Social Exclusion Among People with Mental Health Conditions in Indonesia

The Case of Pasung

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Handbook of Social Inclusion

Abstract

This chapter puts into spotlight a troubling yet prevalent case of social exclusion targeted toward people with mental health conditions (PMHC) in Indonesia. One extreme example is pasung, an inhumane practice of physical restraint and confinement of PMHC, which is birthed from barriers in both personal and systemic level to seek mental health care. The chapter opens the discussion from the current situation of mental health conditions in Indonesia and moves toward the social exclusion of Indonesian PMHC. Multifaceted forms of exclusion are further explored. As the main analysis, a brief observational survey to PMHC respondents across the country is conducted and respective social indicators are analyzed, to shed light on the extent of social inclusion of PMHC. Finally, strategies supporting inclusivity currently being implemented in Indonesia are examined. It is hoped that the narrative and methodology presented in this chapter may invite policymakers and relevant stakeholders to prioritize inclusivity programs for PMHC in Indonesia, and most importantly, to galvanize and sustain efforts toward the eradication of pasung in all corners of the Indonesian archipelago.

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References

  • Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., Shankar, A. H., Thabrany, H., & Indonesian Health Systems Group. (2019). Universal health coverage in Indonesia: Concept, progress, and challenges. The Lancet, 393(10166), 75–102.

    Article  Google Scholar 

  • Asih, D. N. (2019, April 17). Petugas KPU tak mendata, hak pilih ODGJ di Makassar hangus [Not recorded by the General Election Committee, voting rights of people with mental health conditions in Makassar were forfeited]. CNN Indonesia. https://www.cnnindonesia.com/nasional/20190417153849-32-387265/petugas-kpu-tak-mendata-hak-pilih-odgj-di-makassar-hangus

  • Azhari. (2010, February 20). Pasien pasung [Pasung patient]. Antara. https://www.antarafoto.com/peristiwa/v1266659401/pasien-pasung

  • Baumgartner, J. N., & Burns, J. K. (2014). Measuring social inclusion – A key outcome in global mental health. International Journal of Epidemiology, 43(2), 354–364.

    Article  PubMed  Google Scholar 

  • Bhalla, A., & Lapeyre, F. (1997). Social exclusion: Towards an analytical and operational framework. Development and Change, 28(3), 413–433.

    Article  Google Scholar 

  • Bhugra, D., Tasman, A., Pathare, S., Priebe, S., Smith, S., Torous, J., Arbuckle, M. R., Langford, A., Alarcón, R. D., Chiu, H. F. K., First, M. B., Kay, J., Sunkel, C., Thapar, A., Udomratn, P., Baingana, F. K., Kestel, D., Ng, R. M. K., Patel, A., … Ventriglio, A. (2017). The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. The Lancet Psychiatry, 4(10), 775–818.

    Article  PubMed  Google Scholar 

  • Boardman, J. (2011). Social exclusion and mental health – How people with mental health problems are disadvantaged: An overview. Mental Health and Social Inclusion, 15(3), 112–121.

    Article  Google Scholar 

  • Broch, H. B. (2001). The villagers’ reactions towards craziness: An Indonesian example. Transcultural Psychiatry, 38(3), 275–305.

    Article  Google Scholar 

  • Brooks, H., James, K., Irmansyah, I., Keliat, B.-A., Utomo, B., Rose, D., Colucci, E., & Lovell, K. (2018). Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): A study protocol. International Journal of Mental Health Systems, 12, 49.

    Article  PubMed  PubMed Central  Google Scholar 

  • Browne, K. (2001). (Ng)amuk revisited: Emotional expression and mental illness in Central Java, Indonesia. Transcultural Psychiatry, 38(2), 147–165.

    Article  Google Scholar 

  • Burchardt, T., Le Grand, J., & D, P. (2002a). Degrees of exclusion: Develo** a dynamic, multidimensional measure. In J. Hills, J. Le Grand, & D. Piachaud (Eds.), Understanding social exclusion (pp. 30–43). Oxford University Press.

    Google Scholar 

  • Burchardt, T., Le Grand, J., & Piachaud, D. (2002b). Introduction. In J. Hills, J. Le Grand, & D. Piachaud (Eds.), Understanding social exclusion (pp. 1–8). Oxford University Press.

    Google Scholar 

  • Clair, K. (2020). Mental health and human rights: The role of Komnas HAM. In J. Gomez & R. Ramcharan (Eds.), National Human Rights Institutions in Southeast Asia: Selected case studies (pp. 223–239). Springer Singapore.

    Chapter  Google Scholar 

  • Cohen, A., Patel, V., Thara, R., & Gureje, O. (2008). Questioning an axiom: Better prognosis for schizophrenia in the develo** world? Schizophrenia Bulletin, 34(2), 229–244.

    Article  PubMed  Google Scholar 

  • Colucci, E. (2016). Breaking the chains: Ethnographic film-making in mental health. The Lancet Psychiatry, 3(6), 509–510.

    Article  Google Scholar 

  • Corrigan, P. (2004). How stigma interferes with mental health care. The American Psychologist, 59(7), 614–625.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, Supplement, 15(2), 37–70.

    Article  Google Scholar 

  • Demakakos, P., Biddulph, J. P., de Oliveira, C., Tsakos, G., & Marmot, M. G. (2018). Subjective social status and mortality: The English Longitudinal Study of Ageing. European Journal of Epidemiology, 33(8), 729–739.

    Article  PubMed  PubMed Central  Google Scholar 

  • Evans-Lacko, S., Courtin, E., Fiorillo, A., Knapp, M., Luciano, M., Park, A. L., Brunn, M., Byford, S., Chevreul, K., Forsman, A. K., Gulacsi, L., Haro, J. M., Kennelly, B., Knappe, S., Lai, T., Lasalvia, A., Miret, M., O’Sullivan, C., Obradors-Tarragó, C., … Thornicroft, G. (2014). The state of the art in European research on reducing social exclusion and stigma related to mental health: A systematic map** of the literature. European Psychiatry: The Journal of the Association of European Psychiatrists, 29(6), 381–389.

    Article  CAS  Google Scholar 

  • Fitrikasari, A. (2010). Kejadian pasung di Jawa Tengah [Pasung occurrences in Central Java]. Media Medika Indonesiana, 44(3), 101–106.

    Google Scholar 

  • Ford, T., Parker, C., Salim, J., Goodman, R., Logan, S., & Henley, W. (2018). The relationship between exclusion from school and mental health: A secondary analysis of the British Child and Adolescent Mental Health Surveys 2004 and 2007. Psychological Medicine, 48(4), 629–641.

    Article  CAS  PubMed  Google Scholar 

  • Goti, L. M. (2021, February 9). ODGJ di Tiwu Tewa Ende Sedot Perhatian Pater Aven, Kapolres dan Dandim [People with mental health condition in Tiwu Tewa Ende took the attention of Father Aven, Head of Subregional Police and District Military Commandant]. Pos Kupang. https://kupang.tribunnews.com/2021/02/09/odgj-di-tiwu-tewa-ende-sedot-perhatian-pater-aven-kapolres-dan-dandim?page=all

  • Goulart, D. M., & González Rey, F. (2016). Mental health care and educational actions: From institutional exclusion to subjective development. European Journal of Psychotherapy & Counselling, 18(4), 367–383.

    Article  Google Scholar 

  • Hartini, N., Fardana, N. A., Ariana, A. D., & Wardana, N. D. (2018). Stigma toward people with mental health problems in Indonesia. Psychology Research and Behavior Management, 11, 535–541.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hashimoto, A. (2019). “The present state and statistical observation of mental patients under home custody”, by Kure Shūzō and Kashida Gorō (1918). History of Psychiatry, 30(2), 240–256.

    Article  PubMed  Google Scholar 

  • Hidayat, M. T., Lawn, S., Muir-Cochrane, E., & Oster, C. (2020). The use of pasung for people with mental illness: A systematic review and narrative synthesis. International Journal of Mental Health Systems, 14(1), 90.

    Article  PubMed  PubMed Central  Google Scholar 

  • Idaiani, S., & Raflizar, R. (2015). Faktor yang paling dominan terhadap pemasungan orang dengan gangguan jiwa di Indonesia [The most dominant factor contributing to pasung practice of people with mental health conditions in Indonesia]. Buletin Penelitian Sistem Kesehatan, 18(1), 11–17.

    Article  Google Scholar 

  • Idaiani, S., & Riyadi, E. I. (2018). Sistem kesehatan jiwa di indonesia: tantangan untuk memenuhi kebutuhan [Indonesian mental health system: the challenge to fulfill needs]. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 70–80.

    Google Scholar 

  • Irmansyah. (2020, July 24). “Free from Pasung” one decade on? Inside Indonesia. https://www.insideindonesia.org/free-from-pasung-one-decade-on

  • Irmansyah, I., Susanti, H., James, K., Lovell, K., Idaiani, S., Imah, S., Hargiana, G., Keliat, B. A., Utomo, B., Colucci, E., & Brooks, H. (2020). Civic engagement and mental health system strengthening in Indonesia: A qualitative examination of the views of health professionals and national key stakeholders. BMC Psychiatry, 20(1), 1–15.

    Article  Google Scholar 

  • Irwanto, I., Böckenförde, A. F. E., Ayu, A. P., Diatri, H., & Dharmono, S. (2020). Building a strategic alliance to end coercion of people with mental disorders in Indonesia. The Lancet Psychiatry, 7(3), e11.

    Article  PubMed  Google Scholar 

  • Ito, H., Setoya, Y., & Suzuki, Y. (2012). Lessons learned in develo** community mental health care in East and South East Asia. World Psychiatry: Official Journal of the World Psychiatric Association, 11(3), 186–190.

    Article  Google Scholar 

  • Juanda, H. (2017, July 7). Irwandi cetuskan program “Aceh Bebas Pasung” [Irwandi announced “Aceh Free Pasung” program]. Humas Aceh. http://humas.acehprov.go.id/irwandi-cetuskan-program-aceh-bebas-pasung/

  • Katuuk, H. M., Daulima, N. H. C., & Wardani, I. Y. (2019). Families’ experience caring for mentally ill patients with re-pasung. Enfermeria Clinica, 29(Suppl 2), 270–274.

    Article  Google Scholar 

  • Kline, N. S. (1963). Psychiatry in Indonesia. The American Journal of Psychiatry, 119, 809–815.

    Article  CAS  PubMed  Google Scholar 

  • Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82(11), 858–866.

    PubMed  PubMed Central  Google Scholar 

  • Komardjaja, I. (2005). The place of people with intellectual disabilities in Bandung, Indonesia. Health & Place, 11(2), 117–120.

    Article  Google Scholar 

  • Kurihara, T., Kato, M., Reverger, R., & Tirta, I. G. R. (2011a). Remission in schizophrenia: A community-based 6-year follow-up study in Bali. Psychiatry and Clinical Neurosciences, 65(5), 476–482.

    Article  PubMed  Google Scholar 

  • Kurihara, T., Kato, M., Reverger, R., & Tirta, I. G. R. (2011b). Seventeen-year clinical outcome of schizophrenia in Bali. European Psychiatry: The Journal of the Association of European Psychiatrists, 26(5), 333–338.

    Article  CAS  Google Scholar 

  • Kurihara, T., Kato, M., Sakamoto, S., Reverger, R., & Kitamura, T. (2000). Public attitudes towards the mentally ill: A cross-cultural study between Bali and Tokyo. Psychiatry and Clinical Neurosciences, 54(5), 547–552.

    Article  CAS  PubMed  Google Scholar 

  • Laila, N. H., Mahkota, R., Krianto, T., & Shivalli, S. (2018). Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: A qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017. International Journal of Mental Health Systems, 12, 35.

    Article  PubMed  PubMed Central  Google Scholar 

  • Laila, N. H., Mahkota, R., Shivalli, S., Bantas, K., & Krianto, T. (2019). Factors associated with pasung (physical restraint and confinement) of schizophrenia patients in Bogor regency, West Java Province, Indonesia 2017. BMC Psychiatry, 19(1), 162.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lemelson, R., & Tucker, A. (2017a). The lived experience of culture and mental illness in Indonesia. In R. Lemelson & A. Tucker (Eds.), Afflictions: Steps toward a visual psychological anthropology (pp. 49–70). Springer International Publishing.

    Chapter  Google Scholar 

  • Lemelson, R., & Tucker, A. (2017b). The bird dancer: Social rejection and social suffering. In R. Lemelson & A. Tucker (Eds.), Afflictions: Steps toward a visual psychological anthropology (Vol. 1, pp. 73–98). Springer International Publishing.

    Chapter  Google Scholar 

  • Luigi, M., Dellazizzo, L., Giguère, C. É., Goulet, M. H., & Dumais, A. (2020). Shedding light on “the hole”: A systematic review and meta-analysis on adverse psychological effects and mortality following solitary confinement in correctional settings. Frontiers in Psychiatry, 11, 840.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maramis, A., Van Tuan, N., & Minas, H. (2011). Mental health in Southeast Asia. The Lancet, 377(9767), 700–702.

    Article  Google Scholar 

  • Marthoenis, M., Yessi, S., Aichberger, M. C., & Schouler-Ocak, M. (2016). Mental health in Aceh – Indonesia: A decade after the devastating tsunami 2004. Asian Journal of Psychiatry, 19, 59–65.

    Article  PubMed  Google Scholar 

  • Masters, K. J. (2015). Ask the expert: Seclusion and restraint. Focus, 13(1), 47–49.

    Article  Google Scholar 

  • Masters, K. J. (2017). Physical restraint: A historical review and current practice. Psychiatric Annals, 47(1), 52–55.

    Article  Google Scholar 

  • Minas, H., & Diatri, H. (2008). Pasung: Physical restraint and confinement of the mentally ill in the community. International Journal of Mental Health Systems, 2(8). https://doi.org/10.1186/1752-4458-2-8.

  • Ministry of Health of Republic Indonesia. (2019). Laporan nasional Riskesdas 2018 [National report Basic Health Research 2018]. Ministry of Health of Republic Indonesia.

    Google Scholar 

  • Ministry of Health of Republic Indonesia. (2020). Aplikasi komunikasi data [Data communication application]. Ministry of Health of Republic Indonesia. https://komdat.kemkes.go.id/lama/index.php

  • Ministry of Social Welfare of Republic Indonesia. (2017). Integrasi layanan rehabilitasi sosial [Integration of social rehabilitation services]. Ministry of Social Welfare of Republic Indonesia. Retrieved April 1, 2021, from https://intelresos.kemensos.go.id/new/?module=Program+Gsp&view=fakta

  • Morgan, C., Burns, T., Fitzpatrick, R., Pinfold, V., & Priebe, S. (2007). Social exclusion and mental health: Conceptual and methodological review. British Journal of Psychiatry, 191(6), 477–483.

    Article  Google Scholar 

  • Mundt, A. P., Chow, W. S., Arduino, M., Barrionuevo, H., Fritsch, R., Girala, N., Minoletti, A., Mitkiewicz, F., Rivera, G., Tavares, M., & Priebe, S. (2015). Psychiatric hospital beds and prison populations in South America since 1990: Does the Penrose hypothesis apply? JAMA Psychiatry, 72(2), 112–118.

    Article  PubMed  Google Scholar 

  • National Federation of Associations of Families with The Mental Illness in Japan. (2018). Seishin shōgaisha no jiritsushita chiiki seikatsu no suishin to kazoku ga anshinshite seikatsu dekiru tame no kōkateki na kazoku shientō no arikata nikansuru zenkoku chōsa [A national survey on effective support for the promotion of independent community life of people with mental disabilities and their families]. Nippon Zaidan Josei Jigyō. https://seishinhoken.jp/files/view/articles_files/src/620a77e96e1dc411880b70839a27cc81.pdf

  • Ng, C. H. (2018). Mental health and integration in Asia Pacific. BJPsych International, 15(4), 76–79.

    Article  PubMed  PubMed Central  Google Scholar 

  • Njoto, E., Pardosi, J., & Djaputra, E. M. (2018). Jatim Bebas Pasung: An integrated programme to tackle the physical restraint of people with a mental health condition in East Java Province, Indonesia. Development Bulletin, 79, 43–48.

    Google Scholar 

  • Padma, T. V. (2014). Develo** countries: The outcomes paradox. Nature, 508(7494), S14–S15.

    Article  CAS  PubMed  Google Scholar 

  • Patel, V., Burns, J. K., Dhingra, M., Tarver, L., Kohrt, B. A., & Lund, C. (2018). Income inequality and depression: A systematic review and meta-analysis of the association and a sco** review of mechanisms. World Psychiatry: Official Journal of the World Psychiatric Association, 17(1), 76–89.

    Article  Google Scholar 

  • Pickett, K. E., & Wilkinson, R. G. (2015). Income inequality and health: A causal review. Social Science & Medicine, 128, 316–326.

    Article  Google Scholar 

  • Plianbangchang, S. (2004). Intercountry workshop on develo** country specific community-based strategies for reduction of treatment gap in common neuropsychiatric conditions. World Health Organization. South-East Asia Regional Office.

    Google Scholar 

  • Pols, H. (2006). The development of psychiatry in Indonesia: From colonial to modern times. International Review of Psychiatry, 18(4), 363–370.

    Article  CAS  PubMed  Google Scholar 

  • Popay, J., Escorel, S., Hernández, M., Johnston, H., Mathieson, J., & Rispel, L. (2008). Understanding and tackling social exclusion: final report to the WHO Commission on social determinants of health. World Health Organization.

    Google Scholar 

  • Prastyani, A. (2019, July 26). Mental health care in Indonesia: Short on supply, short on demand. New Mandala. https://www.newmandala.org/mental-health-in-indonesia-short-on-supply-short-on-demand

  • Puteh, I., Marthoenis, M., & Minas, H. (2011). Aceh free Pasung: Releasing the mentally ill from physical restraint. International Journal of Mental Health Systems, 5, 10.

    Article  PubMed  PubMed Central  Google Scholar 

  • Putnam, R. (1996). Who killed civic America? Prospect Magazine, 66–72.

    Google Scholar 

  • Salan, R., Mustar, L., & Gunawan, J. (1992). Prevalensi gangguan jiwa di tiga kelurahan di Tambora, Jakarta [Prevalence of mental disorders in three subdistricts in Tambora, Jakarta]. Ministry of Health of Republic Indonesia.

    Google Scholar 

  • Saribu, E. I. D., & Valentina Napitulu, R. A. (2010). Is there any regulation to protect people with mental disorders in Indonesia? Case study of pasung. Indonesian Journal of International Law, 7(3), 516–534.

    Google Scholar 

  • Seeman, N., Tang, S., Brown, A. D., & Ing, A. (2016). World survey of mental illness stigma. Journal of Affective Disorders, 190, 115–121.

    Article  PubMed  Google Scholar 

  • Sharma, K. (2016). Living in hell: Abuses against people with psychosocial disabilites in Indonesia. Human Rights Watch. https://www.hrw.org/report/2016/03/20/living-hell/abuses-against-people-psychosocial-disabilities-indonesia

  • Stratford, A., Kusuma, N., Goding, M., Paroissien, D., Brophy, L., Damayanti, Y. R., Fraser, J., & Ng, C. (2014). Introducing recovery-oriented practice in Indonesia: The Sukabumi project – An innovative mental health programme. Asia Pacific Journal of Social Work and Development, 24(1-2), 71–81.

    Article  Google Scholar 

  • Subandi, M. A. (2015). Bangkit: The processes of recovery from first episode psychosis in Java. Culture, Medicine and Psychiatry, 39(4), 597–613.

    Article  CAS  PubMed  Google Scholar 

  • Suharto, B. (2014). Budaya pasung dan dampak yuridis sosiologis (studi tentang upaya pelepasan pasung dan pencegahan tindakan pemasungan di kabupaten Wonogiri) [The culture of pasung and the sociological judicial impact (study of efforts to remove pasung and prevention of pasung in Wonogiri regency)]. Indonesian Journal on Medical Science, 1(2). http://ejournal.ijmsbm.org/index.php/ijms/article/view/21

  • Susanti, H., James, K., Utomo, B., Keliat, B.-A., Lovell, K., Irmansyah, I., Rose, D., Colucci, E., & Brooks, H. (2020). Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: A qualitative exploration of the views of service users and carers. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, 23(2), 377–387.

    Article  Google Scholar 

  • Tampubolon, G., & Hanandita, W. (2014). Poverty and mental health in Indonesia. Social Science & Medicine, 106, 20–27.

    Article  Google Scholar 

  • Tejerina-Arreal, M., Parker, C., Paget, A., Henley, W., Logan, S., Emond, A., & Ford, T. (2020). Child and adolescent mental health trajectories in relation to exclusion from school from the Avon Longitudinal Study of Parents and Children. Child and Adolescent Mental Health, 25(4), 217–223.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thee, M. (2019, November 5). “You’re not religious enough”: Pain of Indonesia’s mentally ill and the online group bringing sufferers and carers together. South China Morning Post. https://www.scmp.com/lifestyle/health-wellness/article/3036343/youre-not-religious-enough-pain-indonesias-mentally-ill

  • Townsend, P. (1979). Introduction: Concepts of poverty and deprivation. In P. Townsend (Ed.), Poverty in the UK: A survey of household resources and standards of living (p. 31). Penguin Books.

    Chapter  Google Scholar 

  • Wagenaar, H., & Lewis, D. A. (1989). Ironies of inclusion: Social class and deinstitutionalization. Journal of Health Politics, Policy and Law, 14(3), 503–522.

    Article  CAS  PubMed  Google Scholar 

  • Wahyuni, S., Yuliet, S. N., & Elita, V. (2012). Hubungan lama hari rawat dengan kemampuan pasien dalam mengontrol halusinasi [The relationship of length of hospitalization days with the patient’s ability to control hallucinations]. Jurnal Ners Indonesia, 1(2), 69–76.

    Google Scholar 

  • Warsito, B. (2019, April 10). KPU Riau: Tidak ada ODGJ yang ikut memilih [General Election Committee of Riau: No people with mental health conditions will vote]. JawaPos. https://www.jawapos.com/jpg-today/10/04/2019/kpu-riau-tidak-ada-odgj-yang-ikut-memilih

  • Weich, S., & Lewis, G. (1998). Poverty, unemployment, and common mental disorders: Population based cohort study. British Medical Journal, 317(7151), 115–119.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Weiner, D. B. (1979). The apprenticeship of Philippe Pinel: A new document, “Observations of citizen Pussin on the insane”. The American Journal of Psychiatry, 136(9), 1128–1134.

    Article  CAS  PubMed  Google Scholar 

  • Weiner, D. B. (1992). Philippe Pinel’s “Memoir on Madness” of December 11, 1794: A fundamental text of modern psychiatry. The American Journal of Psychiatry, 149(6), 725–732.

    Article  CAS  PubMed  Google Scholar 

  • White, R. G., & Sashidharan, S. P. (2014). Towards a more nuanced global mental health. British Journal of Psychiatry, 204(6), 415–417.

    Article  Google Scholar 

  • World Health Organization. (2019). Mental health atlas 2017 country profiles. World Health Organization. https://www.who.int/mental_health/evidence/atlas/profiles-2017/en

  • Yang, L. H., Chen, F.-P., Sia, K. J., Lam, J., Lam, K., Ngo, H., Lee, S., Kleinman, A., & Good, B. (2014). “What matters most”: A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma. Social Science & Medicine, 103, 84–93.

    Article  Google Scholar 

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Yamada, C., Ophinni, Y., Diatri, H. (2022). Social Exclusion Among People with Mental Health Conditions in Indonesia. In: Liamputtong, P. (eds) Handbook of Social Inclusion. Springer, Cham. https://doi.org/10.1007/978-3-030-89594-5_56

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