About the Authorxi
Acknowledgementsxiii
Abstractxv
Introduction1
Racial Trauma: Implications for Mental Illness4
Charades and Masquerades: Subsuming Race Within Culture in Psychiatry8
Broad Aims and Objectives of the Book9
Organisation of the Book10
Chapter 1. The Age of Enlightenment: The Roots of Racism in Psychiatry13
Interrogating Psychiatric Imperialism14
The Black Body in the Psychiatric Imagination16
Anti-colonial Theory: A Challenge to Psychiatry’s Colonial Legacy19
Chapter 2. How Representations of Race Inform Pathways to Care and Psychiatric Diagnoses23
Pathways to Care24
The Racialisation of Psychiatric Diagnoses: When the Politics of Race and the Politics of Diagnosis Collide25
Chapter 3. Black Lives Matter: The Public Health Crisis of Anti-Black Racism31
The Psychology of Oppression31
Black Pain, Black Rage: The Mental Health Impacts of Anti-Black Racism32
Employment33
Income34
Education34
Immigrant and Refugee Status35
Environmental Racism36
Criminal Justice and Policing37
The Black Lives Matter Movement: The Traumatising Aftereffects of Anti-Black Police Violence37
Experiences of Mental Illness in Black Communities41
Black Women43
Black Men50
Chapter 4. Perceptions and Beliefs About Mental Illness in Black Communities and How They Influence Help-seeking and Coping53
Perceptions and Beliefs About Mental Illness in Black Communities53
Experiences Seeking Help for and Coping with Mental Illness in Black Communities63
Chapter 5. Structural Competency: Moving Beyond Cultural Competency in the Mental Health System79
Contested Knowledge: Interrogating ‘Common-Sense’ Knowledge in Psychiatry80
Structural Competency: Addressing the Politics of Difference in the Clinical Environment81
Conclusion: A Multilevel Approach to Addressing Racial Trauma in Black Communities87
Health Education and Training88
Research89
Clinical Practice89
Mental Health Services92
Health Workforce95
Community Outreach and Education97
Community-based Approaches98
Mental Health Policy98
The Mental Health System98
References101
Index113

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