ACCEPTANCE OF THE MENTAL ILLNESS LABEL BY PSYCHOTIC PATIENTS

Effects on Functioning

Authors

  • Richard Warner M.B., D.P.M.,

    Medical Director, Corresponding author
    1. Department of Psychiatry, University of Colorado Health Sciences Center, Denver (Warner); private practice, Boulder, Colo. (Taylor); Department of Psychology, University of Colorado, Boulder (Powers); and Good Samaritan Hospital, Portland, Ore. (Hyman)
      Mental Health Center of Boulder County, Inc., 1333 Iris Ave., Boulder, CO 80302
    Search for more papers by this author
  • Dawn Taylor Ph.D.,

    1. Department of Psychiatry, University of Colorado Health Sciences Center, Denver (Warner); private practice, Boulder, Colo. (Taylor); Department of Psychology, University of Colorado, Boulder (Powers); and Good Samaritan Hospital, Portland, Ore. (Hyman)
    Search for more papers by this author
  • Moira Powers M.A.,

    1. Department of Psychiatry, University of Colorado Health Sciences Center, Denver (Warner); private practice, Boulder, Colo. (Taylor); Department of Psychology, University of Colorado, Boulder (Powers); and Good Samaritan Hospital, Portland, Ore. (Hyman)
    Search for more papers by this author
  • Joell Hyman M.A.

    1. Department of Psychiatry, University of Colorado Health Sciences Center, Denver (Warner); private practice, Boulder, Colo. (Taylor); Department of Psychology, University of Colorado, Boulder (Powers); and Good Samaritan Hospital, Portland, Ore. (Hyman)
    Search for more papers by this author

Mental Health Center of Boulder County, Inc., 1333 Iris Ave., Boulder, CO 80302

Abstract

Labeling theory predicts that psychotic patients who accept the label of mental illness will function less well than those who reject their diagnosis. Accepted psychotherapeutic theory suggests the reverse. Two predictive models were tested. Results supported the central hypothesis of the psychotherapeutic model but not that of the labeling model, although some elements of the latter model were affirmed. Besides acceptance of diagnosis, an internal locus of control appears important for good outcome in psychosis.

Ancillary