LOSING FACE - SOURCES OF STIGMA AS PERCEIVED BY CHRONIC FACIAL-PAIN PATIENTS

被引:59
作者
MARBACH, JJ
LENNON, MC
LINK, BG
DOHRENWEND, BP
机构
[1] COLUMBIA UNIV,SCH PUBL HLTH,DIV EPIDEMIOL,NEW YORK,NY 10032
[2] COLUMBIA UNIV,DEPT PSYCHIAT,NEW YORK,NY 10032
[3] NEW YORK STATE PSYCHIAT INST & HOSP,NEW YORK,NY 10032
关键词
TEMPOROMANDIBULAR PAIN DYSFUNCTION; FACIAL PAIN; SOCIAL STIGMA;
D O I
10.1007/BF00844736
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The purpose of this paper is to identify potential sources of estrangement and feeling psychologically flawed as perceived by temporomandibular pain and dysfunction syndrome (TMPDS) patients. It is our hypothesis that a primary source of patients' perceived stigma results from pejorative labeling by clinicians. The data come from a study of 151 women TMPDS patients. The results show that the lack of a known etiology or pathogenesis for the condition allows the possibility of pejorative labeling by influential others such as physicians and dentists that in turn causes TMPDS sufferers to feel stigmatized. Stigmatization is not the result of clinical factors per se or personality problems. Perceived stigma associated with TMPDS leads to the same sorts of strained interactions and feeling estranged that have been shown to be typical of people with other stigmatized conditions. These strains and feelings in turn may contribute to ill health. © 1990 Plenum Publishing Corporation.
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页码:583 / 604
页数:22
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