Social Representation of stigmatizing seeking psychological support in the military


Published: Dec 15, 2018
Keywords:
social representation psychological support military environment self-stigma public stigma
Βάσια Ιγνατίου-Καραμανώλη
Abstract
The aim of the present study is to investigate content and structure of social representation concerning the institution of psychological support in the military. Research is focused on stigma’s representation and on searching possible differences depending on military personnel’s status and education. The main obstacle on seeking psychological support in the military seems to be stigma, self or public. Even though adjustment to military environment and handling warfare provoke several difficulties on thought, emotions or behavior, avoiding psychological support seems to be common place among military personnel globally. Educating military personnel (Ν=143) participated to a research about social representation’s structure analysis with Vergès’ (1994) free association method. Content analysis was used for data coding and representation’s structure analysis about trainees’, soldires’ and officers’ procedure of seeking psychological support. Results indicated several interesting findings about stigma’s content and structure depending on military duty, education and role. Implications of future research are made.
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Abric, J.C. (1996). Specific processes of social representations. Paper on social representations. 5: 77-80.
Abric, J.C. (1987). Coopération, compétition et représentations sociales, Cousset: Del Val.
Abric, J.C. (1976). Jeux, conflits et représentations sociales (thèse d’État). Aix-en-Provence, Université de Provence.
Acosta, J.D., Becker, A., Cerully, J. L., Fisher, M. P., Martin, L. T., Vardavas, R., Slaugher, M. E., Schell, T. L. (2014). Mental Health Stigma in the Military. Santa Monica, CA: RAND Corporation.
Ægisdóttir, S., O’Heron, M.P., Hartong, J.M., Joel, M., Haynes, S. A., Linville, M. K. (2011). Enhancing Attitudes and Reducing Fears About Mental Health Counseling: An Analogue Study, Journal of Mental Health Counseling, October 33, 327-346.
Amato, P. R., & Bradshaw, R. (1985). An exploratory study of people’s reasons for delaying or avoiding help-seeking. Australian Psychologist, 20, 21-31.
Augoustinos, M., Walker, I., Donaghue, N. (2006). Social cognition: an integrated introduction (2d ed.). London: Sage.
Bardin, L. (1993). L’ analyse de contenu. Paris: P.U.F.
Bein, L. (2011). Military Mental Health: Problem Recognition, Treatment- Marquette Seeking, and Barriers (Dissertation submitted to the Faculty of the Graduate School University, in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy).
Wisconsin University. Ben-Porath, D. D. (2002). Stigmatization of individuals who receive psychotherapy: An interaction between help-seeking behavior and the presence of depression. Journal of Social & Clinical Psychology, 21, 400-413.
Blaine, B. B. (2000). The Psychology of diversity. Perceiving and experiencing social difference. Mountain View, CA: Mayfield Publishing.
Britt, T. W., (2000). The stigma of psychological problems in a work environment: Evidence from the screening of service members returning from Bosnia. Journal of Applied Social Psychology, 30, 1599-1618.
Cepeda-Benito, A., & Short, P. (1998). Selfconcealment, avoidance of psychological services, and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45, 58-64.
Corrigan, P.W. (2004). Target-Specific Stigma Change: A Strategy for Impacting Mental Illness Stigma, Psychiatric Rehabilitation Journal, 28(2), 113-121.
Corrigan, P.W. (1998). The impact of stigma on severe mental illness. Cognitive and Behavioral Practice, 5, 201-222.
Corrigan, P.W., & O’Shaughnessy, J.R. (2007). Changing Mental Illness Stigma as It Exists in the Real World, Australian Psychologist. 42, 90-97.
Corrigan, P., Thompson, V., Lambert, D., Sangster, Y., Noel G. J. (2003). Perceptions of Discrimination Among Persons With Serious Mental Illness. Psychiatric Services, 54, 1105-1110.
Corrigan, P.W., Rowan, D., Qreen, A. W., Lundin, R., River, P., Uphoff’Wasowski, K., Kurt White, K., & Kubiak M.A. (2002). Challenging two mental illness stigmas: Personal responsibility and dangerousness. Schizophrenia Bulletin. 28, 293- 309.
Deane, F. P., & Chamberlain, K. (1994). Treatment fearfulness and distress as predictors of professional psychological help-seeking. British Journal of Guidance and Counseling, 22, 207- 217.
Deane, F. P., Skogstad, P., & Williams, M. W. (1999). Impact of attitudes, ethnicity and quality of prior therapy on New Zealand male prisoners’ intentions to seek professional psychological help. International Journal for the Advancement of Counselling, 21, 55-67.
Farr, R. (1993). Theory and method in the study of social representations. In: D. Canter & G. Breakwell (Eds.), Empirical approaches to social representations, (p.15-38). Oxford: Clarendon Press.
Fisher, Ε. Η. & Farina, A. (1995). Attitudes toward professional psychological help: A shortened form and considerations for research Journal of College Student Development, 36, 368-373.
Flament, C. (1989). Structure et dynamique de représentations sociales. In: D. Jodelet (Eds.), Les Representations sociales, (p.204-219). Paris: Presses Universitaires de France.
Flament, C., Rouquette, M.L. (2003). Anatomie des idées ordinaires: comment étudier les représentations sociales. Paris: A. Colin.
Goffman, E. (1963). Stigma: Notes on the Management of Spoiled Identity. London: Penguin.
Goodman, S. H., Sewell, D. R., & Jampol, R. C. (1984). On going to the counselor: Contributions of life stress and social supports to the decision to seek psychological counseling. Journal of Counseling Psychology, 31, 306-313.
Gibbs, D.A., Rae Olmsted, K.L., Brown, J.M., Clinton- Sherrod. (2011). Dynamics of Stigma for Alcohol and Mental Health Treatment among Army Soldiers. Military Psychology, 23, 36-51.
Greenberg, N. & Jones, N. (2011). Optimizing mental health support in the military: the role of peers and leaders In: A. Adler, P. Bliese, & C.A. Castro, Deployment Psychology: Evidence – Based Strategies to Promote Mental Health in the Military (1st ed., p.69-103), Washington: American Psychological Association.
Greene-Shortridge, T.M., Britt, T.W., Castro, C.A. (2007). The stigma of mental health problems in the military. Military Medicine, 172, 157-161.
Hinson, J.A., Swanson, J. L. (1993). Willingness to seek help as a function of self-disclosure and problem severity. Journal of Counseling & Development. 71, 465-470.
Hips, C. (2011). The Stigma of Mental Health Treatment in the Military: An Experimental Approach, Current research in Social Psychology, 18, 5.
Hoge, C.W., Casiro, C.A., Messer, S. C., MrGurIt, D., CoUing, D.l., Koffman, R.L., (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England, Journal of Medicine, 351, 13-22.
Holmes, E.P. & River, L.P. (1998). Individual strategies for coping with the stigma of severe mental illness. Cognitive and Behavioral Practice, 5, 231-239.
Jodelet, D. (1989). Les representations social. Paris: PUF.
Καραμανώλη, Β. (2014) Στάσεις και στιγματισμός σχετικά με την αναζήτηση ψυχολογικής βοήθειας: το παράδειγμα του στρατιωτικού περιβάλλο- ντος. Ψυχολογία, 21(2), 202-217.
Καραμανώλη, Β. & Ντάνη, Σ. (2015, υπό δημοσίευ- ση). Ο Θεσμός Ψυχολογικής Υποστήριξης στο στρατιωτικό περιβάλλον: στάσεις, φόβος στιγ- ματισμού, πρόθεση απεύθυνσης στον ειδικό ψυχικής υγείας. Επιστημονικά Δημοσιεύματα. Στρατιωτική Σχολή Ευελπίδων.
Karamanoli, V. & Papachristopoulos, K. (2017). Military personnel and psychological support: An analysis based on Social Representation Theory, Journal of Military and Veterans’ Health, 25(1), 1-18.
Kelly, A. E., & Achter, J. A. (1995). Self-concealment and attitudes toward counseling in university students. Journal of Counseling Psychology, 42, 40-46.
Kim, P.Y., Britt, T.W., Klocko, R.P., Riviere, L.A., Adler, A.B. (2011). Stigma, negative attitudes about treatment and utilization of mental health care among soldiers. Military Psychology 23, 65-81.
Komiya, N., Good, G. E., & Sherrod, N. B. (2000). Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. Journal of Counseling Psychology, 47, 138- 143.
Kushner, M. G., & Sher, K. J. (1989). Fears of psychological treatment and its relation to mental health service avoidance. Professional Psychology: Research and Practice, 20, 251-257.
Leaf, P., & Bruce, M. (1987). Gender differences in the use of mental health-related services: A re-examination. Journal of Health and Social Behavior, 28, 171-183.
Lindinger – Sternart, S. (2015). Help-Seeking Behaviors of Men for Mental Health and the Impact of Diverse Cultural Backgrounds. International Journal of Social Science Studies, 3, 1.
Μαντόγλου, Α. (1995). Εισαγωγή στις κοινωνικές αναπαραστάσεις, Στο Σ. Παπαστάμου, Α. Μαντόγλου, Κοινωνικές Αναπαραστάσεις (p.13-58), Αθήνα: Οδυσσέας.
Martin, S. B., Wrisberg, C. A., Beitel, P. A., & Lounsbury, J. (1997). NCAA Division I athletes’ attitudes toward seeking sport psychology consultation: The development of an objective instrument. Sport Counselor, 11, 201-218.
Matthews, M.D. (2014). Head strong: How psychology is revolutionizing war. New York: Oxford University Press.
McFarling, L., D’Angelo, M., Drain, M. Gibbs, D. A., Rae Olmsted, K. L. (2011) Stigma as a barrier to substance abuse and mental health treatment. Military Psychology, 23(1), 1-5.
Mechanic, D. (1975). Sociocultural and social psychological factors affecting personal responses of psychological disorder. Journal of Health and Social Behavior, 16, 393-405.
Meissen, G., Warren, M. L., & Kendall, M. (1996). An assessment of college student willingness to use self-help groups. Journal of College Student Development, 37, 448-456.
Miller, W. R. (1985). Motivation for treatment: A review with special emphasis on alcoholism, Psychological Bulletin, 98, 84-107.
Moller-Leimkuhler, A. M. (2002). Barriers to helpseeking by men: A review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71, 1-9.
Moscovici, S. (1982). The common era of representations. In J.-P. Codol & J.-P. Leyens (Eds.), Cognitive approaches to social behavior (p.115-150). The Hague, The Netherlands: Nijh.
Moscovici, S. (1976). Psychologie des représentations sociales, Cahiers Vilfredo Pareto, 14, 409-416.
Moscovici, S. (1973). Introduction. In: C. Herzlich, Health and illness. A social psychological analysis. London: Academic Press.
Moscovici, S. (1961). La psychanalyse, son image et son public. Paris. PUF. Nadler, A., & Fisher, J. D. (1986). The role of threat to self-esteem and perceived control in recipient reaction to help: Theory development and empirical validation In L. Berkowitz (Eds.), Advances in experimental social psychology (Vol 19, p. 81-122). San Diego, CA: Academic Press.
Nash. W. P. (2007). Combat/operational stress adaptation and injuries. In C. R. Figley & W.P. Nash (Eds), Combat stress injury: Theory, research, and management (p33-63). New York: Routledge.
Nelson, G. D. & Barbaro, M. B. (1985). Fighting the stigma: A unique approach to marketing mental health. Health Marketing Quarterly, 2, 89-101.
Olmsted, R., Kristine, L., Brown, Janice M., Vandermaas-Peeler, J. Russ, Tueller, Stephen J., Johnson, Ruby E., Gibbs, D. A. (2011). Mental Health and Substance Use Treatment Stigma Among Soldiers. Military Psychology, 23, 52-64.
Pipes, R. B., Schwarz, R., & Crouch, P. (1985). Measuring client fears. Journal of Consulting and Clinical Psychology, 53, 933-934.
Rouquette, M.-L., & Rateau, P. (1998). Introduction à l’ etude des representations socials. Grenoble, France: PUG.
Σακαλάκη, Μ. (2001). Ανάλυση περιεχομένου στο Σ. Παπαστάμου. Εισαγωγή στην Κοινωνική Ψυχολογία. Αθήνα: Ελληνικά Γράμματα.
Sibicky, M., & Dovidio, J. F. (1986). Stigma of psychological therapy: Stereotypes, interpersonal reactions, and the self-fulfilling prophecy. Journal of Counseling Psychology, 33, 148-154.
Stefl, M. E. & Prosperi, D. C. (1985). Barriers to mental health service utilization. Community Mental Health Journal, 21, 167-178.
Tomlinson, S. M., & Cope N. R. (1988). Characteristics of Black students seeking help at a university counseling center. Journal of College Student Development, 29, 65-69.
Vergès, P. (1994). Approches du noyau central. Propriétés quantitatives et structurales, In: C. Guimelli. (Eds.), Structures et transformations des représentations sociales (p.233-253), Neuchâtel, Delachaux et Niestle.
Vogel, D.L., Shechtman, Z., Wade, N.G. (2010). The Role of Public and Self-Stigma in Predicting Attitudes Toward Group Counseling. Counseling Psychologist; 38, 904-922.
Vogel, D.L., Wade, N.G., Haake, S. (2006). Measuring the Self-Stigma Associated With Seeking Psychological Help. Journal of Counseling Psychology, 53, 325-337.
Vogel, D. L., Wester, S. R., Wei, M., & Boysen G. A. (2005). The Role of Outcome Expectations and Attitudes on Decisions to Seek Professional Help, Journal of Counseling Psychology, 52, 4, 459-470.
Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351-361.
Vogt, D. (2011). Mental Health–Related Beliefs as a Barrier to Service Use for Military Personnel and Veterans: A Review. Psychiatric Services, 62, 135- 142.