Sorting Out the Cuckoo's Nest: A Factorial Survey Approach to the Study of Popular Conceptions of Mental Illness

Abstract

Research relevant to understanding how mental illness is popularly conceptualized owes much to the methods pioneered by Star in 1950. However, while her six vignettes have been used extensively over the last 30 years to test the public's ability to recognize mental illness, subsequent research has provided little insight into which factors contribute most to the judgment process. This study introduces a factorial survey research method that is more appropriate for the task. A sample of 143 college undergraduates responding to the experimentally designed vignettes were found to be most influenced by a vignette person's behavioral impairment, followed by the psychological attributes of depression, obtrusive thoughts, beliefs, conflict, engagement/withdrawal, fear, and anxiety. Other factors that significantly affected mental illness ratings included a vignette person's past history of mental illness and the relationship of the vignette person to the rater. These ten dimensions were found to be considerably more important than sociodemographic characteristics in judging persons mentally ill.