The Impact of Illness Identity on Recovery from Severe Mental Illness

Philip T. Yanos · David Roe · Paul Henry Lysaker

341 citations0/0 files storedAmerican Journal of Psychiatric Rehabilitation

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Mental Health Treatment and Access Mental Health and Psychiatry Mental Health and Patient Involvement

Abstract

The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe mental illness and reviews relevant research. We propose that accepting a definition of oneself as mentally ill and assuming that mental illness means incompetence and inadequacy impact hope and self-esteem, which further impact suicide risk, coping, social interaction, vocational functioning, and symptom severity. Evidence supports most of the predictions made by the model. Implications for psychiatric rehabilitation services are discussed.

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References

1962Asylums: Essays on the Social Situation of Mental Patients and Other Inmates.1999Public conceptions of mental illness: labels, causes, dangerousness, and social distance.2002The Paradox of Self-Stigma and Mental Illness 2003Internalized stigma of mental illness: psychometric properties of a new measure 2006The Self–Stigma of Mental Illness: Implications for Self–Esteem and Self–Efficacy 2001Stigma as a Barrier to Recovery: The Consequences of Stigma for the Self-Esteem of People With Mental Illnesses 1999Handbook of the Sociology of Mental Health 2001Three Strategies for Changing Attributions about Severe Mental Illness

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2011Narrative Enhancement and Cognitive Therapy: A New Group-Based Treatment for Internalized Stigma Among Persons with Severe Mental Illness 2013Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope 2019How does familiarity impact the stigma of mental illness?2011Prevalence of Internalized Stigma among Persons with Severe Mental Illness 2015

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