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Patrick Corrigan Illinois Institute of Technology What says the dodo bird?

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Page 1: What says the dodo bird? - California Institute for ... · What says the dodo bird? “I must fight in the open! ... Japan: Seishin-Bunretsu-Byo to togo shitco sho ... Example Military

Patrick CorriganIllinois Institute of Technology

What says the dodo bird?

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“I must fight in the open!”

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0

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1970 1980 1990 2000 2010

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050

100150200250300350400450

1970 1980 1990 2000 2010 2014

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77

N=213

Stigmatizing Attitudes andBehavioral Intentions

Education:Responsibility

Contact:Dangerousness

Education:Dangerousness

Contact:Responsibility

Control

Attitudes and Intentions @ post and 1 wk f-up

-2.5

-2

-1.5

-1

-0.5

0

0.5

1

1.5

control ed:danger ed:respon ct:danger ct:respon

prepost

0.3

0.35

0.4

0.45

0.5

0.55

0.6

0.65

Pos Neg

6.8

7.3

7.8

8.3

8.8

9.3

9.8

10.3

10.8

control ed:danger ed:respon ct:danger ct:respon

pref-up

0

1

2

3

4

5

6

7

8

low mod high

stigma change

0

1

2

3

4

5

6

7

8

low mod high

stigma change

LP6

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Slide 7

LP6 centered chart

fixed connecting lines

capitalized "control" to match other boxesLab's PC, 11/7/2008

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UNINTENDED CONSEQUENCES

Everybody has won and all must have

prizes!

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PsychoanalysisCognitive Therapy

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BEAT RACISM

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DON’T ASKDON’T TELL

BEAT HOMOPHOBIA

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“THE POOR!”“THE WEAK!”

“THE LEAST IMPORTANT!”

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“THE POOR!”“THE WEAK!”

“THE LEAST IMPORTANT!”“Whatsoever you do to the least of my brethren,

that you do unto me!”John

BESTOW

EMPOWER

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EASY STUFF:Just change the words!Just cure the disease!

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Leprosy to Hansen’s Disease

Dementia to Alzheimer’s

Mental Retardation to Intellectual Disability

Mania to Bipolar Illness

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Japan: Seishin-Bunretsu-Byo to togo shitco sho

Korea: Jeongshin-bunyeol to Johyun-byung

Hong Kong: Jing Shen Fen Lie to Si Jue Shi Tiao

Singapore, China

“mind split disease” “integration disorder”

“attunement disorder”“mind splitted disorder”

“dysfunction of thought and perception”

“splitting of the mind”

Sartorius et al., 2014

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The Data◦ Japan: mixed findings (Takashi et al., 2009, 2011)

◦ Relationship between name recognition and recovery (Sato in preparation, 2014)

◦ Hansen’s Disease (Oliveria et al., 2003; Van Brakel et al., in press)

Perpetuates the difference

Prejudice and discrimination more than words.◦ MODERN RACISM

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It Looks Easy:SAMHSA forbids “stigma”NIMH and other funders decrease supportAdvocacy groups: No longer a problem

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KNOWLEDGE IS GOLD:Educate stigma away!

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21

Protest Education Contact

Media‐basedIn vivo

vehicle

-------processes--------

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Protest Education Contact

Media‐basedIn vivo

vehicle

-------processes--------

EDUCATION

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75% US school districts43 countries

RESEARCH

Uncertain effects No effectsRTI (1994) Cal Dept Ed (1995)

U Maryland (1998)Worse effects APA (1999)

Indiana U (1992)

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RECOVERY

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RECOVERY

HIRE THEM?RENT TO THEM?EQUAL HEALTH CARE?

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Myths of Mental Illness vs Facts◦ People with mental illness are dangerous.◦ Epidemiological research.

Disseminate◦ Manuals◦ Internet

Resonates with our education system◦ LITERACY

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Sixteen representative samples of nation-defined populations

230 to 6000 Ss

Response rates: 65-85%

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

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0

10

20

30

40

50

60

70

1990 1994 1998 2002 2006

SzDep

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

Inherited/Genetic

META-ANALYSIS FINDINGS: CAUSE

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0

10

20

30

40

50

60

70

80

1990 1994 1998 2002 2006

SzDep

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

Brain Disease

META-ANALYSIS FINDINGS: CAUSE

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0

10

20

30

40

50

60

1990 1994 1998 2002 2006

SzDep

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

Co-worker

META-ANALYSIS FINDINGS: ACCEPTANCE

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0

10

20

30

40

50

60

1990 1994 1998 2002 2006

SzDep

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

Neighbor

META-ANALYSIS FINDINGS: ACCEPTANCE

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33

Protest Education Contact

Media‐basedIn vivo

vehicle

-------processes--------

PROTEST

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PROTEST:The Pros and CONs!

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Protest◦Review stigmatizing images◦Shame on you for thinking that way

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36

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Beware the rebound effect

the white bear

Page 39: What says the dodo bird? - California Institute for ... · What says the dodo bird? “I must fight in the open! ... Japan: Seishin-Bunretsu-Byo to togo shitco sho ... Example Military

NAMI - stigmabusters

Page 40: What says the dodo bird? - California Institute for ... · What says the dodo bird? “I must fight in the open! ... Japan: Seishin-Bunretsu-Byo to togo shitco sho ... Example Military

The JASONUT

The CRAZY FACE

The SUICIDE SQUEEZE

Located in Campbell and San Jose California

Page 41: What says the dodo bird? - California Institute for ... · What says the dodo bird? “I must fight in the open! ... Japan: Seishin-Bunretsu-Byo to togo shitco sho ... Example Military

Join the national on-line food fight.

Help turn lemon donuts into lemonade.

Join the national on-line food fight.

Help turn lemon donuts into lemonade.

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I'm an advocate of equal rights and a more tolerant world toward all people of different races, religion, gender, and sexual orientation; but that is it. Any thing else is just moronic.

Stan Rezaee, Aug, 2009

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FRANCHISEOPPORTUNITIES

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43

Protest Education Contact

Media‐basedIn vivo

vehicle

-------processes--------

CONTACT

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CONTACT vs EDUCATIONThe Pros and CONs!

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45

Contact

“Meet Bob Lundin”

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Bob’s story◦ My name is ______ and I have a severe mental

illness called schizo-affective disorder

◦ My childhood was not unusual…

◦ Unfortunately, my mental illness was traumatic. It did not go away quickly…

◦ Despite these problems, I have achieved several accomplishments.

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0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

overall attitudes behavior

education

contact

p<.05 p<.05p<.05

CORRIGAN ET AL., 2012

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0

0.1

0.2

0.3

0.4

0.5

0.6

overall attitudes

education

contactns

*ns

***

*** ***

k=190 k=16k=136k=43

Mean effect sizes:Pre-Follow-up

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SOCIAL MARKETINGIts Promise and Limitations

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What a DIFFERENCE a friend makes!

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Change a Mind

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REAL WARRIORS + REAL BATTLES

REAL STRENGTHS

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Connecting Veterans and their friends and family members with information, resources, and solutions to issues affecting their health, well-being, and everyday lives.

MAKETHECONNECTION.NET

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What a DIFFERENCE a friend makes!

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55

27%

27%

28%

28%

29%

29%

30%

30%

31%

31%

32%

(March 2008) (May, 2009)

frequency

frequ

Video Games

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56

Website visits

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Odds Ratio 2.81***

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MILLIONS

thousands

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59

MILLIONS

thousands

Just going to the site is not enough

88% left after one minute!

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TLC 3

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TargetedLocalCredibleContinuousContact

61

Corrigan, 2011

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LandlordsHealth care professionalsTeachersLegislators Employers

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x

CHICAGO: the heart and brains of Illinois

ILLINOIS

Does it play in

PEORIA?

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CityOfficeChurch, synagogue, mosque

School

67

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Good stigma change

credible

continuous

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Contact with whom?

Example◦Military (PTSD)◦Other enlisted membersMarines from marinesSailors from sailors

69

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Once is not enough

And cannot be carbon copies

70

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TargetedLocalCredibleContinuousContact

71

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The GRAND PLAN

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Come out everyone

Come out everywhere

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Come out Mad

Come out Proud

Page 76: What says the dodo bird? - California Institute for ... · What says the dodo bird? “I must fight in the open! ... Japan: Seishin-Bunretsu-Byo to togo shitco sho ... Example Military

Three Lessons◦ Consider the pros and cons of disclosing◦ There are different ways to disclose◦ Telling your story

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National Center on Stigma and Empowerment

www.ncse1.org

[email protected]