The Stigma System: How sociopolitical domination, scapegoating and stigma shape public health

Details

• Alternative Title:
  J Community Psychol
• Personal Author:
  Friedman, Samuel R ; Williams, Leslie D ; Guarino, Honoria ; Mateu-Gelabert, Pedro ; Krawczyk, Noa ; Hamilton, Leah ; Walters, Suzan M ; Ezell, Jerel M ; Khan, Maria ; Di Iorio, Jorgelina ; Yang, Lawrence H ; Earnshaw, Valerie A
• Description:
  Stigma is a fundamental driver of adverse health outcomes. Although stigma is often studied at the individual level to focus on how stigma influences the mental and physical health of the stigmatized, considerable research has shown that stigma is multilevel and structural. This paper proposes a theoretical approach that synthesizes the literature on stigma with the literature on scapegoating and divide-and-rule as strategies that the wealthy and powerful use to maintain their power and wealth; the literatures on racial, gender, and other subordination; the literature on ideology and organization in sociopolitical systems; and the literature on resistance and rebellion against stigma, oppression and other forms of subordination. we develop a model of the "stigma system" as a dialectic of interacting and conflicting structures and processes. Understanding this system can help public health reorient stigma interventions to address the sources of stigma as well as the individual problems that stigma creates. On a broader level, this model can help those opposing stigma and its effects to develop alliances and strategies with which to oppose stigma and the processes that create it.
• Subjects:
  Humans Mental Disorders Public Health Scapegoating Social Stigma
• Keywords:
  Divide And Rule Domination Resistance Scapegoating Stigma Struggle Subordination
• Source:
  J Community Psychol. 50(1):385-408
• Pubmed ID:
  34115390
• Pubmed Central ID:
  PMC8664901
• Document Type:
  Journal Article
• Funding:
  UG3DA044829 (SRF, JME)/DA/NIDA NIH HHSUnited States/ ; U10 DA013035/DA/NIDA NIH HHSUnited States/ ; U48DP005008/ACL/ACL HHSUnited States/ ; R01 DA041501/DA/NIDA NIH HHSUnited States/ ; P30 DA011041/DA/NIDA NIH HHSUnited States/ ; K01 DA042881/DA/NIDA NIH HHSUnited States/ ; R01 DA044037/DA/NIDA NIH HHSUnited States/ ; R01DA041501 (HG, PMG)/DA/NIDA NIH HHSUnited States/ ; R25DA026401 (SMW)/DA/NIDA NIH HHSUnited States/ ; R01 DA041298/DA/NIDA NIH HHSUnited States/ ; R01 DA035146/DA/NIDA NIH HHSUnited States/ ; K01 DA053159/DA/NIDA NIH HHSUnited States/ ; P30 DA011041 (SRF, MK, SMW)/DA/NIDA NIH HHSUnited States/ ; U48DP005008 (MK)/CC/CDC HHSUnited States/ ; R01DA035146 (PMG)/DA/NIDA NIH HHSUnited States/ ; K01DA042881 (VAE)/DA/NIDA NIH HHSUnited States/ ; R03 DA033899/DA/NIDA NIH HHSUnited States/ ; R01 MH096027/MH/NIMH NIH HHSUnited States/ ; R01 MH096027 (LHY)/MH/NIMH NIH HHSUnited States/ ; R25 DA026401/DA/NIDA NIH HHSUnited States/ ; T32 DA007233/DA/NIDA NIH HHSUnited States/ ; T32DA007233 (SMW)/DA/NIDA NIH HHSUnited States/ ; UG1 DA013035/DA/NIDA NIH HHSUnited States/ ; U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; R03DA033899 (HG)/DA/NIDA NIH HHSUnited States/ ; Fulbright Visiting Scholar (JDI)/CC/CDC HHSUnited States/ ; DA013035 (LH)/DA/NIDA NIH HHSUnited States/ ; R01 DA044037 (MK)/DA/NIDA NIH HHSUnited States/ ; UG3 DA044829/DA/NIDA NIH HHSUnited States/
• Volume:
  50
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a1a40301375b8d4ea5e6b1620b8fb4fe643e63bdd0ccc8855ffc3b6f45d70404
• Download URL:
  https://stacks.cdc.gov/view/cdc/112457/cdc_112457_DS1.pdf
• File Type:
  [PDF - 669.29 KB ]