Abstract
The aim of this study is investigate whether the cross-cultural value paradigm ‘individualism-collectivism’ is a useful explanatory model for mental illness stigma on a cultural level. Using snowball sampling, a quantitative questionnaire survey of 305 individuals from four UK-based cultural groups (white-English, American, Greek/Greek Cypriot, and Chinese) was carried out. The questionnaire included the ‘Community Attitudes to Mental Illness scale’ and the ‘vertical-horizontal individualism-collectivism scale’. The results revealed that the more stigmatizing a culture’s mental illness attitudes are, the more likely collectivism effectively explains these attitudes. In contrast, the more positive a culture’s mental illness attitudes, the more likely individualism effectively explains attitudes. We conclude that a consideration of the individualism-collectivism paradigm should be included in any future research aiming to provide a holistic understanding of the causes of mental illness stigma, particularly when the cultures stigmatization levels are particularly high or low.
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References
Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: an integrative review. Clinical Psychology Review, 31(6), 934–948.
Abu-Baker, K. (2005). The impact of social values on the psychology of gender among Arab couples: A view from psychotherapy. Israel Journal of Psychiatry, 42(2), 106–115.
Addison, S. J., & Thorpe, S. J. (2004). Factors involved in the formation of attitudes towards those who are mentally ill. Social Psychiatry and Psychiatric Epidemiology, 39(3), 228–234.
Adewuya, A. O., & Makanjuola, R. O. (2008). Social distance towards people with mental illness in southwestern Nigeria. Australian and New Zealand Journal of Psychiatry, 42(5), 389–395.
Al-Issa, I. (1995). The illusion of reality or reality of illusion: Hallucinations and culture. British Journal of Psychiatry, 166(3), 368–373.
Al-Krenawi, A., Graham, J. R., Al-Bedah, E. A., Kadri, H. M., & Sehwail, M. A. (2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45(1), 26–36.
Al-Krenawi, A., Graham, J. R., Dean, Y. Z., & Eltaiba, N. (2004). Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel. International Journal of Social Psychiatry, 50(2), 102–114.
Anglin, D. M., Link, B. G., & Phelan, J. C. (2006). Racial differences in stigmatizing attitudes toward people with mental illness. Psychiatric Services, 57(6), 857–862.
Berry, J. W., Pootinga, Y. H., Breugelmans, S. M., Chasiotis, A., & Sam, D. L. (2011). Cross-cultural psychology: Research and applications (3rd ed.). Cambridge: Cambridge University Press.
Bhugra, D. (1989). Attitudes towards mental illness. A review of the literature. Acta Psychiatrica Scandinavica, 80(1), 1–12.
Bond, M. H. (2002). Reclaiming the individual form Hofstede’s ecological analysis: A 20-year Odyssey. Psychological Bulletin, 128, 73–77.
Brewer, M., & Chen, Y. (2007). Where (who) are collectives in collectivism? Toward conceptual clarification of individualism and collectivism. Psychological Review, 114(1), 133–151.
Brockington, I. F., Hall, P., Levings, J., & Murphy, C. (1993). The community’s tolerance of the mentally ill. British Journal of Psychiatry, 162, 93–99.
Broome, B. (1996). Exploring the Greek mosaic: A guide to intercultural communication in Greece. Boston: Intercultural Press Inc.,
Byrne, P. (2001). Psychiatric stigma. British Journal of Psychiatry, 178, 281–284.
Carpenter, S. (2000). Effects of cultural tightness and collectivism on self-concept and causal attributions. Cross-Cultural Research, 34, 38–56.
Chick, G. (1997). Cultural complexity: The concept and its measurement. Cross-Cultural Research, 31, 275–307.
Corrigan, P. W., Kerr, A., & Knudsen, L. (2005). The stigma of mental illness: Explanatory models and methods for change. Applied and Preventative Psychology, 11(3), 179–190.
Crisp, A., Gelder, M., Goddard, E., & Meltzer, H. (2005). Stigmatization of people with mental illnesses: A follow-up study within the changing minds campaign of the Royal College of Psychiatrists. World Psychiatry, 4(2), 106–113.
Dyduch, A., & Grzywa, A. (2009). Stigma and related factors basing on mental illness stigma. Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego, 26(153), 263–267.
Eagles, J. M., Carson, D. P., Begg, A., & Naji, S. A. (2003). Suicide prevention: A study of patients views. British Journal of Psychiatry, 182, 261–265.
Finzen, A. (1996). Der Verwaltungsrat ist schizophren. Die Krankheit und das Stigma. Bonn: Psychiatrie-Verlag.
Galletly, C., & Burton, C. (2011). Improving medical student attitudes towards people with schizophrenia. Australian and New Zealand Journal of Psychiatry, 45(6), 473–476.
Hall, E. T. (1976). Beyond culture. Garden City: Anchor Press.
Heller, P. L., Chalfant, H. P., Worley, M. C., Quesada, G. M., & Bradfield, C. D. (1980). Socio-economic class, classification of “abnormal” behaviour and perceptions of mental health care: A cross-cultural comparison. British Journal of Medical Psychology, 53(4), 343–348.
Hill, R. B. (2003). The strengths of black families (2nd ed.). Lanham: University Press of America.
Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Newbury Park, CA: Sage.
Hofstede, G. (2010). Cultures and organizations: Software of the mind (3rd ed.). New York: McGraw-Hill.
Jaques, M. E., Burleigh, D., & Lee, G. (1973). Reactions to disabilities in China: A comparative, structural and descriptive analysis. Rehabilitation Counselling Bulletin, 16, 54–62.
Koutsantoni, D. (2005). Greek cultural characteristics and academic writing. Journal of Modern Greek Studies, 23(1), 97–134.
Lauber, C., Nordt, C., Falcato, L., & Rossler, W. (2004). Factors influencing social distance toward people with mental illness. Community Mental Health Journal, 40, 265–273.
Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illness. Psychiatric Services, 52, 1621–1626.
Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnosis of mental illness and substance abuse. Journal of Health and Social Behavior, 38, 177–190.
Morano, C. L., & DeForge, B. R. (2004). The views of older community residents toward mental health problems. Journal of Mental Health and Aging, 10, 45–64.
Ng, P., & Chan, K. F. (2000). Sex differences in opinion towards mental illness of secondary school students in Hong Kong. International Journal of Social Psychiatry, 46(2), 79–88.
Oyserman, D., Coon, H., & Kemmelmeyer, M. (2002). Rethinking individualism and collectivism: Evaluation of theoretical assumptions and meta-analyses. Psychological Bulletin, 128(1), 3–72.
Papadopoulos, C., Leavey, G., & Vincent, C. (2002). Factors influencing stigma: A comparison of Greek-Cypriot and English attitudes towards mental illness in north London. Social Psychiatry and Psychiatric Epidemiology, 37(9), 430–434.
Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90(5), 751–783.
Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129, 257–265.
Roman, P. M., & Floyd, H. H. (1981). Social acceptance of psychiatric illness and psychiatric treatment. Social Psychiatry, 16, 21–29.
Schimmack, U., Oishi, S., & Diener, E. (2005). Individualism: A valid and important dimension of cultural differences between nations. Personality and Social Psychology Review, 9(1), 17–31.
Sevigny, R., Yang, W., Zhang, P., Marleau, J. D., Yang, Z., Su, L., et al. (1999). Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China). International Journal of Social Psychiatry, 45(1), 41–55.
Song, L. Y., Chang, L. Y., Shih, C. Y., Lin, C. Y., & Yang, M. J. (2005). Community attitudes towards the mentally ill: The results of a national survey of the Taiwanese population. International Journal of Social Psychiatry, 51(2), 162–176.
Taylor, S. M., & Dear, M. J. (1981). Scaling community attitudes toward the mentally ill. Schizophrenia Bulletin, 7(2), 225–240.
Taylor, S. M., Dear, M. J., & Hall, G. B. (1979). Attitudes toward the mentally ill and reactions to mental health facilities. Social Science and Medicine. Medical Geography, 13D(4), 281–290.
Thornicroft, G. (2007). Most people with mental illness are not treated. Lancet, 370, 807–808.
Thornicroft, G., Brohan, E., Kassam, A., & Lewis-Holmes, E. (2008). Reducing stigma and discrimination: Candidate interventions. International Journal of Mental Health Systems, 2(1), 3–10.
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., & Leese, M. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. Lancet, 373, 408–415.
Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in health care against people with mental illness. International Review of Psychiatry, 19(2), 113–122.
Triandis, H. C. (1995). Individualism and collectivism. Boulder, CO: Westview.
Triandis, H. C. (2001). Individualism-collectivism and personality. Journal of Personality, 69(6), 907–924.
Triandis, H. C., & Suh, E. M. (2002). Cultural influences on personality. Annual Review of Psychology, 53, 133–160.
Triandis, H. C., & Vassiliou, V. (1972). Interpersonal influence and employee selection in two cultures. Journal of Applied Psychology, 56, 140–145.
Tyler, K. M., Uqdah, A. L., Dillihunt, M. L., Beatty-Hazelbaker, R., Conner, T., Gadson, N., et al. (2008). Cultural discontinuity: Toward a quantitative investigation of a major hypothesis in education. Educational Researcher, 37(5), 280–297.
Webb, A. K., Jacobs-Lawson, J. M., & Waddell, E. L. (2009). Older adults’ perceptions of mentally ill older adults. Aging & Mental Health, 13(6), 838–846.
Westbrook, M. L., Legge, V., & Pennay, M. (1993). Attitudes towards disabilities in a multi-cultural society. Journal of Social Science Medicine, 5, 615–623.
Whaley, A. (1997). Ethnic and racial differences in perceptions of dangerousness of persons with mental illness. Psychiatric Services, 48, 1328–1330.
Whatley, C. D. (1959). Social attitudes toward discharged mental patients. Social Problems, 6, 313–320.
WHO. (2011). Stigma and discrimination. From http://www.euro.who.int/en/what-we-do/health-topics/noncommunicable-diseases/mental-health/activities/stigma-and-discrimination.
Wolff, G., Pathare, S., Craig, T., & Leff, J. (1996a). Community attitudes to mental illness. British Journal of Psychiatry, 168(2), 183–190.
Wolff, G., Pathare, S., Craig, T., & Leff, J. (1996b). Community knowledge of mental illness and reaction to mentally ill people. British Journal of Psychiatry, 168(2), 191–198.
Wolff, G., Pathare, S., Craig, T., & Leff, J. (1996c). Public education for community care. A new approach. British Journal of Psychiatry, 168(4), 441–447.
Yang, H. Y. (1989). Attitudes towards psychoses and psychotic patients in Beijing. International Journal of Social Psychiatry, 35(2), 181–187.
Yang, H., de Vliert, E. V., & Shi, K. (2007). Interpersonal relationship and lay third parties’ side-taking preference: A cross-cultural study among Chinese and Dutch. Journal of Cross-Cultural Psychology, 38(4), 438–457.
Yoshii, H., Watanabe, Y., Kitamura, H., Nan, Z., & Akazawa, K. (2011). Stigma toward schizophrenia among parents of junior and senior high school students in Japan. BMC Research Notes, 22(4), 558.
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There are no known conflicts of interest. All authors in this study certify their responsibility for the conduct of this study, the analysis and interpretation of data, that they have helped write this manuscript, agree with decisions about it, that they meet the definition of an author as stated by the International Committee of Medical Journal Editors, and that they have seen and approved the final manuscript. The authors also certify that neither the article nor any essential part of it, including figures and tables, will be published or submitted elsewhere before appearing in the Journal.
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Papadopoulos, C., Foster, J. & Caldwell, K. ‘Individualism-Collectivism’ as an Explanatory Device for Mental Illness Stigma. Community Ment Health J 49, 270–280 (2013). https://doi.org/10.1007/s10597-012-9534-x
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DOI: https://doi.org/10.1007/s10597-012-9534-x