Stigma is analyzes a person’s feelings about himself and his relationship to people whom society calls “normal.” Stigma is an illuminating excursion into the situation of persons who are unable to conform to standards that society calls normal. Disqualified from full social acceptance, they are stigmatized individuals. Physically deformed people, ex-mental patients, drug addicts, prostitutes, or those ostracized for other reasons must constantly strive to adjust to their precarious social identities. Their image of themselves must daily confront and be affronted by the image which others reflect back to them. Drawing extensively on autobiographies and case studies, sociologist Erving Goffman analyzes the stigmatized person’s feelings about himself and his relationship to “normals” He explores the variety of strategies stigmatized individuals employ to deal with the rejection of others, and the complex sorts of information about themselves they project. In Stigma the interplay of alternatives the stigmatized individual must face every day is brilliantly examined by one of America’s leading social analysts.
This book takes the lofty vision of "recovery" and of a "life in the community" for every adult with a mental illness promised by the U.S. President's New Freedom Commission and shows the reader what is entailed in making this vision a practical reality for people with mental illnesses and their families.
This compendium of 17 articles addresses the goals set forth by the President's New Freedom Commission on Mental Health in its 2003 report, Achieving the Promise: Transforming Mental Health Care in America. The report represents the first time since the Carter Administration that such a high-level group evaluated U.S. mental health care. The report painted a dismal picture of the nation's mental health system, saying the system was so broken that it was "beyond simple repair." The Commission said that current services focused on "managing disabilities" rather than helping patients achieve a meaningful life in their communities. It also stated that mental health service providers ignored the preferences of consumers and their families. The articles in Transforming Mental Health Services: Implementing the Federal Agenda for Change, originally published between 2006 and 2009 in Psychiatric Services (journal of the American Psychiatric Association), offer recommendations to assist adults with serious mental illness and children with serious emotional disturbances. They include a series of reforms in which the emphasis is on recovery as an achievable goal, and the need for a person-centered orientation in service delivery. There is also discussion of the reasons many service providers resist using a recovery orientation and how this can be remedied. Transforming Mental Health Services: Implementing the Federal Agenda for Change consists of updates of papers written by the Commission's subcommittees addressing issues fundamental to those living with mental illness. It is organized into four sections: The first focuses on the interface between mental health and general health, and on employment, housing, and Medicaid financing. The second continues addressing financing and Medicaid as well as issues related to school mental health, recovery, transformation of data systems, and acceleration of research. The third includes reports from four states with transformation initiatives designed to ensure that consumers have a strong voice in the development of recovery-oriented services. The final section describes progress five years after the President's Commission Report and concludes with a proposal by the current director of the Center for Mental Health Services for a public health model of mental health care for the 21st century. This compilation of well-researched and well-written articles offers an excellent resource for frontline care providers, facility administrators and advocates. It serves as an equally valuable resource for state policy makers who wish to present a convincing case that change is happening and that the recommendations can be translated into effective policies. Although consumers and their families will receive support for their perception that service providers ignore their needs, they will also be encouraged that change for the better is coming to the U.S. mental health care system.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Reconfiguring Stigma in Studies of Sex for Sale is about the production and effects of stigma in sex work or prostitution with contributions from four continents and different disciplines that taken together explore how such stigma is conditioned by differences in time, place, citizenship, gender, sexuality, class and race. Stigma is about relationships between people and also sets an interpretative frame whereby people understand and react to situations and actions, and the book is developed and organized to investigate this from various angles. It presents empirical studies that build on and expand the scholarship on stigma and sex work. This means that it contributes to a more complex understanding of stigma in sex work studies. Further, by using the example of sew work to explore how we can best understand the production and consequences of stigma, the book makes a contribution that is relevant for all scholars who work on stigma and stigmatization. The book is intended for academic audiences interested in sex work or prostitution, on the one hand, and stigmatization, on the other. It is also intended for students in a broad range of disciplines, as well as for practitioners and activists who encounter or work with stigmatization or stigmatized populations.
This book presents a series of studies that investigate individual identity transformation from offender status to pro-social, non-offending roles highlighting the perspectives of the men and women who are current or were formerly incarcerated.
At a time when the scale of imprisonment in the United States has reached a historic high, researchers estimate that more than 600,000 individuals a year are released from prison to return to their home communities. These individuals have serious needs, such as finding employment and housing, reuniting with family members, and obtaining healthcare and treatment for alcohol and substance abuse problems. While research in this area has stressed these aspects of the transition from prison, a less explored area of research considers the role of internal identity shifts from that of an offender to one of citizen, and how this creates the conditions for desistance from criminal behavior both within the confines of a correctional facility and in the reentry process. This book presents a series of studies (mostly qualitative) that investigate individual identity transformation from offender status to pro-social, non-offending roles. Moreover, the work in this volume highlights the perspectives of the men and women who are current or formerly incarcerated people. Each piece provides an empirical analysis of the interaction between current or former prisoners and innovative pro-social programs and networks, which are grounded in the most current theoretical work about individual transformation and change. This book will be of interest to undergraduates, postgraduates, researchers and lecturers in all fields within the social sciences, but especially criminology and criminal justice and sociology and social work/welfare.
