Mental illness self-stigma and the working alliance between case managers and clients of community mental health case management programs affect the mental health recovery chances of persons with SMD. Self-stigma decreases the life chances of persons with a mental illness and the presence of a strong working alliance increases life chances. The current study explored the effects of stigma and working alliance on subjective quality of life. Specifically, the current study explored whether mental illness self-stigma and working alliance independently affected subjective quality of life of persons who receive mental health case management, or whether working alliance mediated the effects of mental illness self- stigma on subjective quality of life. The researcher defined self-stigma from a modified labeling theory of mental illness perspective and defined self-stigma using two variables: devaluation and discrimination and stigma withdrawal as a coping mechanism. The researcher used Bordin's definition of working alliance. His definition articulated the working alliance as the agreement between helping professionals and clients on the goals and tasks of treatment and the presence of a strong bond between helping professionals and clients. Findings indicated that expectations of devaluation and discrimination and working alliance were independent related to subjective quality of life. Endorsement of expectations of devaluation and discrimination were associated with negative appraisals of subjective quality of life. Stronger working alliance was associated with positive appraisals of subjective quality of life. Stigma withdrawal was not significantly related to subjective quality of life. The author articulates implications of the findings for social work practice, policy and research.
|Commitee:||Burke, A. Celeste, Early, Theresa, Greene, Gilbert, Gregoire, Thomas|
|School:||The Ohio State University|
|School Location:||United States -- Ohio|
|Source:||DAI-A 78/11(E), Dissertation Abstracts International|
|Keywords:||Case management, Self-stigma, Working alliance|
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