Labeling Theory - The "mentally Ill"

The "mentally Ill"

The social construction of deviant behavior plays an important role in the labeling process that occurs in society. This process involves not only the labeling of criminally deviant behavior, which is behavior that does not fit socially constructed norms, but also labeling that which reflects stereotyped or stigmatized behavior of the "mentally ill". Labeling theory was first applied to the term "mentally ill" in 1966 when Thomas J. Scheff published Being Mentally Ill. Scheff challenged common perceptions of mental illness by claiming that mental illness is manifested solely as a result of societal influence. He argued that society views certain actions as deviant and, in order to come to terms with and understand these actions, often places the label of mental illness on those who exhibit them. Certain expectations are then placed on these individuals and, over time, they unconsciously change their behavior to fulfill them. Criteria for different mental illnesses are not consistently fulfilled by those who are diagnosed with them because all of these people suffer from the same disorder, they are simply fulfilled because the "mentally ill" believe they are supposed to act a certain way so, over time, come to do so.

Scheff's theory had many critics, most notably Walter Gove. Gove consistently argued an almost opposite theory; he believed that society has no influence at all on "mental illness". Instead, any societal perceptions of the "mentally ill" come about as a direct result of these people's behaviors. Most sociologists' views of labeling and mental illness have fallen somewhere between the extremes of Gove and Scheff. On the other hand, it is almost impossible to deny, given both common sense and research findings, that society's negative perceptions of "crazy" people has had some effect on them. It seems that, realistically, labeling can accentuate and prolong the issues termed "mental illness", but it is rarely the full cause.

Many other studies have been conducted in this general vein. To provide a few examples, several studies have indicated that most people associate being labeled mentally ill as being just as, or even more, stigmatizing than being seen as a drug addict, ex-convict, or prostitute (for example: Brand & Claiborn 1976). Additionally, Page's 1977 study found that self declared "ex-mental patients" are much less likely to be offered apartment leases or hired for jobs. Clearly, these studies and the dozens of others like them serve to demonstrate that labeling can have a very real and very large effect on the mentally ill. None of these studies, however, proved that labeling is the sole cause of any symptoms of mental illness.

Peggy Thoits discusses the process of labeling someone with a mental illness in her article, "Sociological Approaches to Mental Illness". Working off of Thomas Scheff's (1966) theory, Thoits claims that people who are labeled as mentally ill are stereotypically portrayed as unpredictable, dangerous, and unable to care for themselves. She also claims that "people who are labeled as deviant and treated as deviant become deviant" (Thoits 1999, p. 134). This statement can be broken down into two processes, one that involves the effects of self-labeling and the other differential treatment from society based on the individual's label. Therefore, if society sees mentally ill individuals as unpredictable, dangerous and reliant on others, then a person who may not actually be mentally ill but has been labeled as such, could become mentally ill.

The label of "mentally ill" may help a person seek help, for example psychotherapy or medication. Labels, while they can be stigmatizing, can also lead those who bear them down the road to proper treatment and (hopefully) recovery. If one believes that "being mentally ill" is more than just believing one should fulfill a set of diagnostic criteria (as Scheff – see above – would argue), then one would probably also agree that there are some who are labeled "mentally ill" who need help. It has been claimed that this could not happen if "we" did not have a way to categorize (and therefore label) them, although there are actually plenty of approaches to these phenomena that don't use categorical classifications and diagnostic terms, for example spectrum or continuum models. Here, people vary along different dimensions, and everyone falls at different points on each dimension.