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Creating a more supportive culture: Microaggressions in mental health

13 Oct 2021 | Rosie Allister

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Part of 萝莉视频鈥檚 #BigConversation on microaggressions. Dr Rosie Allister, Vetlife Helpline manager, highlights the impact everyday comments can have on colleagues who are struggling with their mental health, and why a change in culture is needed.

Creating a more supportive culture: Microaggressions in mental health Image

Sometimes when people call Vetlife Helpline, as part of the conversation we ask whether they鈥檝e been able to speak to anyone in their workplace else about a problem.

When you ask questions like this, you see, played out in real people鈥檚 lives, one of the many reasons why discrimination, stigma, and microaggressions in the workplace matter. You hear about the impact not only on the people who experience them, but also those who witness them.

Stereotypes and stigma

There鈥檚 an abundance of evidence that stigma stops people from asking for help when they need it. It鈥檚 an important factor inhibiting help-seeking in mental health globally. In recent years in mental health, people have started to think about microaggressions too.

Some of the stereotyping or bias seen in microaggressions may seem minor and may not be seen as harmful by some people living with mental health problems. It may also be implicit 鈥 people exhibiting microaggressions may not be aware of their bias. However, bias, stereotypes, stigma and discrimination, don鈥檛 occur alone. They add together and interact. In ethics, theoretical models suggest that small factors causing harm can aggregate to harm that is greater than the sum of their parts1,2,3. Daily exposure to subtle discrimination may, paradoxically, have a larger negative effect than other forms of blatant discrimination4.

Vets have probably all seen a grass seed causing havoc distant from their point of entry. We know what might seem like a small thing in one context, can hurt.

The case for considering our words

In mental health, most microaggressions that had been studied were perpetrated by people known to the person, rather than by strangers5. However, there are also many similarities between mental health microaggressions and those towards other minoritized people. Particularly assumptions about dangerousness or inferiority, which comments like 鈥淲e don't want to overly stress you鈥, or 鈥淥h no, you're feeling anxious again! Maybe you shouldn't do this procedure from the 萝莉视频 poster demonstrate.

Microaggressions are 鈥渂rief, everyday forms of discrimination鈥6, but they can be hard to fully understand due to difficulty distinguishing them from other forms of discrimination. Sometimes they can seem contradictory, or ambiguous, which is recognised as a limitation in mental health research. There鈥檚 more certainly work to be done to understand the extent of their impact.

So given these limitations, should we be calling attention to microaggressions towards mental health problems in veterinary workplaces?

Yes.

It takes immense courage for people to ask for help for conditions that are stigmatised. When people feel it isn鈥檛 a safe environment to do that, they often won鈥檛 be able to. Microaggressions and other discrimination of course have wider harm than just inhibiting help-seeking, but even just considering this one harm, the case for considering our words demands our attention. Careless bias, enacted in small ways, can have wider implications. Sometimes hard to see, because the act itself is fleeting, the effects may add and interact and aggregate to a harm greater than the sum of their parts.

We can change the culture

Addressing microaggressions in mental health isn鈥檛 about policing language. It鈥檚 about making time to reflect on what our language reveals about our attitudes and awareness.

The microaggressions listed for mental health in this campaign reveal ignorance of the seriousness of mental illness 鈥淚鈥檓 so OCD today鈥. They reveal microinvalidations, and intolerance. They point to culture. We can change culture. We can redefine the standard we are prepared to walk past, and accept, and ask for better.

If you鈥檇 like to talk, you can call Vetlife Helpline for confidential support 24 hours a day on 0303 040 2551 or email via .听

This blog is part of the 萝莉视频 #BigConversation on microaggressions. You can download posters to help start the conversation in your workplace, or read our blogs looking at microaggressions related to:

  1. Brennan S. Moral lumps. Ethical Theory and Moral Practice 2006;9(3):249鈥63. 29
  2. Hutchison K. Gender bias in medical implant design and use: a type of moral aggregation problem? Hypatia 2019;34(3):570鈥91.
  3. Hutchison K. Four types of gender bias affecting women surgeons and their cumulative impact. J Med Ethics. 2020 Apr;46(4):236-241. doi: 10.1136/medethics-2019-105552. Epub 2020 Mar 30. PMID: 32229595.
  4. Crocker,听J,听Major,听B听and听Steele,听C听(1998)听Social stigma. In听Gilbert,听DT,听Fiske,听ST听and听Lindzey,听G听(eds),听The Handbook of Social Psychology,听4th Edn.New York, USA:听McGraw-Hill, pp.听504鈥553.
  5. Gonzales,听L,听Davidoff,听KC,听Nadal,听K听and听Yanos,听PT听(2015听a)听Microaggressions experienced by persons with mental illnesses: an exploratory study.听Psychiatric Rehabilitation Journal听38,听234鈥241.
  6. Barber, S., Gronholm, P., Ahuja, S., R眉sch, N., & Thornicroft, G. (2020). Microaggressions towards people affected by mental health problems: A scoping review.听Epidemiology and Psychiatric Sciences,听29, E82. doi:10.1017/S2045796019000763

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