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Paradigms Lost: Fighting Stigma and the Lessons Learned de Heather Stuart

Paradigms Lost: Fighting Stigma and the Lessons Learned

Autor Heather Stuart, Julio Arboleda-Flórez, Norman Sartorius
en Limba Engleză Hardback – 28 iun 2012

Descoperim în Paradigms Lost un instrument critic esențial pentru profesioniștii din asistența socială și psihiatrie, a cărui aplicabilitate practică rezidă în redefinirea completă a modului în care evaluăm succesul campaniilor sociale. Autori de renume precum Heather Stuart, Julio Arboleda-Flórez și Norman Sartorius demonstrează că simpla schimbare a atitudinilor declarative nu este suficientă dacă nu este însoțită de o modificare vizibilă a comportamentelor, atât din partea celor stigmatizați, cât și a stigmatizatorilor. Volumul deconstruiește paradigme învechite, precum ideea că educația teoretică despre sănătatea mentală ar fi un remediu universal împotriva prejudecăților.

Reținem abordarea pragmatică a „oportunismului luminat”, care încurajează utilizarea fiecărei ocazii sociale pentru a interveni împotriva discriminării, în detrimentul strategiilor pe termen lung care adesea pierd contactul cu realitatea imediată. Structura cărții este una riguroasă, fiecare capitol vizând un mit specific — de la ideea că îngrijirea în comunitate elimină automat stigma, până la percepția eronată că discriminarea este mai scăzută în societățile în curs de dezvoltare.

Cititorii familiarizați cu The Stigma of Mental Illness - End of the Story? de Wolfgang Gaebel vor aprecia aici trecerea de la prezentarea perspectivelor fundamentale la o critică aplicată a metodologiilor de intervenție. În timp ce alte lucrări se concentrează pe barierele generale, Paradigms Lost oferă o listă concretă de principii de „best practice” și o sinteză a slăbiciunilor curente în cercetare. Această lucrare reprezintă fundamentul pe care a fost clădit ulterior volumul Paradigms Lost, Paradigms Found, consolidând expertiza autorilor în domeniul asistenței persoanelor cu boli mentale.

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Specificații

ISBN-13: 9780199797639
ISBN-10: 0199797633
Pagini: 240
Dimensiuni: 236 x 157 x 25 mm
Greutate: 0.45 kg
Ediția:New.
Editura: Oxford University Press
Colecția OUP USA
Locul publicării:New York, United States

De ce să citești această carte

Această carte este indispensabilă pentru specialiștii care doresc să treacă de la conștientizare la rezultate măsurabile în lupta împotriva discriminării. Cititorul câștigă o înțelegere critică a motivelor pentru care metodele tradiționale de educare au eșuat și primește un set de principii practice pentru a implementa programe adaptate contextului local, bazate pe dovezi comportamentale, nu doar pe sondaje de opinie.

Despre autor

Heather Stuart, alături de Julio Arboleda-Flórez și Norman Sartorius, formează un grup de experți de talie mondială în domeniul sănătății mentale și al sociologiei medicale. Heather Stuart este recunoscută pentru cercetările sale extensive privind impactul stigmei asupra recuperării pacienților, fiind o voce autoritară în stabilirea standardelor de bune practici. Această colaborare, publicată sub egida Oxford University Press, îmbină rigoarea academică cu experiența clinică și de teren a autorilor, marcând o evoluție semnificativă față de abordările pur teoretice din lucrările lor anterioare și stabilind noi direcții în asistența bolnavilor mental.

Descriere

Paradigms Lost challenges key paradigms currently held about the prevention or reduction of stigma attached to mental illness using evidence and the experience the authors gathered during the many years of their work in this field. Each chapter examines one currently held paradigm and presents reasons why it should be replaced with a new perspective. The book argues for enlightened opportunism (using every opportunity to fight stigma), rather than more time consuming planning, and emphasizes that the best way to approach anti-stigma work is to select targets jointly with those who are most concerned. The most radical change of paradigms concerns the evaluation of outcome for anti-stigma activities. Previously, changes in stigmatizing attitudes were used as the best indicator of success. Paradigms Lost and its authors argue that it is now necessary to measure changes in behaviors (both from the perspective of those stigmatized and those who stigmatize) to obtain a more valid measure of a program's success. Other myths to be challenged: providing knowledge about mental illness will reduce stigma; community care will de-stigmatize mental illness and psychiatry; people with a mental illness are less discriminated against in developing countries. Paradigms Lost concludes by describing key elements in successful anti stigma work including the recommended duration of anti-stigma programmes, the involvement of those with mental illness in designing programmes, and the definition of programmes in accordance with local circumstances. A summary of weaknesses of currently held paradigms and corresponding lists of best practice principles to guide future anti-stigma action and research bring this insightful volume to an apt conclusion.

Recenzii

' Paradigms Lost is simply excellent. The chapters are clearly written and well organized and the material is relevant to the aim of the book, i.e., to inform those wishing to undertake anti-stigma programmes. I am sure that it will be a vitally important contribution to the field.'
'Paradigms Lost: Fighting Stigma and the Lessons Learned illustrates the long standing stigma attached to mental illness and its continued prominence today. Although the problem of stigma appears daunting, the authors offer an innovative approach to help combat social exclusion. Their proposed new paradigm constructs an optimistic and practical way to break down the social barriers to recovery'
'Stuart, Arboleda-Florez, and Sartorius provide a masterful tour-de-force of the scholarly literature to carefully unpack what we know about stigma so we can move ahead to eliminate its egregious impact. But their book does not end with a review of the science. They then provide a practical, hands-on guide to setting up anti-stigma programs meant to reflect the wisdom of their reviewed paradigms.'
'This extraordinary book by international experts stands on its head the accepted wisdom about fighting the stigma of mental illness. This is the most important book yet published on what we must do to reduce the insidious and powerful force that can paralyze attempts to improve recovery from psychiatric disorder'
With a unique 2 part format that addresses stigma but also personal clinical and field experiences, this book is a historical compendium with a passionate call to action. To help readers move ahead quickly, tip sheets and assessments are included. The boldness of the statements in this book are refreshing and should help fight stigma around the world to improve the lives of people living with mental illness. Hats off to the publishers for recognizing the importance of this work.
We are all opposed to the stigma of mental illness, but that is not enough. We needed this book to remind us of what we previously misunderstood, and to reinforce what we now know. As Kuhn said, looking at a contour map, the student sees lines on paper, the cartographer a picture of a terrain. We may be redrawing our old map, but we have not as yet found a new one.

Notă biografică

Heather Stuart has been working in the field of stigma research for almost 15 years and is the co-founder and current Chair of the Scientific Section on Stigma and Mental Disorders for the World Psychiatric Association. Dr Stuart is Director, Masters of Public Health Program, Department of Community Health & Epidemiology and Associate Director, Queen's/Pan American Health/World Health Organization Collaborating Centre for Training in Psychiatric and Behavioural Epidemiology, both at Queen's University, Ontario, Canada. Dr Stuart is also the Senior Consultant for Canada's Opening Minds national anti-stigma/anti-discrimination initiative. Julio Arboleda-Flórez is Emeritus Professor, Departments of Psychiatry and of Community Health and Epidemiology and the Inmediate Past Head and Chief-of-Psychiatry at Queen's University in Ontario, Canada. Dr Arboleda-Flórez is a leading authority on legal psychiatry and human rights of the mentally ill. He is the Honorary Chair of the Forensic Section and a longstanding member of the Ethics Committee of the World Psychiatric Association, an Honorary member of several national psychiatric associations. Norman Sartorius was Director of the World Health Organization's mental health programme from 1977 - 1993, President of the World Psychiatric Association from 1993 - 1999 and has been President of the European Psychiatric Association since 1999. Dr Sartorius holds professorial appointments at the Universities of London, Prague and Zagreb and is Senior Associate of Faculty at Johns Hopkins University in Baltimore, MD. Dr Sartorius is among the world's leading authorities on fighting stigma, co-morbidity of mental and physical illness, public health aspects of psychiatry and psychiatric education.