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Unchaining Prometheus: Does a caste allocation hypothesis begin to explain the pervasive effects of diagnostic labelling and stigma on service users?

Unchaining Prometheus: Does a caste allocation hypothesis begin to explain the pervasive effects... One of the aims of this review will be to draw upon Wright and colleagues' (2000) claim that the ‘labelling’ field needs theoretical development. By comparing and contrasting the two main approaches to understanding diagnostic practices, Modified Labelling Theory (MLT; Scheff, 1999; Wright et al, 2000) and the medical model (Wolff, 1991); we can further hypothesise on the social function of diagnostic practices. The three main areas of conceptual overlap between MLT and the medical model are as follows.1) Psychological processes play a key role.2) Diagnosed individuals are interpersonally (or culturally) diverse and tend to challenge implicit (‘unspoken’) social norms.3) This diversity may increasingly result in the labelled being socially excluded, under the guise of being ‘violent’, ‘odd’ or ‘deviant’.Karpman's (1968) drama cycle offers a social cognitive model that explains the co‐dependant social function of the violent persecutor role. When the roles become unjustifiably (ie. Large et al, 2008; Fazel et al, 2009) pervasive and stymied (as in the case of labelled individuals), labelling becomes understood as functioning as analogous to a caste system. This innovative hypothesis could generate both research impetus, as well as implications for clinical practice. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ethnicity and Inequalities in Health and Social Care Emerald Publishing

Unchaining Prometheus: Does a caste allocation hypothesis begin to explain the pervasive effects of diagnostic labelling and stigma on service users?

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Publisher
Emerald Publishing
Copyright
Copyright © 2009 Emerald Group Publishing Limited. All rights reserved.
ISSN
1757-0980
DOI
10.1108/17570980200900012
Publisher site
See Article on Publisher Site

Abstract

One of the aims of this review will be to draw upon Wright and colleagues' (2000) claim that the ‘labelling’ field needs theoretical development. By comparing and contrasting the two main approaches to understanding diagnostic practices, Modified Labelling Theory (MLT; Scheff, 1999; Wright et al, 2000) and the medical model (Wolff, 1991); we can further hypothesise on the social function of diagnostic practices. The three main areas of conceptual overlap between MLT and the medical model are as follows.1) Psychological processes play a key role.2) Diagnosed individuals are interpersonally (or culturally) diverse and tend to challenge implicit (‘unspoken’) social norms.3) This diversity may increasingly result in the labelled being socially excluded, under the guise of being ‘violent’, ‘odd’ or ‘deviant’.Karpman's (1968) drama cycle offers a social cognitive model that explains the co‐dependant social function of the violent persecutor role. When the roles become unjustifiably (ie. Large et al, 2008; Fazel et al, 2009) pervasive and stymied (as in the case of labelled individuals), labelling becomes understood as functioning as analogous to a caste system. This innovative hypothesis could generate both research impetus, as well as implications for clinical practice.

Journal

Ethnicity and Inequalities in Health and Social CareEmerald Publishing

Published: Aug 19, 2009

Keywords: Caste system; Diversity; Labelling; Stigma

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