Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural, and tribal areas of Kerala

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dc.cclicenceCC-BY-NC-NDen
dc.contributor.authorRaghavan, Raghu
dc.contributor.authorBrown, Brian J.
dc.contributor.authorHorne, Francesca
dc.contributor.authorKumar, Sanjana
dc.contributor.authorParameswaran, Uma
dc.contributor.authorBin Ali, Ameer
dc.contributor.authorRaghu, Ardra
dc.contributor.authorWilson, Amanda
dc.contributor.authorVenkateswaran, Chitra
dc.contributor.authorSvirydzenka, N.
dc.contributor.authorKumar, Manoj
dc.contributor.authorRam Kamal, Sreedevi
dc.contributor.authorBarrett, Andy
dc.contributor.authorDasan, Chandra
dc.contributor.authorVarma, Aarcha
dc.contributor.authorBanu, Asha
dc.date.acceptance2021-03-15
dc.date.accessioned2022-04-04T14:51:32Z
dc.date.available2022-04-04T14:51:32Z
dc.date.issued2022-05-01
dc.descriptionThe file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractBackground The concept of stigma has been widely used to understand patterns of discrimination and negative ideas surrounding people with mental health problems, yet we know little of the specific nuances of how this might operate beyond the ‘Global North’. Aim This paper aims to explore the notion of stigma in an Indian context by considering the lived experience of patients, carers and community members. Methods A sample of 204 participants, representing mental health patients, informal carers and community members was recruited from urban and rural areas in Kerala, India. Participants took part in interviews where they were encouraged to talk about their experiences of mental ill health, attitudes towards these problems, barriers encountered and sources of support. Results Experiences akin to the experience of stigma in Europe and the United States were elicited but there were important local dimensions specific to the Indian context. The difficulties faced by people with diagnoses of mental disorders in finding marriage partners was seen as an important problem, leading to marriage proposals being refused in some cases, and secrecy on the part of those with mental health problems. Rather than the ‘self-stigma’ identified in the US, participants were more likely to see this as a collective problem in that it could reflect badly on the family group as a whole rather than just the sufferer. Conclusions In the Indian context, the idioms of stigma emphasised impairments in marriage eligibility and the implications for the family group rather than just the self.en
dc.funderESRC (Economic and Social Research Council)en
dc.identifier.citationRaghu Raghavan, Brian Brown, Francesca Horne, Sanjana Kumar, Uma Parameswaran, Ameer Bin Ali, Ardra Raghu, Amanda Wilson, Nadia Svirydzenka, Chitra Venkateswaran, Manoj Kumar, Sreedevi Ram Kamal, Andy Barrett, Chandra Dasan, Aarcha Varma & Asha Banu (2022) Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural, and tribal areas of Kerala. International Journal of Social Psychiatryen
dc.identifier.doihttps://doi.org/10.1177/00207640221091187
dc.identifier.issn0020-7640
dc.identifier.issn1741-2854
dc.identifier.urihttps://hdl.handle.net/2086/21796
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidES/S00145X/1en
dc.publisherSageen
dc.researchinstituteMary Seacole Research Centreen
dc.subjectstigmaen
dc.subjectmental healthen
dc.subjectIndiaen
dc.subjectcarersen
dc.titleStigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural, and tribal areas of Keralaen
dc.typeArticleen

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