The impact of renaming schizophrenia on destigmatization: The Asian experience

IF 3.8 4区 医学 Q1 PSYCHIATRY Asian journal of psychiatry Pub Date : 2024-06-27 DOI:10.1016/j.ajp.2024.104139
Kah Kheng Goh , Cheng-Yu Lu , Yi-Hang Chiu , Mong-Liang Lu
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Abstract

The term “schizophrenia” can indeed carry stigmatizing connotations. Proposals to rename schizophrenia have emerged as a potential strategy to alleviate this stigma, but the impact of such a change is not yet fully understood. In several Asian countries that have adopted a new name for schizophrenia, there is evidence that renaming is associated with improved attitudes towards individuals with schizophrenia and an increased willingness to disclose diagnoses. However, the portrayal of schizophrenia in the media seems unaffected by these name changes. In other countries where “schizophrenia” is still the standard term, alternative names have been suggested, but research on their effectiveness in reducing stigma shows mixed results. Mental health professionals frequently support a name change, recognizing the term’s negative implications. However, it is crucial to recognize that a mere semantic revision, devoid of substantial conceptual alterations, may only offer a temporary decrease in stigma. Thus, renaming schizophrenia, coupled with a re-conceptualization of the disorder, may be a constructive step toward reducing its stigmatization.

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重新命名精神分裂症对去污名化的影响:亚洲的经验
精神分裂症 "一词确实带有污名化的含义。对精神分裂症重新命名的建议已成为减轻这种耻辱感的一种潜在策略,但这种改变的影响尚不完全清楚。有证据表明,在一些采用新名称命名精神分裂症的亚洲国家,重新命名精神分裂症会改善人们对精神分裂症患者的态度,并提高披露诊断结果的意愿。然而,媒体对精神分裂症的描述似乎并没有受到这些名称变化的影响。在其他仍以 "精神分裂症 "为标准用语的国家,也有人提出了替代名称,但有关这些名称在减少耻辱感方面效果的研究显示,结果好坏参半。精神卫生专业人员认识到该术语的负面影响,因此经常支持更名。然而,关键是要认识到,仅仅是语义上的修改,而没有概念上的实质性改变,可能只能暂时减少耻辱感。因此,重新命名精神分裂症,同时对该疾病进行重新概念化,可能是减少其污名化的一个建设性步骤。
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来源期刊
Asian journal of psychiatry
Asian journal of psychiatry Medicine-Psychiatry and Mental Health
CiteScore
12.70
自引率
5.30%
发文量
297
审稿时长
35 days
期刊介绍: The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.
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