Stigma, Stigmatisasi, Perilaku Kekerasan dan Ketakutan diantara Orang dengan Gangguan Jiwa (ODGJ) di Indonesia: Penelitian Constructivist Grounded theory

Authors

  • Muhammad Arsyad Subu Sekolah Tinggi Ilmu Kesehatan (STIKes Binawan)
  • Imam Waluyo Sekolah Tinggi Ilmu Kesehatan (STIkes) Binawan
  • Adnil Edwin Nurdin Fakultas Kedokteran Universitas Andalas
  • Vetty Priscilla Fakultas Keperawatan Universitas Andalas
  • Tilawaty Aprina Akademi Kebidanan Aisiyah Pontianak

DOI:

https://doi.org/10.21776/ub.jkb.2018.030.01.10

Keywords:

Constructivist grounded theory, gangguan jiwa, ketakutan, perilaku kekerasan, stigma, stigmatisasi

Abstract

Perilaku kekerasan dan perasaan ketakutan serta stigma dan proses stigmatisasi terkait orang dengan gangguan jiwa (ODGJ) banyak dilaporkan. Penelitian ini bertujuan memahami dampak stigma dan proses stigmatisasi terhadap perilaku kekerasan oleh ODGJ dan perilaku kekerasan terhadap ODGJ dan untuk mengetahui ketakutan yang dirasakan oleh ODG serta ketakutan orang lain terhadap ODGJ. Penelitian menggunakan metode Charmaz Constructivist Grounded Theory (CCGT) dengan 30 pasien dan perawat yang bekerja di RS. Marzoeki Mahdi Bogor sebagai partisipan. Metode pengumpulan data dilakukan dengan wawancara semi-terstruktur, dokumen review, memo dan catatan lapangan dan dianalisis dengan Paille grounded theory analisis. Penelitian ini menghasilkan dua tema utama: 1) perilaku kekerasan dan 2) perasaan ketakutan; serta sembilan sub-kategori. Hasil penelitian menunjukkan bahwa perilaku kekerasan dilakukan oleh pasien termasuk terhadap diri sendiri, keluarga, masyarakat, dan tenaga kesehatan. Kekerasan juga dialami oleh penderita dari orang lain. Akibat stigmatisasi, ketakutan dirasakan oleh penderita dan orang lain tehadap penderita. Dampak stigmatisasi dimanifestasikan dengan perilaku kekerasan dan ketakutan yang dialami oleh penderita sendiri, keluarga, dan masyarakat.  

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References

Harpham T, Reichenheim M, Oser R, et al. Health in Cost Effective Manner. Health Policy and Planning. 2003; 18(3): 344-349.

Kapungwe A, Cooper S, Mwanza J, et al. Mental Illness - Stigma and Discrimination in Zambia. African Journal of Psychiatry. 2010; 13 (3): 192-203.

Departemen Kesehatan RI. Riset Kesehatan Dasar-Riskesdas 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Depkes RI; 2013.

Hawari D. Pendekatan Holistik Pada Gangguan Jiwa Skizofrenia. Jakarta Indonesia: Gaya Baru; 2001.

Jones CP. Stigma: Tattooing and Branding in Graeco-Roman Antiquity. Journal of Roman Studies. 1987; 77: 139-155.

Link BG and Phelan JC. Conceptualizing Stigma. Annual Review of Sociology. 2001; 27: 363-385.

Wirnata. 280 Tanya Jawab Mengenai Kesehatan Jiwa. Cetakan I. Jakarta: Rumah Sakit Jiwa Dr. Soeharto Heerdjan; 2012.

Keliat B and Akemat. Model Praktik Keperawatan Profesional Jiwa. Jakarta: EGC; 2010.

Stuart H. Stigma and Work. Healthcare papers. 2004; 5(2): 100-111.

Teplin LA, McClelland GM, Abram KM, and Weiner DA. Crime Victimization in Adults with Severe Mental Illness. Comparison with the National Crime Victimization Survey. Archives of general psychiatry. 2005; 62(8): 911-921.

Solomon PL, Cavanaugh MM, and Gelles RJ. Family Violence among Adults with Severe Mental Illness: A Neglected Area of Research. Trauma, Violence, & Abuse. 2005; 6(1): 40-54.

Katsikidou M, Samakouri M, Fotiadou M, et al. Victimization of the Severely Mentally Ill in Greece: The Extent of the Problem. International Journal of Social Psychiatry. 2012; 59(7): 706-715.

Holmes D, Rudge T, Perron A, and St-Pierre I. Introduction (Re) Thinking Violence in Health Care Settings: A Critical Approach. In Holmes, D., Rudge, T., Perron, A. (Eds). (Re)Thinking Violence in Health Care Settings: A Critical Approach. Farnham, Surrey, UK: Ashgate Publishing, Ltd; 2012.

Holmes D, Perron A, and O’Byrne P. Understanding Disgust in Nursing: Abjection, Self and the Other. Research and Theory for Nursing Practice: An International Journal. 2006; 20(4): 305-315.

Jacob JD and Holmes D. Working Under Threat: Fear and Nurse-Patient Interactions in a Forensic Psychiatric Setting. Journal of Forensic Nursing. 2011; 7(2): 68-77.

Kindy D, Petersen S, and Parkhurst D. Perilous Work: Nurses’ Experiences in Psychiatric Units with High Risks of Assault. Archives of Psychiatric Nursing. 2005; 19(4): 169-175.

Arboleda-Florez J. Considerations on the Stigma of Mental Illness. Canadian Journal of Psychiatry. 2003: 48(10): 645-650.

Araujo B and Borrell L. Understanding the Link between Discrimination, Mental Health Outcomes, and Life Chances among Latinos. Hispanic Journal of Behavior Sciences. 2012; 28(2): 245-266.

Jorm AF and Griffiths KM. The Public’s Stigmatizing Attitudes towards People with Mental Disorders: How Important are Biomedical Conceptualizations? Acta Psychiatrica Scandinavica. 2008; 118(4): 315-321.

Subu MA. Pemanfaatan Terapi Tradisional dan Alternatif oleh Penderita Gangguan Jiwa. Jurnal Keperawatan Padjadjaran. 2015; 3 (3): 193-203.

Charmaz K. Constructing Grounded Theory. A Practical Guide through Qualitative Analysis. London: Sage Publications; 2006.

Paillé P. L’analyse par Théorisation Ancrée. Cahiers de recherche sociologique. 1994; 23: 147-181.

Heath H and Cowley S. Developing a Grounded Theory Approach: A Comparison of Glaser and Strauss. International Journal of Nursing Studies. 2004; 41 (2): 141-150.

Subu MA, Holmes D, Elliot J, and Jacob JD. Persistent Taboo: Understanding Mental Illness and Stigma among Indonesian Adults through Grounded Theory. Asian Journal of Pharmacy, Nursing and Medical Sciences. 2017; 05(01): 1-11.

Tarrier N, Barrowclough C, Andrews B, and Gregg L. Risk of Non-Fatal Suicide Ideation and Behaviour in Recent Onset Schizophrenia. Social Psychiatry and Psychiatric Epidemiology. 2004; 39 (11): 927-937.

Fox C and Hawton K. Deliberate Self-Harm in Adolescence. London: Jessica Kingsley Publishers; 2004.

Corrigan PW and Watson AC. Findings from the National Comorbidity Survey on the frequency of violent behavior in individuals with psychiatric disorders. Psychiatry Research. 2005; 136(2-3): 153-162.

Wehring HJ and Carpenter WT. Violence and Schizophrenia. Schizophrenia Bulletin. 2011; 37(5): 877-878.

Davison SE. The management of Violence in General Psychiatry. Advances in Psychiatric Treatment. 2005; 11(5): 362-370.

Bilgin H and Buzlu S. A Study of Psychiatric Nurses’ Beliefs and Attitudes about Work Safety and Assaults in Turkey. Issues in Mental Health Nursing. 2006; 27(1): 75-90.

Daulima NH. Proses Pengambilan Keputusan Tindakan Pasung Oleh Keluarga Terhadap Klien Gangguan Jiwa. [Disertasi]. Fakultas Ilmu Keperawatan Universitas Indonesia, Depok. 2014.

Putra KR, Hamid AYS, Mustikasari. Pengaruh Lingkungan Kerja Perawat Terhadap Pelaksanaan Praktek Keperawatan Di Rumah Sakit Umum Dr. SaifuL Anwar Malang Tahun 2006. Jurnal Kedokteran Brawijaya. 2007; 8(1): 50-54.

Foster C, Bowers L, and Nijman H. Aggressive Behaviour on Acute Psychiatric Wards: Prevalence, Severity and Management. Journal of Advanced Nursing; 2007; 58(2), 140-149.

Stuart H. Media Portrayal of Mental Illness and Its Treatments: What Effect Does It Have on People with Mental Illness? CNS Drugs. 2006; 20(2): 99-106.

Bathje G and Pryor J. The Relationship of Public and Self-Stigma to Seeking Mental Health Services. Journal of Mental Health Counseling. 2011; 33(2): 161-176.

Dingfelder SF. Stigma: Alive and Well. American Psychological Association Monitor. 2009; 40(6): 56-60.

Hsu CC, Sheu CJ, Liu SI, Sun YW, Wu SI, and Lin Y. Crime Victimization of Persons with Severe Mental Illness in Taiwan. Australian and New Zealand Journal of Psychiatry. 2009; 43(5): 460-466.

Michaels PJ, López M, Rüsch N, and Corrigan PW. Constructs and Concepts Comprising the Stigma of Mental Illness. Psychology, Society, and Education. 2012; 4(2): 183-194.

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Published

2018-02-28

Issue

Vol 30, No. 1 (2018)

Section

Research Article

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