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Metaphoric and non-metaphoric use of the term “schizophrenia” in Italian newspapers

Social Psychiatry and Psychiatric Epidemiology volume 46, pages 1019–1025 (2011)Cite this article

Abstract

Purpose

This study examines how the term “schizophrenia” is used in Italian newspapers.

Methods

The survey was carried out on the 22 Italian newspapers which allow word scanning on their online website. In each newspaper, the terms “schizophrenia” and “schizophrenic” were scanned in all articles, from January 1, 2008 to December 31, 2008. Each article containing these terms was analyzed in relation to metaphorical usage to describe or denigrate people or groups not diagnosed “schizophrenic” and in relation to non-metaphoric, direct descriptions of people using mental health services, or the illness itself.

Results

“Schizophrenia/schizophrenic” was reported in 1,087 articles. It was used far more frequently as a metaphor (73.7%) than in reference to people actually given the diagnosis (19.2%) or to the disorder itself (7.1%). The 801 metaphoric uses were classified into the following categories: incoherence/contradiction/split (682, 85.1%), dangerousness/aggressiveness (34, 4.4%), and eccentricity/oddness (84, 10.5%). 117 out of 209 (55.9%) articles on people diagnosed with the disorder were in news section of which 57 (48.7%) referred to homicides, 17 (14.5%) to other assaults by the person, and 33 (28.2%) to assaults directed at the person.

Conclusions

These data confirm previous studies showing that the media disproportionately report negative stories about people diagnosed with “schizophrenia”, and in particular, equate the diagnosis with violence. The study also demonstrates that the metaphorical use of the term to denigrate groups or individuals may be an equal or greater contributor to the stigma and prejudice experienced by people with this mental disorder.

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References

  1. Read J, Haslam N, Sayce L, Davies E (2006) Prejudice and schizophrenia: a review of the ‘Mental illness is an Illness like any other’ approach. Acta Psychiatr Scand 114:303–318

    PubMed  Article  CAS  Google Scholar 

  2. Nunnally J (1957) The communication of mental health information: a comparison of the opinions of experts and the public with mass media presentations. Behav Sci 2:222–230

    Article  Google Scholar 

  3. Day DM, Page S (1986) Portrayal of mental illness in Canadian newspapers. Can J Psychiatry 31:813–817

    PubMed  CAS  Google Scholar 

  4. Allen R, Nairn RG (1997) Media depictions of mental illness: an analysis of the use of dangerousness. Aust N Z J Psychiatry 31:375–381

    PubMed  Article  CAS  Google Scholar 

  5. Coverdale J, Nairn R, Claasen D (2002) Depictions of mental illness in print media: a prospective national sample. Aust N Z J Psychiatry 36:697–700

    PubMed  Article  Google Scholar 

  6. Huang B, Priebe S (2003) Media coverage of mental health care in the UK, USA and Australia. Psychiatr Bull 27:331–333

    Article  Google Scholar 

  7. Pieters G, DeGucht V, Kajosch H (2003) Newspaper coverage of psychiatry and general medicine: comparing tabloids with broadsheets. Psychiatr Bull 27:117–122

    Article  Google Scholar 

  8. Francis C, Pirkins J, Blood RW, Dunt D, Burgess P, Morley B, Stewart A, Putnis P (2004) The portrayal of mental health and illness in Australian non-fiction media. Aust N Z J Psychiatry 38:541–546

    PubMed  Article  Google Scholar 

  9. Stout PA, Villegas J, Jennings NA (2004) Images of mental illness in the media: identifying gaps in the research. Schizophr Bull 30:543–561

    PubMed  Google Scholar 

  10. Angermeyer MC, Dietrich S, Pott D, Matschinger H (2005) Media consumption and desire for social distance towards people with schizophrenia. Eur Psychiatry 20:246–250

    PubMed  Article  CAS  Google Scholar 

  11. Sartorius N, Schulze H (2005) Reducing stigma due to mental illness: a report from a global program of the World Psychiatric Association. Cambridge University Press, Cambridge

    Book  Google Scholar 

  12. Carpiniello B, Girau R, Orrù MG (2007) Mass-media, violence and mental illness. Evidence from some Italian newspapers. Epidemiol Psichiatr Soc 16:251–255

    PubMed  Google Scholar 

  13. Klein A, Lemish D (2008) Mental disorders stigma in the media: review of studies on production, content and influences. J Health Commun 13:434–449

    Article  Google Scholar 

  14. Signorielli N (1989) The stigma of mental illness on television. J Broadcast Electr Media 33:325–331

    Google Scholar 

  15. Stuart H (2006) Media portrayal of mental illness and its treatments—what effect does it have on people with mental illness? CNS Drugs 20:99–106

    PubMed  Article  Google Scholar 

  16. Shain RE, Phillips J (1991) The stigma of mental illness: labelling and stereotyping in the news. In: Wilkins L, Patterson P (eds) Risky business: communicating issues of science, risk, public policy. Greenwood press, New York

    Google Scholar 

  17. Wahl OF, Wood A, Richards R (2002) Newspaper coverage of mental illness: is it changing? Psychiatr Rehab Skills 6:9–31

    Article  Google Scholar 

  18. Corrigan PW, Watson AC, Gracia G, Slopen N, Rasinski K, Hall LL (2005) Newspaper stories as measures of structural stigma. Psychiatr Serv 56:551–556

    PubMed  Article  Google Scholar 

  19. Duckworth K, Harpern JH, Schutt RK, Gillespie C (2003) Use of Schizophrenia as a metaphor in US newspapers. Psychiatr Serv 54:1402–1404

    PubMed  Article  Google Scholar 

  20. Boke O, Aker S, Aker AA, Sarisoy G, Sahin AR (2007) Schizophrenia in Turkish newspapers. Soc Psychiatry Psychiatr Epidemiol 42:457–461

    PubMed  Article  Google Scholar 

  21. Baker S, MacPherson J (2000) Counting the cost: mental health in the media. Mind, London. http://www.mind.org.uk

  22. Byrne P (1997) Psychiatric stigma: past, passing and to come. J Res Soc Med 90:618–621

    CAS  Google Scholar 

  23. Ono Y, Satsumi Y, Kim Y, Iwadate T, Moriyama K, Nakane Y, Nakata T, Okagami K, Sakai T, Sato M, Someya T, Takagi S, Ushijima S, Yamauchi K, Yoshimura K (1999) Schizophrenia: is it time to change the term? Psychiatry Clin Neurosci 53:335–341

    PubMed  Article  CAS  Google Scholar 

  24. Kim Y (2006) Renaming the term schizophrenia in Japan. Lancet North Am Ed 360:60

    Google Scholar 

  25. Lieberman JA, First MB (2007) Renaming schizophrenia. Br Med J 334:108

    Article  Google Scholar 

  26. Link BG, Cullen FT, Struening E, Shrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders: an empirical assessment. Am Sociol Rev 54:400–423

    Article  Google Scholar 

  27. Ferriman A (2000) The stigma of schizophrenia. Br Med J 320:522

    Article  CAS  Google Scholar 

  28. Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, Meyer BS (2001) Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52:1615–1620

    PubMed  Article  CAS  Google Scholar 

  29. Warner R (2001) Combating the stigma of schizophrenia. Epidemiol Psichiatr Soc 10:12–17

    PubMed  CAS  Google Scholar 

  30. Thornicroft G (2006) Shunned: discrimination against people with mental illness. Oxford University press, Oxford

    Google Scholar 

  31. CSIP/Shift (2006) Mind over matter: improving media reporting of mental health. Sainsbury Centre of Mental Health

  32. Public attitudes to mental distress. http://www.mind.org.uk/help/research_and_policy/public_attitudes_to_mental_distress#media

  33. Angermeyer MC, Matschinger H (1996) The effects of violent attacks by schizophrenic persons on attitude of the public towards the mentally ill. Soc Sci Med 43:1721–1728

    PubMed  Article  CAS  Google Scholar 

  34. Thornton JA, Wahl OF (1996) Impact of a newspaper article on attitudes toward mental illness. J Com Psychol 24:17–25

    Article  Google Scholar 

  35. Hallam A (2002) Media influences on mental health policy: long term effects of the Clunis and Silcock cases. Int Rev Psychiatry 14:26–33

    Article  Google Scholar 

  36. Wahl OF (2003) News media portrayal of mental illness: implications for public policy. Am Behav Sci 46:1594–1600

    Article  Google Scholar 

  37. Salter M, Byrne P (2000) The stigma of mental illness: how you can use the media to reduce it. Psychiatr Bull 24:281–283

    Article  Google Scholar 

  38. Zavoli S (1968) I giardini di Abele. RAI, Italia URL: http://www.deistituzionalizzazione-trieste.it/videogallery/VideoSourceITA.html

  39. Sontag S (1978) Illness as metaphor. Farrar, Strauss and Giroux, New York

    Google Scholar 

  40. Chopra A, Doody GA (2007) Schizophrenia, an illness and a metaphor: analysis of the use of the term “schizophrenia” in the UK national newspapers. J R Soc Med 100:423–426

    PubMed  Article  Google Scholar 

  41. Hoffman-Richter U, Alder B, Hinselmann V, Finzen A (1998) Schizophrenia as featured in the “Neue Zurcher Zeitung”. Psychiatr Prax 25:14–18

    Google Scholar 

  42. Hoffman-Richter U, Forrer F, Finzen A (2003) Die schizophrenie in der “Frankfurter Allgemein Zeitung”—Eine medienalyse. Psychiatr Prax 30:4–7

    Article  Google Scholar 

  43. Clement S, Foster N (2008) Newspaper reporting on schizophrenia: a content analysis of five national newspapers at two time points. Schizophr Res 98:178–183

    PubMed  Article  Google Scholar 

  44. Castiello G, Magliano L (2007) Le opinioni sulle conseguenze psicosociali della schizofrenia e della depressione: uno studio comparativo in un campione di studenti di scuola superiore. Epidemiol Psichiatr Soc 16:163–171

    PubMed  Google Scholar 

  45. Stuart H (2003) Stigma and the daily news: evaluation of a newspaper intervention. Can J Psychiatry 48:651–656

    PubMed  Google Scholar 

  46. Kermode M, Bowen K, Arole S, Pathare S, Jorm A (2009) Attitudes to people with mental disorders: a mental health literacy survey in a rural area of Maharashtra, India. Soc Psychiatry Psychiatr Epidemiol 44:1087–1096

    PubMed  Article  Google Scholar 

  47. Magliano L, Fiorillo A, Malangone C, Del Vecchio H, Maj M, Users’ Opinion Questionnaire Working Group (2008) Views of persons with schizophrenia on their own disorder: an Italian participatory study. Psychiatr Serv 59:795–799

    Google Scholar 

  48. Magliano L, De Rosa C, Fiorillo A, Malangone C, Maj M, National Mental Health Project Working Group (2004) Perception of patients’ unpredictability and beliefs on the causes and consequences of schizophrenia: a community survey. Soc Psychiatry Psychiatr Epidemiol 39:410–416

    Google Scholar 

  49. Magliano L, Fiorillo A, De Rosa C, Malangone C, Maj M (2004) Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals and patients’ relatives. Can J Psychiatry 49:322–329

    PubMed  Google Scholar 

  50. Ministero per le Pari Opportunità (2009) Respect women. Respect the world. www.pariopportunita.gov.it/index.php?option=com_content&view=article&id=1212:campagna-di-informazione-respect-women-respect-the-world&catid=55:campagne-di-informazione&Itemid=122

  51. Angermeyer MC (2001) Schizophrenia and violence. Acta Psychiatr Scand Suppl 47(102):63–67

    Google Scholar 

  52. Walsh E, Buchanan A, Fahy T (2002) Violence and schizophrenia: examining the evidence. Br J Psychiatry 180:490–495

    PubMed  Article  Google Scholar 

  53. Nielssen O, Bourget D, Laajasalo T, Liem M, Labelle A, Hakkanen-Nyholm H, Koenraadt F, Lange MM (2010) Homicide of strangers by people with a psychotic illness. Schizophr Bull (in press)

  54. Taylor PJ, Gunn J (1999) Homicides by people with mental illness: myth and reality. Br J Psychiatry 174:9–14

    PubMed  Article  CAS  Google Scholar 

  55. Italian Parliament (2008) Proposals of change of law n. 180: n. 1423 http://nuovo.camera.it/126?PDL=1423&leg=16&tab=2; n. 1984 http://nuovo.camera.it/126?PDL=1984&leg=16&tab=2; n. 2065 http://nuovo.camera.it/126?PDL=2065&leg=16&tab=2; n. 348 http://www.senato.it/leg/16/BGT/Schede/Ddliter/testi/30620_testi.htm; n. 1423 http://www.senato.it/leg/16/BGT/Schede/Ddliter/testi/33340_testi.htm

  56. Press Complaints Commission (1997) On reporting mental health issues (revised guidelines). http://www.pcc.org.uk/news/index.html?article=NDE5OQ

  57. Carta di Roma (2008) Federazione Nazionale Stampa Italiana (FNSI). http://www.fnsi.it/Pdf/Carte_deonto/Carta_di_Roma.pdf

  58. Penrose-Wall J, Baume P, Martin G (1999) Achieving the balance: a resource kit for Australian media professionals for reporting and portrayal of suicide and mental illnesses. Commonwealth Department of Health and Aged Care, Canberra

    Google Scholar 

  59. Changing minds (2010). http://rcpsych.a.uk/campaigns/changingminds.aspx

  60. Royal College of Psychiatrists (2010) Guide for journalists and broadcasters reporting on schizophrenia. http://www.rcpsych.ac.uk/campaigns/changingminds/specificaudiences/media.aspx

  61. See me campaign (2010) Mind your language: media guidelines for mental health issues. http://www.seemescotland.org.uk/positivereporting/mediaguidelinesforstigmastopwatchers

  62. EU Health Journalism prize. http://ec.europa.eu/health-eu/europe_for_patients/prize/index_en.htm

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Acknowledgments

The authors thank Prof. Itzhak Levav, Research Unit, Mental Health Services of the Israeli Ministry of Health for his valuable comments on the first draft of this paper, and Dr. Adrienne Harrison for her linguistic help.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16, 80138, Naples, Italy

    Lorenza Magliano

  2. Department of Psychology, University of Auckland, Private Bag, 92019, Auckland, New Zealand

    John Read

  3. Il Mattino (newspaper), Via Chiatamone, 65, 80100, Naples, Italy

    Riccardo Marassi

Authors
  1. Lorenza Magliano
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  2. John Read
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  3. Riccardo Marassi
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Correspondence to Lorenza Magliano.

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Magliano, L., Read, J. & Marassi, R. Metaphoric and non-metaphoric use of the term “schizophrenia” in Italian newspapers. Soc Psychiatry Psychiatr Epidemiol 46, 1019–1025 (2011). https://doi.org/10.1007/s00127-010-0274-3

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Keywords

  • Schizophrenia
  • Stigma
  • Newspapers
  • Media