Mental disorders in the media: A retrospective study of newspaper coverage in the Chilean Press.

BACKGROUND: The mass media are relevant in shaping the population's attitudes towards mental disorders. In low- and middle-income countries there is little information about the portrayal of people with mental disorders in the mass media. AIM: The general objective of the study was to assess the tone and content of Chilean newspaper articles about mental disorder from 2000 to 2019. METHOD: The digital editions of four national circulation Chilean newspapers were intentionally selected. The search engine Google News was used to identify and retrieve the news. To evaluate the news, a standardised codebook was administered. A total of 385 news were evaluated. RESULTS: The results show that a large proportion of the news items has an overall positive/optimistic tone 43.5% and 57.5% does not stigmatise; however, only 18.4% emphasises recovery as part of the content. The highest percentages of news stigmatising in tone and content are observed for bipolar disorder and schizophrenia. Furthermore, the experts are quoted much more frequently than people diagnosed with mental disorders or their families and/or friends. When comparing by years there is a trend towards general decrease in stigmatisation, moving towards a more positive or optimistic view of mental health. CONCLUSIONS: In general, low stigmatisation towards mental disorders was found in the news and this was reduced steadily over time. Although there are aspects to improve in some particular areas, suggesting that manifest stigma has diminished, but more subtle forms still remain.

"Head take you": causal attributions of mental illness in Jamaica.

Causal attributions are a key factor in explanatory models of illness; however, little research on causal attributions of mental illness has been conducted in developing nations in the Caribbean, including Jamaica. Explanatory models of mental illness may be important in understanding illness experience and be a crucial factor in mental health service seeking and utilization. We explored causal attributions of mental illness in Jamaica by conducting 20 focus groups, including 16 community samples, 2 patient samples, and 2 samples of caregivers of patients, with a total of 159 participants. The 5 most commonly endorsed causal attributions of mental illness are discussed: (a) drug-related causes, including ganja (marijuana); (b) biological causes, such as chemical imbalance, familial transmission, and "blood"; (c) psychological causes, including stress and thinking too much; (d) social causes, such as relationship problems and job loss; and (e) spiritual or religious causes, including Obeah.

[Culture and mental health in Haiti : a literature review]. / Culture et santé mentale en Haïti : une revue de littérature.

This paper reviews and summarizes the available literature on Haitian mental health and mental health services. This review was conducted in light of the Haitian earthquake in January 2010. We searched Medline, Google Scholar and other available databases to gather scholarly literature relevant to mental health in Haiti. This was supplemented by consultation of key books and grey literature relevant to Haiti. The first part of the review describes historical, economic, sociological and anthropological factors essential to a basic understanding of Haiti and its people. This includes discussion of demography, family structure, Haitian economics and religion. The second part of the review focuses on mental health and mental health services. This includes a review of factors such as basic epidemiology of mental illness, common beliefs about mental illness, explanatory models, idioms of distress, help-seeking behavior, configuration of mental health services and the relationship between religion and mental health.

"Mad, sick, head nuh good": mental illness stigma in Jamaican communities.

Stigma may be an important factor in mental health service seeking and utilization. However, little work on stigma has been conducted in developing nations in the Caribbean, including Jamaica. We explored mental illness stigma in Jamaica by conducting focus groups with 16 community samples. Four overarching conceptual themes are discussed: (1) community members' definitions of stigma; (2) emotional responses towards those with mental illness, such as fear and love; (3) behavioral responses towards those with mental illness, including avoidance and cautious approach; and (4) perceptions of and beliefs about mental illness, including a distinction between "madness" and "mental illness."

Perceived stigmatisation of young mothers: an exploratory study of psychological and social experience.

Patterns of childbearing vary cross-culturally and historically. In Canada, the average age of women at first birth was 28 in 2003, with almost 50% of all births occurring to women 30 years of age and over. This represents a radical change from the recent past-in 1971 average age at first birth was 22.8. Such changes may impact upon dominant discourse regarding normalcy and deviance with regard to women's fertility behaviour. The effect of shifting demographics and discourse on the psychosocial experience of mothers has not been a focus of study in Canada. We conducted a grounded theory study exploring the psychosocial experience of mothers of varying ages and ethnic backgrounds in Montreal. Thirty-three women partook in either an in-depth individual interview or focus group. By the end of the research, age and ethno-racial status emerged as two key grounded variables affecting women's experience of motherhood. Anglophone Euro-Canadian participants in their early 20s felt strongly stigmatised as mothers, which they attributed to their age at parity. In contrast, older Anglophone Euro-Canadian mothers and Anglophone Afro-Caribbean mothers of any age rarely mentioned stigma as a facet of even minor importance. The perceived stigma permeated the lifeworlds of younger Anglophone Euro-Canadian mothers with negative cognitive, emotional and behavioural effects. We argue that such stigmatisation may serve a penological function to affirm and maintain dominant Anglo-Canadian middle-class cultural norms emphasising the importance of education, careers and delayed childbearing for women. Younger Anglophone Afro-Caribbean mothers may not feel such stigma because early age at parity is more common in the Caribbean sub-culture, which may be relatively more pro-natalist than mainstream Euro-Canadian culture. We conclude by theorising that Anglophone Euro-Canadian mothers in their early 20s may now be experiencing aspects of social exclusion traditionally associated with 'teenage mothers.' This may have a deleterious effect on health.

Open papers, open minds? Media representations of psychiatric de-institutionalization in Jamaica.

Little research has been conducted on media representations of psychiatric de-institutionalization in low-income countries. We set out to examine whether the Jamaican media takes a positive or negative orientation to psychiatric de-institutionalization, and which arguments and rhetorical devices are employed to support the media's position. This was done by the collection, review, and analysis of all stories related to psychiatric de-institutionalization published over a 26-month period from 2003 to 2005 by Jamaica's principal broadsheet newspaper. All of the stories were positive in orientation. Articles alluded to the therapeutic and economic benefits of de-institutionalization. To allay public fears, articles gave prominence to the views of senior psychiatric experts, quoted supporting statistics and international trends, and translated relevant research findings into lay language. Our results are contrary to most studies in high-income countries indicating negative media portrayals of mental illness and the mentally ill.