Losing face: sources of stigma as perceived by chronic facial pain patients

The purpose of this paper is to identify potential sources of estrangement and feeling psychologically flawed as perceived by temporomandibular pain and dysfunction syndrome (TMPDS) patients. It is our hypothesis that a primary source of patients' perceived stigma results from pejorative labeli...

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Bibliographic Details
Published in:Journal of behavioral medicine 1990-12, Vol.13 (6), p.583-604
Main Authors: MARBACH, J. J, LENNON, M. C, LINK, B. G, DOHRENWEND, B. P
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Adult and adolescent clinical studies
Attitude of Health Personnel
Biological and medical sciences
Female
Humans
Life Change Events
Medical sciences
Organic mental disorders. Neuropsychology
Pain Measurement
Personality Inventory
Prejudice
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sick Role
Temporomandibular Joint Dysfunction Syndrome - psychology
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Summary:The purpose of this paper is to identify potential sources of estrangement and feeling psychologically flawed as perceived by temporomandibular pain and dysfunction syndrome (TMPDS) patients. It is our hypothesis that a primary source of patients' perceived stigma results from pejorative labeling by clinicians. The data come from a study of 151 women TMPDS patients. The results show that the lack of a known etiology or pathogenesis for the condition allows the possibility of pejorative labeling by influential others such as physicians and dentists that in turn causes TMPDS sufferers to feel stigmatized. Stigmatization is not the result of clinical factors per se or personality problems. Perceived stigma associated with TMPDS leads to the same sorts of strained interactions and feeling estranged that have been shown to be typical of people with other stigmatized conditions. These strains and feelings in turn may contribute to ill health.
ISSN:0160-7715
1573-3521
DOI:10.1007/BF00844736