Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

The author of The Presentation of Self in Everyday Life analyzes a person’s feelings about himself and his relationship to people society calls “normal.” Stigma is an illuminating excursion into the situation of persons who are unable to conform to standards that society calls normal. Disqualified from full social acceptance, they are stigmatized individuals. Physically deformed people, ex-mental patients, drug addicts, prostitutes, or those ostracized for other reasons must constantly strive to adjust to their precarious social identities. Their image of themselves must daily confront, and be affronted by, the image others reflect back to them. Drawing extensively on autobiographies and case studies, sociologist Erving Goffman analyzes the stigmatized person’s feelings about himself and his relationship to “normals” He explores the variety of strategies stigmatized individuals employ to deal with the rejection of others, and the complex sorts of information about themselves they project. In Stigma, the interplay of alternatives the stigmatized individual must face every day is brilliantly examined by one of America’s leading social analysts. “This short book established the conceptual understanding of stigma that continues to buttress contemporary sociological thinking.” —Sociological Review

People who are single are changing the face of America. Did you know that: * More than 40 percent of the nation's adults---over 87 million people---are divorced, widowed, or have always been single. * There are more households comprised of single people living alone than of married parents and their children. * Americans now spend more of their adult years single than married. Many of today's single people have engaging jobs, homes that they own, and a network of friends. This is not the 1950s---singles can have sex without marrying, and they can raise smart, successful, and happy children. It should be a great time to be single. Yet too often single people are still asked to defend their single status by an onslaught of judgmental peers and fretful relatives. Prominent people in politics, the popular press, and the intelligentsia have all taken turns peddling myths about marriage and singlehood. Marry, they promise, and you will live a long, happy, and healthy life, and you will never be lonely again. Drawing from decades of scientific research and stacks of stories from the front lines of singlehood, Bella DePaulo debunks the myths of singledom---and shows that just about everything you've heard about the benefits of getting married and the perils of staying single are grossly exaggerated or just plain wrong. Although singles are singled out for unfair treatment by the workplace, the marketplace, and the federal tax structure, they are not simply victims of this singlism. Single people really are living happily ever after. Filled with bracing bursts of truth and dazzling dashes of humor, Singled Out is a spirited and provocative read for the single, the married, and everyone in between. You will never think about singlehood or marriage the same way again. Singled Out debunks the Ten Myths of Singlehood, including: Myth #1: The Wonder of Couples: Marrieds know best. Myth #3: The Dark Aura of Singlehood: You are miserable and lonely and your life is tragic. Myth #5: Attention, Single Women: Your work won't love you back and your eggs will dry up. Also, you don't get any and you're promiscuous. Myth #6: Attention, Single Men: You are horny, slovenly, and irresponsible, and you are the scary criminals. Or you are sexy, fastidious, frivolous, and gay. Myth #7: Attention, Single Parents: Your kids are doomed. Myth #9: Poor Soul: You will grow old alone and you will die in a room by yourself where no one will find you for weeks. Myth #10: Family Values: Let's give all of the perks, benefits, gifts, and cash to couples and call it family values. "With elegant analysis, wonderfully detailed examples, and clear and witty prose, DePaulo lays out the many, often subtle denigrations and discriminations faced by single adults in the U.S. She addresses, too, the resilience of single women and men in the face of such singlism. A must-read for all single adults, their friends and families, as well as social scientists and policy advocates." ---E. Kay Trimberger, author of The New Single Woman

Workable Sisterhood is an empirical look at sixteen HIV-positive women who have a history of drug use, conflict with the law, or a history of working in the sex trade. What makes their experience with the HIV/AIDS virus and their political participation different from their counterparts of people with HIV? Michele Tracy Berger argues that it is the influence of a phenomenon she labels "intersectional stigma," a complex process by which women of color, already experiencing race, class, and gender oppression, are also labeled, judged, and given inferior treatment because of their status as drug users, sex workers, and HIV-positive women. The work explores the barriers of stigma in relation to political participation, and demonstrates how stigma can be effectively challenged and redirected. The majority of the women in Berger's book are women of color, in particular African Americans and Latinas. The study elaborates the process by which these women have become conscious of their social position as HIV-positive and politically active as activists, advocates, or helpers. She builds a picture of community-based political participation that challenges popular, medical, and scholarly representations of "crack addicted prostitutes" and HIV-positive women as social problems or victims, rather than as agents of social change. Berger argues that the women's development of a political identity is directly related to a process called "life reconstruction." This process includes substance- abuse treatment, the recognition of gender as a salient factor in their lives, and the use of nontraditional political resources.

What is it in human nature that leads us to label some as insiders and stigmatize others as outsiders?Sociologist Gerhard Falk examines the social psychology that motivates this process of exclusion, focusing on the outcasts in contemporary American society and comparing current experience with examples from the past. Referring to the work of Emile Durkheim and Erving Goffman, Falk reviews the whole range of stigmatized people from the mentally ill to ordinary people with unpopular occupations, like undertakers and trash collectors. Amid the wide diversity of stigmatized persons, he finds two basic types of outsiders: the "existential" and the "achieved." The first group comprises those who are stigmatized because of their very existence, regardless of their specific actions: the mentally handicapped, for example. The second group describes those whose actions or life conditions have resulted in stigma: from high achievers (often subject to resentment) to criminals. Falk also looks at the ways in which writers past and present have dramatized stigmatized characters in literature.This fascinating overview of a long-standing and widespread social problem will be of interest to all those concerned about creating a more fair-minded society.

The volume demonstrates that stigma is a normal - albeit undesirable - consequence of people's limited cognitive resources, and of the social information and experiences to which they are exposed. Incorporated are the perspectives of both the perceiver and the target; the relevance of personal and collective identities; and the interplay of affective, cognitive, and behavioral processes. Particular attention is given to how stigmatized persons make meaning of their predicaments, such as by forming alternative, positive group identities.