01849nas a2200289   4500000000100000008004100001260001300042653003000055653002300085653001500108653001100123653001100134653001100145653001200156653000900168653001000177653002100187653001700208100001800225245003900243856004100282300001100323490000700334050002000341520118400361022001401545       2004                            d  c2004 Dec10aAdaptation, Psychological10aAttitude to Health10aCounseling10aFamily10aFemale10aHumans10aleprosy10aMale10aNepal10aSocial Isolation10aStereotyping1 aHeijnders M L00aThe dynamics of stigma in leprosy.  uhttp://ila.ilsl.br/pdfs/v72n4a03.pdf  a437-470 v72  aHEIJNDERS 2004A3 a<p>Leprosy in Nepal is a stigmatizing disease. This paper explores the different coping strategies employed by people affected by leprosy to manage stigma. It is based on a qualitative study conducted in the eastern part of Nepal. It will show that a difference exists between experienced stigma and the anticipation of stigma. Both types of stigma result in different coping strategies. In managing stigma people go through different phases. This paper will show that stigma is a dynamic process, and I will elaborate on the concealment cycle, as developed by Hyland, to produce a more detailed understanding of the stigmatization process in Nepal. Doing so, it highlights the importance of a mutual concealment phase and the importance of triggers to exposure and discrimination. Changing from one phase to a subsequent phase in the stigmatization process is always triggered. It highlights further, that even within the same culture and even the same village, social differentiation makes a significant difference on the impact of stigma and the coping strategies employed in managing stigma. Stigma enforces already existing inequalities in social class, gender, and age.</p>  a0148-916X