Faking It: Is This The Real Stigma of Psychiatric Disability?

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It is commonly believed that psychiatric disabilities carry a stigma. And I’m not sure about anybody else at this point, but I know that at least I have always assumed that this stigma had something to do with being weak — essentially a weakness of character, or virtue — something about being unreliable, undisciplined, infantile, etc.

But following certain uncomfortable encounters I’ve had in recent months, it has become increasingly apparent to me that this mental illness stigma may actually be a lot more specific than that. I have come to strongly suspect that this stigma may be really and really mostly about malingering — the unscrupulous practice of faking or exaggerating an impairment of some sort, in order to exploit the sympathy, compassion, guilt, etc. of others for selfish gain.

To be clear, at this point for me this is really just a strong suspicion — more opinion than fact, or maybe a conjecture, or hypothesis — that I seem to find much more plausible than its competitors. I think it’s critical we not forget that — primarily because I also believe that one of the most damaging mistakes a person can make is to confuse an hypothesis for established fact, a merely plausible idea for one that is actually true. And also because I strongly suspect that this very mistake is what’s actually causing the stigma in the first place! I think it would be tragically ironic to try to solve the problem of the stigma that burdens those with psychiatric disabilities with the very sort of foolishness that may be causing it.

So, again, I currently believe (until I encounter the sort of evidence that could change my mind about it) that this mental health stigma may be really and mostly about malingering.

What about you?

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