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Race, Culture, and Diagnosis of Psychosis
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The document provides a comprehensive overview of the American Psychiatric Association's (APA) webinar on "Race, Culture, and Diagnosis of Psychosis," focusing on the intersections of race and psychiatric diagnosis in the U.S. The webinar is designed for continuing education and provides credits for physicians, psychologists, and social workers.<br /><br />Dr. Deidre M. Anglin, an expert in psychology and psychiatric epidemiology, led the session. The webinar's objectives include understanding the historical role of racism in psychiatric diagnoses, especially regarding schizophrenia among Black Americans, examining racial disparities, and discussing the influence of social factors like discrimination on psychotic experiences. It underscores how sociopolitical movements historically contributed to the overdiagnosis and mischaracterization of psychosis in Black populations, pointing to biases and systemic issues within clinical assessments.<br /><br />Key factors discussed involve cultural biases, misdiagnosis due to clinician bias, and the underemphasis of affective symptoms in clinical settings. Various cases and studies are referenced to illustrate these disparities, emphasizing the importance of recognizing cultural mistrust and its effects on mental health assessments.<br /><br />The presentation also delves into racial disparities in psychotic experiences, showing higher prevalence among Black and Latinx populations, often linked to societal stressors like discrimination and trauma. It advocates for the need to consider context in clinical settings, acknowledging that factors like neighborhood crime and misapplied cultural assumptions can lead to misdiagnosis.<br /><br />The session highlights the need for culturally sensitive clinical practices, promoting open communication about race and discrimination, and fostering awareness among clinicians of their inherent biases. It aims to improve the reliability of psychosis diagnosis among racially minoritized groups by advocating for a more nuanced understanding of cultural and contextual factors in psychiatric evaluations.
Keywords
American Psychiatric Association
Race and Diagnosis
Psychosis
Racial Disparities
Cultural Bias
Schizophrenia
Discrimination
Misdiagnosis
Culturally Sensitive Practices
Systemic Issues
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