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Paradigms Lost - Fighting Stigma and the Lessons Learned (Hardcover, New)
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Paradigms Lost - Fighting Stigma and the Lessons Learned (Hardcover, New)
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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.
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