Psychotherapy for self-stigma among rural clients

J Clin Psychol. 2010 May;66(5):524-36. doi: 10.1002/jclp.20679.

Abstract

The stigma of mental disorders and psychological treatment afflicts rural clients more than most. This article provides practitioners with guidance in selecting and utilizing effective treatments for self-stigma in rural settings. We review both public stigma and self-stigma. Public stigma explains society's negative impact on individuals, while self-stigma describes an individual's internalization of public stigma. We review treatment principles and empirical research on psychotherapy for self-stigma rural settings. We finish with a case illustration of cognitive therapy with a rural client suffering from self-stigma.

MeSH terms

  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Cognitive Behavioral Therapy
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy
  • Female
  • Humans
  • Life Change Events
  • Male
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Middle Aged
  • Patient Acceptance of Health Care / psychology
  • Prejudice*
  • Psychotherapy*
  • Rural Population*
  • Self Concept
  • Social Isolation
  • Stereotyping