More than "mentally-ill": Differentiating help-seeking from mental-illness stigma in a college population

.......................................................................................................................... iv CHAPTER 1: OVERVIEW .................................................................................................... 1 The Present Study ................................................................................................................ 3 CHAPTER 2: LITERATURE REVIEW ................................................................................ 4 The Process of Stigmatization ............................................................................................. 6 The Stigma of Seeking Psychological Help ........................................................................ 7 Conceptual Models of Stigmatizing Attributes ................................................................... 8 The Distinction Between Mental Illness and Help-seeking Stigma .................................... 9 Public stigma ..................................................................................................................... 10 Self Stigma ........................................................................................................................ 11 Self-stigma as internalized public stigma. ..................................................................... 11 Self-stigma as the opposite of personal empowerment. ................................................ 12 Self-stigma as diminished self-esteem and self-efficacy. ............................................. 14 Toward a unified conceptualization of self-stigma ....................................................... 14 Assessing Self-Stigma ....................................................................................................... 16 Measuring the self-stigma of mental illness. ................................................................. 16 Measuring the self-stigma of seeking help. ................................................................... 17 Correlates of Self-Stigma .................................................................................................. 18 Predictors of the self-stigma of mental illness. ............................................................. 18 Predictors of self-stigma of seeking psychological help. .............................................. 18 Self-Stigma in College Populations .................................................................................. 19 Stigma Before and After Treatment .................................................................................. 20 Mental Illness and Help-Seeking Stigma in Decisions to Seek Help ................................ 22 Interventions to Decrease Self-Stigma .............................................................................. 23 Hypotheses and Rationale of the Present Study ................................................................ 27 CHAPTER 3: METHOD ....................................................................................................... 32 Sample Size Planning ........................................................................................................ 32 Participants ........................................................................................................................ 32 Procedure ........................................................................................................................... 33 Instruments ........................................................................................................................ 33 Psychological symptoms ............................................................................................... 33 Public stigma of seeking psychological help ................................................................ 34 Public stigma of mental illness ...................................................................................... 35 Self-stigma of seeking psychological help .................................................................... 36 The self-stigma of mental illness ................................................................................... 36 Self-esteem .................................................................................................................... 37 The self-stigma of depression ........................................................................................ 38 Attitudes toward seeking psychological help ................................................................ 39