Kontakt 2006, 8(2):265-271 | DOI: 10.32725/kont.2006.044
Disease as a stigmaNursing
- Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, Brno
The article concerns certain theoretical concepts of the stigma and psycho-social nature of the stigmatization process, and emotional impact of the stigma in its relationship to the identification, anticipation, understanding and solving this problem is shown. The article offers a brief review of the development of the concept of stigma. This concept is neither static nor precisely delimited, but the contents of the concept as well as its delimitation are affected by social changes. The author elucidates the importance of the work by E. Goffman - Stigma: Notes on the management of spoiled identity, where the stigma definition may be understood as a starting point for further sociological research work. The importance of the work by E. Jones et al. - Social stigma, the psychology of market relationships, for the investigation of the effect of the stigmatization on the mental condition of the person involved is explained. The emotional impact of these induced feelings is considered as a consequence of social expectations. The result is a development of the mental strategy aimed at social aspects of the stigma. These aspects are categorized into six dimensions: possibility of concealment, course, destructivity, esthetical features, origin and risk. In the conclusion of the article, the stigma is considered in its relationship to the concept of the patient role. The importance of the role of health personnel in the stigmatization process is mentioned, and there is a brief treatise on the process of the "medicinalization" in the contemporary society. The reaction on this condition is an increase of the confidence of patients in individual activities, self-help, accepting responsibility for their health condition, but also addressing alternative services. This results in attempts for compilation of codes of "rights of patients".
Keywords: Stigma; disease; stigmatization; marginalization; exclusion
Published: December 15, 2006 Show citation
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