CNS Drugs

, Volume 20, Issue 2, pp 99–106 | Cite as

Media Portrayal of Mental Illness and its Treatments

What Effect Does it Have on People with Mental Illness?
  • Heather StuartEmail author
Leading Article


This article reviews dominant media portrayals of mental illness, the mentally ill and mental health interventions, and examines what social, emotional and treatment-related effects these may have. Studies consistently show that both entertainment and news media provide overwhelmingly dramatic and distorted images of mental illness that emphasise dangerousness, criminality and unpredictability. They also model negative reactions to the mentally ill, including fear, rejection, derision and ridicule.

The consequences of negative media images for people who have a mental illness are profound. They impair self-esteem, help-seeking behaviours, medication adherence and overall recovery. Mental health advocates blame the media for promoting stigma and discrimination toward people with a mental illness. However, the media may also be an important ally in challenging public prejudices, initiating public debate, and projecting positive, human interest stories about people who live with mental illness. Media lobbying and press liaison should take on a central role for mental health professionals, not only as a way of speaking out for patients who may not be able to speak out for themselves, but as a means of improving public education and awareness. Also, given the consistency of research findings in this field, it may now be time to shift attention away from further cataloguing of media representations of mental illness to the more challenging prospect of how to use the media to improve the life chances and recovery possibilities for the one in four people living with mental disorders.


Mental Health Mental Illness Mental Health Professional Mental Health Advocate Cultural Stereotype 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



No sources of funding were used to assist in the preparation of this review. The author has no conflicts of interest that are directly relevant to the content of this review.


  1. 1.
    Signorielli N. The stigma of mental illness on television. J Broadcas Electron Media 1989; 33(3): 325–31CrossRefGoogle Scholar
  2. 2.
    Diefenbach DL. The portrayal of mental illness on prime-time television. J Community Psychol 1997; 25(3): 289–302CrossRefGoogle Scholar
  3. 3.
    Rose D. Television, madness and community care. J Community Appl Soc Psychol 1998; 8: 213–28CrossRefGoogle Scholar
  4. 4.
    Wilson C, Nairn R, Coverdale J, et al. Mental illness depictions in prime-time drama: identifying the discursive resources. Aust N Z J Psychiatry 1999; 33: 232–9PubMedCrossRefGoogle Scholar
  5. 5.
    Nunnally J. The communication of mental health information: a comparison of the opinions of experts and the public with mass media presentations. Behav Sci 1957; 2: 222–30CrossRefGoogle Scholar
  6. 6.
    Wahl OF, Roth R. Television images of mental illness: results of a Metropolitan Washington media watch. J Broadcasting 1982; 26(2): 599–606CrossRefGoogle Scholar
  7. 7.
    Freeman H. Commentary. Curr Opin Psychiatry 2001; 14: 529–30CrossRefGoogle Scholar
  8. 8.
    Clare A. Cinematic portrayals of psychiatrists. In: Crisp AH, editor. Every family in the land. London: Royal Society of Medicine Press Ltd, 2004: 105–9Google Scholar
  9. 9.
    Wilson C, Nairn R, Coverdale J, et al. How mental illness is portrayed in children’s television. Br J Psychiatry 2000; 176: 440–3PubMedCrossRefGoogle Scholar
  10. 10.
    Lawson A, Fouts G. Mental illness in Disney animated films. Can J Psychiatry 2004; 49: 310–4PubMedGoogle Scholar
  11. 11.
    Linden TR. Commentary. Curr Opin Psychiatry 2001; 14: 532–3CrossRefGoogle Scholar
  12. 12.
    Matas M, el-Guebaly N, Harper D, et al. Mental illness and the media: part II. Content analysis of press coverage of mental health topics. Can J Psychiatry 1986; 31: 431–3Google Scholar
  13. 13.
    Cutcliffe JR, Hannigan B. Mass media, ‘monsters’ and mental health clients: the need for increased lobbying. J Psychiatr Ment Health Nurs 2001; 8(4): 315–21PubMedCrossRefGoogle Scholar
  14. 14.
    Coverdale J, Nairn R, Claasen D. Depictions of mental illness in print media: a prospective national sample. Aust N Z J Psychiatry 2002; 36: 697–700PubMedCrossRefGoogle Scholar
  15. 15.
    Wahl OF. News media portrayal of mental illness: implications for public policy. Am Behav Sci 2003; 46(12): 1594–600CrossRefGoogle Scholar
  16. 16.
    Thornton JA, Wahl OF. Impact of a newspaper article on attitudes toward mental illness. J Community Psychol 1996; 24: 17–25CrossRefGoogle Scholar
  17. 17.
    Allen R, Nairn RG. Media depictions of mental illness: an analysis of the use of dangerousness. Aust N Z J Psychiatry 1997; 31: 375–81PubMedCrossRefGoogle Scholar
  18. 18.
    Coverdale J, Nairn R, Claasen D. A legal opinion’s consequences for the stigmatisation of the mentally ill: case analysis. Psychiatry Psychology Law 2000; 7(2): 192–7CrossRefGoogle Scholar
  19. 19.
    Olstead R. Contesting the text: Canadian media depictions of the conflation of mental illness and criminality. Sociol Health Illn 2002; 24(5): 621–43CrossRefGoogle Scholar
  20. 20.
    Stuart H. Stigma and the daily news: evaluation of a newspaper intervention. Can J Psychiatry 2003; 48(10): 651–6PubMedGoogle Scholar
  21. 21.
    Francis C, Pirkis J, Blood RW, et al. Portrayal of depression and other mental illnesses in Australian nonfiction media. J Community Psychol 2005; 33(3): 283–97CrossRefGoogle Scholar
  22. 22.
    Haghighat R. A unitary theory of stigmatisation. Br J Psychiatry 2001; 177: 207–15CrossRefGoogle Scholar
  23. 23.
    Anderson M. ’One flew over the psychiatric unit’: mental illness and the media. J Psychiatr Ment Health Nurs 2003; 10: 297–306PubMedCrossRefGoogle Scholar
  24. 24.
    Nairn R, Coverdale J, Claasen D. From source material to news story in New Zealand print media: a prospective study of the stigmatizing processes in depicting mental illness. Aust N Z J Psychiatry 2001; 35: 654–9PubMedCrossRefGoogle Scholar
  25. 25.
    Seale C. Health and media: an overview. Sociol Health Illn 2003; 25(6): 513–31PubMedCrossRefGoogle Scholar
  26. 26.
    Hazelton M. Reporting mental health: a discourse analysis of mental health-related news in two Australian newspapers. Aust N Z J Ment Health Nurs 1997; 6: 73–89PubMedGoogle Scholar
  27. 27.
    Stark C, Patterson B, Devlin B. Newspaper coverage of a violent assault by a mentally ill person. J Psychiatr Ment Health Nurs 2004; 11: 635–43PubMedCrossRefGoogle Scholar
  28. 28.
    Nairn R. Does the use of psychiatrists as sources of information mprove media depictions of mental illness? A pilot study. Aust N Z J Psychiatry 1999; 33: 583–9PubMedCrossRefGoogle Scholar
  29. 29.
    Nairn RG, Coverdale JH. People never see us living well: an appraisal of the personal stories about mental illness in a prospective print media sample. Aust N Z J Psychiatry 2005; 39: 281–7PubMedCrossRefGoogle Scholar
  30. 30.
    Salter M, Byrne P. The stigma of mental illness: how you can use the media to reduce it. Psychiatric Bulletin 2000; 24(8): 281–3CrossRefGoogle Scholar
  31. 31.
    Wahl O. Commentary. Curr Opin Psychiatry 2001; 14: 530–1CrossRefGoogle Scholar
  32. 32.
    des Forges S. Attitudes towards mental health: the role the media plays. J Ment Health Promot 2002; 1(2): 41–5Google Scholar
  33. 33.
    Wahl OF. Depictions of mental illnesses in children’s media. J Ment Health 2003; 12(3): 249–58CrossRefGoogle Scholar
  34. 34.
    Angermeyer MC, Matschinger H. Violent attacks on public figures by persons suffering from psychiatric disorders: their effect on the social distance towards the mentally ill. Eur Arch Psychiatry Clin Neurosci 1995; 245: 159–64PubMedCrossRefGoogle Scholar
  35. 35.
    Granello DH, Pauley PS, Carmichael A. Relationship of the media to attitudes toward people with mental illness. J Humanistic Counsel Educ Dev 1999; 38(2): 98–110CrossRefGoogle Scholar
  36. 36.
    Granello DH. Television viewing habits and their relationship to tolerance toward people with mental illness. J Ment Health Counsel 2000; 22(2): 162–75Google Scholar
  37. 37.
    Stout PA, Villegas J, Jennings NA. Images of mental illness in the media: identifying gaps in the research. Schizophr Bull 2004; 30(3): 543–61PubMedCrossRefGoogle Scholar
  38. 38.
    Campbell J. Taking issue: putting violence in context [editorial]. Hosp Community Psychiatry 1994; 45: 633PubMedGoogle Scholar
  39. 39.
    Pescosolido BA, Monahan J, Link BG, et al. The public’s view of the competence, dangerousness, and need for legal coercion of persons with mental health problems. Am J Public Health 1999; 89: 1339–45PubMedCrossRefGoogle Scholar
  40. 40.
    Philo G, Secker J, Platt S, et al. The impact of the mass media on public images of mental illness: media content and audience belief. Health Educ J 1994; 53: 271–81CrossRefGoogle Scholar
  41. 41.
    Wahl OF, Lefkowits JY. Impact of a television film on attitudes toward mental illness. Am J Community Psychol 1989; 17(4): 521–8PubMedCrossRefGoogle Scholar
  42. 42.
    Sartorius N. The World Psychiatric Association global program against stigma and discrimination because of schizophrenia. In: Crisp AH, editor. Every family in the land. London: Royal Society of Medicine Press Ltd, 2004: 373–375Google Scholar
  43. 43.
    Stuart H. Violence and mental illness: an overview. World Psychiatry 2003; 2(2): 120–4Google Scholar
  44. 44.
    Marzuk P. Violence, crime, and mental illness: how strong a link? Arch Gen Psychiatry 1996; 53: 481–6PubMedCrossRefGoogle Scholar
  45. 45.
    Mayer A, Barry DD. Working with the media to destigmatize mental illness. Hosp Community Psychiatry 1992; 43(1): 77–8PubMedGoogle Scholar
  46. 46.
    Read J, Baker S. Not just sticks and stones: a survey of the stigma, taboos and discrimination experienced by people with mental health problems. Leeds: The Mental Health Charity, 1996 [online]. Available from URL: [Accessed 2005Apr 15]
  47. 47.
    Wahl OF. Telling is risky business. Piscataway (NJ): Rutgers University Press, 1999Google Scholar
  48. 48.
    Baker S, MacPherson J. The daily stigma. United Kingdom: Mind, The Mental Health Charity, 2000. Available from URL: [Accessed 2005 Apr 15]
  49. 49.
    Perlick DA, Rosneheck RA, Clarkin JF, et al. Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv 2001; 52(12): 1627–32PubMedCrossRefGoogle Scholar
  50. 50.
    Byrne P. Psychiatric stigma: past, passing and to come. J R Soc Med 1997; 90: 618–21PubMedGoogle Scholar
  51. 51.
    Sirey JA, Bruce ML, Alexopoulos GS, et al. Perceived stigma and patient-related severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 2001; 52(12): 1615–20PubMedCrossRefGoogle Scholar
  52. 52.
    McKeown M, Clancy B. Media influence on societal perceptions of mental illness. Ment Health Nurs 1995; 15(2): 10–2Google Scholar
  53. 53.
    Skolnick AA. Psychiatrists, journalists hold their first meeting of minds. JAMA 1998; 279(17): 1337–8PubMedCrossRefGoogle Scholar
  54. 54.
    Matas M, el-Guebaly N, Peterkin A, et al. Mental illness and the media: an assessment of attitudes and communication. Can J Psychiatry 1985; 30: 12–7PubMedGoogle Scholar
  55. 55.
    Day DM, Page S. Portrayal of mental illness in Canadian newspapers. Can J Psychiatry 1986; 31: 813–7PubMedGoogle Scholar
  56. 56.
    SANE Australia. SANE StigmaWatch reports and the verdict is…. Australas Psychiatry 2002; 10(3): 305CrossRefGoogle Scholar
  57. 57.
    Gaebel W, Baumann AE. Interventions to reduce the stigma associated with severe mental illness: experiences from the Open the Doors program in Germany. Can J Psychiatry 2003; 48: 657–62PubMedGoogle Scholar
  58. 58.
    Vaughan G, Hansen C. ‘Like Minds, Like Mine’: a New Zealand project to counter the stigma and discrimination associated with mental illness. Australas Psychiatry 2004; 12(2): 113–7PubMedGoogle Scholar
  59. 59.
    Kutner L, Beresin EV. Reaching out: mass media techniques for child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry 2000; 39(11): 1452–4PubMedCrossRefGoogle Scholar
  60. 60.
    Sartorius N, Schulze H. Reducing stigma due to mental illness: a report from a global program of the World Psychiatric Association. Cambridge: Cambridge University Press, 2005CrossRefGoogle Scholar
  61. 61.
    Persaud R. Psychiatrists suffer from stigma too. Psychiatr Bull 2000; 24: 284–95CrossRefGoogle Scholar

Copyright information

© Adis Data Information BV 2006

Authors and Affiliations

  1. 1.Department of Community Health and Epidemiology, Abramsky HallQueen’s UniversityKingstonCanada

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