Wednesday, December 3, 2014

The Link Between Mental Illness and Violence

            The belief that persons with mental illness are dangerous is a significant factor in the development of stigma and discrimination. This link is often promoted by the news media and entertainment; in a survey for the Screen Actors’ Guild, characters in prime time television portrayed as having a mental illness are depicted as the most dangerous of all demographic groups: 60 percent were shown to be involved in crime or violence (Mental Health America, 1999). The majority of news stories regarding mental illness tend to either focus on people who have committed a crime who happen to have a mental disorder.
The result is that most Americans believe that people suffering from mental illnesses are dangerous. The majority of people in the United States believe that people with a mental illness pose a threat of violence towards other people (Pescosolido et al., 1999). In reality, however, people have little reason to worry. The American Psychiatric Association claims that most perpetrators of violent crime do not have any mental illness, and those with mental illness are over twice as likely to be a victim of a violent crime than those without; in fact, one in four people in America with a mental illness experience violence each year (Shapiro, 2014). Even so, there are countless articles and blogs like this one that call for the mentally ill to essentially be rounded up and institutionalized in the name of “preventing violence.”
Still, high profile crimes such as mass shootings seem to always bring up the issue of mentally ill people having access to guns, regardless of whether or not the shooter actually had a mental illness. In response to the Sandy Hook shootings (the shooter, Adam Lanza, was never diagnosed with a mental disorder), New York passed the Safe Act in 2013, which mandated that mental-health professionals file reports on patients “likely to engage in conduct that would result in harm to self or others”; those patients, who now number more than 38,000, have been cross-checked against lists of registered gun owners. Those who have been labeled as being “at-risk” and own a gun have had them seized and have been prevented from buying new ones.

Opponents to the Safe Act argue that the law is just another form of stigma related to mental illnesses. In a 2001 study that looked at 34 mass murderers, only 1 out of 4 had a history of mental illness (Beckett, 2014). In contrast, it was found that over half had a documented history of violence. Jeffrey Swanson, a psychology professor at Duke, states that if he had it his way, gun prohibitions would not be based upon mental history, but violent history. As Swanson stated, “Any history of violent behavior is a much stronger predictor of future violence than mental health diagnoses…People with mental illnesses are still people, and people aren’t all one thing or another.”

Monday, December 1, 2014

Post Four: Strategies to Fight Stigma

A study done by Corbiere, Samson, Villotti, and Pelletier (2012) examined different strategies used to fight the stigma of mental illness. The study considered the perspectives of three different groups: Clinical (mental healthcare workers), experiential (those who use mental health services), and organizational (managers, researchers, and others). The study was done during an annual Canadian conference entitled “Combating Stigma, a Collective Challenge!” A total of 315 people participated in the survey, which could be completed either online or on paper.


Of the 315 participants, 277 answered the question relevant to the study: (44%) were clinicians, and (27%) used mental healthcare services. The remaining participants were comprised of managers (10%), coordinators (8%), researchers/professors (3%), friends and family (3%), students (1%), and other (4%). The question was opened ended and worded as follows: tell us briefly what you do to reduce prejudice and stigma toward people with a diagnosis of a mental disorder.
After reading all of the answers, the researchers established 15 categories of strategies, which were then grouped into six separate themes. The most common strategy used was education/teaching (42%). Over a third (32%) cited normalizing as a strategy. In most cases, normalizing is used when communicating with someone with a mental disorder. It entails treating the individual just as you would treat anyone else. One clinician stated, “I act normal, I treat them like whole people and I ignore the illness.”

Other strategies emerged as well. Two strategies that focused on the person with the mental illness were working on recovery (19%) and working on social inclusion. The sharing/encouraging strategy (9%) was directed at the general public and involved having a user of mental health services share their story with people in an attempt to alter others’ opinions of those with mental illnesses. Other less common strategies included listening/caring (11%), accepting/respecting (8%), meeting/coming (3%), doing introspective work (6%), and being natural (2%).

Despite the low incidence of doing introspective work and being natural, these two are important, as the authors state that before this study was performed, self-directed strategies were rarely spoken of. For someone “being natural,” one would not disclose their diagnosis and would normalize mental illness for those that they meet. As one user of mental health services reported, “ I live with a diagnosis of mental disorder…to counter the prejudice and stigma I choose to act like a person without distinction.” This study has highlighted the importance of including different stakeholders in research in order to provide a more complete perspective on a subject.