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Peer support for internalised stigma experienced by people with psychosis: rationale and recommendations

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  • Melissa Pyle
  • Stephen Pilling
  • Karen Machin
  • Ginny Allende-Cullen
  • Anthony P. Morrison

Abstract

People with experience of psychosis face stigma and discrimination, which can be a significant barrier to recovery. Internalisation of public stereotypes and prejudice into an individual’s self-identity is an understandable consequence of such discrimination. However, internalised stigma represents a significant barrier to recovery, resulting in a number of harmful consequences such as depression, demoralisation and loss of self-esteem. Interventions to support people with experience of psychosis who internalise stigma have demonstrated some promising results, but a recent meta-analysis did not find an overall significant effect. The current evidence base includes very few trials of peer support for internalised stigma; however, data from several trials and a recent meta-analysis show that peer support produces benefits on a number of dimensions related to internalised stigma, including empowerment, recovery and hope. In this paper, we argue that peer support is a suitable intervention for addressing internalised stigma and warrants further research. We provide a theoretical and evidence-based rationale for this argument and outlines some of the key challenges and possible solutions for future trials of peer support as an intervention for internalised stigma.

Suggested Citation

  • Melissa Pyle & Stephen Pilling & Karen Machin & Ginny Allende-Cullen & Anthony P. Morrison, 2018. "Peer support for internalised stigma experienced by people with psychosis: rationale and recommendations," Psychosis, Taylor & Francis Journals, vol. 10(2), pages 146-152, April.
    • Handle: RePEc:taf:rpsyxx:v:10:y:2018:i:2:p:146-152
    DOI: 10.1080/17522439.2018.1437212
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    Cited by:

    1. Claire Henderson & Petra C. Gronholm, 2018. "Mental Health Related Stigma as a ‘Wicked Problem’: The Need to Address Stigma and Consider the Consequences," IJERPH, MDPI, vol. 15(6), pages 1-13, June.
    2. Xu-Hong Li & Tian-Ming Zhang & Yuen Yum Yau & Yi-Zhou Wang & Yin-Ling Irene Wong & Lawrence Yang & Xiao-li Tian & Cecilia Lai-Wan Chan & Mao-Sheng Ran, 2021. "Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong," International Journal of Social Psychiatry, , vol. 67(6), pages 622-631, September.

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