The other side of the fence: Iatrogenic stigma.

I found the below article quite thoughtful and well done. It’s in keeping with what I learned when I worked in the system as well. I’ve written about this issue quite a lot. I’m sorry the British Journal of Psychiatry denied it, but we can help pass it about this way.

I like how the author underscores that professionals need to tend to their own bigotry first which is something I write about often. The systematic “othering” of service users is toxic and certainly a cause of psychological and spiritual iatrogenic injury. I go so far as to consider that as human beings trying to figure out what the heck we’re doing here on this planet we are all peers, service users and professionals alike. This doesn’t sit well with everyone in the peer movement either, but as a suggestion to contemplate I believe that it eradicates any sort of hierarchy at all and for that reason deserves consideration. You can read my thoughts on the topic here: Mental health-related stigma in health care and mental health-care settings: response to journal article

Hole Ousia

This is an Editorial that I submitted to the British Journal of Psychiatry. It was rejected for the following reasons:

MS ID#: BJP/2012/115832

The strengths of this paper are:

  • It discusses an important set of issues ie how far psychiatric staff themselves contribute towards stigma

The limitations of the paper are:

  • It takes a rather anecdotal approach eg a colleague of mine recently wrote etc
  • The paper does not seek to examine the evidence that stigma more generally, or more specifically within the psychiatric profession, are getting better or worse
  • The paper tends to go over old ground somewhat eg in rehearsing definitions of stigma
  • The literature review is rather patchy ie citing the Angermeyer review on biological causal explanations of mental illness but not the recent Schomerus paper
  • The discussion is rather wide ranging eg referring to ‘herd instinct’ and Kierkergaard etc
  • There is a fairly substantial literature on mental…

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