In conclusion, may I repeat that stigma involves not so much a set of concrete individuals who can be separated into two piles, the stigmatized and the normal, as a pervasive two-role social process in which every individual participates in both roles, at least in some connexions and in some phases of life. The normal and the stigmatized are not persons but rather perspectives. These are generated in social situations during mixed contacts by virtue of the unrealized norms that are likely to play upon the encounter. […] And since interaction roles are involved, not concrete individuals, it should come as no surprise that in many cases he who is stigmatized in one regard nicely exhibits all the normal prejudices held toward those who are stigmatized in another regard.

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In all these various instances of stigma [...] the same sociological features are found: an individual who might have been received easily in ordinary social intercourse possesses a trait that can obstrude itself upon attention and turn those of us whom he meets away from him, breaking the claim that his other attributes have on us. He possesses a stigma, an undesired differentness from what we had anticipated. We and those who do not depart negatively from the particular expectations at issue I shall call the normals. The attitude we normals have toward a person with a stigma, and the actions we take in regard to him, are well known, since these responses are what the benevolent social action is designed to soften and ameliorate. By definition, of course, we believe the person with a stigma is not quite human. On this assumption we exercise varieties of discrimination, through which we effectively, if often unthinkingly, reduce his life chances. We construct a stigma theory, an ideology to explain his inferiority and account for the danger he represents, sometimes rationalizing an animosity based on other differences, such as those of social class.

When an individual appears before others, he wittingly and unwittingly projects a definition of the situation, of which a conception of himself is an important part. When an event occurs which is expressively incompatible with this fostered impression, significant consequences are simultaneously felt in three levels of social reality, each of which involves a different point of reference and a different order of fact.

Often, when two teams enter social interaction, we can identify one as having the lower general prestige and the other team the higher. Ordinarily, when we think of realigning actions in such cases, we think of efforts on the part of the lower team to alter the basis of interaction in a direction more favourable to them or to decrease the social distance and formality between themselves and the higher team. Interestingly enough, there are occasions when it serves the wider goals of the higher team to lower barriers and admit the lower team to greater intimacy and equality with it.

When there is a discrepancy between an individual's actual social identity and his virtual one, it is possible for this fact to be known to us before we normals contact him, or to be quite evident when he presents himself before us. He is a discredited person, and it is mainly he I have been dealing with until now. [...] However, when his differentness is not immediately apparent, and is not known beforehand, [...] he is a discreditable, not a discredited person [...]. The issue is [...] that of managing information about his failing. To display or not to display; to tell or not to tell; to let on or not to let on; to lie or not to lie; and in each case, to whom, how, when, and where. [...] It is this second general issue, the management of undisclosed discrediting information about self, that I am focusing on in these notes - in brief, 'passing'.

The central feature of the stigmatized individual's situation in life can now be stated. It is a question of what is often, if vaguely, called 'acceptance'. Those who have dealings with him fail to accord him the respect and regard which the un-contaminated aspects of his social identity have led them to anticipate extending, and have led him to anticipate receiving; he echoes this denial by finding that some of his own attributes warrant it.

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Three grossly different types of stigma may be mentioned. First there are abominations of the body - the various physical deformities. Next there are blemishes of individual character perceived as weak will, domineering or unnatural passions, treacherous and rigid beliefs, and dishonesty, these being inferred from a known record of, for example, mental disorder, imprisonment, addiction, alcoholism, homosexuality, unemployment, suicidal attempts, and radical political behaviour. Finally there are the tribal stigma of race, nation, and religion, these being stigma that can be transmitted through lineages and equally contaminate all members of a family.

In recent years there have been elaborate attempts to bring into one framework the concepts and findings derived from three different areas of inquiry: the individual personality, social interaction, and society. I would like to suggest here a simple addition to these inter-disciplinary attempts.

A total institution may be defined as a place of residence and work where a large number of like-situated individuals, cut off from the wider society for an appreciable period of time, together lead an enclosed, formally administered round of life. Prisons serve as a clear example, providing we appreciate that what is prison-like about prisons is found in institutions whose members have broken no laws. This volume deals with total institutions in general and one example, mental hospitals, in particular.

Knowing that his audiences are capable of forming bad impressions of him, the individual may come to feel ashamed of a well-intentioned honest act merely because the context of its performance provides false impressions that are bad. Feeling this unwarranted shame, he may feel that his feelings can be seen; feeling that he is thus seen, he may feel that his appearance confirms these false conclusions concerning him. He may then add to the precariousness of his position by engaging in just those defensive maneuvers that he would employ were he really guilty. In this way it is possible for all of us to become fleetingly for ourselves the worst person we can imagine that others might imagine us to be.

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The Greeks, who were apparently strong on visual aids, originated the term stigma to refer to bodily signs designed to expose something unusual and bad about the moral status of the signifier. The signs were cut or burnt into the body and advertised that the bearer was a slave, a criminal, or a traitor — a blemished person, ritually polluted, to be avoided, especially in public places. Later, in Christian times, two layers of metaphor were added to the term : the first referred to bodily signs of holy grace that took the form of eruptive blossoms on the skin; the second, a medical allusion to this religious allusion, referred to bodily signs of physical disorder. Today the term is widely used in something like the original literal sense, but is applied more to the disgrace itself than to the bodily evidence of it. Furthermore, shifts have occurred in the kinds of disgrace that arouse concern. Students, however, have made little effort to describe the structural preconditions of stigma, or even to provide a definition of the concept itself. It seems necessary, therefore, to try at the beginning to sketch in some very general assumptions and definitions.

It has been suggested that an individual's social identity divides up the world of people and places for him, and that his personal identity does this too, although differently. It is these frames of reference one must apply in studying the daily round of a particular stigmatized person, as he wends his way to and from his place of work, his place of residence, his place of shopping, and the places where he participates in recreation. A key concept here is the daily round, for it is the daily round that links the individual to his several social situations. And one studies the daily round with a special perspective in mind. To the extent that the individual is a discredited person, one looks for the routine cycle of restrictions he faces regarding social acceptance; to the extent that he is discreditable, for the contingencies he faces in managing information about himself.