Attitudes toward deviant behavior that might indicate psychiatric diso
rder were investigated among the Inuit of Northern Quebec (Nunavik). I
n a convenience sample of 137 Inuit adults, respondents were randomly
presented with one of six different vignettes that described a man wit
h ''strange'' behavior who was either threatening or withdrawn and who
se problem was labeled either ''isumaluttuq'' (''burdened or weighed d
own by thoughts''), ''demon possession,'' or ''mental illness.'' Respo
ndents rated their willingness to live, work, or hunt with this person
and allow him into their family on a social distance scale. Significa
nt predictors of greater social distance were female gender, more educ
ation, less familiarity with the behavior, and perception of the perso
n as less Likely to recover. There were no significant effects of vign
ette behavior or label on social distance ratings. Rating of likelihoo
d of recovery was influenced by the vignette label, with isumaluttuq a
ssociated with less chance of recovery. Ascribing strange behavior to
morally wrong action and to spirits or demons were highly intercorrela
ted and each was associated with perception of greater Likelihood of r
ecovery. Results suggest that Inuit attitudes toward deviant behavior
are influenced more by perceived familiarity and likelihood of recover
y than by labels, causal attributions, or explanations. The indigenous
psychological concept of isumaluttuq does not serve to reduce social
stigma. Efforts to promote the community integration of psychiatric pa
tients through education should aim to increase familiarity with the p
roblematic behavior and emphasize potential for recovery.