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Psychiatry for People of African Descent in the USA

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The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health

Part of the book series: Current Clinical Psychiatry ((CCPSY))

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Abstract

People of African Descent (PAD) in the USA are comprised of both African Americans—who have marched a rough terrain, from roots in Africa to crossing the ocean to the USA, experiencing enslavement and for some, to present day mass incarceration—and more recent African and Caribbean immigrants. For some African Americans, the path through American slavery has led many to exposure of significant collective and personal trauma that deeply influences their mental and physical health. For other PAD who had voluntarily immigrated to the USA, the path has been one of historical colonialism, national independence, and recent immigration. In order to effectively treat and even prevent mental disorders in PAD, it is important to know and appreciate the history, context, and dynamics that influence this diverse group of people. Without this knowledge and subsequent deliberate responses, the mental and emotional strife that some PAD face will persist. This chapter provides a description of the history, context, and dynamics that influence the mental health and wellness of PAD in the USA. The authors also identify and delineate treatment needs, suggest ways to address these needs, delineate gaps within the system, and provide recommendations for next steps. Ideally, after reading this chapter, readers will have taken one step forward along their path to better the mental health treatment of African Americans and have an idea of directions for future learning and growth. Unfortunately, our information about the recent PAD immigrants is just beginning to be unearthed, so we will need to be patient until we can speak more authoritatively about these populations’ issues.

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References

  1. US Census Bureau. The Black alone population in the United States: 2011 [Internet]. Washington, DC: US Department of Commerce, 2011. [cited 2013 May 3]. Available from: http://www.census.gov/population/race/data/ppl-ba11.html

  2. US Department of Health and Human Services (USDHHS). Mental health: Culture, race, and ethnicity: A supplement to mental health: A Report of the Surgeon General. Rockville, MD: US Public Health Service; 2001.

    Google Scholar 

  3. Cartwright SA. Report on the disease and physical peculiarities of the Negro race. In: Caplan AL, McCartney JJ, Sisti DA, editors. Health, disease and illness: Concepts in medicine. Washington, DC: Georgetown University Press; 2004. p. 28–39.

    Google Scholar 

  4. Washington HA. Medical Apartheid: The dark history of medical experimentation on Black Americans from Colonial Times to the present. New York, NY: Doubleday; 2006.

    Google Scholar 

  5. Land VL, Lamb KC, Meadows SO, Traylor F. Trends in African American child well-being, 1985–2001. In: McLoyd VC, Hill NE, Dodge KA, editors. African American family life. New York, NY: The Guilford Press; 2003. p. 45–77.

    Google Scholar 

  6. Agency for Healthcare Research and Quality. National Healthcare Disparities Report, 2011 [Internet]. Washington, DC: Department of Health and Human Services; 2011. [cited 2012 Feb 12]. Available from: http://www.ahrq.gov/qual/qrdr11.htm

  7. Sue DW. Whiteness and ethnocentric monoculturalism: Making the “invisible” visible. Am Psychol. 2004;59:759–69.

    Google Scholar 

  8. Kardiner A, Ovesey L. The mark of oppression. New York, NY: Norton; 1951.

    Google Scholar 

  9. Thomas A, Sillen S. Racism and psychiatry. New York, NY: Brunner/Mazel; 1972.

    Google Scholar 

  10. Pierce CM. Stress in the workplace. In: Conner-Edwards AF, Spurlock J, editors. Black families in crisis. New York, NY: Brunner/Mazel; 1998. p. 27–33.

    Google Scholar 

  11. Sue DW, Capodilupo CM, Torino GC, Bucceri JM, Holder AMB, Nadal KL, et al. Racial microaggressions in everyday life: Implications for clinical practice. Am Psychol. 2007;62:271–86.

    PubMed  Google Scholar 

  12. Chunn J, Dunston P, Ross-Sheriff F, editors. Mental health and people of color. Washington, DC: Howard University Press; 1983.

    Google Scholar 

  13. Bell CC, Mehta H. The misdiagnosis of Black patients with manic depressive illness. J Natl Med Assoc. 1980;72(2):141–5.

    CAS  PubMed  Google Scholar 

  14. Bell CC, Mehta H. The misdiagnosis of Black patients with manic depressive illness—II. J Natl Med Assoc. 1981;73(2):101–7.

    CAS  PubMed  Google Scholar 

  15. Chien PL, Bell CC. Racial differences and schizophrenia. Directions Psychiatry. 2008;28(22):285–92.

    Google Scholar 

  16. Hunter LR, Schmidt NB. Anxiety psychopathology in African American adults: Literature review and development of an empirically informed sociocultural model. Psychol Bull. 2010;136(2):211–35.

    PubMed  Google Scholar 

  17. Ryan CL, Siebens, J. Educational attainment in the United States: 2009 [Internet]. Washington, DC: US Department of Commerce, Economics and Statistics Administration, US Census Bureau, 2012. [cited 2013 Feb]. Available from: http://www.census.gov/prod/2012pubs/p20-566.pdf

  18. Thompson-Miller R, Feagin JR. Continuing injuries of racism: Counseling in a racist context. Counsel Psychol. 2007;35:106–15.

    Google Scholar 

  19. Alexander M. The New Jim Crow: Mass incarceration in the age of colorblindness. New York, NY: The New York Press; 2010.

    Google Scholar 

  20. Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: A multilevel study of collective efficacy. Science. 1997;277:918–24.

    CAS  PubMed  Google Scholar 

  21. Centers for Disease Control. Youth risk behaviors surveillance—United States. MMWR Morb Mortal Wkly Rep. 2006;55:145–60.

    Google Scholar 

  22. Woodward AT, Taylor RJ, Abelson JM, Matusko N. Major depressive disorder among older African Americans, Caribbean Blacks, and Non-Hispanic Whites: Secondary analysis of the national survey of American life. Depress Anxiety. 2013;00:1–9.

    CAS  Google Scholar 

  23. Gibbs TA, Okuda M, Oquendo MA, Lawson WB, Wang S, Thomas YF, Blanco C. Mental health of African Americans and Caribbean Blacks in the United States: Results from the national epidemiological survey on alcohol and related conditions. Am J Public Health. 2013;103:330–8.

    PubMed Central  PubMed  Google Scholar 

  24. Joe S, Baser RE, Breeden G, Neighbors HW, Jackson JS. Prevalence of and risk factors for lifetime suicide attempts among Blacks in the United States. JAMA. 2006;296:2112–23.

    CAS  PubMed Central  PubMed  Google Scholar 

  25. Felitti V, Anda R. The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders, and sexual behavior: Implications for Healthcare. In: Lanius R, Vermetten E, Pain C, editors. The hidden epidemic: The impact of early life trauma on health and disease. New York, NY: Cambridge University Press; 2010. p. 77–87.

    Google Scholar 

  26. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. The relationship of adult health status to childhood abuse and household dysfunction. Am J Prev Med. 1998;14:245–58.

    CAS  PubMed  Google Scholar 

  27. Center for Disease Control and Prevention. Adverse childhood experiences reported by adults—five states, 2009. MMWR Morb Mortal Wkly Rep. 2010;59:1609–13.

    Google Scholar 

  28. McBride DF, Williams Y. Health disparities: Creating equity through addressing trauma. In: Jackson OT, Evans KA, editors. Health disparities: Epidemiology, racial/ethnic and socioeconomic risk factors and strategies for elimination. Hauppauge, NY: Nova Science; 2013.

    Google Scholar 

  29. Jackson JS, Knight KM, Rafferty JA. Race and unhealthy behaviors: Chronic stress, the HPA axis, and physical and mental health disparities over the life course. Am J Public Health. 2010;100:933–9.

    PubMed  Google Scholar 

  30. Wright J. The soft addiction solution. New York, NY: The Penguin Group; 2006.

    Google Scholar 

  31. Keyes CLM. Promoting and protective mental health as flourishing. Am Psychol. 2007;62(2):95–108.

    PubMed  Google Scholar 

  32. Merikangas KR, He J, Burstein M, Swendsen J, Avenevoli S, Case R, Georgiades K, Heaton L, Swanson S, Olfson M. Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2011;50(1):32–45.

    PubMed  Google Scholar 

  33. Eisenberg D, Hunt J, Speer N, Zivin K. Mental health service utilization among college students in the United States. J Nerv Ment Dis. 2011;199:301–8.

    PubMed  Google Scholar 

  34. Gonzalez HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. Depression care in the United States: Too little for too few. Arch Gen Psychiatry. 2010;67:37–46.

    PubMed Central  PubMed  Google Scholar 

  35. Fullilove MT, Fullilove RE. Post-traumatic stress disorder in women recovering from substance abuse. In: Friedman S, editor. Anxiety disorders in African Americans. New York, NY: Springer Publishing; 1994. p. 89–101.

    Google Scholar 

  36. Fullilove MT, Lown EA, Fullilove RE. Crack ‘hos and skeezers: Traumatic experiences of women crack users. J Sex Res. 1992;29(2):275–87.

    Google Scholar 

  37. Bell CC, Thompson JP, Lewis D, et al. The misdiagnosis of alcohol related organic brain syndromes and treatment issues in Blacks. Alcohol Treat Quart. 1985;2(4):45–65.

    Google Scholar 

  38. Task Force on Black and Minority Health: Report on the Secretary’s Task Force on Black and Minority Health. Homicide and suicide, and unintentional injuries, vol. V. Washington, DC: US Department of Health and Human Services; 1986.

    Google Scholar 

  39. Bell CC. Advisor’ viewpoint—preventing fetal alcohol syndrome. Clin Psychiatry News. 2012;40(5):8.

    Google Scholar 

  40. Bell CC, Mattis J. The importance of cultural competence in ministering to African American victims of domestic violence. Violence Against Women. 2000;6(5):515–32.

    Google Scholar 

  41. Bell CC. The sanity of survival. Chicago, IL: Third World Press; 2004.

    Google Scholar 

  42. Neighbors H, Musick M, Williams D. The African American Minister as a source of help for serious personal crises: Bridge or barrier to mental health care? Health Educ Behav. 1998;25:759–77.

    CAS  PubMed  Google Scholar 

  43. Snow L. Walkin’ over medicine. Boulder, CO: Westview Press; 1993.

    Google Scholar 

  44. Snowden LR. African American folk idiom and mental health services use. Cultur Divers Ethnic Minor Psychol. 1999;5:364–9.

    Google Scholar 

  45. Sow I. Anthropological structures of madness in Black Africa. New York, NY: International Universities Press; 1980. p. 31–33.

    Google Scholar 

  46. Collomb H. Assistance psychiatrique en Afrique (experience senegalaise). Psychopathol Africane. 1965;1(1):11–84.

    Google Scholar 

  47. Collomb H. Bouffees delirantes in psychiatric Africaine. Psychopathologie Africaine. 1965;1(2):167–239.

    Google Scholar 

  48. Bell CC, Dixie-Bell DD, Thompson B. Further studies on the prevalence of isolated sleep paralysis in Black subjects. J Natl Med Assoc. 1986;78(7):649–59.

    CAS  PubMed  Google Scholar 

  49. Paradis CM, Friedman S, Hatch M. Isolated sleep paralysis in African Americans with panic disorder. Cult Divers Ment Health. 1997;3(1):69–76.

    CAS  PubMed  Google Scholar 

  50. Sharpless BA, McCarthy KS, Chambless DL, Milrod BL, Khalsa SR, Barber JP. Isolated sleep paralysis and fearful isolated sleep paralysis in outpatients with panic attacks. J Clin Psychol. 2010;66(12):1292–306.

    PubMed Central  PubMed  Google Scholar 

  51. Mellman TA, Aigbogun N, Graves RE, Lawson WB, Alim TN. Sleep paralysis and trauma, psychiatric symptoms and disorders in an adult African American population attending primary medical care. Depress Anxiety. 2008;25(5):435–40.

    PubMed  Google Scholar 

  52. SAMHSA’s Center for the Application of Prevention Technologies. Cultural Competence. Washington, DC: SAMHSA; 2012. Retrieved May 9, 2013 from: http://captus.samhsa.gov/access-resources/about-strategic-prevention-framework-spf#cultural

  53. Sue DW. Multidimensional facets of cultural competence. Counsel Psychol. 2001;29:790–821.

    Google Scholar 

  54. Sue DW, Arredondo P, McDavis RJ. Multicultural competencies/standards: A call to the profession. J Counsel Dev. 1992;70:477–86.

    Google Scholar 

  55. Bell CC, McBride DF. A commentary for furthering culturally sensitive research in Geriatric Psychiatry. J Ger Psychiatry. 2011;19:397–402.

    Google Scholar 

  56. Beardslee BR, Bell CC, Chien P. Prevention of mental disorders, substance abuse, and problem behaviors: The future of psychiatry. Psychiatry Services. 2011;62(30):247–54.

    Google Scholar 

  57. Flay BR, Snyder F, Petraitis J. The theory of triadic influence. In: DiClemente RJ, Kegler MC, Crosby RA, editors. Emerging theories in health promotion practice and research. New York, NY: Jossey-Bass; 2009. p. 451–510.

    Google Scholar 

  58. Greenwald AG, Banaji MR. Implicit social cognition: Attitudes, self-esteem, and stereotypes. Psychol Rev. 1995;102:4–27.

    CAS  PubMed  Google Scholar 

  59. Fiske S. Thinking is for doing: Portraits of social cognition from daguerreotype to laser photo. J Pers Soc Psychol. 1992;63:877–89.

    CAS  PubMed  Google Scholar 

  60. Goleman D. Social intelligence: The revolutionary New science of human relationships. New York, NY: Bantam Books; 2006.

    Google Scholar 

  61. Johnson JD, Simmons CH, Jordan A, MacLean L, Taddei J, Thomas D. Rodney King and O. J. revisited: The impact of race and defendant empathy induction on judicial decisions. J Appl Soc Psychol. 2002;32:1208–23.

    Google Scholar 

  62. Lewis G, Croft-Jeffreys C, David A. Are British psychiatrists racist? Br J Psychiatry. 1990;157:410–5.

    CAS  PubMed  Google Scholar 

  63. Bell CC, Dunbar E. Racism and psychopathology. In: Widiger TA, editor. The Oxford handbook of personality disorders. New York, NY: Oxford University Press; 2012. p. 694–709.

    Google Scholar 

  64. Xu X, Zuo X, Wang X, Han S. Do you feel my pain? Racial group membership modulates empathic neural responses. J Neurosci. 2009;29(26):8525–9.

    CAS  PubMed  Google Scholar 

  65. Harris LT, Fiske ST. Social groups that elicit disgust are differentially processed in mPFC. Soc Cogn Affect Neurosci. 2007;2:45–51.

    PubMed Central  PubMed  Google Scholar 

  66. Parekh R, Bell C, Weintraub K. Overcome prejudice at work: The Harvard Medical School guide. New York, NY: Rosetta Books; 2013.

    Google Scholar 

  67. American Psychiatric Association. Resolution against racism and racial discrimination and their adverse impacts on Mental Health. Washington, DC: American Psychiatric Association; 2006. [cited 2013 June]. Available from: http://www.psych.org/edu/other_res/lib_archives/archives/200603.pdf

  68. McBride DF. Uplifting the family: African American Parents’ ideas of how to integrate religion into family health programming. J Child Fam Stud. 2012;22:161–73.

    Google Scholar 

  69. Mattis JS. Religion in African American life. In: McLoyd VC, Hill NE, Dodge KA, editors. African American family life. New York, NY: The Guilford Press; 2005. p. 189–210.

    Google Scholar 

  70. Taylor RJ, Chatters LM, Levin JS. Religion in the lives of African Americans: Social, psychological, and health perspectives. Thousand Oaks, CA: Sage Publications; 2004.

    Google Scholar 

  71. Goldston DB, Molock SD, Whitbeck LB, Murakami JL, Zayas LH, Nagayama Hall GC. Cultural considerations in adolescent suicide prevention and psychosocial treatment. Am Psychol. 2008;63:14–31.

    PubMed Central  PubMed  Google Scholar 

  72. Sinha JW, Cnaan RA, Gelles RW. Adolescent risk behaviors and religion: Findings from a national study. J Adolesc. 2007;30:231–49.

    PubMed  Google Scholar 

  73. Sudarkasa N. Interpreting the African heritage in African American family organization. In: McAdoo HP, editor. Black families. Thousand Oaks, CA: Sage; 2007. p. 29–47.

    Google Scholar 

  74. Livingston JN, McAdoo JL. The roles of African American fathers in the socialization of their children. In: McAdoo HP, editor. Black families. Thousand Oaks, CA: Sage Publications, Inc.; 2007. p. 219–37.

    Google Scholar 

  75. Bell CC, Bhana A, Petersen I, McKay MM, Gibbons R, Bannon W, et al. Building protective factors to offset sexually risky behaviors among black South African youth: A randomized control trial. J Natl Med Assoc. 2008;100(8):936–44.

    PubMed Central  PubMed  Google Scholar 

  76. Phinney JS. A three-stage model of ethnic identity development in adolescence. In: Bernal ME, Knight GP, editors. Ethnic identity: Formation and transmission among Hispanic and other minorities. Albany, NY: State University of New York Press; 1993.

    Google Scholar 

  77. McAdoo HP. Racial socialization of young Black children. In: McAdoo HP, McAdoo JL, editors. Black children: Social, educational, and parental environments. Beverly Hills, CA: Sage; 1985. p. 159–73.

    Google Scholar 

  78. Burnett-Zeigler I, Bohnert KM, Ilgen MA. Ethnic identity, acculturation and the prevalence of lifetime psychiatric disorders among black, Hispanic, and Asian adults in the U.S. J Psychiatr Res. 2013;47(1):56–63.

    PubMed  Google Scholar 

  79. Willie CV. Black families. Bayside, NY: General Hall; 1981.

    Google Scholar 

  80. Belgrave FZ, Allison KW. African American psychology: From Africa to America. 2nd ed. Los Angeles, CA: SAGE Publications; 2010.

    Google Scholar 

  81. Utsey SO, Hook JN. Heart rate variability as a physiological moderator of the relationship between race-related stress and psychological distress in African Americans. Cultur Divers Ethnic Minor Psychol. 2007;13:250–3.

    PubMed  Google Scholar 

  82. Mays VM, Cochran SD, Barnes WN. Race, race-based discrimination and health outcomes among African Americans. Ann Rev of Psychol. 2007;58:201–25.

    Google Scholar 

  83. Pierce C. Stress analogs of racism and sexism: Terrorism, torture, and disaster. In: Willie C, Rieker P, Kramer B, Brown B, editors. Mental health, racism, and sexism. Pittsburgh, PA: University of Pittsburgh Press; 1995. p. 277–93.

    Google Scholar 

  84. Kirk DS. The neighborhood context of racial and ethnic disparities in arrest. Demography. 2008;45:55–77.

    PubMed  Google Scholar 

  85. Wade P, Bernstein BL. Culture sensitivity training and counselor´s race: Effects on Black female clients´ perceptions and attrition. J Counsel Psychol. 1991;38:9–15.

    Google Scholar 

  86. Burkard AW, Knox S. Effect of therapist color-blindness on empathy and attributions in cross-cultural counseling. J Counsel Psychol. 2004;51:387–97.

    Google Scholar 

  87. Bell CC, Merritt LM, Wells S. Integrating cultural competency and evidence-based practice in child welfare services: A model based on community psychiatry field principles of health. Child Youth Serv Rev. 2009;31(11):1206–13.

    Google Scholar 

  88. Bender L. Behavior problems in Negro children. Psychiatry. 1939;2:213–28.

    Google Scholar 

  89. Adebimpe VR, Gigandet J, Harris E. MMPI diagnosis of black psychiatric patients. Am J Psychol. 1979;136:85–7.

    CAS  Google Scholar 

  90. Adebimpe VR. Race, racism, and epidemiological surveys. Hosp Community Psychiatry. 1994;45(1):27–31.

    CAS  PubMed  Google Scholar 

  91. Jones BE, Gray BA. Problems in diagnosing schizophrenia and affective disorders among blacks. Hosp Community Psychiatry. 1886;37(1):61–5.

    Google Scholar 

  92. Jones BE, Gray BA, Parson EB. Manic-depressive illness among poor urban blacks. Am J Psychol. 1981;138(5):654–7.

    CAS  Google Scholar 

  93. Mukherjee S, Shukla S, Woodle J, Rosen AM, Olarte S. Misdiagnosis of schizophrenia in bipolar patients: A multiethnic comparison. Am J Psychol. 1983;140(12):1571–4.

    CAS  Google Scholar 

  94. Strakowski SM, Flaum M, Amador X, Bracha HS, Pandurangi AK, Robinson D, Tohen M. Racial differences in the diagnosis of psychosis. Schizopr Res. 1996;21:117–24.

    CAS  Google Scholar 

  95. Strakowski SM, Keck PE, Arnold LM, Collins J, Wilson RM, Fleck DE, Corey KB, Amicone J, Adebimpe VR. Ethnicity and diagnosis in patients with affective disorders. J Clin Psychol. 2003;64(7):747–54.

    Google Scholar 

  96. West JC, Herbeck DM, Bell CC, Colquitt WL, Duffy FF, Fitek DJ, Pincus HA, Rae D, Stipec MR, Snowden L, Zarin DA, Narrow WE. Race/ethnicity among psychiatric patients: Variations in diagnostic and clinical characteristics reported by practicing clinicians. focus. 2006;4:48.

    Google Scholar 

  97. Faris R, Dunham W. Mental disorders in urban areas. Chicago, IL: University of Chicago Press; 1939.

    Google Scholar 

  98. Frumkin RM. Race and major mental disorders. J Negro Educ. 1954;23:97–8.

    Google Scholar 

  99. Taube C. Admission rates to state and county mental hospitals by age, sex, and color, United States, 1969. Department of HEW, NIMH, Biometry Branch, Statistical Note 41, 1971, p. 1–7.

    Google Scholar 

  100. Simon R, Fleiss J. Depression and schizophrenia in hospitalized patients. Arch Gen Psychiatry. 1973;28:509–12.

    CAS  PubMed  Google Scholar 

  101. Cannon M, Locke B: Being black is detrimental to one’s mental health: Myth or reality? Presented at Atlanta University at the W.E.B. Dubois Conference on the Health of Black Populations, Dec 14, 1976.

    Google Scholar 

  102. Bell CC, Jackson WM, Bell BH. Misdiagnosis of African Americans with Psychiatric Issues—Part I. J Natl Med Assoc (in press).

    Google Scholar 

  103. Bell CC, Bland IJ, Houston E, Jones BE. Enhancement of knowledge and skills for the psychiatric treatment of black populations. In: Chunn JC, Dunston PJ, Ross-Sheriff F, editors. Mental health and people of color. Washington, DC: Howard University Press; 1983. p. 205–37.

    Google Scholar 

  104. Jones BE, Gray BA. Black and white psychiatrists: Therapy with blacks. J Natl Med Assoc. 1985;77:19–25.

    CAS  PubMed  Google Scholar 

  105. Griffin G, McEwen E, Samuels BH, Suggs H, Redd RL, McClelland GM. Infusing protective factors for children in foster care. Psychiatry Clin North Am. 2011;34:185–203.

    Google Scholar 

  106. Bell CC, Bhana A, McKay MM, Petersen I. A commentary on the Triadic Theory of Influence as a guide for adapting HIV prevention programs for new contexts and populations: The CHAMP-South Africa story. In: McKay MM, Paikoff RI, editors. Community collaborative partnerships: The foundation for HIV prevention research efforts. Binghamton, NY: Haworth; 2007.

    Google Scholar 

  107. Gonzalez HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. Depression care in the United States: Too little for too few. Arch Gen Psychiatry. 2010;67:37–46.

    PubMed Central  PubMed  Google Scholar 

  108. Dahl ML, Johansson I, Bertilsson L, Ingelman-Sundberg M, Sjoqvist F. Ultrarapid hydroxylation of debrisoquine in a Swedish population. Analysis of the molecular genetic basis. J Pharm Exp Ther. 1995;274(1):516–20.

    CAS  Google Scholar 

  109. Dahl ML, Yue QY, Roh HK, Johansson I, Sawe J, Sjoqvist F, et al. Genetic analysis of the CYP2D locus in relation to debrisoquine hydroxylation capacity in Korean, Japanese and Chinese subjects. Pharmacogenetics. 1995;5(3):159–64.

    CAS  PubMed  Google Scholar 

  110. Leathart JB, London SJ, Steward A, Adams JD, Idle JR, Daly AK. CYP2D6 phenotype-genotype relationships in African Americans and Caucasians in Los Angeles. Pharmacogenetics. 1998;8(6):529–41.

    CAS  PubMed  Google Scholar 

  111. DeVane CL. Principles of pharmacokinetics and pharmacodynamics. In: Schatzberg AF, Nemeroff CB, editors. Textbook of psychopharmacology. Washington, DC: American Psychiatric Publishing, Inc.; 2009. p. 181–99.

    Google Scholar 

  112. Caspi A, Sugden K, Moffitt TE, Taylor A, Craig IW, Harrington H, McClay J, Mill J, et al. Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science. 2003;301(5631):386–9.

    CAS  PubMed  Google Scholar 

  113. Lachman HM, Papolos DF, Saito T, et al. Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics. 1996;6:243–50.

    CAS  PubMed  Google Scholar 

  114. Hinds D, Stuve L, Nilsen G, et al. Whole-genome patterns of common DNA variation in three human populations. Science. 2005;307:1072–9.

    CAS  PubMed  Google Scholar 

  115. Palmatier MA, Kang AM, Kidd K. Global variation in the frequencies of functionally different catechol-O-methyltransferase alleles. Biol Psychiatry. 1999;46:557–67.

    CAS  PubMed  Google Scholar 

  116. Glazer WM, Morgenstern H, Doucette J. Race and tardive dyskinesia among outpatients at a CMHC. Hosp Comm Psych. 1994;45(1):38–42.

    CAS  Google Scholar 

  117. Chou WH, Yan FX, de Leon J, Barnhill J, Rogers T, Cronin M, et al. Extension of a pilot study: Impact from the cytochrome P450 2D6 polymorphism on outcome and costs associated with severe mental illness. J Clin Psychopharmacol. 2000;20(2):246–51.

    CAS  PubMed  Google Scholar 

  118. Reggiani K, Vandel P, Haffen E, Sechter D, Bizouard P, Vande S. Extrapyramidal side effects of neuroleptic and antidepressant treatment: Assessment of potential risk factors through CYP2D6 genetic polymorphism. Encéphale. 2000;26(1):62–7.

    CAS  PubMed  Google Scholar 

  119. Zabrocka M, Woszczek G, Borowiec M, Rabe-Jablonska J, Kowalski ML. CYP2D6 gene polymorphism in psychiatric patients resistant to standard pharmacotherapy. Psychiatr Pol. 1999;331:91–100.

    Google Scholar 

  120. Masimirembwa C, Bertilsson L, Johansson I, Hasler JA, Ingelman-Sundberg M. Phenotyping and genotyping of S-mephenytoin hydroxylase (cytochrome P450 2C19) in a Shona population of Zimbabwe. Clin Pharmacol Ther. 1995;57(6):656–61.

    CAS  PubMed  Google Scholar 

  121. Pollock BG, Perel JM, Kirshner M, Altieri LP, Yeager AL, Reynolds CF. S-mephenytoin 4-hydroxylation in older Americans. Eur J Clin Pharm. 1991;40(6):609–11.

    CAS  Google Scholar 

  122. Lin KM. Psychopharmacology in cross-cultural psychiatry. Mt Sinai J Med. 1996;63(5–6): 283–4.

    CAS  PubMed  Google Scholar 

  123. Lin KM, Poland RE, Wan YJ, Smith MW, Lesser IM. The evolving science of pharmacogenetics: Clinical and ethnic perspectives. Psychopharmacol Bull. 1996;32(2):205–17.

    CAS  PubMed  Google Scholar 

  124. Flaherty JA, Meagher R. Measuring racial bias in inpatient treatment. Am J Psychiatry. 1980;137:679–82.

    CAS  PubMed  Google Scholar 

  125. Jeste DV, Lindamer LA, Evans J, Lacro JP. Relationship of ethnicity and gender to schizophrenia and pharmacology of neuroleptics. Psychopharmacol Bull. 1996;32(2):243–51.

    CAS  PubMed  Google Scholar 

  126. Diaz FJ, De Leon J. Excessive antipsychotic dosing in 2 U.S. State hospitals. J Clin Psychiatry. 2002;63(11):998–1003.

    PubMed  Google Scholar 

  127. DelBello MP, Lopez-Larson MP, Soutullo CA, Strakowski SM. Effects of race on psychiatric diagnosis of hospitalized adolescents: A retrospective chart review. J Child Adolsc Psychopharmacol. 2001;11(1):95–103.

    CAS  Google Scholar 

  128. Henderson DC, Cagliero E, Copeland PM, Borba CP, Evins E, Hayden D, et al. Glucose metabolism in patients with schizophrenia treated with atypical antipsychotic agents: A frequently sampled intravenous glucose tolerance test and minimal model analysis. Arch Gen Psychiatry. 2005;62(1):19–28.

    CAS  PubMed  Google Scholar 

  129. Moeller FG, Chen YW, Steinberg JL, Petty F, Ripper GW, Shah N, et al. Risk factors for clozapine discontinuation among 805 patients in the VA hospital system. Ann Clin Psychiatry. 1995;7(4):167–73.

    CAS  PubMed  Google Scholar 

  130. Bell CC. Taking issue: Pimping the African American community. Psychiatry Serv. 1996;47(10):1025.

    CAS  Google Scholar 

  131. Goldsmith SK, Pellmar TC, Kleinman AM, Bunney WE, editors. Reducing suicide: A national imperative. Washington, DC: National Academy Press; 2002.

    Google Scholar 

  132. Bell CC. Cultivating resiliency in youth. J Adolesc Health. 2001;29:375–81.

    CAS  PubMed  Google Scholar 

  133. Lu FG, Primm A. Mental Health disparities, diversity, and cultural competence in medical student education: How psychiatry can play a role. Acad Psychiatry. 2006;30:9–18.

    PubMed  Google Scholar 

  134. Association of American Medical College. Tool for assessing cultural competency training. Washington, DC: Association of American Medical College; 2010. [cited 2013 June 13]. Available from: https://www.aamc.org/download/54344/data/tacct_pdf.pdf

  135. American Psychiatric Association. Diagnostic and statistical manual. 5th ed. Washington, DC: American Psychiatric Press; 2013.

    Google Scholar 

  136. National Research Council and Institute of Medicine. Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. In: O’Connell ME, Boat T, Warner KE, editors. Prevention of mental disorders and substance abuse among children, youth, and young adults: Research advances and promising interventions. Washington, DC: The National Academies Press; 2009.

    Google Scholar 

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Authors and Affiliations

  1. Psychosis Program, Department of Psychiatry, College of Medicine, Chicago, USA

    Carl Bell M.D. (Staff Psychiatrist, Professor of Psychiatry and Public Health)

  2. University of Illinois at Chicago, Chicago, USA

    Carl Bell M.D. (Staff Psychiatrist, Professor of Psychiatry and Public Health)

  3. St. Bernard’s Hospital, Chicago, USA

    Carl Bell M.D. (Staff Psychiatrist, Professor of Psychiatry and Public Health)

  4. Jackson Park Hospital’s Outpatient Family Practice Clinic, Chicago, USA

    Carl Bell M.D. (Staff Psychiatrist, Professor of Psychiatry and Public Health)

  5. Become, Inc., Chicago, IL, USA

    Dominica F. McBride Ph.D.

Authors
  1. Carl Bell M.D.
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  2. Dominica F. McBride Ph.D.
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Correspondence to Carl Bell M.D. .

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Editors and Affiliations

  1. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA

    Ranna Parekh

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Bell, C., McBride, D.F. (2014). Psychiatry for People of African Descent in the USA. In: Parekh, R. (eds) The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health. Current Clinical Psychiatry. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-8918-4_6

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  • DOI: https://doi.org/10.1007/978-1-4614-8918-4_6

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