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iv CHAPTER 1: OVERVIEW 1 The Present Study 3 CHAPTER 2: LITERATURE REVIEW 4 The Process of Stigmatization 6 The Stigma of Seeking Psychological Help 7 Conceptual Models of Stigmatizing Attributes 8 The Distinction Between Mental Illness and Help-seeking Stigma 9 Public stigma 10 Self Stigma 11 Self-stigma as internalized public stigma. 11 Self-stigma as the opposite of personal empowerment. 12 Self-stigma as diminished self-esteem and self-efficacy. 14 Toward a unified conceptualization of self-stigma 14 Assessing Self-Stigma 16 Measuring the self-stigma of mental illness. 16 Measuring the self-stigma of seeking help. 17 Correlates of Self-Stigma 18 Predictors of the self-stigma of mental illness. 18 Predictors of self-stigma of seeking psychological help. 18 Self-Stigma in College Populations 19 Stigma Before and After Treatment 20 Mental Illness and Help-Seeking Stigma in Decisions to Seek Help 22 Interventions to Decrease Self-Stigma 23 Hypotheses and Rationale of the Present Study 27 CHAPTER 3: METHOD 32 Sample Size Planning 32 Participants 32 Procedure 33 Instruments 33 Psychological symptoms 33 Public stigma of seeking psychological help 34 Public stigma of mental illness 35 Self-stigma of seeking psychological help 36 The self-stigma of mental illness 36 Self-esteem 37 The self-stigma of depression 38 Attitudes toward seeking psychological help 39

More than "mentally-ill": Differentiating help-seeking from mental-illness stigma in a college population