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Race, Culture, and Diagnosis of Psychosis
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The document discusses the topic of racial disparities in the diagnosis and treatment of psychosis, particularly focusing on the experiences of Black and Latinx individuals. Dr. Deidre M. Anglin, an expert in clinical psychology, emphasizes the impact of historical sociopolitical movements in contributing to the overdiagnosis of schizophrenia in Black individuals. The text highlights various factors such as racial discrimination, trauma, and cultural mistrust that influence the expression of psychotic experiences in minority groups.<br /><br />The session outlines learning objectives including historical racism in psychiatry, explanations for racial disparities in schizophrenia diagnoses, and factors improving clinical assessment of psychosis in racially minoritized groups. It also delves into the stigma of mental health services utilization in Black and Asian populations. The discussion underscores the importance of cultural humility and awareness of biases in clinical work to enhance the therapeutic alliance, especially in cross-racial dyads.<br /><br />Case examples illustrate how trauma, dissociation, and cultural context influence the presentation of psychotic symptoms. The document offers practical measures to address racial diagnostic bias and improve the clinical assessment of psychosis in minority communities. Furthermore, it emphasizes the need to consider patients' social context, especially experiences of discrimination, to provide more effective and culturally sensitive mental health care.
Keywords
racial disparities
diagnosis and treatment of psychosis
Black and Latinx individuals
historical sociopolitical movements
overdiagnosis of schizophrenia
racial discrimination
cultural mistrust
clinical assessment of psychosis
minority groups
cultural humility
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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