耻辱和歧视与心理健康问题有关-Stigma and Discrimination related to Mental Health Issues
There is evidence that mental health issues can result in stigma of older people and their families (Crisp et al. 2000, Van Brakel 2006, Braunholtz 2006, Rosenfield 1997). Discrimination against people with mental health issues remains a concern in the UK (for example, see Knifton 2012). People with mental health problems delay help-seeking because of stigma (Schomeus and Angermeyer 2008). Among ethnic minority groups, the stigma of mental illness happen more often (see, for example, Ng 1997). Studies have revealed that the stigma associated with mental health problems can affect the person so labeled in a long-term from many aspects, which can lower self-esteem, åŠ é‡depression, impairment in social relationships (Chung and Wong 2004, Link et al 1997, 2001 and Perlick et al. 2001).
Fabrega (1991) indicates that the level of psychiatric stigma among Chinese people is high. Misunderstanding and low level of knowledge about mental illness in the Chinese community can lead to stigma and discrimination against mental health problems (Li et al. 1999). Chinese culture also contributes to some stigmatising and discriminatory beliefs (Kleinman 1980), which might not be different from some western culture. It is clearly expressed by some Chinese immigrants in Manchester that those who suffer from Diankuang (ç™«ç‹‚, Madness) are dangerous to others and should be excluded from the community or physically restricted (Wong and Richman 2003). It was reported in a study by Li et al. (1999) that over half of Chinese respondents did not receive proper support from their families, which had a significant impact on family relationships. Chinese people would also try to hide their mental health issues from family and health services because of shame and guilt (Knifton 2012).