I’m Not Mentally Ill: Identity Deflection as a Form of Stigma Resistance
Mental illness identity deflection refers to rebuffing the idea that one is mentally ill. Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflec...
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| Veröffentlicht in: | Journal of health and social behavior 2016-06, Vol.57 (2), p.135-151 |
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| container_title | Journal of health and social behavior |
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| creator | Thoits, Peggy A. |
| description | Mental illness identity deflection refers to rebuffing the idea that one is mentally ill. Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflected a mental illness identity if they had a nonsevere disorder, had low impairment in functioning, had no treatment experience, viewed possible treatment as undesirable, and held multiple social roles, consistent with theory about stigma resistance. Persons who deflected a mental illness identity had lower distress and more positive affect than those who accepted it, even net of disorder severity, impairment level, and treatment experience. Among those who had ever been in treatment, deflection buffered the negative effects of serious impairment but exacerbated the effects of having a severe disorder on well-being, suggesting more complex consequences of formal labeling (greater stigma but helpful services), consistent with previous research. |
| doi_str_mv | 10.1177/0022146516641164 |
| format | Article |
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Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflected a mental illness identity if they had a nonsevere disorder, had low impairment in functioning, had no treatment experience, viewed possible treatment as undesirable, and held multiple social roles, consistent with theory about stigma resistance. Persons who deflected a mental illness identity had lower distress and more positive affect than those who accepted it, even net of disorder severity, impairment level, and treatment experience. Among those who had ever been in treatment, deflection buffered the negative effects of serious impairment but exacerbated the effects of having a severe disorder on well-being, suggesting more complex consequences of formal labeling (greater stigma but helpful services), consistent with previous research.</description><identifier>ISSN: 0022-1465</identifier><identifier>EISSN: 2150-6000</identifier><identifier>DOI: 10.1177/0022146516641164</identifier><identifier>PMID: 27284073</identifier><identifier>CODEN: JHSBA5</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Comorbidity ; Deflection ; Female ; Humans ; Identity ; Impairment ; Labeling ; Male ; Medical research ; Mental disorders ; Mental Disorders - psychology ; Mental health care ; Mentally Ill Persons - psychology ; Middle Aged ; Positive emotions ; Psychological distress ; Resistance ; Self Concept ; Severity ; Social roles ; Social Stigma ; Stereotyping ; Stigma ; Well being ; Young Adult</subject><ispartof>Journal of health and social behavior, 2016-06, Vol.57 (2), p.135-151</ispartof><rights>American Sociological Association 2016</rights><rights>American Sociological Association 2016.</rights><rights>Copyright American Sociological Association Jun 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c346t-cd2e93ecd5ef6ca63b5a1700382dda815fd9418dd1deb2d505a5702a3ebf42553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0022146516641164$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0022146516641164$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,30978,33753,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27284073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thoits, Peggy A.</creatorcontrib><title>I’m Not Mentally Ill: Identity Deflection as a Form of Stigma Resistance</title><title>Journal of health and social behavior</title><addtitle>J Health Soc Behav</addtitle><description>Mental illness identity deflection refers to rebuffing the idea that one is mentally ill. Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflected a mental illness identity if they had a nonsevere disorder, had low impairment in functioning, had no treatment experience, viewed possible treatment as undesirable, and held multiple social roles, consistent with theory about stigma resistance. Persons who deflected a mental illness identity had lower distress and more positive affect than those who accepted it, even net of disorder severity, impairment level, and treatment experience. Among those who had ever been in treatment, deflection buffered the negative effects of serious impairment but exacerbated the effects of having a severe disorder on well-being, suggesting more complex consequences of formal labeling (greater stigma but helpful services), consistent with previous research.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Comorbidity</subject><subject>Deflection</subject><subject>Female</subject><subject>Humans</subject><subject>Identity</subject><subject>Impairment</subject><subject>Labeling</subject><subject>Male</subject><subject>Medical research</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental health care</subject><subject>Mentally Ill Persons - psychology</subject><subject>Middle Aged</subject><subject>Positive emotions</subject><subject>Psychological distress</subject><subject>Resistance</subject><subject>Self Concept</subject><subject>Severity</subject><subject>Social roles</subject><subject>Social Stigma</subject><subject>Stereotyping</subject><subject>Stigma</subject><subject>Well being</subject><subject>Young Adult</subject><issn>0022-1465</issn><issn>2150-6000</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kM1Kw0AUhQdRbK1uxZUU3LiJ3jv_WUrxp1B1o-swyUykZdLUTLLorq_h6_kkTmkVKejqwj3fOfdyCDlDuEJU6hqAUuRSoJQcUfI90qcoIJEAsE_6azlZ6z1yFMIsLkFRekh6VFHNQbE-OR1_rj6q4VPdDh_dvDXeL4dj74_JQWl8cCfbOSCvd7cvo4dk8nw_Ht1MkoJx2SaFpS5lrrDClbIwkuXCoAJgmlprNIrSphy1tWhdTq0AYYQCapjLS06FYANyucldNPV750KbVdNQOO_N3NVdyFClQkudKh7Rix10VnfNPH6XYcpYxEDpfymV6tgOFypSsKGKpg6hcWW2aKaVaZYZQrZuNtttNlrOt8FdXjn7Y_iuMgLJBgjmzf26-lfgFwikfFA</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Thoits, Peggy A.</creator><general>SAGE Publications</general><general>American Sociological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>I’m Not Mentally Ill</title><author>Thoits, Peggy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-cd2e93ecd5ef6ca63b5a1700382dda815fd9418dd1deb2d505a5702a3ebf42553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Comorbidity</topic><topic>Deflection</topic><topic>Female</topic><topic>Humans</topic><topic>Identity</topic><topic>Impairment</topic><topic>Labeling</topic><topic>Male</topic><topic>Medical research</topic><topic>Mental disorders</topic><topic>Mental Disorders - psychology</topic><topic>Mental health care</topic><topic>Mentally Ill Persons - psychology</topic><topic>Middle Aged</topic><topic>Positive emotions</topic><topic>Psychological distress</topic><topic>Resistance</topic><topic>Self Concept</topic><topic>Severity</topic><topic>Social roles</topic><topic>Social Stigma</topic><topic>Stereotyping</topic><topic>Stigma</topic><topic>Well being</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thoits, Peggy A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - 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Predictors of identity deflection and its consequences for well-being were examined for individuals with mental disorders in the National Comorbidity Study–Replication (N = 1,368). Respondents more often deflected a mental illness identity if they had a nonsevere disorder, had low impairment in functioning, had no treatment experience, viewed possible treatment as undesirable, and held multiple social roles, consistent with theory about stigma resistance. Persons who deflected a mental illness identity had lower distress and more positive affect than those who accepted it, even net of disorder severity, impairment level, and treatment experience. Among those who had ever been in treatment, deflection buffered the negative effects of serious impairment but exacerbated the effects of having a severe disorder on well-being, suggesting more complex consequences of formal labeling (greater stigma but helpful services), consistent with previous research.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27284073</pmid><doi>10.1177/0022146516641164</doi><tpages>17</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Adult Aged Aged, 80 and over Comorbidity Deflection Female Humans Identity Impairment Labeling Male Medical research Mental disorders Mental Disorders - psychology Mental health care Mentally Ill Persons - psychology Middle Aged Positive emotions Psychological distress Resistance Self Concept Severity Social roles Social Stigma Stereotyping Stigma Well being Young Adult |
| title | I’m Not Mentally Ill: Identity Deflection as a Form of Stigma Resistance |
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