Factors that contribute to the stigmatization of victims in emergency situations

709

Abstract

The technique of studying of processes of stigmatization of victims in emergency is insufficiently developed now and is based on results of practical observations of certain experts and methodical adaptations. Surveying features of internal and external stigmatization which is traumatic for victims and leads to weighting of experiences, negative development of the cognitive scheme "I-in-the-event", its dynamics, the authors define them as the adverse prognostic moments in a psychotherapy of the studied category of persons. In the article there is made an attempt of survey systematization of a series of social and demographic and environmental factors which have to be known to the expert working with the victim in emergency that in due time and precisely to diagnose character of consequences of a psychological trauma, to prognosticate the course of post-stressful disorders and to plan psychocorrectional influence. There are selected the characteristics of victims in emergency (an invalidism and traumatization, age, gender factors, education level) having significant effect on stigmatization development. The author analyses some of the problems arising during a psychotherapy of patients with stigma, defines the factors increasing probability of a delay with the request for the specialized help or refusal of therapy.

General Information

Keywords: : emergency situation, external and internal stigmatization of victims, factors of development of post-stressful disorders, aftertreatment of victims in emergency.

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2017070305

For citation: Gurin I., Zakharova N. Factors that contribute to the stigmatization of victims in emergency situations [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2017. Vol. 7, no. 3, pp. 56–70. DOI: 10.17759/psylaw.2017070305. (In Russ., аbstr. in Engl.)

References

  1. Asanbaeva, Je.M. Kognitivnye priznaki fenomena stigmatizacii v psihiatrii u predstavitelej razlichnyh populjacionnyh grupp Kyrgyzskoj respubliki. Diss. kand. med.nauk. [Cognitive characteristics of the phenomenon of stigmatization in psychiatry from the representatives of various population groups in the Kyrgyz Republic. Ph.D. (Medicine) Thesis]. Bishkek, 2009. 161 p.
  2. Ababkov V.A., Perre M., Plansherel B. Sistematicheskoe issledovanie semejnogo stressa i kopinga [Systematic study of family stress and coping] // Obozrenie psihiatrii i med. psihologii im. Behtereva [Review of psychiatry and psychology]. 1998. no. 2. pp. 4-8.
  3. Brazevich S.S., Sidorova A.Ju. Invalidnost': problemy preodolenija stigmatizacii i stanovlenija tolerantnogo soznanija. Sovremennye problemy nauki i obrazovanija. 2013. Vol. 1.; URL: https://www.science-education.ru/ru/article/view?id=8192 (Accessed 1.10.2017)
  4. Vasserman L.I., Iovlev B.V., Isaeva E.R., Trifonova E.A., Shhelkova O.Ju., Novozhilova M.Ju., Vuks A.Ja. Metodika dlja psihologicheskoj diagnostiki sposobov sovladanija so stressom i problemnymi dlja lichnosti situacijami. Posobie dlja vrachej i medicinskih psihologov [Disability: problems of stigma and the formation of a tolerant consciousness]. Saint-Petersbourg:  Publ. NIPNI im. V.M. Behtereva., 2009. 40 p.
  5. Gofman I. Stigma: Zametki ob upravlenii isporchennoi identichnost'yu. Chast' 1. Stigma i sotsial'naya identichnost'. Chast' 2. Kontrol' nad informatsiei i sotsial'naya identichnost' [Stigma: Notes on the management of spoiled identity. Part 1. Stigma and social identity. Part 2. Information control and social identity].1963.
  6. Gurin I.V. Klinicheskaja dinamika i terapija posttravmaticheskih stressovyh rasstrojstv u postradavshih s ozhogami. Avtoref. dis. kan.  med.  nauk. [Clinical dynamics and treatment of post-traumatic stress disorder in burn victims. Ph.D. (Medicine) Thesis]. Moscow, 1996, 13p.
  7. Gurovich I.Ja. Vzaimodejstvie obshhemedicinskoj i psihiatricheskoj pomoshhi i stigma psihiatricheskih rasstrojstv. [Interaction of General medical and mental health care and stigma of psychiatric disorders] // Rossiiskii meditsinskii zhurnal [Russian medical journal] 2001. Vol. 25. pp. 1202.
  8. Dmitrieva T,B., Polozhegiy B.S. Kul'tural'nye i jetnicheskie problemy psihicheskogo zdorov'ja [Cultural and ethnic mental health issues]. Moscow, 1996. 198 p.
  9. Dmitrieva, T.B. Al'jans prava i miloserdija. O probleme prav cheloveka v psihiatrii [the Alliance of law and mercy. On the issue of human rights in psychiatry]. Moscow: Publ. Nauka, 2001. 156 p.
  10. Enikolopov S.N. Stigmatisazia I problema psihicheskogo zdorovia. Medizinskaia (klinicheskaia) psihologia: tradizii I perspektivi (k 85–letiyu Yu.F. Poliyakova). [Stigma and the problem of mental health / Medical (clinical) psychology: traditions and prospects (To the 85th anniversary of Yury Fedorovich Polyakov)] Moscow: Publ. Moskovskiy gorodskoy psihologo-pedagogicheskiy universitet, 2013; pp. 109-121.
  11. Zaharova N.M., Baeva A.S., Gurin I.V., Shkurko V.V. Formirovanie fenomena stigmatizacii v otnoshenii lic, postradavshih pri chrezvychajnyh situacijah u predstavitelej razlichnyh social'nyh grupp. «Psihologija i pravo» [Formation of the phenomenon of stigmatization against individuals affected in emergencies from representatives of various social groups. Psychology and law psyandlaw.ru], 2017; 7(1): 193-205. doi: 10.17759/psylaw.2017070116, ISSN-online: 2222-5196 ISSN
  12. Kabanov M.M., Burkovsky G.V. Reductsiya stigmatizatsii I diskriminatsii psihicheski bolnih [Reduction of stigma and discrimination of mentally ill] // Obozrenie psihiatrii I med. Psihologii im. V.M. Behtereva [Review of psychiatry and medical psychology]. 2000. no.1. pp. 3-9.
  13. Kekelidze Z.I., Bedina I.A., Tyumenkova G.V. Reintegraziya v sozium liz, postradavshih v chrezvichaynih situaziyah. Psihiatria chrezvichaynih situaziy [Clinical and social factors of the stigmatization of persons affected during emergency situations]. In Kekelidze Z.I. (ed). Moscow, 2011; Vol. 2. pp. 311-321.
  14. Kekelidze Z.I., Bedina I.A., Shport S.V., Baeva A.S., Alkeeva-Kosticheva E.A. Sidorov-Moiseev I.I. Tsekin V.P. Kliniko-sotsialnie faktori stigmatizatsii lits, postradavshih pri chrezvichaynih situaziyah. Metodicheskie rekomendatsii [Clinical and social factors of the stigmatization of persons affected during emergency situations]. Moscow: Publ. FGBU «FMITSPN» Minzdrava Rossii. 2015. 20 p.
  15. Mihajlova I.I., Sudakov S.A., Enikolopov S.N., Mjasoedov S.N. Primenenie klasternogo analiza dlja opisanija fenomena samostigmatizacii [Use of cluster analysis to describe the phenomenon of self-stigmatization of the mentally ill] // Zhurnal nevrologii i psihiatrii im. S. S. Korsakova [Journal of neurology and psychiatry. S. S. Korsakov]. 2004. Vol.  7(104). pp. 61-65.
  16. Mihajlova I.I., Jastrebov V.S., Enikolopov S.N. Kliniko-psihologicheskie i social'nye faktory, vlijajushhie na stigmatizaciju psihicheski bol'nyh raznyh nozologicheskih grupp [Clinical, psychological and social factors that affect stigmatization of mentally patients of different nosological groups] // Zhurnal nevrologii i psihiatrii im. S.S. Korsakova [Journal of neurology and psychiatry. S. S. Korsakov]. 2002. Vol. 7(102). pp. 58-65.
  17. Onishhenko N.V. Osobennosti psihojemocional'nogo sostojanija postradavshih, perezhivshih poterju rebenka vsledstvie chrezvychajnoj situacii. Filosofija. Psihologija. Sociologija [Features of psycho-emotional state of the victims, suffered the loss of a child due to emergency] // Vestnik Permskogo universiteta [Vestnik of Perm University].2014. Vol. 4(20). pp. 64-70.
  18. Podkorytov V.S., Kuz'minov V.N., Shepel' A.G. Bol'nye s nepsihoticheskimi psihicheskimi rasstrojstvami v sovremennom obshhestve (dannye sociologicheskogo anketirovanija) [Patients with non-psychotic mental disorders in modern society (the data of sociological survey)] // Medicinskie issledovanija [Medical research]. 2001. Vol. 1. pp. 31.
  19. Portnova A.A. Indigenniy konflikt: neblagopriyatniy tip otsrochennogo massovogo reagirovaniya na tyageliy emotsionalniy stress [An indigenous conflict as an unfavorable type of delayed mass reaction to severe emotional stress] // Gurnal nevrologii I psichiatrii im. S.S. Korsakova [Journal of neurology and psychiatry. S. S. Korsakov.]. 2006. Vol. 106(2). pp.13-16.
  20. Serebrijskaja, L. Ja. Faktory stigmatizacii psihicheski bol'nyh: avtoref. dis. kand. psihol. nauk [Factors of stigmatization of the mentally ill. Ph.D. (Psychology) Thesis]. Moscow, 2005. 21 p.
  21. Tyumenkova G.V., Bedina I.A. Problemi stigmatizatsii lits, perenesshih chrezvichaynuyu situaziyu. Materiali megdunarodnoy konferentsii «Psihiatriya chrezvichaynih situaziyah» [Problems of stigmatization of persons who have suffered an emergency]. Moscow, 2006. pp. 74-75.
  22. Chrezvychajnye situacii, harakternye dlja regiona (municipal'nogo obrazovanija), prisushhie im opasnosti dlja naselenija i vozmozhnye sposoby zashhity ot nih rabotnikov organizacii: Metodicheskie materialy [Emergency, typical of the region (municipality), the inherent danger to the population and possible ways of protection of employees of the organization: Methodical materials]. Irkutsk: Publ. IGUPS, 2016. 26 p.
  23. Allison-Bolger, V.Y .The original sin of madness – or how psychiatrists can stigmatize their patients. International Journal of Clinical Practice. 1999. 53(8): 627-630.
  24. Byrne, P. Psychiatric stigma: past, passing and to come. J. R. Soc. Med. 1997. 90(11): 618-621.
  25. Barney LJ, Griffiths KM, Jorm AF, Christensen H. Stigma about depression and its impact on help-seeking intentions. Aust N Z J Psychiatry. 2006 ;40(1): 51–54
  26. Dain, N. Reflections on antipsychiatry and stigma in the history of American psychiatry. Hosp. Community Psychiatry. 1994; 45(10). pp. 1010-1014.
  27. Freddy J.R., Donkervoet J.C. Traumatic stress: An overview 17 of the field. In Freddy J.R. & Hobfoll S.E. (Eds.), Traumatic stress. From theory to practice. New York: Plenum, 1995. pp.3-28.
  28. Gilbert P. Stigmatisation as a survival strategy: shame, stigma and the family: «skeletons in the cupboard and the role of shame». Every Family in the Land: Understanding Prejudice and Discrimination against People with Mental Illness. Royal Society of Medicine; ed. A. Crisp. Rev. ed. London, 2003. pp. 123-143.
  29. Henderson C., Evans-Lacko S., Thornicroft G. Mental Illness Stigma, Help Seeking, and Public Health Programs. Am J Public Health. 2013 May; 103(5): 777–780. Published online 2013 May. doi:  10.2105/AJPH.2012.301056. PMCID: PMC3698814
  30. Kessler R.C. Posttraumatic stress disorder the burden to the individual and to society. J. Clin. Psychiatry. 2000. V. 61; pp. 4-12.
  31. Link, B. G. Stigma: many mechanisms require multifaceted responses. Epidemiol. Psichiatr. Soc. 2001. 10(1): 8-11.
  32. Sartorius N. Fighting stigma: theory and practiceю The Image of Madness. Ed. by Guimon J., Fisher W.,Sartorius N. Basle: AC press, 1999. pp. 96-105.
  33. Sirey J.A., Bruce M.L., Alexopoulos G.S. et al. Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Am J Psychiatry. 2001; 158(3): 479–481
  34. Taylor S.E. Adjustment of threatening events: A theory of cognitive adaptation. American Psychologist. 1983. pp. 1161-1173
  35. Thornicroft G. Stigma and discrimination limit access to mental health care. Epidemiol Psichiatr Soc. 2008; 17(1) :14–19
  36. Yule W., Williams R. Post-traumatic stress reactions in children. Journal of Traumatic Stress. 1990. 3 (2): 279-295

Information About the Authors

Igor Gurin, PhD in Medicine, senior researcher of the Department of urgent psychiatry and the help at emergency situations, Federal State Budgetary Institution "V. Serbsky Federal Medical Research Centre for Psychiatry and Narcology" of the Ministry of Health of the Russian Federation, Moscow, Russia

Natalya Zakharova, PhD in Medicine, senior researcher of the Department of urgent psychiatry and the help at emergency situations, Federal State Budgetary Institution "V. Serbsky Federal Medical Research Centre for Psychiatry and Narcology" of the Ministry of Health of the Russian Federation, Moscow, Russia, ORCID: https://orcid.org/0000-0002-2424-0901, e-mail: natali_oslo@mail.ru

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