Katherine Nieweglowski

Background: In their 2016 report, the National Academy of Sciences identified that the existing literature on the stigma of substance use disorder (SUD) is sparse compared to the stigma of mental illness. Methods: This study utilizes a community-based participatory research (CBPR) approach to identify stereotypes, prejudice, and discrimination of SUD from the perspectives of important stakeholders such as current users, former users, family members, and service providers. Results: Findings from twelve focus groups (n = 99) revealed a total of 66 stigma themes. Stereotype themes for people with SUD included dangerous, self-destructive, and no job potential. Themes for prejudice included fear, pity, confusion, and indifference. Themes for discrimination included avoidance, being suspicious, and drug testing. Conclusion: Thematic analyzes revealed that the stigma of SUD shares similarities with the stigma of mental illness, but important differences exist. Among these differences are criminal stereotypes, subtle prejudice such as curiosity, and discrimination through drug testing. Implications for future research are discussed.

This article reviews the recent literature on the stigma of personality disorders, including an overview of general mental illness stigma and an examination of the personality-specific stigma. Overall, public knowledge of personality disorders is low, and people with personality disorders may be perceived as purposefully misbehaving rather than experiencing an illness. Health provider stigma seems particularly pernicious for those with borderline personality disorder. Most stigma research on personality disorders has been completed outside the USA, and few stigma-change interventions specific to personality disorder have been scientifically tested. Limited evidence suggests that health provider training can improve stigmatizing attitudes and that interventions combining positive messages of recovery potential with biological etiology will be most impactful to reduce stigma. Anti-stigma interventions designed specifically for health providers, family members, criminal justice personnel, and law enforcement seem particularly beneficial, given these sources of stigma.