Advertisement第120回日本精神神経学会学術総会

Abstract

第119巻第9号

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Psychiatrists' Stigma towards Individuals with Mental Illness: A Better Understanding of Mental Illness is Needed
Satoshi KATO
Oyamafujimidai Hospital
Psychiatria et Neurologia Japonica 119: 672-685, 2017

 Stigma towards individuals with mental illness tends to generally increase in the contemporary era of highly developed capitalism.
 From the viewpoint of anti-stigma, it is necessary to take into account that psychiatrists may have a stigma towards individuals with mental illness as well as towards the mental illness itself, in addition to the self-stigma of individuals with mental illness.
 On considering the Japanese law concerning the hospitalization of individuals on psychiatric wards, the author has pointed out legal factors that provoke stigma and/or increase pre-existing stigma.
 We identified factors contributing to psychiatrists' stigma in DSM-5 on using this diagnostic system as the only frame of reference in a clinical setting.
 Stigma toward individuals with autism spectrum disorder, particulary Asperger disorder, is likely to be more marked compared with European countries from the viewpoint that Japanese culture attaches importance to fitting into society in"reading relation with others". This is also true for Japanese psychiatrist.
 To overcome psychiatrists' stigma towards individuals with mental disorder, it is recommended to deepen our knowledge of the psychopathology, including the dimension of madness, that is "madness inclusive psychopathology", whose approach has its roots in the work of "Strindberg and Van Gogh" by Karl Jaspers (1922).
 <Author's abstract>

Keywords:stigma, psychatrist, the act on mental health and welfare of people with mental disorders, Asperger disorder, DSM>
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