Sensos-e Vol: III Num: 1  ISSN 2183-1432
URL: http://sensos-e.ese.ipp.pt/?p=10597

Contratempo: utilização da música como um instrumento de inovação social para o combate ao estigma na doença mental

Author: Carlos Campos Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
Author: Tiago Rodrigues Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Faculdade de Engenharia da Universidade do Porto
Author: João Pereira Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto
Author: Luís Ribeiro Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto
Author: Ana Morais Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Teresa Santos Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Filipa Campos Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Liliana Silva Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Luísa Pereira Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: António J. Marques Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP, Faculdade de Psicologia da Universidade do Porto
Author: Raquel Simões de Almeida Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP, Faculdade de Psicologia da Universidade do Porto

Abstract: Social stigma critically hinders the recovery process of people with mental illness, diminishing their quality of life and community participation. In the last decades several approaches to reduce stigma have been explored, including protest, education and contact, with the last two being the gold standard to reduce social stigma. Music has a close relationship with mental health as several studies have proven its’ emotional, behavioral and biological benefits for people with mental illness. Music has also been explored as an innovative and impacting tool to fight social stigma, concurrently allowing to reduce experienced self-stigma as people with mental illness play an active role on the creative process and at the artistic events within their community. The goal of this work is to critically describe the intervention procedures of the Contratempo project, framing it within the current state of the art regarding anti-stigma research. This is a social innovation project which brings together university students and people with mental illness in the same creative environment. Together, the group develops musical products and events in order to fight social stigma and promote social inclusion for people with mental illness.
Keywords: social stigma, self-stigma, mental illness, music, community inclusion

Contratempo: utilização da música como um instrumento de inovação social para o combate ao estigma na doença mental

Author: Carlos Campos Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto, Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
Author: Tiago Rodrigues Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Faculdade de Engenharia da Universidade do Porto
Author: João Pereira Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto
Author: Luís Ribeiro Afiliation: Associação Cultural e Recreativa Tuna de Tecnologia da Saúde do Porto, Escola Superior de Tecnologia da Saúde do Porto
Author: Ana Morais Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Teresa Santos Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Filipa Campos Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Liliana Silva Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: Luísa Pereira Afiliation: Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP
Author: António J. Marques Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP, Faculdade de Psicologia da Universidade do Porto
Author: Raquel Simões de Almeida Afiliation: Escola Superior de Tecnologia da Saúde do Porto, Associação Nova Aurora na Reabilitação e Reintegração Psicossocial - ANARP, Faculdade de Psicologia da Universidade do Porto

Sorry, this entry is only available in Português.



References


Arboleada-Flórez, J., & Sartorius, N. (2008). Understanding the Stigma of Mental Illness: Theory and Interventions. Chichester, England: Wiley.

Associação Encontrar+se (2008). UPA08 Unidos para Ajudar; Levanta-te contra a discriminação das doenças mentais. Consulta em http://www.encontrarse.pt/upa08/

Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Degenhardt, L., & Whiteford, H. A. (2014). The global burden of mental and substance use disorders: changes in estimating burden between GBD1990 and GBD2010. Epidemiol Psychiatr Sci, 23(3), 239-249. doi:10.1017/S2045796014000237

Bos, A. E., Kanner, D., Muris, P., Janssen, B., & Mayer, B. (2009). Mental illness stigma and disclosure: consequences of coming out of the closet. Issues Ment Health Nurs, 30(8), 509-513. doi:10.1080/01612840802601382

Brockington, I. F., Hall, P., Levings, J., & Murphy, C. (1993). The community’s tolerance of the mentally ill. Br J Psychiatry, 162, 93-99.

Byrne, P. (1999). Stigma of mental illness. Changing minds, changing behaviour. Br J Psychiatry, 174, 1-2.

Chong, H. Y., Teoh, S. L., Wu, D. B., Kotirum, S., Chiou, C. F., & Chaiyakunapruk, N. (2016). Global economic burden of schizophrenia: a systematic review. Neuropsychiatr Dis Treat, 12, 357-373. doi:10.2147/NDT.S96649

Clement, S., Lassman, F., Barley, E., Evans-Lacko, S., Williams, P., Yamaguchi, S., . . . Thornicroft, G. (2013). Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev, 7, CD009453. doi:10.1002/14651858.CD009453.pub2

Coordenação Nacional para a Saúde Mental (2008). Plano Nacional de Saúde Mental 2007-2016 – Resumo Executivo. Lisboa, Portugal: Ministério da Saúde, Alto Comissariado da Saúde.

Corrigan, P. (2004). How stigma interferes with mental health care. Am Psychol, 59(7), 614-625. doi:10.1037/0003-066X.59.7.614

Corrigan, P., Markowitz, F. E., Watson, A., Rowan, D., & Kubiak, M. A. (2003). An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav, 44(2), 162-179.

Corrigan, P. W. (2016). Resolving mental illness stigma: should we seek normalcy or solidarity? Br J Psychiatry, 208(4), 314-315. doi:10.1192/bjp.bp.115.169664

Corrigan, P. W., Edwards, A. B., Green, A., Diwan, S. L., & Penn, D. L. (2001). Prejudice, social distance, and familiarity with mental illness. Schizophr Bull, 27(2), 219-225.

Corrigan, P. W., & Fong, M. W. (2014). Competing perspectives on erasing the stigma of illness: what says the dodo bird? Soc Sci Med, 103, 110-117. doi:10.1016/j.socscimed.2013.05.027

Corrigan, P. W., Larson, J. E., & Rüsch, N. (2009). Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75-81.

Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv, 63(10), 963-973. doi:10.1176/appi.ps.201100529

Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. Am Psychol, 54(9), 765-776.

Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: stages, disclosure, and strategies for change. Can J Psychiatry, 57(8), 464-469.

Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clin Psychol Rev, 30(8), 907-922. doi:10.1016/j.cpr.2010.06.004

Direção-Geral da Saúde (2014). Portugal: Saúde Mental em Números – 2014. Lisboa: Direção de Serviços de Informação e Análise, DGS.

Erkkilä, J., Gold, C., Fachner, J., Ala-Ruona, E., Punkanen, M., & Vanhala, M. (2008). The effect of improvisational music therapy on the treatment of depression: protocol for a randomised controlled trial. BMC Psychiatry, 8, 50. doi:10.1186/1471-244X-8-50

National Institute for Health and Care Excellence (2014). Psychosis and schizophrenia in adults: treatment and management. London: NICE.

Fancourt, D., Perkins, R., Ascenso, S., Carvalho, L. A., Steptoe, A., & Williamon, A. (2016). Effects of Group Drumming Interventions on Anxiety, Depression, Social Resilience and Inflammatory Immune Response among Mental Health Service Users. PLoS One, 11(3), e0151136. doi:10.1371/journal.pone.0151136

Gillam, T. (2002). Reflections on Community Psychiatric Nursing. London, UK: Routledge, Taylor & Francis Group.

Global Burden of Disease Study Collaborators (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 386(9995), 743-800. doi:10.1016/S0140-6736(15)60692-4

Gold, C., Solli, H. P., Krüger, V., & Lie, S. A. (2009). Dose-response relationship in music therapy for people with serious mental disorders: systematic review and meta-analysis. Clin Psychol Rev, 29(3), 193-207. doi:10.1016/j.cpr.2009.01.001

Gold, C., Voracek, M., & Wigram, T. (2004). Effects of music therapy for children and adolescents with psychopathology: a meta-analysis. J Child Psychol Psychiatry, 45(6), 1054-1063. doi:10.1111/j.1469-7610.2004.t01-1-00298.x

Gold, C., Wigram, T., & Elefant, C. (2006). Music therapy for autistic spectrum disorder. Cochrane Database Syst Rev(2), CD004381. doi:10.1002/14651858.CD004381.pub2

Griffiths, K. M., Carron-Arthur, B., Parsons, A., & Reid, R. (2014). Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry, 13(2), 161-175. doi:10.1002/wps.20129

Gustavsson, A., Svensson, M., Jacobi, F., Allgulander, C., Alonso, J., Beghi, E., . . . Group, C. S. (2011). Cost of disorders of the brain in Europe 2010. Eur Neuropsychopharmacol, 21(10), 718-779. doi:10.1016/j.euroneuro.2011.08.008

Gutiérrez-Maldonado, J., Caqueo-Urízar, A., & Ferrer-García, M. (2009). Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol, 44(5), 343-348. doi:10.1007/s00127-008-0451-9

Hacking, S., Secker, J., Spandler, H., Kent, L., & Shenton, J. (2008). Evaluating the impact of participatory art projects for people with mental health needs. Health Soc Care Community, 16(6), 638-648. doi:10.1111/j.1365-2524.2008.00789.x

Heenan, D. (2006). Evaluating the impact of participatory art projects for people with mental health needs. Health Soc Care Comunity, 16(6), 638-648.

Hinshaw, S. P., & Cicchetti, D. (2000). Stigma and mental disorder: conceptions of illness, public attitudes, personal disclosure, and social policy. Dev Psychopathol, 12(4), 555-598.

Holzinger, A., Dietrich, S., Heitmann, S., & Angermeyer, M. (2008). [Evaluation of target-group oriented interventions aimed at reducing the stigma surrounding mental illness]. Psychiatr Prax, 35(8), 376-386. doi:10.1055/s-2008-1067396

Kielstra, P. (2014). Mental Health and Integration - Provision For Supporting People with Mental Illness: A Comparison of 30 European Countries. Geneva, Switzerland: The Economist Intelligence Unit.

Koger, S. M., Chapin, K., & Brotons, M. (1999). Is Music Therapy an Effective Intervention for Dementia?A Meta-Analytic Review of Literature. J Music Ther, 36(1), 2-15.

Lin, S. T., Yang, P., Lai, C. Y., Su, Y. Y., Yeh, Y. C., Huang, M. F., & Chen, C. C. (2011). Mental health implications of music: insight from neuroscientific and clinical studies. Harv Rev Psychiatry, 19(1), 34-46. doi:10.3109/10673229.2011.549769

Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv, 52(12), 1621-1626. doi:10.1176/appi.ps.52.12.1621

Llerena, A., Cáceres, M. C., & Peñas-LLedó, E. M. (2002). Schizophrenia stigma among medical and nursing undergraduates. Eur Psychiatry, 17(5), 298-299.

Macrae, C. N., Bodenhausen, G. V., Milne, A. B., & Jetten, J. (1994). Out of mind but back in sight stereotypes on the rebound. Journal of Personality and Social Psychology, 67(5), 808-817. doi:10.1037/0022-3514.67.5.808

Maratos, A. S., Gold, C., Wang, X., & Crawford, M. J. (2008). Music therapy for depression. Cochrane Database Syst Rev(1), CD004517. doi:10.1002/14651858.CD004517.pub2

Mehta, N., Clement, S., Marcus, E., Stona, A. C., Bezborodovs, N., Evans-Lacko, S., . . . Thornicroft, G. (2015). Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: systematic review. Br J Psychiatry, 207(5), 377-384. doi:10.1192/bjp.bp.114.151944

Murray, C. J., Barber, R. M., Foreman, K. J., Abbasoglu Ozgoren, A., Abd-Allah, F., Abera, S. F., . . . Collaborators, G. D. a. H. (2015). Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition. Lancet, 386(10009), 2145-2191. doi:10.1016/S0140-6736(15)61340-X

Mössler, K., Chen, X., Heldal, T. O., & Gold, C. (2011). Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database Syst Rev(12), CD004025. doi:10.1002/14651858.CD004025.pub3

Organização Mundial de Saúde (2013). Mental Health Action Plan: 2013-2020. Geneva, Switzerland: OMS.

Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. J Pers Soc Psychol, 90(5), 751-783. doi:10.1037/0022-3514.90.5.751

Pettigrew, T. F., Tropp, L. R., Wagner, U., & Christ, O. (2011). Recent advances in intergroup contact theory. Int J Intercult Relat, 35(3), 271-280. doi:10.1016/j.ijintrel.2011.03.001

Reinke, R. R., Corrigan, P. W., Leonhard, C., Lundin, R. K., & Kubiak, M. A. (2004). Examining two aspects of contact on the stigma of mental illness. Journal of Social and Clinical Psychology, 23(3), 377-389. doi:10.1521/jscp.23.3.377.35457

Reynolds, L., Innes, A., Poyner, C., & Hambidge, S. (2016). ‘The stigma attached isn’t true of real life’: Challenging public perception of dementia through a participatory approach involving people with dementia (Innovative Practice). Dementia (London). doi:10.1177/1471301216635828

Roe, D., Hasson-Ohayon, I., Derhi, O., Yanos, P. T., & Lysaker, P. H. (2010). Talking about life and finding solutions to different hardships: a qualitative study on the impact of narrative enhancement and cognitive therapy on persons with serious mental illness. J Nerv Ment Dis, 198(11), 807-812. doi:10.1097/NMD.0b013e3181f97c50

Russinova, Z., Rogers, E. S., Gagne, C., Bloch, P., Drake, K. M., & Mueser, K. T. (2014). A randomized controlled trial of a peer-run antistigma photovoice intervention. Psychiatr Serv, 65(2), 242-246. doi:10.1176/appi.ps.201200572

Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry, 20(8), 529-539. doi:10.1016/j.eurpsy.2005.04.004

Scottish Intercollegiate Guidelines Network, (2013). Management of schizophrenia. Edinburgo: SIGN.

Silverman, M. J. (2003). The influence of music on the symptoms of psychosis: a meta-analysis. J Music Ther, 40(1), 27-40.

Silverman, M. J. (2013). Effects of music therapy on self- and experienced stigma in patients on an acute care psychiatric unit: a randomized three group effectiveness study. Arch Psychiatr Nurs, 27(5), 223-230. doi:10.1016/j.apnu.2013.06.003

Solli, H. P., & Rolvsjord, R. (2015). “The Opposite of Treatment”: A qualitative study of how patients diagnosed with psychosis experience music therapy. Nord J Music Ther, 24(1), 67-92. doi:10.1080/08098131.2014.890639

Song in the City (2014). Creative Madness in Song.   Consulta em http://songinthecity.org/social-projects/

Spandler, H., Secker, J., Kent, L., Hacking, S., & Shenton, J. (2007). Catching life: the contribution of arts initiatives to recovery approaches in mental health. J Psychiatr Ment Health Nurs, 14(8), 791-799. doi:10.1111/j.1365-2850.2007.01174.x

Staricoff, R. (2004). Arts in health: a review of the medical literature. London, UK: Arts Council England.

Stewart, J., Jauffur, D., & Walker, K. (2015). Rehabilitation and high support services. Lancashire, UK: Pennine Care NHS Foundation Trust.

Stubbs, A. (2014). Reducing mental illness stigma in health care students and professionals: a review of the literature. Australas Psychiatry, 22(6), 579-584. doi:10.1177/1039856214556324

Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., & Group, I. S. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet, 373(9661), 408-415. doi:10.1016/S0140-6736(08)61817-6

Vink, A. C., Birks, J. S., Bruinsma, M. S., & Scholten, R. J. (2004). Music therapy for people with dementia. Cochrane Database Syst Rev(3), CD003477. doi:10.1002/14651858.CD003477.pub2

Wahl, O. (1995). Media Madness: Public Images of Mental Illness. Piscataway, NJ: Rutgers University Press.

Wahl, O. F. (1999). Mental health consumers’ experience of stigma. Schizophr Bull, 25(3), 467-478.

Whiteford, H. A., Ferrari, A. J., Degenhardt, L., Feigin, V., & Vos, T. (2015). The global burden of mental, neurological and substance use disorders: an analysis from the Global Burden of Disease Study 2010. PLoS One, 10(2), e0116820. doi:10.1371/journal.pone.0116820

Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., . . . Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol, 21(9), 655-679. doi:10.1016/j.euroneuro.2011.07.018

Yamaguchi, S., Wu, S. I., Biswas, M., Yate, M., Aoki, Y., Barley, E. A., & Thornicroft, G. (2013). Effects of short-term interventions to reduce mental health-related stigma in university or college students: a systematic review. J Nerv Ment Dis, 201(6), 490-503. doi:10.1097/NMD.0b013e31829480df

Yang, L. H., Kleinman, A., & Cho, S. (2008). Stigma of Mental Illness. In H. Quah (Ed.), International Encyclopedia of Public Health (Vol. 6, pp. 219-230). San Diego, CA: Academic Press.

Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatr Rehabil J, 38(2), 171-178. doi:10.1037/prj0000100

Youth Affair Council of Western Australia (2016). Music Feedback.  Consulta em https://www.yacwa.org.au/blog/projects/music-feedback/