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Why talk of illness entrenches discrimination

机译：为什么谈论疾病会加剧歧视

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Purpose - Biological understandings of mental illness are promoted by both anti-stigma campaigners and increasingly by activists protesting against social security cuts. The purpose of this paper is to analyse the pitfalls of the "illness" conceptualisation for reducing discrimination, comments on divisions between those arguing for a right to work and those who seek a right not to work, and proposes bridge building and more effective messages, drawing on the UN Convention on the Rights of Persons with Disabilities. Design/methodology/approach - Review of relevant evidence on the effectiveness or lack of it of the "mental illness is an illness like any other message in anti-stigma work, and discussion of grey literature from campaigners and bloggers. Findings - There is a growing body of evidence that the "illness like any other message entrenches rather than reduces stigma and discrimination: this message should not be used in anti-discrimination work. At the same time some social security bloggers and campaigners have argued they are "sick" in order to resist efforts to compel them to seek work or face sanctions; whilst older disability rights campaigners have argued for the right to work. The paper argues for new bridge building and use of evidence based messages in campaigning. Research limitations/implications - This paper is based on review of evidence on the impact of using the "illness" message to reduce stigma and discrimination; and on discussion of campaigns and blogs. It is not based on a systematic review of campaigns. Practical implications - There is a need for campaigns that support rights holistically - the right to a decent standard of living and the right to work. This requires bridge building between activists, which could usefully be rooted in the UN Convention on the Rights of Persons with Disabilities. The "illness" conceptualisation is harmful to the effort to reduce stigma and discrimination. Mental health staff can act as allies to those they serve in securing all these rights. Originality/value - This is the only recent paper to analyse the evidence that the "illness like any other' message is harmful in anti-stigma work, together with its implications for the recent phenomenon of mental health campaigners moving from opposition to the medical model, to a new argument that they are "too sick" to work. This paper suggests ways forward for everyone with an interest in combatting stigma and discrimination.
机译：目的-反歧视运动家和反对社会保障削减的积极分子越来越促进对精神疾病的生物学理解。本文的目的是分析“疾病”概念化在减少歧视方面的弊端，对主张工作权的人与寻求工作权的人之间的分歧进行评论，并提出桥梁和更有效的信息，借鉴《联合国残疾人权利公约》。设计/方法/方法-审查有关“精神疾病是一种与反歧视工作中的其他信息一样的疾病，以及运动家和博客作者对灰色文献的讨论。”越来越多的证据表明，“疾病像其他任何信息一样会根深蒂固，而不是减轻污名和歧视：这种信息不应当用于反歧视工作中。同时，一些社会保障博客和活动家认为他们“生病”是为了抵制强迫他们寻求工作或受到制裁的努力;而年龄较大的残疾人权利运动人士则主张工作权。该论文主张建立新的桥梁，并在竞选中使用基于证据的信息。研究的局限性/意义-本文基于对使用“疾病”信息减少污名和歧视的影响的证据的回顾;以及关于竞选活动和博客的讨论。它不是基于对运动的系统评价。实际意义-需要开展运动，全面支持各项权利-享有体面生活水准的权利和工作权。这要求在维权人士之间建立桥梁，这可以有效地植根于《联合国残疾人权利公约》。 “疾病”概念化对减少污名和歧视的努力是有害的。精神卫生人员可以与他们为确保所有这些权利而服务的人员结盟。原创性/价值-这是最新的一篇论文，分析的证据是“像其他疾病一样的疾病”在反耻辱工作中是有害的，以及它对最近心理健康运动者从反对转向医疗模式的现象的影响提出了一个新的论据，认为他们“病得很重”，无法为工作辩护。

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