“She made me a dumping site”: A Preliminary Study on Social Exclusion amongst Women with Depression
DOI:
https://doi.org/10.24191/jas.v15i1.2775Keywords:
Women, Depression, Social Exclusion, Gender, OutpatientAbstract
This article aims to explore social exclusion experienced by women with psychiatric morbidity, particularly depression. Stigma is a major hurdle for personal mobility since it potentially degrades the status of victims’ family and causes a great embarrassment especially in Eastern communities. Patients often are misunderstood and discriminated, restraining their true human potential. Similarly, the representational system of people with mental illness has been deeply influenced by a socio-historical product rather than pathological. Hence, such social exclusion is taken for granted in everyday life. This article is a preliminary study that employed a phenomenological approach to explore the significance of social exclusion experienced by the women. The gender lens was used to analyse the data. Four women who were service users of mental health care in Kedah and Penang were recruited and the data were analyzed through the gender point of view. The semi-structured in-depth interview and non-participant observation were the tools used for data collection. The data were then explicated with the aid of the qualitative data analysis tool, Atlas.ti, version 7.5. The findings revealed that the informants identified suffered systematic social exclusion including prejudices, oppression and discrimination, namely at individual, community and institutional levels. Also, the interplay between social exclusions and gender-based violence were evident in the data where this further pressed the patients down and worsen their condition. The results are supported by a number of past studies which highlighted that women usually had to endure the adverse effects of social exclusion more than men.
References
Abdul Kadir, A. B., Ang, K. T., Azizul, A., Firdaus, M., Jasvindar, K., Lim, C. H., . . . Mohd Azahadi Omar. (2011). Prevalence of mental health problems in adults (Vol. II). Kuala Lumpur: Institute for Public Health, Ministry of Health Malaysia.
Al-Krenawi, A., Graham, J. R., Ophir, M., & Jamil Kandah. (2001). Ethnic and gender differences in mental health utilization: The case of Muslim Jordanian and Moroccan Jewish Israeli out-patient psychiatric patients. International Journal of Social Psychiatry, 47(3), 42-54. doi:10.1177/002076400104700305
Alvarez-del Arco, D., del Amo, J., Garcia-Pina, R., Garcia-Fulgueiras, A. M., Rodriguez-Arenas, M. A., Ibañez-Rojo, V., . . . Zunzunegui, M. V. (2013). Violence in Adulthood and Mental Health Gender and Immigrant Status. Journal of interpersonal violence, 28(11), 2203-2222.
Angermeyer, M. C., Matschinger, H., Carta, Mauro G., & Schomerus, G. (2014). Changes in the perception of mental illness stigma in Germany over the last two decades. European Psychiatry, 29, 390–395. doi:http://dx.doi.org/10.1016/j.eurpsy.2013.10.004
Asia-Australia Mental Health. (2008). Asia-Pacific community mental health development project: Summary report. In C. Ng, H. M. Aminullah, R. Calder, C. M. L. Somchai, T. Hwang, L. Jin, T. P. Than, R. N. Salhan, B. Singh, S. Singh, T. Tadashi, G. Tsetsegdary, E. W. Kim, & E. C. Wu (Eds.), Summary reports and best practice examples. Melborne: AAMH.
Barn, R. (2008). Ethnicity, gender and mental health: Social worker perspectives. International Journal of Social Psychiatry, 54(69), 69-82.
Basu, S. (2012). Mental health concerns for Indian women. Indian Journal of Gender Studies, 19(1), 127-136. doi:10.1177/097152151101900106.
Busfield, J. (1988). Mental illness as social product or social construct: A contradiction in feminists' arguments? Sociology of Health and Illnesses, 10(4), 521-542.
Conrad, P. (2005). The shifting engines of medicalization. Journal of Health and Social Behavior, 46(1), 3-14.
Corrigan, P. W., Roe, D., & Tsang, H. W. H. (2011). Challenging the stigma of mental illness: Lessons for therapies and advocates. West Sussex: John Wiley & Sons Ltd.
Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30, 907-922.
Crabtree, S. A., & Chong, G. (1999). Mental health and citizenship in Malaysia. International Social Work, 43(2), 217-226.
Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Los Angeles: Sage Publication Ltd.
Foucault, M. (1991). The Foucault reader: An introduction to Foucault's thought (P. Rabinow Ed.). New York: Penguin Books.
Garland-Thomson, R. (2002). Integrating disability, transforming feminist theory. NWSA Journal, 14(3), 1-32.
Goffmann, E. (1963). Stigma: Notes on the management of spoiled identity. London: Penguin Books.
Heise, L., Ellsberg, M., & Gottmoeller, M. (2002). A global overview of gender-based violence. International Journal of Gynecology & Obstetrics, 78, S5-S14.
Institute for Public Health. (2015). Mental health problems of adults. Retrieved from http://www.iku.gov.my/index.php/research-eng/list-of-research-eng/iku-eng/nhms-eng/nhms-2015:
Institute of Public Health. (2015). Non-communicable diseases & other health problems. Retrieved from Kuala Lumpur: http://www.iku.gov.my/index.php/research-eng/list-of-research-eng/ikueng/nhms-eng/nhms-2015.
Ito, H., Setoya, Y., & Suzuki, Y. (2012). Lessons learned in developing community mental health care in East and South East Asia. World Psychiatry, 11(3), 186-190.
Janardhana, N., Shravya, R., Naidu, D. M., Saraswathy, L., & Valli, S. (2011). Giving care to men and women with mental illness. Indian Journal of Gender Studies, 18(3), 405-424. doi:10. 1177/097152151101800306.
Kangas, I. (2004). Shifting views of depresion: Analysing people's accounts of their suffering. In I. Shaw & K. Kauppinen (Eds.), Constructions of health and illness. Hants: Ashgate Publishing Limited.
Morgan, C., Burns, T., Fitzpatrick, R., Pinfold, V., & Priebe, S. (2007). Social exclusion and mental health. Conceptual and methodological review, 191(6), 477-483. doi:10.1192/bjp.bp.106.034942.
Oliffe, J. L., Rasmussen, B., Bottorff, J. L., Kelly, M. T., Galdas, P. M., Phinney, A., & Ogrodniczuk, J. S. (2013). Masculinities, work, and retirement among older men who experience depression. Qualitative Health Research, 23(12), 1626–1637. doi:10.1177/1049732313509408.
Pescosolido, B. A. (2013). The public stigma of mental illness: What do we think; what do we know; what can we prove? Journal of Health and Social Behavior, 54(1), 1-21. doi:10.1177/0022146512471197.
Sayce, L. (2000). From psychiatric patients to citizen: Overcoming discrimination and social exclusion. Hampshire: Macmillan Press.
Skirbekk, H., Middelthon, A.-L., Hjortdahl, P., & Finset, A. (2011). Mandates of trust in the doctor–patient relationship. Qualitative Health Research, 21(9), 1182-1190.
Sunkel, C. (2011). Empowerment and partnership in mental health. The Lancet, 378, 201-202. doi:http://dx.doi.org/10.1016/S0140-6736(11)61270-1.
Ussher, J. M. (1991). Women's madness: Misogyny or mental illness. Great Britain: BPCC, Weatons Ltd.
Ussher, J. M. (2011). The madness of women: Myth and experience. East Essex: Rouledge.
Wetzel, J. W. (2000). Women and mental health: A global perspective. International Social Work, 43(2), 205-215. doi:10.1177/002087280004300206.
WHO. (2010). Mental health and development: Integrating mental health into all development efforts including MDGs. Retrieved from
Wong, D. F. K., Lam, A. Y. K., Poon, A., & Chow, A. Y. M. (2012). Gender differences in mental health literacy among Chinese-speaking Australians in Melbourne, Australia. International Journal of Social Psychiatry, 58(2), 178-185. doi:10.1177/0020764010390431.
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