A few things to do before you arrive...

• Researched the meaning of stigma in relation to health and well being
• Read the recommended texts in the online Readings list
• Identified some conditions they would consider to be stigmatising


10.00AM Meet Mark at The Wellcome Collection, 183 Euston Road, London, NW1 2BE

1.00PM Hoxton Monster creative session, 159 Hoxton St


• Tutorial: describe and discuss what is meant by the term ‘stigma’
Meeting/visiting with a patient: either pay a visit to or meet in the surgery, a patient with the relevant condition/disease. Interview the patient (and if possible the family and/or carers). Include in your interview questions about the impact on family/friends/community
• Debrief with GP and/or Community Tutor – remind the students that their poster presentation is on day 9

Aim: To introduce the concept and experience of stigma for individuals and their families, and to the role of the health care team and support groups

Learning Objectives
• Explain how a condition or disease can stigmatise a patient
• Describe how patients / carers / family cope with stigma / social isolation
• Describe the role of support groups in the care of a patient with a stigmatising illness
• Practise interview skills

Reflective writing

Did you find the meeting with a patient with a stigmatising illness difficult?
What things made it easier or harder?
With hindsight would you prepare differently for the meeting?
Think about the organisation you visited:
What was its role?
What services does it offer?
How well do you think it meets the need of the users, and local need overall?
How comfortable did you feel on the visit?
Did you feel able to ask questions?
Did you feel that you had done enough preparatory work to know what to expect?

Essential reading

Further reading


Health-related Stigma. Review paper by Graham Scamber

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Excellent student BMJ article: 'Reducing the stigma of mental illness'

Global Mental Health a failure of Humanity.

Lancet article about the treatment of people with mental illness worldwide August 2009.

More articles from the Lancet about mental health and stigma from the Movement for Global Mental Health 2007

Detailed download: Actions Speak Louder leaflet by Professor Graham Thornicroft: Read section 3.2, 'Three core problems'


Stigma in Mental Health and Addiction Symposium and Roundtable
Featuring Graham Thornicroft. There is a summary video on the homepage and videos of the lectures as well.
There are thousands on youtube. These are some of the better ones.
Mental illness Stigma Project. Short (1min 23) video on youtube
Removing the stigma of mental illness 9:10 Personal response Canadian video on youtube
A Struggle with Bipolar disorder 5:05 Video by the same woman who made the video above.
To understand more about the nature of stigma, read the comments posted underneath the videos.

The Mental Health of Doctors.

Doctors have higher rates of mental illness including depression, drug and alcohol abuse and suicide.
Very good short editorial.

...and Medical Students:

There is a 66 page report on the Mental Health of Students in Higher Education published by the Royal College of Psychiatrists. You should read pages 34-39 which are specifically about medical and other health care related students.


See Reading List for a detailed review of books about mental health by neurologist and author, Oliver Sacks


Freaks by Tod Browning


Stigma: Sociological theory

Other Reading:
NSF for Mental Health: Standard 1 – Mental Health Promotion - [[javascript:doWindowOpen('http://www.dh.gov.uk/assetRoot/04/07/72/09/04077209.pdf','new_frame','width=600,height=420,menubar=1,toolbar=1,scrollbars=1,status=1,location=1,resizable=1',0)|http://www.dh.gov.uk/assetRoot/04/07/72/09/04077209.pdf]] Pages 14 - 27
Royal College of Psychiatrists campaign against stigma

Department of Health campaign against discrimination and stigma
[[javascript:doWindowOpen('http://www.mindout.net/','new_frame','width=600,height=420,menubar=1,toolbar=1,scrollbars=1,status=1,location=1,resizable=1',0)|http://mindout.clarity.uk.net/]] Please note if you are mis-directed by this link cut and paste the web address into your browser.