{"id":18893,"date":"2019-12-12T23:25:05","date_gmt":"2019-12-12T23:25:05","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=18893"},"modified":"2019-12-14T05:20:38","modified_gmt":"2019-12-14T05:20:38","slug":"myths-around-mental-illness-cause-high-rates-of-unemployment","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/myths-around-mental-illness-cause-high-rates-of-unemployment\/","title":{"rendered":"Myths around mental illness cause high rates of unemployment"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/bandy-x-lee-549195\">Bandy X. Lee<\/a>, <em><a href=\"http:\/\/theconversation.com\/institutions\/yale-university-1326\">Yale University<\/a><\/em><\/p>\n<p>Even though mental illness <a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/mental-illness.shtml\">affects one in five adults<\/a> \u2013 and depression is <a href=\"https:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/depression\">the leading cause of disability worldwide<\/a> \u2013 secrecy and stigma around the issue continue.<\/p>\n<p>The problem is especially acute in the workplace. While individuals with mental illness often wish to work and are able to, their unemployment rates remain <a href=\"https:\/\/link.springer.com\/article\/10.1007%2Fs00127-018-1535-9\">three to four times those<\/a> of individuals without mental illness.<\/p>\n<p>I\u2019m <a href=\"https:\/\/medicine.yale.edu\/profile\/bandy_lee\/\">an expert on mental health<\/a>, and I have found that to dispel stigmas surrounding mental health in the workplace, researchers like me need first to tackle several myths.<\/p>\n<h2>1. Everyone has different abilities<\/h2>\n<p>Let us examine the first myth: that mental illness makes one less able to do a job.<\/p>\n<p>Mental disorder does not interfere with all capacities, and can sometimes improve others. One study shows that <a href=\"https:\/\/journals.lww.com\/jonmd\/Abstract\/2006\/01000\/Mental_Illness_In_U_S__Presidents_Between_1776_and.9.aspx\">almost half of U.S. presidents suffered from some kind of mental disorder<\/a>. Some have performed <a href=\"https:\/\/read.amazon.com\/kp\/embed?asin=B004IYIUN8&amp;tag=bing08-20&amp;linkCode=kpp&amp;reshareId=0D6PJ0ZEVRFEA39GGZ07&amp;reshareChannel=system\">the most challenging tasks in history<\/a>.<\/p>\n<p>For example, Abraham Lincoln\u2019s <a href=\"https:\/\/www.theatlantic.com\/magazine\/archive\/2005\/10\/lincolns-great-depression\/304247\/\">severe depression is said to have made him more compassionate<\/a>, while <a href=\"https:\/\/www.healthcentral.com\/article\/teddy-roosevelt-bipolar-or-not\">Theodore Roosevelt\u2019s hypomanic moods<\/a> made him an exuberant and influential personality.<\/p>\n<p>There is plenty of evidence that, given the right supports, <a href=\"https:\/\/www.cambridge.org\/core\/journals\/the-british-journal-of-psychiatry\/article\/supported-employment-for-people-with-severe-mental-illness-systematic-review-and-metaanalysis-of-the-international-evidence\/D87504A18AB7E908624FF3FC94AF8F5C\">people with mental illness can be successful at work<\/a>. Conversely, individuals do not have to have a mental illness <a href=\"https:\/\/theconversation.com\/no-president-should-assume-office-without-a-fitness-for-duty-exam-107778\">to lack the mental capacity<\/a> to do a job.<\/p>\n<h2>2. Mental versus physical illness<\/h2>\n<p>The second myth is that mental illness is associated with moral failing, unlike physical illness.<\/p>\n<p>In our own lifetimes, we may remember the <a href=\"https:\/\/www.jstor.org\/stable\/2676360?casa_token=LNUjqmn59z8AAAAA:PACY7GS1xid3H3gxnBws1k4SsdYFHsjS-y6U38WxzcRJrhiHBXNNNN1uUO3WgWo-WmjYD7R9KqjZ1UpuxQQ1bdJNahnvS74unjFRD0QvN3bfjp1ldQ&amp;seq=1#metadata_info_tab_contents\">stigma and secrecy that surrounded cancer and AIDS<\/a>. Scientific research and education helped these prejudices give way to understanding.<\/p>\n<p>The more we know, the more we understand that mental disorders are not moral failings or subjective complaints that people can simply \u201csnap out\u201d of, but are <a href=\"https:\/\/www.cambridge.org\/core\/journals\/the-british-journal-of-psychiatry\/article\/distinction-between-mental-and-physical-illness\/5FA9AC9A9A8F7D6395BF41B3CD004305\">serious, debilitating and deadly medical conditions<\/a> like any other.<\/p>\n<p>Within medicine, <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/096228029800700306\">psychiatric diagnoses are some of the most reliable<\/a>. And while there are no blood tests, there are <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0890856709606535\">standardized scales that can be just as dependable<\/a> for diagnosing and monitoring prognosis.<\/p>\n<figure class=\"align-center \"><img src=\"https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/305051\/original\/file-20191203-67007-mijxmp.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">Trump has blamed mental illness for mass shootings.<\/span><br \/>\n<span class=\"attribution\"><a class=\"source\" href=\"http:\/\/www.apimages.com\/metadata\/Index\/NRA-vs-San-Francisco\/6f72f4fb33184f75b2ba36f8e5a18621\/1\/0\">AP Photo\/Michael Conroy<\/a><\/span><\/figcaption><\/figure>\n<h2>3. Mental illness does not equal violence<\/h2>\n<p>The third myth is that those who have mental illness are dangerous.<\/p>\n<p><a href=\"https:\/\/psychcentral.com\/lib\/medias-damaging-depictions-of-mental-illness\/\">Media and public perception<\/a> continue to perpetuate this myth, even though large-scale studies have shown <a href=\"https:\/\/www.betterhealth.vic.gov.au\/health\/conditionsandtreatments\/mental-illness-and-violence\">no difference in levels of violence<\/a> from the general population. People with mental illness are actually <a href=\"https:\/\/www.sciencedaily.com\/releases\/2014\/02\/140225101639.htm\">more often victims of violent crimes<\/a> than perpetrators.<\/p>\n<p>In 2017, after a mass shooting in Texas, President Donald Trump <a href=\"https:\/\/www.nytimes.com\/2017\/11\/06\/us\/politics\/trump-guns-mental-health.html\">stated that<\/a> \u201cmental health is your problem here \u2026 this isn\u2019t a guns situation.\u201d He reissued <a href=\"https:\/\/medium.com\/@bandyxlee\/mr-president-please-do-not-commit-more-violence-by-blaming-the-mentally-ill-a8c87fc853ce\">similar statements after other mass shootings<\/a> in Parkland, Florida; in Pittsburgh, Pennsylvania; in Thousand Oaks, California; in El Paso, Texas; and in Dayton, Ohio.<\/p>\n<p>This increases <a href=\"https:\/\/www.cambridge.org\/core\/journals\/the-british-journal-of-psychiatry\/article\/stigma-as-a-cause-of-suicide\/A7ACCE748A5FDF0346C8AB9A4ECE3A60\">the victimization of mentally ill people<\/a>, as it augments the suffering of those already <a href=\"https:\/\/link.springer.com\/article\/10.1176\/appi.ap.32.2.136\">afflicted by stigma<\/a>.<\/p>\n<h2>4. Challenging stigmas<\/h2>\n<p>Finally and <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/mental-illness\/in-depth\/mental-health\/art-20046477\">sometimes fatally<\/a>, the myth persists that speaking about mental illness increases stigma.<\/p>\n<p>Erving Goffman gives a compelling description of how stigma stereotypes a person <a href=\"https:\/\/www.simonandschuster.com\/books\/Stigma\/Erving-Goffman\/9780671622442\">as abnormal, deformed and dangerous<\/a>. Stigma, hence, is a form of violence. It <a href=\"https:\/\/ajph.aphapublications.org\/doi\/10.2105\/AJPH.2012.301147\">originates from ignorance or misunderstanding<\/a> and harms <a href=\"https:\/\/ajph.aphapublications.org\/doi\/10.2105\/AJPH.2012.301056\">those suffering from mental illness<\/a> by depriving them of their humanity.<\/p>\n<p>Stigma creates for people with mental illness <a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/09540260701278739\">conditions for social exclusion<\/a>, <a href=\"https:\/\/insights.ovid.com\/crossref?an=00001504-200609000-00014\">employment discrimination<\/a>, <a href=\"https:\/\/jamanetwork.com\/journals\/jamapsychiatry\/fullarticle\/208861\">victimhood to violent crime<\/a> and increased suffering, which can lead to <a href=\"https:\/\/academic.oup.com\/schizophreniabulletin\/article\/33\/6\/1312\/1898943\">self-stigma, poor self-care<\/a> and <a href=\"https:\/\/www.cambridge.org\/core\/journals\/epidemiology-and-psychiatric-sciences\/article\/mental-illness-stigma-secrecy-and-suicidal-ideation\/CF10DA90F2B9FFF7BBAEA36ECEB67101\">greater depression and suicide<\/a>.<\/p>\n<p>For example, <a href=\"https:\/\/www.newsweek.com\/donald-trump-adam-schiff-deranged-human-being-maniac-nato-summit-1475436\">Trump recently accused<\/a> Intelligence Committee Chairman Adam Schiff of being a \u201ca maniac \u2026 a deranged human being\u201d and \u201ca very sick man,\u201d but he is not the only politician to do so. Invoking mental health as an insult <a href=\"https:\/\/link.springer.com\/chapter\/10.1007%2F978-3-319-27839-1_2\">further stigmatizes those already suffering<\/a> in harmful ways.<\/p>\n<p>Speaking about mental illness helps educate and dispel myths. Demystifying mental illness and distinguishing it from the person and a person\u2019s abilities is critical to diminishing stigma and improving the lives of those already burdened with mental illness.<\/p>\n<h2>Why people work<\/h2>\n<p>Work is more than a means for material support. It is also a major way individuals <a href=\"https:\/\/link.springer.com\/article\/10.1007%2Fs11205-017-1697-y\">stay mentally healthy and socially integrated<\/a>.<\/p>\n<p>Especially for those dealing with a serious mental illness, employment is <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0001879119300636?via%3Dihub\">important for<\/a> daily structure and routine, a sense of self, meaningful goals and opportunities for friendships and social support.<\/p>\n<p>The workplace is therefore an important setting for speaking about mental health and illness. Breaking the silence can be <a href=\"http:\/\/www.psychiatrist.com\/jcp\/article\/pages\/2015\/v76n02\/v76n0204.aspx\">beneficial for removing barriers<\/a> to seeking treatment, staying well and staying employed.<\/p>\n<p>Employers already <a href=\"https:\/\/namipierce.org\/why-employers-need-to-talk-about-mental-illness-in-the-workplace\/\">bear much of the burden of mental illness<\/a>. As <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5769115\/\">85% of employees\u2019 mental health conditions go undiagnosed or untreated<\/a> as of 2017, employers subsume <a href=\"https:\/\/www.cdc.gov\/nchs\/hus\/index.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fnchs%2Fhus.htm\">more than US$100 billion in lost revenue and 217 million lost workdays<\/a> each year. Prejudicial attitudes also exclude needed talent in the workforce.<\/p>\n<p>Fear of discrimination <a href=\"https:\/\/www.cambridge.org\/core\/journals\/epidemiology-and-psychiatric-sciences\/article\/stigma-and-discrimination-limit-access-to-mental-health-care\/2FA22511D1878BA80162D7FDD891C00A\">leads many not to seek care<\/a>, despite the <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1529100614531398\">availability of successful treatments<\/a>.<\/p>\n<p>Exclusion from the workforce <a href=\"https:\/\/www.researchgate.net\/profile\/Heather_Stuart2\/publication\/7906884_Stigma_and_Work\/links\/5706574208aea3d280210fbc.pdf\">can result in<\/a> material deprivation, loss of self-confidence and self-identity, and isolation and marginalization that are key risk factors in mental health. High lifetime unemployment <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1936657415001077\">even lowers life expectancy<\/a>, presumably as a combined result of stress, depression, reduced health care and loss of social networks.<\/p>\n<p>Workplace interventions to interrupt the secrecy and stigma surrounding mental illness <a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-015-0706-4\">can be effective<\/a>. Some programs might involve psychoeducation, increasing mental health literacy, workshops, online courses that target prejudicial attitudes and behavior, and crisis intervention training.<\/p>\n<p>Awareness of inequalities with respect to race, gender, age, sexuality, class and other related factors, as well as the benefits of diversity, <a href=\"https:\/\/www.forbes.com\/sites\/rsmdiscovery\/2018\/08\/22\/why-workplace-diversity-is-so-important-and-why-its-so-hard-to-achieve\/#232c01eb3096\">have grown recently<\/a>, but society has a long way to go with mental illness.<\/p>\n<p>[ <em>Get the best of The Conversation, every weekend.<\/em> <a href=\"https:\/\/theconversation.com\/us\/newsletters\/weekly-highlights-61?utm_source=TCUS&amp;utm_medium=inline-link&amp;utm_campaign=newsletter-text&amp;utm_content=weeklybest\">Sign up for our weekly newsletter<\/a>. ]<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/127155\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/bandy-x-lee-549195\">Bandy X. Lee<\/a>, Assistant Clinical Professor, Yale School of Medicine, <em><a href=\"http:\/\/theconversation.com\/institutions\/yale-university-1326\">Yale University<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"http:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/myths-around-mental-illness-cause-high-rates-of-unemployment-127155\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bandy X. Lee, Yale University Even though mental illness affects one in five adults \u2013 and depression is the leading cause of disability worldwide \u2013 secrecy and stigma around the issue continue. The problem is especially acute in the workplace. While individuals with mental illness often wish to work and are able to, their unemployment [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":18894,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,277],"tags":[832,7374,2103,479,7375,7376,1581,2174,137,7373,865,679,7377,200,266,7372,3828,4542,1753],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18893"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=18893"}],"version-history":[{"count":5,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18893\/revisions"}],"predecessor-version":[{"id":18923,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/18893\/revisions\/18923"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/18894"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=18893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=18893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=18893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}