Three strategies for changing attributions about severe mental illness.

The effects of three strategies for changing stigmatizing attitudes--education (which replaces myths about mental illness with accurate conceptions), contact (which challenges public attitudes about mental illness through direct interactions with persons who have these disorders), and protest (which seeks to suppress stigmatizing attitudes about mental illness)--were examined on attributions about schizophrenia and other severe mental illnesses. One hundred and fifty-two students at a community college were randomly assigned to one of the three strategies or a control condition. They completed a questionnaire about attributions toward six groups--depression, psychosis, cocaine addiction, mental retardation, cancer, and AIDS--prior to and after completing the assigned condition. As expected, results showed that education had no effect on attributions about physical disabilities but led to improved attributions in all four psychiatric groups. Contact produced positive changes that exceeded education effects in attributions about targeted psychiatric disabilities: depression and psychosis. Protest yielded no significant changes in attributions about any group. This study also examined the effects of these strategies on processing information about mental illness.

[1]  J. Dovidio,et al.  The contact hypothesis: The role of a common ingroup identity on reducing intergroup bias among majority and minority group members. , 1996 .

[2]  C. Neil Macrae,et al.  Stereotypes as energy-saving devices: A peek inside the cognitive toolbox. , 1994 .

[3]  P W Corrigan,et al.  Changing attitudes about schizophrenia. , 1999, Schizophrenia bulletin.

[4]  M. Keane.  Acceptance vs. rejection: nursing students' attitudes about mental illness. , 1991, Perspectives in psychiatric care.

[5]  R. D. Clark.  The role of censorship in minority influence , 1994 .

[6]  Bruce G. Link,et al.  Dispelling the stigma of schizophrenia: II. The impact of information on dangerousness. , 1999, Schizophrenia bulletin.

[7]  C. N. Macrae,et al.  On resisting the temptation for simplification: Counterintentional effects of stereotype suppression on social memory , 1996 .

[8]  S. Worchel,et al.  Psychology of intergroup relations , 1986 .

[9]  C. Neil Macrae,et al.  Changing social stereotypes: The case of the information seeker , 1994 .

[10]  B. Weiner,et al.  An attributional analysis of reactions to stigmas. , 1988, Journal of personality and social psychology.

[11]  O. Wahl,et al.  Impact of a newspaper article on attitudes toward mental illness , 1996 .

[12]  J S Fogarty,et al.  Reactance theory and patient noncompliance. , 1997, Social science & medicine.

[13]  Psychiatric Stigma: Two Studies of Behaviour When the Chips are Down , 1983 .

[14]  J. Zahniser,et al.  Empirical correction of seven myths about schizophrenia with implications for treatment , 1994, Acta psychiatrica Scandinavica. Supplementum.

[15]  R. Felner,et al.  Employment interviewer reactions to former mental patients. , 1973, Journal of abnormal psychology.

[16]  D. Penn,et al.  Dispelling the stigma of schizophrenia: what sort of information is best? , 1994, Schizophrenia bulletin.

[17]  M. Lepper,et al.  Effects of structured cooperative contact on changing negative attitudes toward stigmatized social groups. , 1991, Journal of personality and social psychology.

[18]  David E. Smith,et al.  Manual of therapeutics for addictions. , 1997 .

[19]  S. López,et al.  An attributional analysis of expressed emotion in Mexican-American families with schizophrenia. , 1993, Journal of abnormal psychology.

[20]  Roger T. Johnson,et al.  9 – Goal Interdependence and Interpersonal Attraction in Heterogeneous Classrooms: A Metanalysis* , 1984 .

[21]  C. N. Macrae,et al.  Out of mind but back in sight: Stereotypes on the rebound , 1994 .

[22]  C. Hendrick,et al.  Group Processes and Intergroup Relations , 1987 .

[23]  J. Morrison.  The public's current beliefs about mental illness: Serious obstacle to effective community psychology , 1980, American journal of community psychology.

[24]  C. Crandall,et al.  Physical illness stigma and social rejection. , 1995, The British journal of social psychology.

[25]  P W Corrigan,et al.  Lessons from social psychology on discrediting psychiatric stigma. , 1999, The American psychologist.

[26]  J. Bordieri,et al.  Hiring Decisions for Disabled Workers: Looking at the Cause , 1986 .

[27]  B. Weiner.  Judgments of Responsibility: A Foundation for a Theory of Social Conduct , 1995 .

[28]  J. Cocozza,et al.  An Attempt to Change the Negative, Stigmatizing Image of Mental Patients through Brief Reeducation , 1980, Psychological reports.

[29]  R. N. Mary Keane.  Contemporary Beliefs About Mental Illness Among Medical Students: Implications for Education and Practice , 1990, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[30]  O. Wahl.  Media Madness: Public Images of Mental Illness , 1995 .

[31]  Y. Hamburger,et al.  The Contact Hypothesis Reconsidered: Effects of the Atypical Outgroup Member on the Outgroup Stereotype , 1994 .

[32]  Y. Amir.  The Contact Hypothesis in Intergroup Relations , 2022 .

[33]  J. Crocker,et al.  Cognitive Processes in the Revision of Stereotypic Beliefs , 1983 .

[34]  J. Brehm.  A theory of psychological reactance. , 1981 .

[35]  D. Penn,et al.  Dispelling the stigma of schizophrenia. , 1997, Psychiatric services.

[36]  Bruce G. Link,et al.  Contact with the mentally ill and perceptions of how dangerous they are. , 1986, Journal of health and social behavior.

[37]  D. Fisher,et al.  Health care reform based on an empowerment model of recovery by people with psychiatric disabilities. , 1994, Hospital & community psychiatry.

[38]  Miles Hewstone,et al.  COGNITIVE MODELS OF STEREOTYPE CHANGE , 1992 .

[39]  P. Devine.  Stereotypes and prejudice: Their automatic and controlled components. , 1989 .

[40]  S. Page.  Effects of the mental illness label in attempts to obtain accommodation. , 1977 .

[41]  Bruce G. Link.  Understanding labeling effects in the area of mental disorders : An assessment of the effects of expectations of rejection , 1987 .

[42]  James Frank,et al.  The Social Rejection of Former Mental Patients: Understanding Why Labels Matter , 1987, American Journal of Sociology.

[43]  I. Brockington,et al.  The Community's Tolerance of the Mentally Ill , 1993, British Journal of Psychiatry.