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Title: Challenging Stigma and Discrimination: the experience of mental health service users in Japan Author: Student Last modified by: naruhisa Created Date – PowerPoint PPT presentation

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Title: ?????


1
??????????????????????? ???????????
  • ??????/ ????? ? ??


2
????
  • ??????????????????????????????????????????????????
  • (????????????????
  • ????????????????
  • ???????????????)
  • (????1918138)

3
??????(1000?????)
4?
3?
??
2?
1?
1995?
1960?
1970?
1980?
http//www.yuki-enishi.com/
(OECD, 1996)
4
???????????
350?
??
300?
200?
100?
(OECD,1996)
http//www.yuki-enishi.com/
1995?
1975?
5
????? ???????? ?????
?????/ ??????????? ??
?????? ??
???? ??
Thornicroft 2006 Link and Phelan 2001
6
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  • ???????????????????????????????????????????????
  • ????????????????????????????????????????
  • ????????????????????????????????????????????

7
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8
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  • (1)???????????????
  • (??19?7???)
  • ???????????????????????
  • ? ????????????
  • (2)???????? (??19?8???)
  • ???????????????????????
  • ????1?1?????????

9
????????
  • ??????????
  • (1) ????????????????
  • (2) ????????????????
  • ???????????????

10
?????
  • 5 ? (??3? ??2?)
  • ?? 30? (2?) 40? (3 ?)
  • ?????? 7 - 31 ?
  • ??????? 2 ?? (1 ?)
  • 3-4 ? (4 ?)

11
????(1)
  • ???????????????????????????????????????????????
    (????????????????????????)????????????????????????
    ?????????????????????????????????????????(S)

12
????(2)
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ????????????(A)
  • 4?????????????????????????????????????????????(???
    ???) (A)

13
????
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ??????(N)

14
?????????????
  • (?????)???????????????????????????????????????????
    ????????????(????)????????????????????????????????
    ??????????????????????????????????????????????????
    ?????????????????????????????????? (K)

15
????
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ??????????????????????????? (N)

16
?????????????
  • (1) ?????
  • (2) ????
  • (3) ??

Åsbring and Närvänen, 2002 Pinfold et al.,
2005
17
???????(Internalised Oppression)(1)
  • ??????????????????(?) ????????????????????????????
    ????????????????????????????????(?)???????????????
    ???????????? (A)

18
???????(Internalised Oppression)(2)
  • ????????????????????????(A????)???????????????????
    ?????????????????????????????????????????(?)??????
    ??????(??????????)????????????????????????????????
    ?????? (A)

19
?????????
  • ??????????????????????????????????????????????????
    ?????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ?????(K)

20
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  • ??????????????????????????????????????????????????
    ???????????????????????????????????(??????)???????
    ?????????????????????????????(A)

21
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22
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  • 1) ????
  • 2) ??
  • 3) ??????

23
??
  • ????????????(???????)?????????????????????????????
    ????????????????????????????? (N)

24
??????(1)
  • ??????????????????????????????????????????????????
    ?(???)?????????????????????????(??????)???????????
    ?(??????????)?????????????????????????????????????
    ?? (K)

25
?????(2)
  • ??????????????????????????????????????????????????
    ????????????????????????????????????1?????????????
    ?(K)

26
??????
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ?????????(K)

27
???????????????????
???????? ???????
??????? ????
?? (???????) ?? ??
?? ?????? ????
28
????????????
  • 1) ??
  • 2) ???????????????
  • 3) ???????????

29
????????????(1)
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ????????? (K)

30
????????????(2)
  • ??????????????????????????????????????????????????
    ??????????????????????????????????????????????????
    ????????????????????????????????????????????????(K
    )?

31
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  • ?????????????????????????????????????????????????
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    ??????????????
  • ?????????????????????????????????????????
  • ??????????????????????????????????????????????????

32
?? (1)
  • Åsbring, P. and Närvänen, A. (2002) Womans
    experience of stigma in relation to chronic
    fatigue syndrome and fibromyalgia, Qualitative
    Health Research, 12(2), 148-160.
  • ? ???????(1918)??????????????????????????????????
    ???????????(??)?????2000????
  • Link, B. G. and Phelan, J.C. (2001)
    Conceptualizing Stigma, Annual Review of
    Sociology, 27, 363-385.
  • OECD (1996) ????? (2003.1.27) ??1000?????????????
    ??????????.(????????) (http//www.yuki-enishi.c
    om/) 2008.10.13??

33
?? (2)
  • Pinfold, V., Byrne, P. and Toulmin, H. (2005)
    Challenging Stigma and Discrimination in
    Communities A focus group study identifying UK
    mental health service users main campaign
    priorities, International Journal of Social
    Psychiatry, 51(2), 128-138.
  • Thornicroft, G. (2006) Shunned discrimination
    against people with mental illness, Oxford
    Oxford University Press.
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