Deck 31: Stigma: Implications for Health and Recovery

Question 1

You are a practitioner at a psychiatric rehabilitation facility who has incorporated the Model of Human Occupation as your practice model. You are working with a 34-year-old client who has been exhibiting decreased volition because of increased feelings of discrimination caused by his mental illness. You want to get a better understanding of your client's subjective experience of the discrimination and stigma he has been experiencing. You decide to choose a self-assessment that examines the areas of alienation, stereotype endorsement, discrimination experience, and social withdrawal. Based on this information, which assessment would you choose?

A) Volitional Questionnaire
B) Internalized Stigma of Mental Illness Scale
C) Self-Stigma of Mental Illness Scale
D) Self-Stigma Scale-Short Version

Answer 1

B

Question 2

A 43-year-old-man was recently diagnosed with depression. Since his diagnosis, his family has become critical of him, saying he is lazy, stupid, and worthless. His wife mockingly tells her friends that he has a "mental illness" and they should stay away from him because he's lost his mind. This is an example of ___________.

A) Public stigma
B) Self-stigma
C) Structural stigma
D) Family stigma

Answer 2

A

Question 3

You are planning a vacation with a group of college friends. Someone asked if you were going to invite Julia. You said no because she has a mental illness and you don't feel comfortable around her. Secretly you are thinking that not only does she have mental illness but she is also Hispanic and you are afraid she might get violent because of her mental illness. This can best be described as ____________.

A) Social distancing
B) Public stigma
C) Discrimination
D) Structural stigma

Answer 3

A

Question 4

You are working with Maria, a 29-year-old who was diagnosed with schizophrenia 10 years ago. She has been working hard at her recovery and her current goal is to seek employment. She wants to work at the local day-care center, but when agencies find out she has a mental illness they reject her application because they are fearful she will hurt the children. Maria has tried to get some of her family members to advocate for her but they are hesitant and actually support initiatives to toughen the laws to prevent people with mental illness from working in the human services field. She finds this demoralizing and begins to experience some signs of depression but quickly engages with her peer support specialist to overcome these feelings and continue working toward her goal. Drawing from your knowledge of public stigma theory, you recognize this scenario best represents which type of stigma?

A) Stigma by association
B) Structural stigma
C) Self-stigma
D) Family stigma

Question 5

Which of the following has been identified as a key factor of why someone does not seek out mental health care?

A) Lack of awareness that this service is needed
B) Stigma
C) Decreased knowledge of mental health-care providers
D) Insufficient insurance coverage

Question 6

The belief that every individual has access to and the right to engage in a variety of activities of his or her choice can best be described as _________.

A) Marginality
B) Inclusion
C) Occupational justice
D) Sanctioned occupations

Question 7

Which of the following best describes normalization theory?

A) Behavior that deviates from the norm is identified by someone in power and a label is placed on that behavior.
B) It identifies four types of stigma: stereotype awareness, stereotype agreement, naming self-concurrence, self-esteem decrement.
C) The focus is on skill development and creating opportunities for persons with disabilities to engage in roles.
D) Public stigma is at the core of this model.