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https://doi.org/10.24869/spsih.2026.262

Insights Into Stigma and Self-Stigma Through Occupational Therapy

Josipa Lončar ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska *
Josipa Merćep ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska
Matea Galetić Pavlov ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska
Mihaela Rakušić ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska; Katedra za psihološku medicinu, Medicinski fakultet, Sveučilište u Splitu, Šoltanska 2, 21000 Split, Hrvatska
Tonći Mastelić ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska; Katedra za psihološku medicinu, Medicinski fakultet, Sveučilište u Splitu, Šoltanska 2, 21000 Split, Hrvatska; Katedra za psihijatriju, Medicinski fakultet, Sveučilište u Splitu, Šoltanska 2, 21000 Split, Hrvatska
Trpimir Glavina ; Klinika za psihijatriju, Klinički bolnički centar Split, Spinčićeva 1, 21000 Split, Hrvatska; Katedra za psihijatriju, Medicinski fakultet, Sveučilište u Splitu, Šoltanska 2, 21000 Split, Hrvatska

* Dopisni autor.


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Sažetak

In treating people with mental disorders, we
encounter a series of difficulties and obstacles.
Some of these barriers stem from the stigmatization
and self-stigmatization of our patients.
Through no fault of their own, they become increasingly
isolated members of society. Stigmatization
often affects the course of treatment, as
the individual, due to expectations and pressure
from the environment, delays seeking help and
shows poorer adherence to therapy. People who
are frequently exposed to stigmatization often internalize
the negative stereotypes and prejudices
that society holds about them. During their stay
in an acute psychiatric ward, patients participate
daily in occupational therapy. They are encouraged to take part in activities that require social
and cognitive skills, as well as creative techniques.
Creative techniques demand the integration of
all cognitive and social abilities. Using collage
techniques, we encouraged patients to create an
image of themselves that excludes stigma and
self-stigmatization. With guidance and instructions,
patients find a way to depict themselves
without the vulnerability that would be required
in a group discussion setting, while at the same
time giving expression to the creative side of their
personality. In the collages they produce, patients
portray their interests, lifestyle, what brings
them joy and relaxation, assembling these elements
into a meaningful picture of themselves.
Through patients’ creative work, we can obtain
valuable and useful information that provides an
additional, deeper, and more specific insight into
their self-experience, without the pressures and
expectations of their surroundings. In this way,
patients are helped to distinguish more easily between
their own self and the imposed perceptions
of the environment. Education of society and the
integration of patients into community life as
equally valuable, desirable, and needed members
of that same society are key factors in the overall
treatment process. Through group work during
occupational therapy, we observe that only minimal
encouragement and guidance are needed for
patients to contribute. By enabling their active
participation in communities, a relationship is
created that fosters and supports more effective
and better understanding, and consequently
more effective treatment of patients.

Ključne riječi

stigma; self-stigma; psychiatry; occupational therapy; creative techniques

Hrčak ID:

352916

URI

https://hrcak.srce.hr/352916

Datum izdavanja:

15.6.2026.

Podaci na drugim jezicima: hrvatski

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