Separated by a Common Language

From Cllr James Baker's website

Want to bring out the pedant in me? Invite me to help fight the stigma attached to mental health. Then watch me shout: "There is no stigma attached to mental health! There is a stigma attached to mental illness!"

I have these little shoutings fairly regularly these days--because I live in England, the home of mental health stigma.






From the Corpus of Global Web-Based English (GloWBE):


It doesn't matter which preposition you use, if it's a stigma and there's mental health nearby, it's probably British:


Yes, yes, some of those mental healths will have nouns after them like problems or professionals, but in BrE, most of them don't. For instance, for the 12 British stigma around mental health examples, only two follow up with problems or issues. For the others, it is just mental health that carries the stigma:



Now, when people ask me to give money for cancer or child abuse, I object that I don't want cancer or child abuse to have my money. Simple pedantry for pedantry's sake, because I'm 100% confident that the people collecting money really mean that it's money to fight cancer or child abuse. And so I thought it was with the British and mental health--they're saying it that way, but they obviously mean 'the stigma about not having mental health' rather than 'the stigma about mental health'. But it's phrased so often in this way in BrE that I wonder: maybe they didn't obviously mean that. Maybe there is a stigma about mental health. There seems to be a stigma about talking about one's own mental health, and there is (relative to American sensibilities) a stigma against pursuing mental health (e.g. seeing a therapist).

I'm being a bit facetious here, but the phrasing does go with the stereotype of the British stiff upper lip. A stigma about admitting to any mental state at all...

When I looked into mental health and mental illness a bit more, I was surprised to find that the number of mentions of mental illness were about even in BrE and AmE (in GloWBE still). But the British mention mental health much more:

Why? A clue is in the number of nouns that follow mental health. The green parts in these tables are the phrases that are statistically much more American (left) or much more British (right):

Many of the BrE ones have to do with how the National Health Service is structured, but also you can see here ways of not saying mental illness: mental health problem(s), mental health difficulties, and even mental health illness(es). AmE has some odd ones (from a pedantic point of view too): mental health symptoms (do we ever talk about symptoms of physical health? No. Illnesses have symptoms, not health) and mental health benefits (if the meaning of benefits here is the same as in disability benefits, then it's a benefit for not being healthy).  (Note stigma shows up again in the BrE list.)