01781nas a2200337   4500000000100000008004100001260001300042653001000055653002000065653003300085653001100118653002100129653001100150653001100161653002400172653002300196653001200219653000900231653001600240653002100256653003100277653002500308653001400333653001700347100001200364245008800376300001000464490000700474520094800481022001401429       2008                            d  c2008 Feb10aAdult10aAmbulatory Care10aAttitude of Health Personnel10aBrazil10aDisabled Persons10aFemale10aHumans10aInterviews as Topic10aLeprostatic Agents10aleprosy10aMale10aMiddle Aged10aPatient Dropouts10aPatient Education as Topic10aPatient Satisfaction10aPrejudice10aStereotyping1 aWhite C00aIatrogenic stigma in outpatient treatment for Hansen's disease (leprosy) in Brazil.  a25-390 v233 a<p>This paper explores how iatrogenic stigma, or stigma that is produced through a patient's encounter with physicians or with biomedicine in general, might emerge in outpatient treatment for Hansen's disease, or leprosy. Based on in-depth interviews with people affected by Hansen's disease and observations conducted at several public health clinics in Rio de Janeiro, Brazil, this research identified several aspects of the biomedical encounter that generated or contributed to stigma, either felt or enacted. Also noted in the research were positive examples of techniques used by physicians and health care workers for minimizing or circumventing stigma. The paper touches upon several topics, such as culturally mediated responses to medication side effects and communication between health care workers and patients, that might be salient or useful for health educators and others who are attempting to reduce health-related stigma.</p>  a0268-1153