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Published in: Social Psychiatry and Psychiatric Epidemiology 5/2014

01-05-2014 | Original Paper

Genetic attributions and mental illness diagnosis: effects on perceptions of danger, social distance, and real helping decisions

Authors: Aaron A. Lee, Sean M. Laurent, Thomas L. Wykes, Katherine A. Kitchen Andren, Katelynn A. Bourassa, Christine L. McKibbin

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2014

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Abstract

Genetic essentialism suggests that beliefs in genetic causes of mental illness will inflate a desire for social distance from affected individuals, regardless of specific disorder. However, genetic contingency theory predicts that genetic attributions will lead to an increased desire for social distance only from persons with disorders who are perceived as dangerous.

Purpose

To assess the interactive effect of diagnosis and attribution on social distance and actual helping decisions across disorders.

Methods

Undergraduate students (n = 149) were randomly assigned to read one of the six vignettes depicting a person affected by one of the three disorders (i.e., schizophrenia, bipolar disorder, or major depression) with either a genetic or environmental causal attribution for disorder. Participants completed measures of perceived dangerousness, social distance, empathic concern, familiarity with mental illness, and actual helping decisions.

Results

When provided with genetic attributions, participants’ desire for social distance was greater for targets with schizophrenia relative to targets with depression or bipolar disorder. This effect was mediated by perceived dangerousness. The indirect effect of diagnosis on helping decisions, through social distance, was significant within the genetic attribution condition.

Conclusion

Consistent with genetic contingency theory, genetic attributions for schizophrenia, but not affective disorders, lead to greater desire for social distance via greater perceived dangerousness. Further, results suggest that genetic attributions decrease the likelihood of helping people with schizophrenia, but have no effect on the likelihood of helping people with affective disorders. These effects are partially accounted for by desired social distance from people with schizophrenia.
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Literature
1.
go back to reference Conrad P (2001) Genetic optimism: framing genes and mental illness in the news. Cult Med Psychiatry 25(2):225–247PubMedCrossRef Conrad P (2001) Genetic optimism: framing genes and mental illness in the news. Cult Med Psychiatry 25(2):225–247PubMedCrossRef
3.
go back to reference Nelkin D, Lindee MS (1995) The DNA mystique: the gene as cultural icon. WH Freeman and Company, New York Nelkin D, Lindee MS (1995) The DNA mystique: the gene as cultural icon. WH Freeman and Company, New York
5.
go back to reference Phelan JC (2005) Geneticization of deviant behavior and consequences for stigma: the case of mental illness. J Health Soc Behav 46(4):307–322PubMedCrossRef Phelan JC (2005) Geneticization of deviant behavior and consequences for stigma: the case of mental illness. J Health Soc Behav 46(4):307–322PubMedCrossRef
6.
go back to reference Phelan JC (2002) Genetic bases of mental illness—a cure for stigma? Trends Neurosci 25(8):430–431PubMedCrossRef Phelan JC (2002) Genetic bases of mental illness—a cure for stigma? Trends Neurosci 25(8):430–431PubMedCrossRef
10.
go back to reference Dietrich S, Matschinger H, Angermeyer MC (2006) The relationship between biogenetic causal explanations and social distance toward people with mental disorders: results from a population survey in Germany. Int J Soc Psychiatry 52(2):166–174PubMedCrossRef Dietrich S, Matschinger H, Angermeyer MC (2006) The relationship between biogenetic causal explanations and social distance toward people with mental disorders: results from a population survey in Germany. Int J Soc Psychiatry 52(2):166–174PubMedCrossRef
12.
go back to reference Breheny M (2007) Genetic attribution for schizophrenia, depression, and skin cancer: impact on social distance. N Z J Psychol 36(3):154–160 Breheny M (2007) Genetic attribution for schizophrenia, depression, and skin cancer: impact on social distance. N Z J Psychol 36(3):154–160
14.
16.
go back to reference Perlick DA, Rosenheck RA, Clarkin JF, Sirey JA, Salahi J, Struening EL, Link BG (2001) Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv 52(12):1627–1632PubMedCrossRef Perlick DA, Rosenheck RA, Clarkin JF, Sirey JA, Salahi J, Struening EL, Link BG (2001) Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv 52(12):1627–1632PubMedCrossRef
20.
go back to reference Lauber C, Nordt C, Falcato L, Rossler W (2004) Factors influencing social distance toward people with mental illness. Commun Ment Health J 40(3):265–274CrossRef Lauber C, Nordt C, Falcato L, Rossler W (2004) Factors influencing social distance toward people with mental illness. Commun Ment Health J 40(3):265–274CrossRef
21.
go back to reference Link BG, Yang LH, Phelan JC, Collins PY (2004) Measuring mental illness stigma. Schizophr Bull 30(3):511–541PubMedCrossRef Link BG, Yang LH, Phelan JC, Collins PY (2004) Measuring mental illness stigma. Schizophr Bull 30(3):511–541PubMedCrossRef
24.
go back to reference Joinson A (1999) Social desirability, anonymity, and Internet-based questionnaires. Behav Res Methods Instrum Comput 31(3):433–438PubMedCrossRef Joinson A (1999) Social desirability, anonymity, and Internet-based questionnaires. Behav Res Methods Instrum Comput 31(3):433–438PubMedCrossRef
25.
go back to reference Link BG, Cullen FT (1983) Reconsidering the social rejection of ex-mental patients: levels of attitudinal response. Am J Commun Psychol 11(3):261–273CrossRef Link BG, Cullen FT (1983) Reconsidering the social rejection of ex-mental patients: levels of attitudinal response. Am J Commun Psychol 11(3):261–273CrossRef
26.
go back to reference Holmes EP, Corrigan PW, Williams P, Canar J, Kubiak MA (1999) Changing attitudes about schizophrenia. Schizophr Bull 25(3):447–456PubMedCrossRef Holmes EP, Corrigan PW, Williams P, Canar J, Kubiak MA (1999) Changing attitudes about schizophrenia. Schizophr Bull 25(3):447–456PubMedCrossRef
28.
go back to reference IBM SPSS Statistics for Windows (2010), 19th edn. IBM Corp, Armonk IBM SPSS Statistics for Windows (2010), 19th edn. IBM Corp, Armonk
29.
go back to reference Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40(3):879–891PubMedCrossRef Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40(3):879–891PubMedCrossRef
30.
go back to reference Schomerus G, Matschinger H, Angermeyer MC (2013) Causal beliefs of the public and social acceptance of persons with mental illness: a comparative analysis of schizophrenia, depression and alcohol dependence. Psychol Med, 1–12. doi:10.1017/S003329171300072X Schomerus G, Matschinger H, Angermeyer MC (2013) Causal beliefs of the public and social acceptance of persons with mental illness: a comparative analysis of schizophrenia, depression and alcohol dependence. Psychol Med, 1–12. doi:10.​1017/​S003329171300072​X
32.
go back to reference Sears PM, Pomerantz AM, Segrist DJ, Rose P (2011) Beliefs about the biological (vs. nonbiological) origins of mental illness and the stigmatization of people with mental illness. Am J Psychiatr Rehabil 14(2):109–119. doi:10.1080/15487768.2011.569665 CrossRef Sears PM, Pomerantz AM, Segrist DJ, Rose P (2011) Beliefs about the biological (vs. nonbiological) origins of mental illness and the stigmatization of people with mental illness. Am J Psychiatr Rehabil 14(2):109–119. doi:10.​1080/​15487768.​2011.​569665 CrossRef
35.
go back to reference Batson CD, Chang J, Orr R, Rowland J (2002) Empathy, attitudes and action: can feeling for a member of a stigmatized group motivate one to help the group. Pers Soc Psychol Bull 28(12):1656–1666. doi:10.1177/014616702237647 CrossRef Batson CD, Chang J, Orr R, Rowland J (2002) Empathy, attitudes and action: can feeling for a member of a stigmatized group motivate one to help the group. Pers Soc Psychol Bull 28(12):1656–1666. doi:10.​1177/​014616702237647 CrossRef
36.
go back to reference Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA (2003) An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav 44(2):162–179. doi:10.2307/1519806 PubMedCrossRef Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA (2003) An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav 44(2):162–179. doi:10.​2307/​1519806 PubMedCrossRef
38.
go back to reference Joseph J (1999) The genetic theory of schizophrenia: a critical overview. Ethical Hum Sci Serv 1(2):119–145 Joseph J (1999) The genetic theory of schizophrenia: a critical overview. Ethical Hum Sci Serv 1(2):119–145
39.
go back to reference Page S (1995) Effects of the mental illness label in 1993: acceptance and rejection in the community. J Health Soc Policy 7(2):61–68PubMedCrossRef Page S (1995) Effects of the mental illness label in 1993: acceptance and rejection in the community. J Health Soc Policy 7(2):61–68PubMedCrossRef
Metadata
Title
Genetic attributions and mental illness diagnosis: effects on perceptions of danger, social distance, and real helping decisions
Authors
Aaron A. Lee
Sean M. Laurent
Thomas L. Wykes
Katherine A. Kitchen Andren
Katelynn A. Bourassa
Christine L. McKibbin
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0764-1

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