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Research indicates that the 'mental illness is an illness like any other' approach to destigmatisation has failed to improve attitudes. This study replicated, with 469 New Zealanders, previous findings that the public tends to reject biological and genetic explanations of mental health problems in favour of psychosocial explanations focused on negative life events. It also confirmed previous findings (contrary to the assumption on which most destigmatisation programmes are based)that biological and genetic causal beliefs are related to negative attitudes, including perceptions that 'mental patients' are dangerous, antisocial and unpredictable, and reluctance to become romantically involved with them. The amount of reported personal contact with people who had received psychiatric treatment was correlated with positive attitudes. It is recommended that destigmatisation programmes consider abandoning efforts to …