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Table 2 Imagery-induced stigma by setting

From: Stigmatizing imagery for substance use disorders: a qualitative exploration

Category

Non-Stigmatizing Imagery

Stigmatizing Imagery

Treatment/Patients

Holding hands, group therapy, support groups, people helping to support a peer

Stethoscopes, medical icons, external and internal photos of a hospital without patients present, prescription pads, and doctors without patients in frame with racial diversity

Distressed or unhappy individuals, overly-dramatized photos

Types of SUD

Molecular symbols of the SUD type, definitions from the dictionary, and typography

Images of drugs, alcohol, pills, and paraphernalia; images of individuals using or preparing substances

Law Enforcement

Images with police cars, sirens, police stations, and police officers without other individuals in the image

Images with equal representation across different races and ethnicities in images, from depictions of law enforcement or other positions of authority to images of those who are justice-involved or requiring SUD services

Images where the representation of officers are alone (without an individual being arrested or depicted unfavorably) and helping in the community in pro-social activities

Images of people being arrested or in handcuffs

Images of White law enforcement officers and those being arrested represented by African American or Hispanic/Latino individuals

Courts

Photos of empty courtrooms, a gavel, or the scales of justice to convey material or information related to the judicial system

Depictions of individuals in prison jumpsuits or handcuffs

Jail/Prison

Images that focus on positive activities during incarceration and photos of modern, updated common areas, cafeterias, prison libraries, and individuals in classrooms and vocational trainings to indicate prison settings

Images of bars, rows of cells, individuals behind bars, and images of prison or jail structures that include barbed wire or gun towers

Reentry

Photos of roads and pathways with hopeful coloring, doors opening with a hopeful theme and abstract images of the community

Aspirational, hopeful images to represent the promise of reentry and community reintegration. Participants suggested more community activity photos and employment-focused imagery

Images of individuals still in prison jumpsuits or handcuffs in these settings, or any image that reflects despair

Unrealistic photos and descriptions of reentry and supervision