Hosp Community Psychiatry 37:61-65, January 1986
© 1986 American Psychiatric Association
|
| | |
|
Problems in Diagnosing Schizophrenia and Affective Disorders Among Blacks
Billy E. Jones M.D.1 and
Beverly A. Gray M.A.2
1 The Department of Psychiatry, The New York Medical College in Valhalla
2 The Department of Psychiatry at the Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, New York 10451, The New York Medical College in Valhalla
In this country schizophrenia has been consistently overdiagnosed and affective disorders underdiagnosed, particularly among blacks and lower socioeconomic groups. The general causes of such misdiagnoses include overreliance on the classic thought disorder symptoms as pathognomonic of schizophrenia and, for affective disorders, lack of clearly defined boundaries between normal and abnormal mood and failure to realize that patients with affective illness can manifest cognitive symptoms. In addition to the above factors, misdiagnosis among blacks results from such factors as cultural differences in language and mannerisms, difficulties in relating between black patients and white therapists, and the myth that blacks rarely suffer from affective disorders. Clinicians and researchers must pay more attention to the effects of cultural differences on diagnosis, and baseline behaviors and symptomatology for blacks must be established.
This article has been cited by other articles:
|
|
|
|
 
H. C. Kales, H. W. Neighbors, F. C. Blow, K. K. K. Taylor, L. Gillon, D. E. Welsh, S. M. Maixner, and A. M. Mellow
Race, Gender, and Psychiatrists' Diagnosis and Treatment of Major Depression Among Elderly Patients
Psychiatr Serv,
June 1, 2005;
56(6):
721 - 728.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. J Buchanan, R. A Martin, M. Zuniga, S. Wang, and M. Kim
Nursing home residents with multiple sclerosis: comparisons of African American residents to white residents at admission
Multiple Sclerosis,
December 1, 2004;
10(6):
660 - 667.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. E. Faison and D. Armstrong
Cultural Aspects of Psychosis in the Elderly
J Geriatr Psychiatry Neurol,
December 1, 2003;
16(4):
225 - 231.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Minsky, W. Vega, T. Miskimen, M. Gara, and J. Escobar
Diagnostic Patterns in Latino, African American, and European American Psychiatric Patients
Arch Gen Psychiatry,
June 1, 2003;
60(6):
637 - 644.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Alegria, G. Canino, R. Rios, M. Vera, J. Calderon, D. Rusch, and A. N. Ortega
Mental Health Care for Latinos: Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino Whites
Psychiatr Serv,
December 1, 2002;
53(12):
1547 - 1555.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Barbee
Racism and Mental Health
Journal of the American Psychiatric Nurses Association,
December 1, 2002;
8(6):
194 - 199.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. M. Jerrell, K. M. Wieduwilt, and D. V. Macey
Use and Costs of Public-Sector Behavioral Health Services for African-American and White Women
Psychiatr Serv,
February 1, 2002;
53(2):
195 - 200.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. C. Kales and M. Valenstein
Complexity in Late-Life Depression: Impact of Confounding Factors on Diagnosis, Treatment, and Outcomes
J Geriatr Psychiatry Neurol,
January 1, 2002;
15(3):
147 - 155.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. Dixon, L. Green-Paden, J. Delahanty, A. Lucksted, L. Postrado, and J. Hall
Variables Associated With Disparities in Treatment of Patients With Schizophrenia and Comorbid Mood and Anxiety Disorders
Psychiatr Serv,
September 1, 2001;
52(9):
1216 - 1222.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. C. Kales, F. C. Blow, C. R. Bingham, L. A. Copeland, and A. M. Mellow
Race and Inpatient Psychiatric Diagnoses Among Elderly Veterans
Psychiatr Serv,
June 1, 2000;
51(6):
795 - 800.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. B. CUNNINGHAM, S. W. HENGGELER, and S. G. PICKREL
The Cross-Ethnic Equivalence of Measures Commonly used in Mental Health Services Research with Children
Journal of Emotional and Behavioral Disorders,
October 1, 1996;
4(4):
231 - 239.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Littlewood
Ideology, Camouflage or Contingency? Racism in British Psychiatry
Transcultural Psychiatry,
January 1, 1993;
30(3):
243 - 290.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. M.-B. Stephen
Blacks, Schizophrenia, and Neuroleptic Treatment
Arch Gen Psychiatry,
February 1, 1992;
49(2):
164 - 165.
[Abstract]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1986
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
