Skip to main content

Stigma in Different Cultures

  • Chapter
  • First Online:
Book cover The Stigma of Mental Illness - End of the Story?

Abstract

Most stigma research to date has considered the stigma of mental illness to be a universal occurrence, but one that presents with different manifestations in different contexts. Yang et al., for example, observe that ‘stigma appears to be a universal phenomenon, a shared existential experience’ (Yang et al. 2007) (p. 1528). In a review of the global evidence on stigma and discrimination, Thornicroft concludes that ‘there is no known country, society or culture where people with mental illness (diagnosed or recognised as such by the community) are considered to have the same value or be as acceptable as persons who do not have mental illness’(Thornicroft 2006).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The word ‘western’ is used here because it appears in Fabrega’s work. It is a misnomer, usually referring to what happens in the USA and possibly in few European countries. Countries of Europe show vast cultural differences, and there is no justification to making them a group which shares a ‘western’ culture (Sartorius 2002).

  2. 2.

    As with the word ‘western’ referring to Fabrega’s work, we have kept the words Mediterranean and Northern European being fully aware that the differences among the countries bordering the Mediterranean – ranging from the culture prevailing Albania or Croatia and Italy to Morocco and Israel – are generalisations that are not very meaningful nor useful.

References

  • Alonso J, Buron A, Bruffaerts R, He Y, Posada-Villa J, Lepine JP et al (2008) Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatr Scand 118(4):305–314

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Angermeyer MC, Matschinger H, Schomerus G (2013) Attitudes towards psychiatric treatment and people with mental illness: changes over two decades. Brit J Psychiatry J Ment Sci 203:146–151

    Article  Google Scholar 

  • Askenasy A (1974) Attitudes towards mental patients: a study across cultures. Mouton, Hague

    Google Scholar 

  • Barke A, Nyarko S, Klecha D (2011) The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients’ views. Soc Psychiatry Psychiatr Epidemiol 46(11):1191–1202

    Article  PubMed  Google Scholar 

  • Beldie A, den Boer JA, Brain C, Constant E, Figueira ML, Filipcic I et al (2012) Fighting stigma of mental illness in midsize European countries. Soc Psychiatry Psychiatr Epidemiol 47(Suppl 1):1–38

    Article  PubMed  Google Scholar 

  • Bhui K, Bhugra D (2007) Culture and mental health. Edward Arnold, London

    Google Scholar 

  • Borschmann R, Greenberg N, Jones N et al (2014) Campaigns to reduce mental illness stigma in Europe: a scoping review. Die Psychiatr 11(1):43–50

    Google Scholar 

  • Botha UA, Koen L, Niehaus DJ (2006) Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness. Soc Psychiatry Psychiatr Epidemiol 41(8):619–623

    Article  PubMed  Google Scholar 

  • Charles H, Manoranjitham S, Jacob K (2007) Stigma and explanatory models among people with schizophrenia and their relatives in Vellore, South India. Int J Soc Psychiatry 53(4):325–332

    Article  PubMed  Google Scholar 

  • Chatterjee S, Naik S, John S, Dabholkar H, Balaji M, Koschorke M et al (2014) Effectiveness of a community-based intervention for people with schizophrenia and their caregivers in India (COPSI): a randomised controlled trial. Lancet 383(9926):1385–1394

    Article  PubMed  PubMed Central  Google Scholar 

  • Chung K, Wong M (2004) Experience of stigma among Chinese mental health patients in Hong Kong [l]. Psychiatr Bull 28(12):451–454

    Article  Google Scholar 

  • Cohen J, Struening EL (1962) Opinions about mental illness in the personnel of two large mental hospitals. J Abnorm Psychol 64:349–360, 0096−851X (Print)

    Article  CAS  Google Scholar 

  • Coker EM (2005) Selfhood and social distance: toward a cultural understanding of psychiatric stigma in Egypt. Soc Sci Med 61(5):920–930

    Article  PubMed  Google Scholar 

  • Cooper J, Sartorius N (1977) Cultural and temporal variations in schizophrenia: a speculation on the importance of industrialization. Br J Psychiatry 130:50–55

    Article  CAS  PubMed  Google Scholar 

  • Corker E, Hamilton S, Henderson C, Weeks C, Pinfold V, Rose D et al (2013) Experiences of discrimination among people using mental health services in England 2008–2011. Br J Psychiatry Suppl 55:s58–s63

    Article  CAS  PubMed  Google Scholar 

  • Corker EA, Beldie A, Brain C, Jakovljevic M, Jarema M, Karamustafalioglu O et al (2014) Experience of stigma and discrimination reported by people experiencing the first episode of schizophrenia and those with a first episode of depression: The FEDORA project. Int J Soc Psychiatry 61(5):438–445

    Google Scholar 

  • Corrigan PW (2007) How clinical diagnosis might exacerbate the stigma of mental illness. Soc Work 52(1):31–39

    Article  PubMed  Google Scholar 

  • Corrigan PW, River LP, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J et al (2001) Three strategies for changing attributions about severe mental illness. Schizophr Bull 27:187–195, 0586-7614 (Print)

    Article  CAS  PubMed  Google Scholar 

  • Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rusch N (2012) Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 63(10):963–973

    Article  PubMed  Google Scholar 

  • Drew N, Funk M, Tang S, Lamichhane J, Chavez E, Katontoka S et al (2011) Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet 378(9803):1664–1675 [S0140-6736(11)61458-X pii; 10.1016/S0140-6736(11)61458-X doi]

    Article  PubMed  Google Scholar 

  • Dunion L, Gordon L (2005) Tackling the attitude problem. The achievements to date of Scotland’s ‘see me’ anti-stigma campaign. Mental Health Today (Brighton, England), 22–25

    Google Scholar 

  • Egbe CO, Brooke-Sumner C, Kathree T, Selohilwe O, Thornicroft G, Petersen I (2014) Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders. BMC Psychiatry 14:191

    Article  PubMed  PubMed Central  Google Scholar 

  • El-Islam EF (1979) A better outlook for schizophrenics living in extended families. Br J Psychiatry 135:343–347

    Article  CAS  PubMed  Google Scholar 

  • Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012a) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 42(8):1741–1752

    Article  CAS  PubMed  Google Scholar 

  • Evans-Lacko S, London J, Japhet S, Rusch N, Flach C, Corker E et al (2012b) Mass social contact interventions and their effect on mental health related stigma and intended discrimination. BMC Public Health 12:489

    Article  PubMed  PubMed Central  Google Scholar 

  • Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R (2013a) The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 8(7):e69792

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Evans-Lacko S, Malcolm E, West K, Rose D, London J, Rusch N et al (2013b) Influence of Time to Change’s social marketing interventions on stigma in England 2009–2011. Br J Psychiatry Suppl 55:s77–s88. doi:10.1192/bjp.bp.113.126672 [202/s55/s77 pii]

    Article  PubMed  Google Scholar 

  • Fabrega H Jr (1991a) The culture and history of psychiatric stigma in early modern and modern Western societies: a review of recent literature. Compr Psychiatry 32(2):97–119

    Article  PubMed  Google Scholar 

  • Fabrega H Jr (1991b) Psychiatric stigma in non-Western societies. Compr Psychiatry 32(6):534–551

    Article  PubMed  Google Scholar 

  • Fekadu A, Thornicroft G (2014) Global mental health: perspectives from Ethiopia. Glob Health Action 7:25447

    Article  Google Scholar 

  • Fekadu A, Hanlon C, Gebre-Eyesus E, Agedew M, Solomon H, Teferra S et al (2014) Burden of mental disorders and unmet needs among street homeless people in Addis Ababa, Ethiopia. BMC Med 12(1):138

    Article  PubMed  PubMed Central  Google Scholar 

  • Girma E, Tesfaye M, Froeschl G, Moller-Leimkuhler AM, Muller N, Dehning S (2013) Public stigma against people with mental illness in the Gilgel Gibe Field Research Center (GGFRC) in southwest Ethiopia. PLoS One 8(12):e82116

    Article  PubMed  PubMed Central  Google Scholar 

  • Han DY, Lin YY, Liao SC, Lee MB, Thornicroft G, Wu CY (2014) Analysis of the barriers of mental distress disclosure in medical inpatients in Taiwan. Int J Soc Psychiatry 61(5):446–455

    Google Scholar 

  • Harrison G, Hopper K, Craig T, Laska E, Siegel C, Wanderling J et al (2001) Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517

    Article  CAS  PubMed  Google Scholar 

  • Hopper K, Harrison G, Wanderling JA (2007) An overview of course and outcome in ISoS. In: Hopper K, Harrison G, Janca A, Sartorius N (eds) Recovery from schizophrenia: an international perspective: a report from the WHO collaborative project, the international study of schizophrenia. Oxford University Press, New York, pp 23–38 [References]

    Google Scholar 

  • Jablensky A, Sartorius N, Ernberg G et al (1992) Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization ten-country study. Psychol Med Monogr Suppl 20:1–97

    Article  CAS  PubMed  Google Scholar 

  • Jorm AF, Christensen H, Griffiths KM (2006) Changes in depression awareness and attitudes in Australia: the impact of beyond blue: the national depression initiative. Aust N Z J Psychiatry 40:42–46, 0004-8674 (Print)

    Article  PubMed  Google Scholar 

  • Kingdon D, Gibson A, Kinoshita Y, Turkington D, Rathod S, Morrison A (2008a) Acceptable terminology and subgroups in schizophrenia: an exploratory study. Soc Psychiatry Psychiatr Epidemiol 43(3):239–243

    Article  PubMed  Google Scholar 

  • Kingdon D, Vincent S, Vincent S, Kinoshita Y (2008b) Destigmatising schizophrenia: does changing terminology reduce negative attitudes? Psychiatrist 32:419–422

    Google Scholar 

  • Kleinman A (1987) Anthropology and psychiatry. The role of culture in cross-cultural research on illness. Br J Psychiatry 151:447–454

    Article  CAS  PubMed  Google Scholar 

  • Kleinman A, Hall-Clifford R (2009) Stigma: a social, cultural and moral process. J Epidemiol Community Health 63(6):418–419

    Article  PubMed  Google Scholar 

  • Kohrt BA, Harper I (2008) Navigating diagnoses: understanding mind-body relations, mental health, and stigma in Nepal. Cult Med Psychiatry 32(4):462–491

    Article  PubMed  Google Scholar 

  • Koschorke M, Padmavati R, Kumar S, Cohen A, Weiss HA, Chatterjee S et al (2014) Experiences of stigma and discrimination of people with schizophrenia in India. Soc Sci Med 123C:149–159

    Article  Google Scholar 

  • Lasalvia A, Zoppei S, Van BT, Bonetto C, Cristofalo D, Wahlbeck K et al (2012) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet (1474-547X (Electronic))

    Google Scholar 

  • Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K et al (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. The Lancet 381(9860):55–62

    Google Scholar 

  • Lauber C, Rossler W (2007) Stigma towards people with mental illness in developing countries in Asia. Int Rev Psychiatry 19(2):157–178

    Article  PubMed  Google Scholar 

  • Lee S, Lee MT, Chiu MY, Kleinman A (2005) Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry 186:153–157

    Article  PubMed  Google Scholar 

  • Lee S, Chiu MY, Tsang A, Chui H, Kleinman A (2006) Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong. Soc Sci Med 62(7):1685–1696

    Article  PubMed  Google Scholar 

  • Li J, Thornicroft G, Huang Y (2014) Levels of stigma among community mental health staff in Guangzhou, China. BMC Psychiatry 14(1):231

    Article  PubMed  PubMed Central  Google Scholar 

  • Link BG, Phelan JC (2001) Conceptualising stigma. Am Sociol Rev 27:363–385

    Article  Google Scholar 

  • Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA (1999) Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 89(9):1328–1333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Link BG, Yang LH, Phelan JC, Collins PY (2004) Measuring mental illness stigma. Schizophr Bull 30:511–541, 0586-7614 (Print

    Article  PubMed  Google Scholar 

  • Littlewood R (1998) Cultural variation in the stigmatisation of mental illness. Lancet 352(9133):1056–1057

    Article  CAS  PubMed  Google Scholar 

  • Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71(12):2150–2161

    Article  PubMed  Google Scholar 

  • Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J et al (2011) Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet 378(9801):1502–1514

    Article  PubMed  Google Scholar 

  • Mental Health Foundation (2000) Pull yourself together: a survey of the stigma and discrimination faced by people who experience mental distress. Mental Health Foundation, London

    Google Scholar 

  • Murthy RS (2002) Stigma is universal but experiences are local. World Psychiatry 1(1):28

    PubMed  PubMed Central  Google Scholar 

  • Murthy RS (2005) Stigma of mental illness in the third world. In: Okasha A, Stefanis CN (eds) Perspectives on the stigma of mental illness. World Psychiatric Association, Cairo

    Google Scholar 

  • Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG (2010) “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatr 167(11):1321–1330

    Article  PubMed  PubMed Central  Google Scholar 

  • Phelan JC, Yang LH, Cruz-Rojas R (2006) Effects of attributing serious mental illnesses to genetic causes on orientations to treatment. Psychiatr Serv 57(3):382–387

    Article  PubMed  Google Scholar 

  • Phillips MR, Pearson V, Li F, Xu M, Yang L (2002) Stigma and expressed emotion: a study of people with schizophrenia and their family members in China. Br J Psychiatry 181:488–493

    Article  PubMed  Google Scholar 

  • Pool R, Geissler W (2005) Medical anthropology. Open University Press, Maidenhead

    Google Scholar 

  • Quinn N, Knifton L (2014) Beliefs, stigma and discrimination associated with mental health problems in Uganda: implications for theory and practice. Int J Soc Psychiatry 60(6):554–561

    Article  PubMed  Google Scholar 

  • Quinn N, Knifton L, Goldie I, Van Bortel T, Dowds J, Lasalvia A et al (2013) Nature and impact of European anti-stigma depression programmes. Health promotion international, das076

    Google Scholar 

  • Rose D, Willis R, Brohan E, Sartorius N, Villares C, Wahlbeck K et al (2011) Reported stigma and discrimination by people with a diagnosis of schizophrenia. Epidemiol Psychiatr Sci 20(2):193–204

    Article  CAS  PubMed  Google Scholar 

  • Rosen A (2003) What developed countries can learn from developing countries in challenging psychiatric stigma. Australas Psychiatry 11(Suppl1):S89–S95

    Article  Google Scholar 

  • Rusch N, Todd AR, Bodenhausen GV, Corrigan PW (2010) Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma. Eur Arch Psychiatry Clin Neurosci 260(8):617–625

    Article  PubMed  Google Scholar 

  • Rusch N, Zlati A, Black G, Thornicroft G (2014) Does the stigma of mental illness contribute to suicidality? Br J Psychiatry J Ment Sci 205(4):257–259, Editorial

    Article  Google Scholar 

  • Saravanan B, Jacob K, Deepak M, Prince M, David AS, Bhugra D (2008) Perceptions about psychosis and psychiatric services: a qualitative study from Vellore, India. Soc Psychiatry Psychiatr Epidemiol 43(3):231–238

    Article  PubMed  Google Scholar 

  • Sartorius N (2002) Fighting for Mental Health. Cambridge: Cambridge University Press; English. p. 256. (ISBN 0-521-58243-1)

    Google Scholar 

  • Sartorius N, Schulze H (2005) Reducing the stigma of mental illness. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG et al (2012) Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 125(6):440–452

    Article  CAS  PubMed  Google Scholar 

  • Shefer G, Rose D, Nellums L, Thornicroft G, Henderson C, Evans-Lacko S (2012) ‘Our community is the worst’: the influence of cultural beliefs on stigma, relationships with family and help-seeking in three ethnic communities in London. Int J Soc Psychiatry 59(6):535–544

    Google Scholar 

  • Shibre T, Negash A, Kullgren G, Kebede D, Alem A, Fekadu A et al (2001) Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol 36(6):299–303

    Article  CAS  PubMed  Google Scholar 

  • Sorsdahl KR, Kakuma R, Wilson Z, Stein DJ (2012) The internalized stigma experienced by members of a mental health advocacy group in South Africa. Int J Soc Psychiatry 58(1):55–61

    Article  PubMed  Google Scholar 

  • Srinivasan TN, Thara R (2001) Beliefs about causation of schizophrenia: do Indian families believe in supernatural causes? Soc Psychiatry Psychiatr Epidemiol 36(3):134–140

    Article  CAS  PubMed  Google Scholar 

  • Stuart H, Arboleda-Florez J, Sartorius N (2012) Paradigms lost – fighting stigma and the lessons learned. Oxford University Press; p. 304. (ISBN 978-0-19-979763-9)

    Google Scholar 

  • Stuart H, Arboleda Florez J, Sartorius N (2013) Paradigms Lost, Published by Oxford University Press

    Google Scholar 

  • Su X, Lau JT, Mak WW, Chen L, Choi KC, Song J et al (2013) Perceived discrimination, social support, and perceived stress among people living with HIV/AIDS in China. AIDS Care 25(2):239–248

    Article  PubMed  Google Scholar 

  • Switaj P, Wciorka J, Smolarska-Switaj J, Grygiel P (2009) Extent and predictors of stigma experienced by patients with schizophrenia. Eur Psychiatry 24(8):513–520

    Article  CAS  PubMed  Google Scholar 

  • Taylor SM, Dear MJ (1981) Scaling community attitudes toward the mentally ill. Schizophr Bull 7:225–240, 0586-7614 (Print)

    Article  CAS  PubMed  Google Scholar 

  • Thara R, Kamath S, Kumar S (2003) Women with schizophrenia and broken marriages – doubly disadvantaged? Part I: patient perspective. Int J Soc Psychiatry 49(3):225–232

    Article  CAS  PubMed  Google Scholar 

  • Thirthalli J, Kumar CN (2012) Stigma and disability in schizophrenia: developing countries’ perspective. Int Rev Psychiatry 24(5):423–440

    Article  PubMed  Google Scholar 

  • Thornicroft (2006) Shunned: discrimination against people with mental illness. Oxford University Press, Oxford

    Google Scholar 

  • Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, Group, I. S (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373(9661):408–415

    Article  PubMed  Google Scholar 

  • Thornicroft C, Wyllie A, Thornicroft G, Mehta N (2014) Impact of the “Like Minds, Like Mine” anti-stigma and discrimination campaign in New Zealand on anticipated and experienced discrimination. Aust N Z J Psychiatry 48(4):360–370

    Article  PubMed  Google Scholar 

  • Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D et al (2015) Evidence for effective interventions to reduce mental-health-related stigma and discrimination: narrative review. Lancet

    Google Scholar 

  • Ucok A, Brohan E, Rose D, Sartorius N, Leese M, Yoon CK et al (2012) Anticipated discrimination among people with schizophrenia. Acta Psychiatr Scand 125(1):77–83

    Article  CAS  PubMed  Google Scholar 

  • Vaughan G, Hansen C (2004) ‘Like Minds, Like Mine’: a New Zealand project to counter the stigma and discrimination associated with mental illness. Australas Psychiatry 12(2):113–117

    PubMed  Google Scholar 

  • Warner R (2008) Implementing local projects to reduce the stigma of mental illness. Epidemiol Psichiatr Soc 17(1):20–25

    PubMed  Google Scholar 

  • Waxler N (1976) Social change and psychiatric illness in Ceylon: traditional and modern conceptions of disease and treatment. In: Lebra W (ed) Culture-bound syndromes, ethnopsychiatry and alternative therapies. University Press of Hawaii, Honolulu

    Google Scholar 

  • Waxler N (1979) Is outcome of schizophrenia better in non-industrial societies? The case of Sri Lanka. J Nerv Mental Dis 167:144–158

    Article  CAS  Google Scholar 

  • Weiss MG, Jadhav S, Raguram R, Vounatsou P, Littlewood R (2001) Psychiatric stigma across cultures: local validation in Bangalore and London. Anthropol Med 8(7):71–87

    Article  Google Scholar 

  • WHO (1979) Schizophrenia: an international follow-up study. Wiley, Chichester

    Google Scholar 

  • Yang LH (2007) Application of mental illness stigma theory to Chinese societies: synthesis and new directions. Singap Med J 48(11):977–985

    CAS  Google Scholar 

  • Yang LH, Kleinman A (2008) ‘Face’ and the embodiment of stigma in China: the cases of schizophrenia and AIDS. Soc Sci Med 67(3):398–408

    Article  PubMed  PubMed Central  Google Scholar 

  • Yang, Kleinman A, Link B, Phelan J, Lee S, Good B (2007) Culture and stigma: adding moral experience to stigma theory. Soc Sci Med 64(7):1524–1535

    Article  PubMed  Google Scholar 

  • Yang LH, Phillips MR, Lo G, Chou Y, Zhang X, Hopper K (2010) “Excessive thinking” as explanatory model for schizophrenia: impacts on stigma and “moral” status in Mainland China. Schizophr Bull 36(4):836–845

    Article  PubMed  Google Scholar 

  • Yang LH, Valencia E, Alvarado R, Link B, Huynh N, Nguyen K et al (2013) A theoretical and empirical framework for constructing culture-specific stigma instruments for Chile. Cad Saúde Coletiva 21(1):71–79

    Article  PubMed  Google Scholar 

  • Yang C, Sia L, Lam N et al (2014a) “What matters most:” a cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma. Soc Sci Med 103:84–93

    Article  PubMed  Google Scholar 

  • Yang LH, Thornicroft G, Alvarado R, Vega E, Link BG (2014b) Recent advances in cross-cultural measurement in psychiatric epidemiology: utilizing ‘what matters most’ to identify culture-specific aspects of stigma. Int J Epidemiol 43(2):494–510

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mirja Koschorke .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Koschorke, M., Evans-Lacko, S., Sartorius, N., Thornicroft, G. (2017). Stigma in Different Cultures. In: Gaebel, W., Rössler, W., Sartorius, N. (eds) The Stigma of Mental Illness - End of the Story?. Springer, Cham. https://doi.org/10.1007/978-3-319-27839-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27839-1_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27837-7

  • Online ISBN: 978-3-319-27839-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics