Labelling and stigma

Chapter 30 Labelling and stigma


We all use labels to name and describe things. Such labelling can have both positive and negative associations, for example the ‘good doctor’, the ‘caring nurse’ or the ‘lazy medical student’! Labelling and its associated idea of stigma are useful in understanding the importance of the social consequences of medical diagnosis. We are particularly interested here in the way neutral medical labels acquire negative and stigmatizing connotations. Labelling and stigma are important for medical practitioners for two reasons. Firstly, negative labels are often applied by the public at large to people with particular diseases such as epilepsy, schizophrenia or psoriasis which are thought to signify some moral failing, social disgrace or separation from normal society. Such beliefs may be rooted in superstition, fear and ignorance but they are quite common. Secondly, medical practitioners act as important arbiters of the labels that get applied in much of what they do.




Social reaction


The behaviour of the public is strongly influenced by medical labels. Think of the types of reaction that are often made to diagnoses of cancer. But it is not only life-threatening illnesses that produce strong reactions. For example, knowing that someone has epilepsy, or has been a patient in a psychiatric hospital, can strongly affect the way others respond to them. People react not just to the biological pathology, but to what they regard as its social significance. When the social significance of the label carries a strongly negative connotation, this is an example of what sociologists and psychologists call stigma. The two terms – labelling and stigma – are not interchangeable because some labels are highly positive. However, in the context of medical work, it is the negative attributions by self or others that are of particular significance.


The case study shows that an important distinction needs to be made between the presence of some deviation from normality – in this case the presence of unrecognized coronary heart disease – and the social reaction to the subsequent diagnosis – the change in the man’s behaviour and the response of his wife and the insurance company. Sociologists have called this distinction primary and secondary deviation (Lemert, 1951). Primary deviation is some kind of physical or social difference of an individual or a group. Secondary deviation is the response of self and others to the public recognition – the label – of that difference.

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Jun 10, 2016 | Posted by in PSYCHOLOGY | Comments Off on Labelling and stigma

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