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1.2 How do stigma and discrimination affect lives of persons with mental illness? PDF

194 Pages·2017·2.08 MB·English
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Structural Discrimination Against Persons with Mental Illness Renuka Nardodkar “Any idiot can face a crisis – it's day-to-day living that wears you out”. -Anton Chekov Doctoral Committee: Prof.Dr. J.E.W. Broerse Prof. Dr. P. Wright Prof. Dr. Irwanto Prof. Dr. Ndetei Dr. B.J. Regeer Printing: Deepam Printing & Packaging, Sitabuldi, Nagpur. Please cite as: Nardodkar, R.M. (2017). Structural Discrimination Against Persons with Mental Illness (Dissertation). Faculty of Science, Vrije Universiteit, Amsterdam, The Netherlands. Cover design: Renuka Nardodkar © Renuka Nardodkar, Pune, India (2017) All Rights Reserved. No part of this w ork may be reproduced by print, photocopy or any other means without the written permission of the author. VRIJE UNIVERSITEIT STRUCTURAL DISCRIMINATION AGAINST PERSONS WITH MENTAL ILLNESS ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad Doctor aan de Vrije Universiteit Amsterdam, op gezag van de rector magnificus prof.dr. V. Subramaniam, in het openbaar te verdedigen ten overstaan van de promotiecommissie van de Faculteit der Bètawetenschappen op woensdag 29 november 2017 om 9.45 uur in de aula van de universiteit, De Boelelaan 1105 door Renuka Madhav Nardodkar geboren te Nagpur, India promotoren: prof.dr. J.F.G. Bunders-Aelen prof.dr. M.A. Stein copromotor: dr. S.R. Pathare In dedication to those who kindly revealed their stories… and to my parents for everything… Table of Contents Account ....................................................................................................................................... 1 Chapter 1. Introduction ............................................................................................................... 3 1.1 Stigma of a health condition .............................................................................................. 4 1.2 How do stigma and discrimination affect lives of persons with mental illness ?.................. 5 1.3 Model of stigma and discrimination................................................................................... 8 1.4 Why do we need to explore structural discrimination? .................................................... 10 1.5 How can we study structural discrimination?................................................................... 10 Bibliography .......................................................................................................................... 14 Chapter 2. Theoretical Framework ............................................................................................ 22 2.1 International Framework of Human Right s...................................................................... 22 2.2. Theories of stigma and discrimination ............................................................................ 31 Bibliography .......................................................................................................................... 39 Chapter 3. Research Framework ................................................................................................ 47 3.1 Research Design .............................................................................................................. 47 3.2 Research Methodology .................................................................................................... 50 3.3 Research Validity ............................................................................................................. 54 3.4 Ethical considerations ...................................................................................................... 55 3.5 Framework of research studies ........................................................................................ 57 Bibliography .......................................................................................................................... 58 Part I – Employment .................................................................................................................. 59 Chapter 4. Legal barriers ........................................................................................................... 59 Legal protection of the right to work and employment forp ersons with mental health problems: a review of legislation across the world ................................................................ 59 Chapter 5. Social barriers .......................................................................................................... 79 Barriers to employment of persons with mental illness: a qualitative study from Gujarat, India .............................................................................................................................................. 79 Chapter 6. Employment rate, nature and pattern of employmen .t............................................ 98 Cross-sectional study of employment of persons with mental illness in Gujarat, Ind .i.a......... 98 Part II – Marriage .................................................................................................................... 108 Chapter 7. Legal Barriers ......................................................................................................... 108 Legislative provisions related to marriage and divorce of persons with mental health problems: a global review ................................................................................................... 108 Chapter 8. Legal Barriers ......................................................................................................... 120 Gender, mental illness and the Hindu Marriage Act, 195 5................................................... 120 Part III - Property ..................................................................................................................... 136 Chapter 9. Legal Barriers ......................................................................................................... 136 Right to property, inheritance, and contract and persons with mental illness ...................... 136 Part IV – Mental Health Care ................................................................................................... 151 Chapter 10. Legal Barriers ....................................................................................................... 151 The need to reform mental health legislation in Commonwealth countrie ..s....................... 151 Chapter 11. Discussion and Conclusions .................................................................................. 155 11.1 Barriers and structural discrimination .......................................................................... 155 11.2 Theoretical Considerations .......................................................................................... 164 11.3 Conclusions ................................................................................................................. 166 11.4 Validity of the findings ................................................................................................. 166 11.5 Future research ........................................................................................................... 168 Bibliography ........................................................................................................................ 169 Summary ................................................................................................................................. 178 Acknowledgement .................................................................................................................. 184

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