精神疾病烙印及抗烙印行動之對話

Stigmatization of Mental Illness and Reducing Stigma Campaign in Dialogue

10.29734/SJSW.200806.0005

張作貞(Tso-Chen Chang)

精神疾病 ； 烙印化 ； 抗烙印行動方案 ； Mental illness ； Stigmatization ； Anti-stigma program

東吳社會工作學報

18期（2008 / 06 / 01）

135 - 156

繁體中文

許多研究指出，烙印是阻礙精障者就醫的最大因素且會形成一個惡性循環。然而，每隔一段時間，我們就會聽到一些「精障者禁入公園」、「禁搭大眾交通工具」、「精神異常男子白晝行兇」…等等的案例，出現在一些法規限制上或媒體報導。此時，我們不得不心生問號，到底台灣的精障者及家屬背上所承載的社會烙印程度有多少？而我們是否有具體對抗烙印的行動或策略？排除烙印的行動有哪些？因此本文所想要探討的是，精神疾病的烙印化是如何產生的？如何被建構？又被誰所論述？目前世界各國對於消除烙印的行動又有哪些？反思台灣的精神醫療政策中，對消除精障者的烙印又做了那些？

The greatest barrier to the exclusion of people with mental health problem is the stigmatization and leads to a vicious circle. Sometimes we hear about some people with mental illness are restrained from entering the park and taking mass transportation vehicle, further people were killed by strangers who have mental illness symptoms. In the meantime, we wonder how degree of the stigmatization on the mental illness patients and their families? Do we have any anti-stigma campaign or tackling stigma strategies to change or advocate about negative attitudes of people？ The purpose of this article is trying to understand how is the stigmatization of mental illness created or who discoursed, in order to reflect our mental health policy for reducing stigma campaign.

1. (2004)。聯合報(2004/11/08)。
2. (2005)。民生報(2005/05/13)。
3. (2004)。民生報(2004/11/24)。
4. Arboleda-FlÓrez, J.(2005).Stigma and Discrimination: an Overview.World Psychiatry,4(1),8-10.
5. Bolton, J.(2003).Reducing the Stigma of Mental Illness.Student BMJ,11,104-105.
6. Mental Health Service in the NHS: Using Reform Incentives
7. Byrne, P.(2000).Psychiatric stigma.British Journal of Psychiatry,178,281-284.
8. Coleman, L.M.,S. C. Ainlay,G. Becker,L.M. Coleman (eds.)(1986).The Dilemma of Difference.New York:Plenum Press.
9. Corrigan, P.W.(2000).Mental Health Stigma as Social Attribution : Implications for Resarch Methods and Attitude Change.Clinical Psychology: Science and Practice,7,48-67.
10. Corrigan, P.W.,A.C. Watson(2002).Understanding the Impact of Stigma on People with Mental Illness.World Psychiatry,1(1),16-20.
11. Corrigan, P.W.,D.L. Penn(1999).Lessons from Social Psychology on Discrediting Psychiatric Stigma.American Psychologist,54(9),765-776.
12. Corrigan, P.W.,P. Kleinlein(2005).On the Stigma of Mental Illness.American Psychological Association.
13. Council Report CR91(2001).Stigmatisation and Discrimination within the Medical Profession.London:Royal College of Psychiatrists, Royal College of Physicians, British Medical Association.
14. Crisp, A.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.
15. Crisp, A.H.(2000).Stigmatisation of People with Mental Illnesses.British Journal of Psychiatry,177,4-7.
16. Foucault, M.(1967).Madness and Civilisation. A History of Insanity in the Age of Reason.London:Tavistock.
17. Gaebel, W,A.E. Baumann,H. Zäske(2005).Intervening a Multi-level Network: Progress of the German Open the Doors projects.World Psychiatry,1,16-20.
18. Goffman, E.(1963).Notes on the Management of Spoiled Identity.New York:Simon & Schuster, Inc.
19. Green Paper(2005).Improving the Mental Health of the Population: Towards a Strategy on Mental Health for the European Union.European.
20. Harding, C.M.,J.H. Zahniser(1994).Empirical Correction of Seven Myths About Schizophrenia With Implication for Treatment.Acta Psychiatric Scandinavica,90(384),140-146.
21. Hayward, P.,J. Bright(1997).Stigma and Mental Illness: a Review and Critique.Journal of Mental Health,6,345-354.
22. Herek, G.M.(2002).Thinking about AIDS and Stigma: A Psychologist`s Perspective.The Journal of Law, Medicine & Ethics,30(4),594-607.
23. Ho, Sze-Man,Yu-Hui Chen(2005).Impact of Stigmatization on Outcome of Psychiatric Disorders.Medical Progress,525-530.
24. Kadri, N.,N. Sartorius(2005).The Global Fight against the Stigma of Schizophrenia.PLoS Medicine,2(7),597-599.
25. Lee, S(2005).Experience of Social Stigma by People with Schizophrenia in Hong Kong.British Journal of Psychiatry,186,153-157.
26. Lee, S.(2002).The Stigma of Schizophrenia: a Transcultural Problem.Current Opinion in Psychiatry,15,37-41.
27. Link, B.G(2001).The Consequences of Stigma for the Self-esteem of People with Mental Illnesses.Psychiatric Services,52,1621-1626.
28. Link, B.G.,J.C. Phelan(2001).Conceptualizing Stigma.Annual Review of Sociology,27,363-385.
29. Mental Health Foundation(2000).Pull Yourself Together.London:MHF.
30. Mind(1996).Not Just Sticks and Stones: A Survey of the Stigma, Taboos and Discrimination Experienced by People with Mental Health Problems.London:Mind.
31. New Freedom Commission on Mental Health(2003).Achieving Promise: Transforming Mental Health Care in America.Final Report. DHHS Pub.
32. Ng, C.H.(1997).The Stigma of Mental Illness in Asian Cultures.Australian and New Zealand Journal of Psychiatry,31,382-390.
33. Page, R.M.(1984).Stigma (Concept in social policy; 2).Routledge & Kegan Paul plc.
34. Penn, D.L,J.R. Kohlmaier,P.W. Corrigan(2000).Interpersonal Factors Contributing to Stigma of Schizophrenia: Social Skills, Perceived Attractiveness, and Symptoms.Schizophrenia Research,45,37-45.
35. Perlick, D.A.(2001).Special Section on Stigma as a Barrier to Recovery: Introduction.Psychiatric Services,52,1613-1614.
36. Pinfold, V(2005).Working with Young People: the Impact of Mental Health Awareness Programmes in Schools in the UK and Canada.World Psychiatry,4(1),50-54.
37. Poter, R.(2002).Madness: A Brief History.United States:Oxford University Press.
38. Reidy, D.E.(1993).Stigma is Social Death: Mental Health Consumers/Survivors Talk About Stigma In Their Lives.Education for Community Initiatives of Holyoke.
39. Sartorius, N.(2000).Breaking the Vicious Cycle.Mental Health and Learning Disabilities Care,4(3),80.
40. Sartorius, N.,A.H. Crisp,(ed.)(2004).Every Family in the Land.London:Royal Society of Medicine Press.
41. Sartorius, N.,H. Schulze(2005).Reducing the Stigma of Mental Illness: A Report from a Global Programme of the World Psychiatric Association.Cambridge Univ. Press.
42. Satcher, D.(1999).Mental Health: A Report of the Surgeon General.Washington, DC:Department of Health and Human Service.
43. Sayce, L.(2000).From Psychiatric Patient to Citizen: Overcoming Discrimination and Social Exclusion.London:Macmillan Press.
44. Scott, R.A.,D.T. Miller,S. C. Ainlay,G. Becker,L.M. Coleman,(eds.)(1986).The Dilemma of Difference.New York:Plenum Press.
45. Shih, M.(2004).Positive Stigma: Examining Resilience and Empowerment in Overcoming Stigma.The Annals of the American Academy,591,175-185.
46. Smith, M.(2002).Stigma.Advances in Psychiatric Treatment,8,317-325.
47. Social Exclusion Unit(2004).Mental Health and Social Exclusion.London:Office of the Depute Prime Minister.
48. Song, L.Y(2005).Community Attitudes towards the Mental Ill: the Results of a National Survey of the Taiwanese Population.International Journal of Social Psychiatry,51(2),174-188.
49. Szasz, T.S.(1984).The Myth of Mental Illness: Foundations of a Theory of Personal Conduct.Harper & Row.
50. Wahl, O.F.(1999).Mental Health Consumers Experience of Stigma.Schizophrenia Bulletin,25,467-478.
51. Wahl, O.F.(1999).Telling is Risky Business: Mental Health Consumers Confront Stigma.Rutgers University Press.
52. Warner, R.(1985).Psychiatry and Political Economy.London:Routledge.
53. WHO(2005).New Mental Health Altas 2005.Geneva:WHO.
54. WHO(2004).Prevention of Mental Disorder: Effective Interventions and Policy Options.Geneva:WHO.
55. WHO(2001).Mental Health: New Understanding, New Hope.Geneva:WHO.
56. Wolfensberger, W.,S. Thomas(1983).Passing: Program Analysis of Service Systems` Implementation of Normalization Goals.Canada:Downsview, Ontario.
57. 王美珍(2004)。台灣報紙對精神病患烙印化之初探。台北:中華傳播協會2004年會學生論文。
58. 民國94年衛生統計（一）公務統計年報：精神衛生行政工作值行成果表
59. 李執中、杜文仁譯、Goldstein, M.、Goldstein, I.F.原著(1993)。科學方法新論。台北:桂冠。
60. 李莞葶(2006)。碩士論文(碩士論文)。台中，亞洲大學長期照護研究所。
61. 官達人(2003)。碩士論文(碩士論文)。台北，陽明大學醫務管理研究所。
62. 社區民眾與精神病患之接觸經驗對鄰里關懷態度之影響贊助研究報告

1. 曾盈薰(2017)。社區化精神照顧服務之下多重科別就醫現象之研究。長榮大學社會工作學系（所）學位論文。2017。1-93。