Changing the narrative: A qualitative study on the impact of media portrayals on people with schizophrenia

Abstract

The stigma surrounding schizophrenia, heavily shaped by media portrayals, significantly affects individuals’ lives, often delaying help-seeking and treatment. These negative representations can lead to social rejection, isolation, and worsened mental health outcomes. This qualitative study delves into the lived experiences of individuals diagnosed with schizophrenia, exploring how public perceptions of mental disorders, particularly schizophrenia, influence their health journeys and daily lives. Rooted in Gadamer’s hermeneutic phenomenology, the study involved in-depth interviews with 10 participants diagnosed with schizophrenia. Data were analyzed using ATLAS.ti software to uncover key themes in their experiences. Four themes emerged. Media Portrayal highlighted how negative depictions of schizophrenia, such as violence, reinforce societal stigma. This leads to Self-Stigma, where people diagnosed with schizophrenia internalize these views, hindering help-seeking. Social Support emphasized the importance of family and friends, although stigma sometimes complicates these relationships. Healthcare Provider Relationships pointed to frustration with frequent staff changes, undermining trust in care. Participants suggested Professional Training in empathy and a Shift in Media Representation to improve perceptions of schizophrenia and Mental Health Literacy. Media representations and societal stigma significantly impact the health-illness process for individuals with schizophrenia. More accurate portrayals in the media, combined with greater awareness and empathy from healthcare providers, could reduce stigma and improve treatment engagement and trust.