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13 - Unpacking Cultural Influences on Stigma of People with Mental Illness between Group-Oriented and Individual-Oriented Cultures

from Part III - Stigma and Mental Health in Specific Contexts

Published online by Cambridge University Press:  28 July 2022

By
Ben C. L. Yu  and
Winnie W. S. Mak
Edited by
David L. Vogel  and
Nathaniel G. Wade
David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
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Summary

Although the phenomenon of stigma is global, its manifestation and impact are culturally bound. This chapter examines some of the culturally salient factors that have been investigated empirically in understanding cross-cultural differences between relatively group-oriented cultures situated in East Asia (e.g., Hong Kong, Taiwan, Japan) with cultures that are relatively more individual-oriented such as countries in Europe and North America (e.g., United States, Canada, United Kingdom). These factors include supernatural beliefs, face concern, and conformity. The internalization process of stigma is also discussed within the cultural context in order to account for possible nuances in the experience of stigma. Recent directions in stigma research such as affiliate stigma and self-stigma process are introduced to highlight the importance of emic approach in the understanding of stigma within specific cultural context.

Keywords

group-oriented culturesindividual-oriented culturespublic stigmaself-stigmaaffiliate stigmaetic/emiccultural mechanism
Type
Chapter
Information
The Cambridge Handbook of Stigma and Mental Health , pp. 263 - 281
Publisher: Cambridge University Press
Print publication year: 2022

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References

Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review. Clinical Psychology Review, 31(6), 934–948.Google Scholar
Bassirnia, A., Briggs, J., Kopeykina, I., et al. (2015). Relationship between personality traits and perceived internalized stigma in bipolar patients and their treatment partners. Psychiatry Research, 230(2), 436–440.CrossRefGoogle ScholarPubMed
Brenner, R. E., Vidales, C. A., Vogel, , et al. (n.d.). Development of the Collective-Interdependent Stigma of Seeking Help Scale (CISSH) across 10 countries [Unpublished manuscript].Google Scholar
Brohan, E., Slade, M., Clement, S., & Thornicroft, G. (2010). Experiences of mental illness stigma, prejudice and discrimination: a review of measures. BMC Health Services Research, 10(1), 1–11.CrossRefGoogle ScholarPubMed
Cavelti, M., Kvrgic, S., Beck, E. M., Rüsch, N., & Vauth, R. (2012). Self-stigma and its relationship with insight, demoralization, and clinical outcome among people with schizophrenia spectrum disorders. Comprehensive Psychiatry, 53(5), 468–479.Google Scholar
Chan, K. K. S., & Mak, W. W. S. (2017). The content and process of self-stigma in people with mental illness. American Journal of Orthopsychiatry, 87(1), 34–43.Google Scholar
Chen, S. X., Mak, W. W., & Lam, B. C. (2020). Is it cultural context or cultural value? Unpackaging cultural influences on stigma toward mental illness and barrier to help-seeking. Social Psychological and Personality Science, 11(7) 1022–1031.Google Scholar
Cheng, Z. H. (2015). Asian Americans and European Americans’ stigma levels in response to biological and social explanations of depression. Social Psychiatry and Psychiatric Epidemiology, 50(5), 767–776.CrossRefGoogle ScholarPubMed
Cheon, B. K., & Chiao, J. Y. (2012). Cultural variation in implicit mental illness stigma. Journal of Cross-Cultural Psychology, 43(7), 1058–1062.Google Scholar
Chung, K. F., Chen, E. Y., Lam, L. C., Chen, R. Y., & Chan, C. K. (1997). How are psychotic symptoms perceived? A comparison between patients, relatives and the general public. Australian and New Zealand Journal of Psychiatry, 31(5), 756–761.CrossRefGoogle ScholarPubMed
Corrigan, P. W., Kuwabara, S., Tsang, H., et al. (2008). Disability and work-related attitudes in employers from Beijing, Chicago, and Hong Kong. International Journal of Rehabilitation Research, 31(4), 347–350.Google Scholar
Corrigan, P. W., Nieweglowski, K., & Sayer, J. (2019). Self‐stigma and the mediating impact of the “why try” effect on depression. Journal of Community Psychology, 47(3), 698–705.CrossRefGoogle ScholarPubMed
Corrigan, P. W., Rafacz, J., & Rüsch, N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research, 189(3), 339–343.Google Scholar
Corrigan, P. W., Tsang, H. W., Shi, K., Lam, C. S., & Larson, J. (2010). Chinese and American employers’ perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma. Social Science & Medicine, 71(12), 2162–2169.Google Scholar
Furnham, A., & Chan, E. (2004). Lay theories of schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 39(7), 543–552.Google Scholar
Furnham, A., & Murao, M. (1999). A cross-cultural comparison of British and Japanese lay theories of schizophrenia. International Journal of Social Psychiatry, 46(1), 4–20.Google Scholar
Georg Hsu, L. K., Wan, Y. M., Chang, H., et al. (2008). Stigma of depression is more severe in Chinese Americans than Caucasian Americans. Psychiatry: Interpersonal and Biological Processes, 71(3), 210–218.Google Scholar
Greenberg, J. S., Kim, H. W., & Greenley, J. R. (1997). Factors associated with subjective burden in siblings of adults with severe mental illness. American Journal of Orthopsychiatry, 67(2), 231–241.Google Scholar
Göpfert, N. C., Conrad von Heydendorff, S., Dreßing, H., & Bailer, J. (2019). Applying Corrigan’s progressive model of self-stigma to people with depression. PLoS One, 14(10), e0224418.CrossRefGoogle ScholarPubMed
Griffiths, K. M., Nakane, Y., Christensen, H., et al. (2006). Stigma in response to mental disorders: A comparison of Australia and Japan. BMC Psychiatry, 6(1), 21.Google Scholar
Heath, P. J., Vogel, D. L., & Al-Darmaki, F. R. (2016). Help-seeking attitudes of United Arab Emirates students: Examining loss of face, stigma, and self-disclosure. The Counseling Psychologist, 44(3), 331–352.Google Scholar
Hofstede, G. (1984). Culture’s Consequences: International Differences in Work-Related Values (Vol. 5). Sage Publications.Google Scholar
House, R. J., Hanges, P. J., Javidan, M., Dorfman, P. W., & Gupta, V. (Eds.). (2004). Culture, Leadership, and Organizations: The GLOBE study of 62 Societies. Sage Publications.Google Scholar
Hu, H. C. (1944). The Chinese concepts of “face.” American Anthropologist, 46(1), 45–64.Google Scholar
Kim, B. S. K., & Alamilla, S. G. (2017). Acculturation and enculturation: A review of theory and research. In Czopp, A. M. & Blume, A. W. (Eds.), Social Issues in Living Color: Challenges and Solutions from the Perspective of Ethnic Minority Psychology (pp. 25–52). Praeger.Google Scholar
Krendl, A. C., & Pescosolido, B. A. (2020). Countries and cultural differences in the stigma of mental illness: The east–west divide. Journal of Cross-Cultural Psychology, 51(2), 149–167.Google Scholar
Kroska, A., & Harkness, S. K. (2008). Exploring the role of diagnosis in the modified labeling theory of mental illness. Social Psychology Quarterly, 71(2), 193–208.Google Scholar
Lasalvia, A., Van Bortel, T., Bonetto, C., et al., & Aspen/Indigo Study Group. (2015). Cross-national variations in reported discrimination among people treated for major depression worldwide: The ASPEN/INDIGO international study. The British Journal of Psychiatry, 207(6), 507–514.Google Scholar
Lam, C. S., Tsang, H. W., Corrigan, P. W., et al. (2010). Chinese lay theory and mental illness stigma: Implications for research and practices. Journal of Rehabilitation, 76(1), 35–40.Google Scholar
Lauber, C., & Rössler, W. (2007). Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry, 19(2), 157–178.Google Scholar
Link, B. G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejection. American Sociological Review, 52, 96–112.Google Scholar
Link, B. G., Cullen, F. T., Struening, E., Shrout, P. E., & Dohrenwend, B. P. (1989). A modified labeling theory approach to mental disorders: An empirical assessment. American Sociological Review, 54(3), 400–423.Google Scholar
Lin, T. Y., & Lin, M. C. (1981). Love, denial and rejection: Responses of Chinese families to mental illness. In Normal and Abnormal Behavior in Chinese Culture (pp. 387–401). Springer.Google Scholar
Mak, W. W., Chan, R. C., Wong, S. Y., et al. (2017). A cross-diagnostic investigation of the differential impact of discrimination on clinical and personal recovery. Psychiatric Services, 68(2), 159–166.Google Scholar
Mak, W. W., & Chen, S. X. (2010). Illness behaviors among the Chinese. In Bond, M. H. (Ed.) Oxford Handbook of Chinese Psychology. Oxford Library of Psychology. Oxford University Press.Google Scholar
Mak, W. W., Chen, S. X., Lam, A. G., & Yiu, V. F. (2009). Understanding distress: The role of face concern among Chinese Americans, European Americans, Hong Kong Chinese, and mainland Chinese. The Counseling Psychologist, 37(2), 219–248.CrossRefGoogle Scholar
Mak, W. W., & Cheung, R. Y. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of Applied Research in Intellectual Disabilities, 21(6), 532–545.CrossRefGoogle Scholar
Mak, W. W., & Cheung, R. Y. (2012). Psychological distress and subjective burden of caregivers of people with mental illness: The role of affiliate stigma and face concern. Community Mental Health Journal, 48(3), 270–274.Google Scholar
Mak, W. W. S., Cheung, F. M., & Leung, F. (2012). Somatoform disorders in Asians. In Chang, E. C. (Ed.), Handbook of Adult Psychopathology in Asians: Theory, Diagnosis, and Treatment (p. 179–203). Oxford University Press.Google Scholar
Mak, W. W., Chong, E. S., & Wong, C. C. (2014). Beyond attributions: Understanding public stigma of mental illness with the common sense model. American Journal of Orthopsychiatry, 84(2), 173–181.CrossRefGoogle ScholarPubMed
Mak, W. W., Ho, C. Y., Wong, V. U., Law, R. W., & Chan, R. C. (2015). Cultural model of self-stigma among Chinese with substance use problems. Drug and Alcohol Dependence, 155, 83–89.Google Scholar
Mellor, D., Carne, L., Shen, Y. C., McCabe, M., & Wang, L. (2013). Stigma toward mental illness: A cross-cultural comparison of Taiwanese, Chinese immigrants to Australia and Anglo-Australians. Journal of Cross-Cultural Psychology, 44(3), 352–364.Google Scholar
Murthy, R. S. (2002). Stigma is universal but experiences are local. World Psychiatry, 1(1), 28.Google Scholar
Ng, C. H. (1997). The stigma of mental illness in Asian cultures. Australian & New Zealand Journal of Psychiatry, 31(3), 382–390.Google Scholar
Papadopoulos, C., Foster, J., & Caldwell, K. (2013). “Individualism-collectivism” as an explanatory device for mental illness stigma. Community Mental Health Journal, 49(3), 270–280.Google Scholar
Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The “backbone” of stigma: Identifying the global core of public prejudice associated with mental illness. American Journal of Public Health, 103(5), 853–860.Google Scholar
Richards, M., Hori, H., Sartorius, N., & Kunugi, H. (2014). Cross-cultural comparisons of attitudes toward schizophrenia amongst the general population and physicians: A series of web-based surveys in Japan and the United States. Psychiatry Research, 215(2), 300–307.Google Scholar
Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529–539.CrossRefGoogle ScholarPubMed
Rüsch, N., Malzer, A., Oexle, N., et al. (2019). Disclosure and quality of life among unemployed individuals with mental health problems: A longitudinal study. The Journal of Nervous and Mental Disease, 207(3), 137–139.CrossRefGoogle ScholarPubMed
Seeman, N., Tang, S., Brown, A. D., & Ing, A. (2016). World survey of mental illness stigma. Journal of Affective Disorders, 190, 115–121.Google Scholar
Shamblaw, A. L., Botha, F. B., & Dozois, D. J. (2015). Accounting for differences in depression stigma between Canadian Asians and Europeans. Journal of Cross-Cultural Psychology, 46(4), 597–611.Google Scholar
Shin, H., Dovidio, J. F., & Napier, J. L. (2013). Cultural differences in targets of stigmatization between individual- and group-oriented cultures. Basic and Applied Social Psychology, 35(1), 98–108.Google Scholar
Shi, Y., Shao, Y., Li, H., et al. (2019). Correlates of affiliate stigma among family caregivers of people with mental illness: A systematic review and meta‐analysis. Journal of Psychiatric and Mental Health Nursing, 26(1–2), 49–61.Google Scholar
Stier, A., & Hinshaw, S. P. (2007). Explicit and implicit stigma against individuals with mental illness. Australian Psychologist, 42(2), 106–117.Google Scholar
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., & INDIGO Study Group. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet, 373(9661), 408–415.Google Scholar
Tse, S., & Ng, R. M. (2014). Applying a mental health recovery approach for people from diverse backgrounds: The case of collectivism and individualism paradigms. Journal of Psychosocial Rehabilitation and Mental Health, 1(1), 7–13.CrossRefGoogle Scholar
United Nations Development Programme. (2010). Human Development Report 2010: The Real Wealth of Nations – Pathways to Human Development. New York. http://hdr.undp.org/en/content/human-development-report-2010”Google Scholar
Vally, Z., Cody, B. L., Albloshi, M. A., & Alsheraifi, S. N. M. (2018). Public stigma and attitudes toward psychological help‐seeking in the United Arab Emirates: The mediational role of self‐stigma. Perspectives in Psychiatric Care, 54(4), 571–579.Google Scholar
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 40–50.Google Scholar
Vogel, D. L., Strass, H. A., Heath, P. J., et al. (2017). Stigma of seeking psychological services: Examining college students across ten countries/regions. The Counseling Psychologist, 45(2), 170–192.Google Scholar
Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin, 33(6), 1312–1318.Google Scholar
Whaley, A. L. (1997). Ethnic and racial differences in perceptions of dangerousness of persons with mental illness. Psychiatric Services, 48(10), 1328–1330.Google Scholar
Wong, D. F. K., Tsui, H. K. P., Pearson, V., Chen, E. Y. H., & Chiu, S. N. (2004). Family burdens, Chinese health beliefs, and the mental health of Chinese caregivers in Hong Kong. Transcultural Psychiatry, 41(4), 497–513.Google Scholar
Yang, L. H., Kleinman, A., Link, B. G., et al. (2007). Culture and stigma: Adding moral experience to stigma theory. Social Science & Medicine, 64(7), 1524–1535.CrossRefGoogle ScholarPubMed
Yang, L. H., Purdie-Vaughns, V., Kotabe, H., et al. (2013). Culture, threat, and mental illness stigma: Identifying culture-specific threat among Chinese-American groups. Social Science & Medicine, 88, 56–67.Google Scholar
Yang, L. H., Thornicroft, G., Alvarado, R., Vega, E., & Link, B. G. (2014). Recent advances in cross-cultural measurement in psychiatric epidemiology: Utilizing “what matters most” to identify culture-specific aspects of stigma. International Journal of Epidemiology, 43(2), 494–510.Google Scholar
Yang, X., & Mak, W. W. (2017). The differential moderating roles of self-compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8(3), 595–602.CrossRefGoogle ScholarPubMed
Yu, B. C. L., Chio, F. H .N., Mak, W. W. S., Corrigan, W. P., Chan, K. Y. (2021) Internalization process of stigma of people with mental illness across cultures: A meta-analytic structural equation modeling approach. Clinical Psychology Review. Epub April 20, 2021, Article number 102029.Google Scholar
Zolezzi, M., Alamri, M., Shaar, S., & Rainkie, D. (2018). Stigma associated with mental illness and its treatment in the Arab culture: A systematic review. International Journal of Social Psychiatry, 64(6), 597–609.Google Scholar

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