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1

Poindexter, Cynthia Cannon, and R. Andrew Shippy. "HIV Diagnosis Disclosure: Stigma Management and Stigma Resistance." Journal of Gerontological Social Work 53, no. 4 (April 30, 2010): 366–81. http://dx.doi.org/10.1080/01634371003715841.

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Britten, N. "Psychiatry, stigma, and resistance." BMJ 317, no. 7164 (October 10, 1998): 963–64. http://dx.doi.org/10.1136/bmj.317.7164.963.

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Weitzer, Ronald. "Resistance to sex work stigma." Sexualities 21, no. 5-6 (January 18, 2017): 717–29. http://dx.doi.org/10.1177/1363460716684509.

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Stigma is ubiquitous in sex work and is well documented in studies of sex workers. But rarely have scholars examined the vital question of whether, and if so how, stigma can be reduced or eliminated from any type of sex work (commercial stripping, pornography, prostitution, etc.). After a brief review of the issues related to stigma, this Commentary proposes a set of preconditions for the reduction and, ultimately, elimination of stigma from sex work.
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Gunn, Alana J., Tina K. Sacks, and Alexis Jemal. "“That’s not me anymore”: Resistance strategies for managing intersectional stigmas for women with substance use and incarceration histories." Qualitative Social Work 17, no. 4 (December 15, 2016): 490–508. http://dx.doi.org/10.1177/1473325016680282.

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Significant previous research has focused on how individuals experience stigma when interacting with the public sphere and service agencies; the purpose of this grounded theory study is to explore how formerly incarcerated mothers with histories of substance use experience stigmas from their intimate relationships with family and romantic partners. Using an intersectionality lens, this study reveals that the women perceived multiple stigmas due to their previous substance use, incarceration, and other addiction-related behaviors that challenged their roles as mothers and romantic partners. Compounding the behavioral-related stigmas were race and class-based stereotypes of black criminality that also challenged women’s ability to embody key motherhood and womanhood roles. As a result, the women employed resistance strategies to safeguard against stigma and preserve their recovery. The implications for practice underscore the significance of addressing personal experiences of stigma, complex relational dynamics, and understanding the needs of support systems that are also shaped by the women’s cycles of incarceration and illness.
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RIESSMAN, CATHERINE KOHLER. "STIGMA AND EVERYDAY RESISTANCE PRACTICES." Gender & Society 14, no. 1 (February 2000): 111–35. http://dx.doi.org/10.1177/089124300014001007.

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Griffiths, Scott, Jonathan M. Mond, Stuart B. Murray, Chris Thornton, and Stephen Touyz. "Stigma resistance in eating disorders." Social Psychiatry and Psychiatric Epidemiology 50, no. 2 (June 29, 2014): 279–87. http://dx.doi.org/10.1007/s00127-014-0923-z.

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Engidaw, Nigus Alemnew, Eyosiyas Yeshialem Asefa, Zelalem Belayneh, and Abate Dargie Wubetu. "Stigma Resistance and Its Associated Factors among People with Bipolar Disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia." Depression Research and Treatment 2020 (September 26, 2020): 1–8. http://dx.doi.org/10.1155/2020/7917965.

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Background. Stigma resistance is the capacity to cope and remain unaffected by mental illness stigmatization. In bipolar patients, having low stigma resistance may result in a higher internalized stigma, low self-esteem, and poor treatment outcome. In Ethiopia, the prevalence of stigma resistance among bipolar patients is not well known. Therefore, this study is aimed at assessing the prevalence of stigma resistance and its associated factors among bipolar patients at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Method. An institutional-based cross-sectional study was conducted from May 8th to June 14th, 2016, at Amanuel Mental Specialized Hospital. The study participants were selected using a systematic random sampling technique. The stigma resistance subscale of the internalized stigma of mental illness was used to measure stigma resistance. Bivariable and multivariable logistic regression was computed to identify factors associated with stigma resistance. Accordingly, variables with P values of less than 0.05 were considered as statistically significant predictors of stigma resistance with a 95% confidence interval. Results. In this study, 418 participants completed the interview with a response rate of 98.8%. The prevalence of low stigma resistance was 56.9% (95%CI=51.9‐61.6%). Being unemployed (AOR=1.65; 95%CI=1.35‐1.87), high internalized stigma (AOR=3.04; 95%CI=1.83‐5.05) and low self-esteem (AOR=2.13; 95%CI=1.72‐6.76) were significantly associated with low stigma resistance. Conclusions and Recommendation. More than half of the bipolar patients attending the Amanuel Mental Specialized Hospital had low stigma resistance. Therefore, stigma reduction programs have focused on improving self-esteem and reducing internalized stigma to increase their stigma resistance. Mental health information dissemination regarding community support and reengagement of people with bipolar disorder is highly recommended.
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Nelson, Erik, Amy Werremeyer, Gina Aalgaard Kelly, and Elizabeth Skoy. "Self-stigma of antidepressant users through secondary analysis of PhotoVoice data." Mental Health Clinician 8, no. 5 (September 1, 2018): 214–21. http://dx.doi.org/10.9740/mhc.2018.09.214.

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Abstract Introduction: Aspects of self-stigma and medication-related stigma among individuals with depressive disorders remain largely unexplored. The primary objective of this study is to highlight and characterize self-stigma and medication-related stigma experiences of antidepressant users. Methods: This is a secondary analysis of data obtained from PhotoVoice studies examining psychotropic medication experiences. Transcripts of reflections from 12 individuals self-reporting a depressive disorder diagnosis and receipt of a prescription for an antidepressant were included. A directed content analysis approach based on expansion of the Self-Stigma of Depression Scale and an iterative process of identification of medication-stigma and stigma-resistance were used. Total mentions of self-stigma, stigma resistance, medication stigma, and underlying themes were tallied and evaluated. Results: Self-stigma was mentioned a total of 100 times with at least 2 mentions per participant. Self-blame was the most prominent construct of self-stigma and was mentioned nearly twice as often as any other self-stigma construct. Most participants also made mentions of self-stigma resistance. Half of the individual participants mentioned stigma resistance more times than they mentioned self-stigma, which suggests some surmounting of self-stigma. Medication-related stigma was also prominent, denoting negativity about the presence of medications in one's life. Discussion: Self-stigma related to self-blame may be problematic for antidepressant users. Identification and measurement of stigma resistance, especially in peer interactions, may represent a promising concept in overcoming self-stigma. Future work should explore emphasizing self-blame aspects when designing interventions to reduce self-stigma among individuals with depressive disorders and explore development of tools to measure stigma resistance.
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Tesfaye, Elias, Chalachew Kassaw, and Liyew Agenagnew. "Stigma Resistance and Its Associated Factors among Patients with Mood Disorder at St. Paul’s Hospital and Millennium Medical College, Addis Ababa, Ethiopia, 2019." Psychiatry Journal 2020 (June 9, 2020): 1–8. http://dx.doi.org/10.1155/2020/7429567.

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Background. Stigma resistance is described as the capacity to counteract or remain unaffected by the stigma of mental illness. Patients who have high stigma resistance have shown good treatment outcome, so working on this issue is crucial since little is known about the stigma resistance level among patients with mood disorders. Objectives. To determine the magnitude and determinant factors of stigma resistance among patients with mood disorder attending at St. Paul’s Hospital. Methods. A cross-sectional study design was conducted on 238 study samples, and systematic random sampling was used to get the study participants. Internalized Stigma of Mental Illness Scale was used to measure stigma resistance. Data was entered using EpiData 3.1 and exported to the Statistical Package for Social Science 22.0 for analysis. Linear regression analysis (P<0.05) was used to identify a significant association between the outcome and predictor variable. Results. Out of 238 study samples, 235 patients took part with a 99% response rate. The overall percentage of stigma resistance was 49.5%. Low educational status (B=−1.465, 95% CI (-2.796, -0.134), P≤0.031), disability (B=−0.064, 95% CI (-0.102, -0.026), P≤0.001), nonadherence due to stigma (B=−1.365, 95% CI (-2.151, -0.580), P≤0.001), duration of treatment (B=0.091, 95% CI (0.042, 0.141), P≤0.001), internalized stigma (B=−2.948, 95% CI (-3.642, -2.254), P≤0.001), and self-esteem (B=1.859, 95% CI (0.812, 2.906), P≤0.001) were significantly associated with stigma resistance. Conclusion. This study found that only half of the patients had stigma resistance. Low educational status, high self-stigma, low self-esteem, disability, and short duration of treatment were negatively associated with stigma resistance, so working on those modifiable identified factors with focal stakeholders will be crucial to promote the stigma resistance level of patients with mood disorder.
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10

Kollmann, W., M. Amering, B. Schrank, and I. Sibitz. "The role of stigma resistance in persons with schizophrenia and schizoaffective disorder." European Psychiatry 26, S2 (March 2011): 1420. http://dx.doi.org/10.1016/s0924-9338(11)73125-x.

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IntroductionThe stigma of schizophrenia is well established as a complicating feature of psychiatric treatment. The fight against stigma and discrimination may benefit from individuals’ capacity to counteract stigma (=stigma resistance). In our recently published study[i] stigma resistance emerged as a separate construct. The very nature of stigma resistance, however, is still not fully revealed.AimsThe aim of our study is to shed more light on stigma resistance and gain a better insight in its genesis and impact.MethodsQualitative interviews are carried out with patients with schizophrenia and schizoaffective disorder following a semi-structured guideline. Transcripts of recorded interviews are coded and analysed thematically using a modified grounded theory approach. Interviews are continued until theoretical saturation is achieved.ResultsPreliminary results relating to the genesis of stigma resistance, its contribution to auto-protection and the concepts of life of a patient, as well as their influence on recovery will be presented.ConclusionFinding out more about determinants and consequences of stigma resistance could be a crucial step in improving the effectiveness of interventions targeting stigma and social exclusion.
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Morison, Tracy, Catriona Macleod, Ingrid Lynch, Magda Mijas, and Seemanthini Tumkur Shivakumar. "Stigma Resistance in Online Childfree Communities." Psychology of Women Quarterly 40, no. 2 (September 4, 2015): 184–98. http://dx.doi.org/10.1177/0361684315603657.

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12

Sibitz, I., A. Unger, A. Woppmann, T. Zidek, and M. Amering. "Stigma Resistance in Patients With Schizophrenia." Schizophrenia Bulletin 37, no. 2 (June 1, 2009): 316–23. http://dx.doi.org/10.1093/schbul/sbp048.

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Taft, Tiffany, and Laurie Keefer. "Mo1866 Internalized Stigma and Stigma Resistance in the Eosinophilic Gastrointestinal Disorders (EGIDs)." Gastroenterology 146, no. 5 (May 2014): S—676. http://dx.doi.org/10.1016/s0016-5085(14)62457-4.

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14

Firmin, Ruth L., Paul H. Lysaker, John H. McGrew, Kyle S. Minor, Lauren Luther, and Michelle P. Salyers. "The Stigma Resistance Scale: A multi-sample validation of a new instrument to assess mental illness stigma resistance." Psychiatry Research 258 (December 2017): 37–43. http://dx.doi.org/10.1016/j.psychres.2017.09.063.

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15

Taft, Tiffany H., Sarah Ballou, and Laurie Keefer. "A preliminary evaluation of internalized stigma and stigma resistance in inflammatory bowel disease." Journal of Health Psychology 18, no. 4 (June 11, 2012): 451–60. http://dx.doi.org/10.1177/1359105312446768.

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Ferguson, Shelagh, Jan Brace-Govan, Janet Hoek, and Matthew Mulconroy. "Managing Smokefree Momentum: Young RYO Smokers’ Responses to Tobacco Endgame Strategies." Journal of Macromarketing 40, no. 2 (April 30, 2020): 250–65. http://dx.doi.org/10.1177/0276146720920674.

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As more countries set smoking endgame goals and introduce measures to denormalize smoking, smokers’ experience of stigma may intensify and require new management strategies. Probing the tension between environmental changes that support population-level behaviour change and individuals’ sense making, which occurs at a micro, everyday level, provides unique insights into reactance, agency and stigma. Using a Foucauldian informed approach, we analyze how young RYO (roll-your-own tobacco) smokers internalize neoliberal marketplace economic norms and create positions of resistance. Experience-based videographies and in-depth interviews with 15 New Zealand young adults aged 20-30 illustrate how participants resist stigma and the social disapproval they experience. This analysis identifies how smoking denormalization affects practices and pleasures, and generates four discernible positions of resistance: Socialized, Comfort, Status and Pleasure Orientated Resistances. These highlight intersections between policy initiatives and consumer resistance, offering new insights relevant to public policy.
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Park, Keunwoo, Lee MinHwa, and Mikyung Seo. "The impact of self-stigma on self-esteem among persons with different mental disorders." International Journal of Social Psychiatry 65, no. 7-8 (August 2, 2019): 558–65. http://dx.doi.org/10.1177/0020764019867352.

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Background: This study assumes that just as public stigma differs depending on types of mental disorder, so too does self-stigma. Aims: This study aims to compare self-stigma among persons with schizophrenia, alcohol use disorder and gambling disorder, and thereby analyze the effects of self-stigma on their self-esteem. Methods: A total of 321 Korean adults involved in community mental services for schizophrenia ( N = 116), alcohol use disorder ( N = 102) and gambling disorder ( N = 103) were surveyed ( Mage = 40.74, standard deviation ( SD) = 10.10, 83.8% male, 16.2% female). Participants were questioned on self-stigma and self-esteem. One-way analysis of variance (ANOVA) was used to compare the self-stigma by mental disorder type. Furthermore, in order to analyze the effects of self-stigma on self-esteem with subjects’ age and educational background controlled, hierarchical regression analysis was used. Results: The self-stigma of gambling disorder group was highest not only in overall self-stigma but also some of its subscales – alienation, stereotype endorsement and stigma resistance – followed by alcohol use disorder group and schizophrenia group. In all three groups, self-stigma had a negative effect on self-esteem, while stigma resistance of subscales was the most important predictor. In addition to stigma resistance, alienation was a predictor in the schizophrenia group, alienation and social withdrawal in the alcohol use disorder group and social withdrawal was a significant predictor in the gambling disorder group. Therefore, the predictors of self-esteem differed depending on the type of mental disorder. Conclusion: Based on these results, we suggest cognitive-behavioral intervention to raise subject awareness of the unjust social stigma and boost self-advocacy to resist the stigma.
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Madyan, Syamsu. "HIV-AIDS AND ISLAM’ IN INDONESIA; POWER NARRATIVES AND RESISTANCE." PENDIDIKAN MULTIKULTURAL 3, no. 1 (February 27, 2019): 89. http://dx.doi.org/10.33474/multikultural.v3i1.2554.

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This paper can be identified as an AIDS anti-stigma related project, which orients its query to the particular problem of social stigma based on religion in Indonesia. It analyze how Islamic authorities and leadership in Indonesia has the power in the construction of AIDS realities as the reproduction of AIDS discourses in Indonesia generates the stigma towards Muslims living with the infection. This paper will be demonstrating the scenario of power, exclusion and resistance within the context of that stigma.Keywords: AIDS, religion, resistence
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Lau, Ying Wen, Louisa Picco, Shirlene Pang, Anitha Jeyagurunathan, Pratika Satghare, Siow Ann Chong, and Mythily Subramaniam. "Stigma resistance and its association with internalised stigma and psychosocial outcomes among psychiatric outpatients." Psychiatry Research 257 (November 2017): 72–78. http://dx.doi.org/10.1016/j.psychres.2017.07.027.

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Lien, Yin-Ju, Yu-Chen Kao, Yia-Ping Liu, Hsin-An Chang, Nian-Sheng Tzeng, Chien-Wen Lu, and Ching-Hui Loh. "Internalized Stigma and Stigma Resistance Among Patients with Mental Illness in Han Chinese Population." Psychiatric Quarterly 86, no. 2 (August 23, 2014): 181–97. http://dx.doi.org/10.1007/s11126-014-9315-5.

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Yeshua-Katz, Daphna. "Online Stigma Resistance in the Pro-Ana Community." Qualitative Health Research 25, no. 10 (February 9, 2015): 1347–58. http://dx.doi.org/10.1177/1049732315570123.

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Hofer, Alex, Fabienne Post, Silvia Pardeller, Beatrice Frajo-Apor, Christine M. Hoertnagl, Georg Kemmler, and W. Wolfgang Fleischhacker. "Self-stigma versus stigma resistance in schizophrenia: Associations with resilience, premorbid adjustment, and clinical symptoms." Psychiatry Research 271 (January 2019): 396–401. http://dx.doi.org/10.1016/j.psychres.2018.12.029.

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Smets, Peer, and Margarethe Kusenbach. "New Research on Housing and Territorial Stigma: Introduction to the Thematic Issue." Social Inclusion 8, no. 1 (February 27, 2020): 1–7. http://dx.doi.org/10.17645/si.v8i1.2930.

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This introduction to the thematic issue on housing and territorial stigma provides concise overviews of the concepts of stigma, housing stigma, and territorial (or neighborhood) stigma, while tracing back current research on these topics to the pioneering work of Erving Goffman and Loic Wacquant. In doing this, we place particular attention on social responses to, and coping strategies with, stigma, especially various forms of stigma resistance. Finally, in brief summaries of all articles in the thematic issue, we emphasize their shared themes and concerns.
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Hoggart, Lesley. "Internalised abortion stigma: Young women’s strategies of resistance and rejection." Feminism & Psychology 27, no. 2 (April 20, 2017): 186–202. http://dx.doi.org/10.1177/0959353517698997.

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This paper examines the ways in which young women articulated strategies of resistance to internalised abortion stigma. It does so through secondary analysis of young women’s narratives from two qualitative studies in England and Wales. Whilst participants felt stigmatised by their abortion[s] in different ways, many also resisted stigmatisation. They did this through different stigma resistance strategies that were shaped by a number of different interactions: their socio-economic situations, family and relationships contexts, the circumstances in which they became pregnant, and their beliefs and values with respect to abortion and motherhood. Being able to construct their abortion decision as morally sound was an important element of stigma resistance. Although socio-cultural norms and values on abortion, reproduction, and motherhood were shown to constrain women’s reproductive choices, these norms were all open to challenge. The women were more likely to struggle with their abortion decision-making when they had internalised negativity around abortion.
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Yasuike, Akiko. "Stigma Management and Resistance among High‐Achieving Undocumented Students." Sociological Inquiry 89, no. 2 (January 9, 2019): 191–213. http://dx.doi.org/10.1111/soin.12264.

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Chapkis, Wendy. "Commentary: Response to Weitzer ‘Resistance to sex work stigma’." Sexualities 21, no. 5-6 (January 18, 2017): 743–46. http://dx.doi.org/10.1177/1363460716684511.

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Kang, Seong Hyuk, Woo Jung Kim, Youn Joo Song, Jae Min Kim, Kee Namkoong, Kyooseob Ha, and Hyun-Sang Cho. "Factors Affecting Stigma Resistance in Patients with Bipolar Disorder." Journal of Korean Neuropsychiatric Association 54, no. 3 (2015): 309. http://dx.doi.org/10.4306/jknpa.2015.54.3.309.

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Yi Sum, Min, Sherry Kit Wa Chan, Samson Tse, John R. Bola, Roger Man Kin Ng, Christy Lai Ming Hui, Edwin Ho Ming Lee, Wing Chung Chang, and Eric Yu Hai Chen. "M231. INTERNALIZED STIGMA AS A PREDICTOR OF EMPLOYMENT STATUS IN PATIENTS WITH SCHIZOPHRENIA." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S224—S225. http://dx.doi.org/10.1093/schbul/sbaa030.543.

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Abstract Background Employment is an important social determinant of health, especially for individuals with mental illnesses where it was found that gainful employment is crucial for both functional and clinical recovery. However, individuals with mental illnesses face significantly higher levels of unemployment compared to their counterparts without. Within different diagnoses of mental illnesses, it was found that patients with schizophrenia face higher levels of unemployment compared to patients with other diagnoses. Numerous qualitative studies have identified an association between internalized stigma and unemployment in individuals with schizophrenia, however, fewer quantitative studies have examined the specific relationship between the two factors. Therefore, we aim to elucidate the relationship between employment status and internalized stigma, and more specifically, its domains in patients with schizophrenia. Methods One hundred and seventy-nine patients with schizophrenia were included in this study. Illness severity was assessed using the Clinical Global Impression scale, internalized stigma was measured using the Internalized Stigma of Mental Illness scale (ISMI), and demographic information including employment status was collected. For the purpose of analysis, employment status was categorised into two groups, with the employed group consisting of those under full-time and part-time employment, as well as full-time students. While the unemployed group consisted of individuals who were unemployed at the time of assessment. The ISMI assesses five domains of internalized stigma, which are alienation, stereotype endorsement, discrimination experience, social withdrawal and stigma resistance. Multiple logistic regression, controlling for demographic and clinical factors, was conducted to identify the domains of internalized stigma associated with predictors of employment status. Results One hundred and two participants were employed and seventy-seven were unemployed. The employed group was younger, had shorter duration of illness, more years of education and less severe illness level (all p &lt; .001). The unemployed group consisted of more females and divorced individuals (all p &lt; .05). The unemployed group reported significantly higher levels of internalized stigma in the total score, as well as stereotype endorsement, discrimination experience, and social withdrawal domains (all p &lt; .05). Mean total ISMI scores for employed and unemployed groups were 62.15 (SD = 13.69) and 67.52 (SD = 13.94) respectively. Multiple logistic regression analysis, controlling for demographic and clinical factors, found that years of education (OR = 0.835, p &lt; .05), and two domains of the internalised stigma scale, stereotype endorsement (OR = 1.210, p &lt; .05) and stigma resistance (OR = 0.854, p &lt; .05), were associated with employment status. Discussion More years of education and higher level of stigma resistance were found to be associated with being employed, suggesting that stigma resistance along with education may play protective roles in both obtaining and sustaining employment in patients. Higher level of stereotype endorsement was found to be associated with being unemployed, suggesting that patients who agree with the stereotypes about mental illness may face greater difficulties in gaining and sustaining employment. Hence, tailored interventions focused on specific domains of internalized stigma may be crucial components of any services targeted at improvement of occupational functioning in patients with schizophrenia.
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Morrison, Todd G., and Bruce W. Whitehead. "Strategies of Stigma Resistance Among Canadian Gay-Identified Sex Workers." Journal of Psychology & Human Sexuality 17, no. 1-2 (July 21, 2005): 169–79. http://dx.doi.org/10.1300/j056v17n01_10.

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Clegg, Stewart. "Organizing the identity of the whistleblower: stigma, power and resistance." Journal of Political Power 13, no. 1 (January 2, 2020): 161–63. http://dx.doi.org/10.1080/2158379x.2020.1723955.

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Klesse, Christian. "Polyamorous Parenting: Stigma, Social Regulation, and Queer Bonds of Resistance." Sociological Research Online 24, no. 4 (November 26, 2018): 625–43. http://dx.doi.org/10.1177/1360780418806902.

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As a response to the greater visibility of alternative relationship and family forms, polyamory (i.e. the practice of consensual multipartner relationships) has recently moved to the centre of public media attention. Questions of polyamory have emerged as a major concern within law, social policy, family sociology, and gender and sexuality studies. Yet certain core issues have remained underexplored. This includes the distinctive nature of polyamorous intimacy, the structure of polyamorous household formations, and the dynamics of care work within poly families. In particular, poly parenting has been subject to tabooisation and scandalisation. Governing bodies, the judiciary, and educational institutions have remained largely ignorant of polyamorous relationships. Research documents the exclusions of poly families (and individuals) from access to legal provisions and protections and their common discrimination in the courts, namely, in custody cases. It further highlights the discrimination of poly-identified adolescents in school and college settings and the predicament that poly families face when interacting with public institutions (including schools and kindergartens). Insights into parenting practices and the organisation of childcare are vital for understanding the transformative potential of polyamorous ways of relating. It is also important for challenging the common demonisation and stigmatisation of polyamory within conservative family politics that perceives polyamory exclusively from a harm perspective. This article will review and critically analyse existing research on poly parenting focussing on three dimensions: (a) parenting practices, (b) social and legal discrimination, and (c) parental response to stigmatisation. The article argues for a stronger incorporation of queer perspectives within the guiding frameworks of research into parenting in consensually non-monogamous and polyamorous relationships to highlight the transformative potential of the ‘queer bonds’ that sustain many of these practices.
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Phoenix, Jo. "A commentary: Response to Weitzer ‘Resistance to sex work stigma’." Sexualities 21, no. 5-6 (January 18, 2017): 740–42. http://dx.doi.org/10.1177/1363460716684512.

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Chan, Kevin Ka Shing, Christina W. L. Lee, and Winnie W. S. Mak. "Mindfulness Model of Stigma Resistance Among Individuals with Psychiatric Disorders." Mindfulness 9, no. 5 (February 7, 2018): 1433–42. http://dx.doi.org/10.1007/s12671-018-0887-2.

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Misra, Supriya, Haitisha T. Mehta, Evan L. Eschliman, Shathani Rampa, Ohemaa B. Poku, Wei-Qian Wang, Ari R. Ho-Foster, et al. "Identifying “What Matters Most” to Men in Botswana to Promote Resistance to HIV-Related Stigma." Qualitative Health Research 31, no. 9 (March 25, 2021): 1680–96. http://dx.doi.org/10.1177/10497323211001361.

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Despite a comprehensive national program of free HIV services, men living with HIV in Botswana participate at lower rates and have worse outcomes than women. Directed content analysis of five focus groups ( n = 38) and 50 in-depth interviews with men and women with known and unknown HIV status in Gaborone, Botswana in 2017 used the “what matters most” (WMM) and “structural vulnerability” frameworks to examine how the most valued cultural aspects of manhood interact with HIV-related stigma. WMM for manhood in Botswana included fulfilling male responsibilities by being a capable provider and maintaining social status. Being identified with HIV threatened WMM, which fear of employment discrimination could further exacerbate. Our findings indicate how cultural and structural forces interact to worsen or mitigate HIV-related stigma for urban men in Botswana. These threats to manhood deter HIV testing and treatment, but interventions could capitalize on cultural capabilities for manhood to promote stigma resistance.
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Hildebrandt, Timothy, Leticia Bode, and Jessica S. C. Ng. "Responsibilization and Sexual Stigma Under Austerity: Surveying Public Support for Government-Funded PrEP in England." Sexuality Research and Social Policy 17, no. 4 (December 18, 2019): 643–53. http://dx.doi.org/10.1007/s13178-019-00422-z.

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Abstract Introduction Under austerity, governments shift responsibilities for social welfare to individuals. Such responsibilization can be intertwined with pre-existing social stigmas, with sexually stigmatized individuals blamed more for health problems due to “irresponsible” sexual behavior. To understand how sexual stigma affects attitudes on government healthcare expenditures, we examine public support for government-provisioned PrEP in England at a time when media narratives cast the drug as an expensive benefit for a small, irresponsible social group and the National Health Service’s long-term sustainability was in doubt. Methods This paper uses data from an original survey (N = 738) conducted in September 2016, when public opinion should be most sensitive to sexual stigma. A survey experiment tests how the way beneficiaries of PrEP were described affected support for NHS provision of it. Contrary to expectations, we found that support was high (mean = 3.86 on a scale of 1 to 5) irrespective of language used or beneficiary group mentioned. Differences between conditions were negligible. Discussion Sexual stigma does not diminish support for government-funded PrEP, which may be due to reverence for the NHS; resistance to responsibilization generally; or just to HIV, with the public influenced by sympathy and counter-messaging. Social policy implications Having misjudged public attitudes, it may be difficult for the government to continue to justify not funding PrEP; the political rationale for contracting out its provision is unnecessary and flawed. With public opinion resilient to responsibilization narratives and sexual stigma even under austerity, welfare retrenchment may be more difficult than social policymakers presume.
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Redjosari, Slamet Muliono. "Salafi dan Stigma Sesat-Radikal." ISLAMICA: Jurnal Studi Keislaman 13, no. 2 (March 1, 2019): 305–24. http://dx.doi.org/10.15642/islamica.2019.13.2.305-324.

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This article describes the dynamics of da‘wah movement of Salafis and their response to its stigmatization as being heretical and radical. The phenomenon of radical movements with their terrorist actions shapes the stigma of being radical to the Salafis. The spread and acceleration of the Salafi movement have put the da‘wah of the traditionalists in trouble. The stigma of Salafis as being radical and heretical results in the resistance against the Salafis to stop their da‘wah in many places. The stigmatization of the Salafis as being radical and intolerant drives the Salafis to show their identity as unidentical with the stigmatization. A number of persecution towards the Salafis is the implication of this stigma. This article is resulted from interviews with Salafi figures and d?‘?s who felt annoyed with the stigmatization. The appearance of Salafis which resembles those stigmatized as radicals lead to the emergence of public opinion that the Salafis are radical, while on the contrary, this article finds that the Salafis in fact fight against radical thoughts that lead to radical and terrorist actions.
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Capatina, O. O., and I. V. Miclutia. "Internalized stigma, negative symptoms and global functioning in schizophrenia." European Psychiatry 33, S1 (March 2016): S574—S575. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2127.

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IntroductionNegative symptoms (NS) of schizophrenia were usually described as a unitary construct and as a separable domain of pathology; however recent studies suggest, that they encompass 2 separable domains: Diminished Expression (DE) and Avolition-Apathy (AA). Research into the relationship between internalized stigma and NS have yielded mixed results up to present.ObjectiveThe objectives of this study was to assess the factor structure of NS and to examine the relationship between these factors and internalized stigma, global functioning and sociodemographic characteristics.AimsThe broad aim of this study was to gather greater understanding of the relationship between internalized stigma, NS and global functioning.MethodsA sample of 50 consecutive subjects were recruited from outpatient psychiatric hospitals meeting the criteria for schizophrenia according to ICD-10. The patients were evaluated using the Positive and Negative Symptoms Scale (PANSS), Negative Symptoms Assessment-16 items (NSA-16), Global Assessment of Functioning (GAF), Clinical Global Impression-Severity Scale (CGI-s), Internalized Stigma of Mental Illness Scale (ISMI) and were interviewed to assess sociodemographic characteristics.ResultsA two-factor structure for the domain of NS was found: an AA and DE profile group. AA and DE subgroups significantly differed on clinically relevant external validators and greater resistance to stigma is related to both fewer AA and DE symptoms in people with schizophrenia.ConclusionsOur findings suggest that the different subdomains of NS can be identified within the broader diagnosis of schizophrenia and that they should be analyzed as distinct domains and that stigma resistance can be a possible intervention target to ameliorate NS.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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De Brún, Aoife, Mary McCarthy, Kenneth McKenzie, and Aileen McGloin. "Weight stigma and narrative resistance evident in online discussions of obesity." Appetite 72 (January 2014): 73–81. http://dx.doi.org/10.1016/j.appet.2013.09.022.

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Thoits, Peggy A., and Bruce G. Link. "Stigma Resistance and Well-being among People in Treatment for Psychosis." Society and Mental Health 6, no. 1 (June 30, 2015): 1–20. http://dx.doi.org/10.1177/2156869315591367.

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Valle, Melissa M. "Afro-Descendant Migrants in Santiago, Chile: Stigma Processes and Rhetorical Resistance." Revista de Trabajo Social, no. 87 (2014): 3–18. http://dx.doi.org/10.7764/rts.87.3-18.

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Campbell, Catherine, and Harriet Deacon. "Unravelling the contexts of stigma: from internalisation to resistance to change." Journal of Community & Applied Social Psychology 16, no. 6 (2006): 411–17. http://dx.doi.org/10.1002/casp.901.

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Koku, Emmanuel F. "HIV-Related Stigma among African Immigrants Living with HIV/AIDS in USA." Sociological Research Online 15, no. 3 (August 2010): 61–74. http://dx.doi.org/10.5153/sro.2170.

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Recent advances in the fight against HIV have increased the life expectancy of those infected. Despite these, a number of barriers such as stigma continue to affect HIV prevention and treatment. Although the body of work on HIV stigma is growing, there is a paucity of literature on the experiences of specific sub-groups such as African immigrants living with HIV. Drawing on in-depth interviews with a sample of these immigrants in the US, this study examines their experiences of HIV-related stigma, its impact on their lives, and the means of coping and resistance they adopted. Like other persons living with HIV, study participants experienced interpersonal, internalized and institutional stigma. However, their experiences of, and responses to stigmatization are shaped largely by cultural/religious assumptions and perceptions about HIV learnt from their countries of origin and western media's construction of HIV. The study concludes with broader implications for further conceptualization of stigma.
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Siltaoja, Marjo, Merja Lähdesmaki, Nina Granqvist, Sami Kurki, Petteri Puska, and Harri Luomala. "The Dynamics of (De)Stigmatization: Boundary construction in the nascent category of organic farming." Organization Studies 41, no. 7 (March 12, 2020): 993–1018. http://dx.doi.org/10.1177/0170840620905167.

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This study finds that it is possible for organizations in emerging categories to resist stigmatization through discursive reconstruction of the central and distinctive characteristics of the category in question. We examined the emerging market of organic farming in Finland and discovered how resistance to stigmatization was both an internal and an external power struggle in the organic farming community. Over time, the label of organic farming was manipulated and the practice of farming was associated with more conventional and familiar contexts, while the stigma was diverted at the same time to biodynamic farming. We develop a process model for removal of stigma from a nascent category through stigma diversion. We find that stigma diversion forces the core community to (re)define themselves in relation to the excluded community and the mainstream. We also discuss how notoriety can be an individuating phenomenon that helps categorical members conduct identity work and contributes to stigma removal.
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Broad, K. L. "The Gendered Unapologetic: Queer Resistance in Women’s Sport." Sociology of Sport Journal 18, no. 2 (June 2001): 181–204. http://dx.doi.org/10.1123/ssj.18.2.181.

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Based on an ethnographic study of women’s rugby in the U.S. in the early 1990s, this article suggests that women’s participation in sport represents a type of resistance that can be understood as “queer” resistance, albeit a gendered one. The article argues that queer theories and politics of resistance offer a lens by which to explain how women who played rugby in the early 1990s subscribed not to a “female apologetic,” but rather an unapologetic. The results show the unapologetic to be comprised of transgressing gender, destabilizing the heterosexual/homosexual binary, and “in your face” confrontations of stigma—all characteristics of queer resistance. Furthermore, the results illustrate that each aspect of unapologetic queer resistance in sport is gendered. The article concludes that both the female apologetic and the gendered unapologetic are types of resistance observable in sport and suggests that further research needs to examine the extent to which gendered queer resistances are new and the degree to which they are specific to the institution of sport.
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Bullock, Karen, and Jon Garland. "Police officers, mental (ill-)health and spoiled identity." Criminology & Criminal Justice 18, no. 2 (March 7, 2017): 173–89. http://dx.doi.org/10.1177/1748895817695856.

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This article considers the processes through which some police officers with mental ill-health experience stigmatization in police organizations. Situated in the sociological framework of Goffman and in modified labelling theory, it draws on the findings of a qualitative study and examines the sources of stigma embedded in police work, the consequences of stigma for the labelled officer, the nature of any resistance to the application of the label and approaches to challenging stigma within the policing context. It suggests that in order to tackle these negative attitudes constabularies must do more to address the processes of stigmatization associated with mental ill-health at the individual and institutional levels.
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Kao, Yu-Chen, Yin-Ju Lien, Hsin-An Chang, Nian-Sheng Tzeng, Chin-Bin Yeh, and Ching-Hui Loh. "Stigma Resistance in Stable Schizophrenia: The Relative Contributions of Stereotype Endorsement, Self-Reflection, Self-Esteem, and Coping Styles." Canadian Journal of Psychiatry 62, no. 10 (September 8, 2017): 735–44. http://dx.doi.org/10.1177/0706743717730827.

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Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology. Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Self-stigma, self-esteem, self-reflection, coping skills, and SR were assessed through self-report. Psychotic symptom severity was rated by the interviewers. Factors showing significant association in univariate analyses were included in a stepwise backward regression model. Results: Stepwise regressions revealed that acceptance of stereotypes of mental illness, self-esteem, self-reflection, and only 2 adaptive coping strategies (positive reinterpretation and religious coping) were significant predictors of SR. The prediction model accounted for 27.1% of the variance in the SR subscale score in our sample. Conclusions: Greater reflective capacity, greater self-esteem, greater preferences for positive reinterpretation and religious coping, and fewer endorsements of the stereotypes of mental illness may be key factors that relate to higher levels of SR. These factors are potentially modifiable in tailored interventions, and such modification may produce considerable improvements in the SR of the investigated population. This study has implications for psychosocial rehabilitation and emerging views of recovery from mental illness.
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Dihmes, Sarah E., Anthony Ahmed, Sherry Tucker, Alex Mabe, and Peter Buckley. "M220. SELF-STIGMA, RESILIENCE, AND RECOVERY ATTITUDES AS PREDICTORS OF FUNCTIONING IN PEOPLE WITH SERIOUS MENTAL ILLNESSES." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S219—S220. http://dx.doi.org/10.1093/schbul/sbaa030.532.

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Abstract Background Studies increasingly show an association between internalized stigma and increased symptoms, and poorer social and occupational functioning. Fewer studies have informed about protective traits, attitudes, and factors that may attenuate the impact of internalized stigma on psychopathology and psychosocial functioning. The current study used path analysis to examine putative intervening roles for resilience, coping, and recovery attitudes consistent with hope, empowerment, strengths, and self-direction on the effect of internalized stigma on psychopathology and function. Methods Participants were individuals diagnosed with either schizophrenia or schizoaffective disorder (N=84). All participants had completed training and certification as peer support specialists and included 49 individuals currently employed and 35 currently unemployed. Using mailed surveys, participants were administered the Life Stressors Inventory, Internalized Stigma of Mental Illness, the Connors Davidson Resilience Scale, Maryland Assessment of Recovery in Serious Mental Illness, the Brief Symptom Inventory, Brief COPE, Social Functioning Scale, and the Social Support Questionnaire. Path analytic models were estimated using Mplus5. Three path models were estimate designating psychopathology, social support, and community function as dependent variables. Goodness of Fit indices including the Comparative Fit Index (CFI), Tucker Lewis Index (TLI), the Root Mean Square Error of Approximation (RMSEA), and the Standardized Root Mean Squared Residual were used to evaluate the fit of the models to the data. Results There were associations between five subdomains of the ISMI—Alienation (r=0.47, p&lt;0.001), Stereotype Endorsement (r=0.29, p&lt;0.001), Discriminatory Experiences (r=0.40, p&lt;0.001), Social Withdrawal (r=0.47, p&lt;0.001), and Stigma Resistance(r=-0.28, p&lt;0.01) and the severity of psychopathology. There was a significant association between internalized stigma and overall functioning (r=0.46, p&lt;0.001). In addition, the five subdomains of the ISMI—Alienation (r=-0.53, p&lt;0.001), Stereotype Endorsement (r=-0.40, p&lt;0.001), Discriminatory Experiences (r=-0.39, p&lt;0.001), Social Withdrawal (r=-0.40, p&lt;0.001), and Stigma Resistance(r=0.35, p&lt;0.001) were associated with ratings of the satisfaction with social support. Associations with reported amount of social support ranged from r=0.25 for Stigma Resistance to r= -0.39 for Alienation. The final path models for the severity of psychopathology (CFI/TLI = 0.955/0.933, RMSEA=0.091, SRMR =0.049), social support (CFI/TLI = 0.957/0.935, RMSEA=0.085, SRMR =0.072), and community functioning (CFI/TLI = 0.928/0.901, RMSEA=0.087, SRMR =0.09) produced adequate goodness-of-fit estimates. In all three models, the use of maladaptive coping but not the use of adaptive coping mediated the effect of internalized stigma on the dependent variable. Recovery attitudes did not significantly predict psychopathology when resilience was included in the model, suggesting possibly collinear constructs. Discussion The study demonstrates that coping styles, recovery, and resilience attitudes are associated with functional outcomes in people with schizophrenia spectrum disorders. However, the impact of internalized stigma on psychopathology, social, and community functioning may be mediated the use of maladaptive coping styles and attitudes consistent with resilience and adaptability.
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Shumet, Shegaye, Bethlehem W/Michele, Dessie Angaw, Temesgen Ergete, and Nigus Alemnew. "Magnitude of internalised stigma and associated factors among people with bipolar disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study." BMJ Open 11, no. 4 (April 2021): e044824. http://dx.doi.org/10.1136/bmjopen-2020-044824.

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ObjectivesTo assess the magnitude of internalised stigma and associated factors among patients with bipolar disorder attending the outpatient department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.DesignInstitution-based cross-sectional study design.SettingAmanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.ParticipantsWe recruited about 418 participants using systematic sampling technique for an interview during the study period.MeasurementData were collected by face-to-face interviews. Internalized Stigma of Mental Illness scale was used to measure internalised stigma. The Rosenberg Self-Esteem Scale and the Oslo-3 Social Support were instruments used to assess the associated factors. Bivariate and multivariate logistic regressions were performed to identify factors associated with the outcome variable. ORs with 95% CI were computed to determine the level of significance.ResultsThe magnitude of internalised stigma was 24.9% (95% CI: 21.2% to 28.9%). In the multivariate analysis, unemployed (adjusted OR (AOR)=2.3, 95% CI: 1.0 to 5.0), unable to read and write (AOR=3.3, 95% CI: 1.05 to 10.7), poor social support (AOR=5.3, 95% CI: 1.9 to 15.0), ≥4 previous hospitalisations due to bipolar disorder (AOR=2.6, 95% CI: 1.1 to 6.1) and low self-esteem (AOR=2.4, 95% CI: 1.1 to 5.1) had a significant association with internalised stigma.ConclusionsOne in four patients with bipolar disorder reported high internalised stigma. Unemployment, low educational status, low self-esteem, poor social support and being hospitalised more than three times before were significantly associated with internalised stigma. Thus, a stigma-reduction programme focusing on self-esteem improvement and psychological health of patients to increase their stigma resistance to counteracting effects of internalised stigma is essential.
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Redwood, L., E. M. H. Mitchell, K. Viney, K. Snow, T. A. Nguyen, L. A. T. Dung, V. N. Nguyen, and G. J. Fox. "Depression, stigma and quality of life in people with drug-susceptible TB and drug-resistant TB in Vietnam." International Journal of Tuberculosis and Lung Disease 25, no. 6 (June 1, 2021): 461–67. http://dx.doi.org/10.5588/ijtld.20.0952.

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BACKGROUND: Drug resistance poses a major barrier to global control of TB – a leading infectious cause of death. Depression and stigma occur commonly among people with TB. However, the relationship between drug-resistant forms of TB, depression and stigma are not well understood.OBJECTIVE: To compare depression, stigma and health-related quality of life (HRQoL), among people with drug-susceptible TB (DS-TB) and multidrug-resistant TB (MDR-TB).METHODS: A cross-sectional study of people treated for DS-TB and MDR-TB in four provinces of Vietnam. The survey included a stigma scale (Vietnamese Tuberculosis Stigma Scale), depression scale (9-item Patient Health Questionnaire) and HRQoL scale (Functional Assessment of Chronic Illness Therapy – Tuberculosis). Differences between the two populations were compared using linear regression.RESULTS: Eighty-one people with DS-TB and 315 people with MDR-TB participated in the study. People with MDR-TB had a higher prevalence of depression than those with DS-TB (difference 17.8%, χ2 8.64). The mean depression and stigma scores were higher for people with MDR-TB than those with DS-TB (adjusted difference [AD] 8.6 and 7.6 respectively). People with MDR-TB reported lower HRQoL than those with DS-TB (AD –23.8).CONCLUSION: Depression and stigma are common among people with TB in Vietnam. Strategies to prevent and treat depressive symptoms and stigma in people with TB are critical to a holistic, patient-centred approach to care.
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Scambler, Graham. "Heaping blame on shame: ‘Weaponising stigma’ for neoliberal times." Sociological Review 66, no. 4 (June 12, 2018): 766–82. http://dx.doi.org/10.1177/0038026118778177.

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The focus of this article is the ‘weaponising’ of stigma in the neoliberal era. The article starts with a brief characterisation of the sociological literature on stigma before moving to characterise post-1970s financial capitalism, focusing on relations of class and command. It then examines (a) the distinctions between enacted and felt stigma (involving norms of shame) and enacted and felt deviance (involving norms of blame), and (b) the novel neoliberal dialectic between these two sets of norms. This critical exposition provides a platform for a sociological rethink. A case is made that the significance of stigma and deviance as defined here can only be grasped sociologically in terms of the prime macro-mechanism of financial capitalism, the class/command dynamic, and the interaction of relations of stigma and deviance with other social relations, most notably those of (class-based) exploitation, deriving from the possession of capital, and (command or state-based) oppression, deriving from the possession of power. This case is constructed via a consideration of changing policies in relation to disability, drawing on UK data but with a wider reference. The final part of the article addresses modes of resistance to the roles of capital and power in dictating the neoliberal dialectic of shame and blame. It is argued that effective resistance depends on the formation of alliances across and between diverse ‘movement activities’. Expanding on the author’s work with David Kelleher, it is suggested that there exists a plethora of ‘resistance activities’, ranging from specific and/or local campaigns to transnational, class, feminist and ethnic insurrections. What this adds up to is a strategy of ‘permanent reform’. It is argued that the effective execution of this strategy presupposes a structural shift away from neoliberal ideology, the narrative of austerity and post-1970s financial capitalism. The potential effectiveness of the strategy of permanent reform is appraised, again, with reference to disability policy and practice.
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