Journal of Medical Humanities

, Volume 26, Issue 4, pp 215–235 | Cite as

The Heresy of African-Centered Psychology

Article

Abstract

This paper contends that African-centered models of psychopathology represent a heretical challenge to orthodox North American Mental Health. Heresy is the defiant rejection of ideology from a smaller community within the orthodoxy. African-centered models of psychopathology use much of the same language and ideas about the diagnostic process as Western psychiatry and clinical psychology but explicitly reject the ideological foundations of illness definition. The nature of the heretical critique is discussed, and implications for the future of this school of thought are offered.

Keywords

African Americans African-centered psychology cultural psychiatry heresy nosology 

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References

  1. A. S. Abdullah, “Mammy-ism: A diagnosis,” Journal of Black Psychology, 24 (1998): 196–210.Google Scholar
  2. E. H. Ackerknecht, A Short History of Psychiatry (New York: Hafner, 1968).Google Scholar
  3. V. R. Adembimpe, “Overview: White norms and psychiatric diagnosis of Black patients,” American Journal of Psychiatry, 138 (1981): 279–285.Google Scholar
  4. V. R. Adembimpe, C. Chung-Cho, et al., “Racial and Geographic Differences,” American Journal of Psychiatry, 139 (1982): 888–891.Google Scholar
  5. N. Akbar, “Mental Disorder Among African-Americans.” Black Books Bulletin, 7, No. 2 (1981): 18–25.MathSciNetGoogle Scholar
  6. N. Akbar, “Chains and Images of Psychological Slavery.” (Jersey City, NJ: New Mind Productions 1994).Google Scholar
  7. R. D. Alarcon, “Personality Disorders.” Journal of Personality Disorders, 10, No. 3 (1996): 260–270.Google Scholar
  8. F. G. Alexander, and S. T. Selesnick, The History of Psychiatry: An Evaluation of Psychiatric Thought and Practice From Prehistoric Times to the Present (New York: Harper & Row, 1966).Google Scholar
  9. K. W. Allison, R. J. Echemendia, et al. “Predicting cultural competence: Implications for practice and training.” Professional Psychology: Research and Practice (1996): 386–393.Google Scholar
  10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th ed.). (Washington, DC: APA, 1994).Google Scholar
  11. D. A. Azibo, “African-centered theses on mental health and a nosology of Black/African personality disorder.” Journal of Black Psychology, 15 (1989): 173–214.Google Scholar
  12. D. A. Azibo, “Treatment and Training Implications of the Advances in African Personality Theory.” Western Journal of Black Studies, 14 (1990): 53–65.Google Scholar
  13. D. A. Azibo, “Articulating the distinction between Black studies and the study of Blacks: The fundamental role of culture and the African-centered worldview.” The Afrocentric Scholar, 1 No. 1, (1992): 64–97.Google Scholar
  14. D. A. Azibo, and P. Dixon, “The theoretical relationship between materialistic depression and depression: Preliminary data and implications for the Azibo nosology.” Journal of Black Psychology, 24 (1998): 211–225.Google Scholar
  15. J. A. Baldwin, “Psychological aspects of European cosmology in American society.” Western Journal of Black Studies, 9 (1985): 216–223.Google Scholar
  16. J. Baron, “Thinking and Deciding” New York: Cambridge University Press, (1990).Google Scholar
  17. F. Z. Belgrave, D. R. Brome, and C. T. Hampton, “The contribution of Afrocentric values and racial identity to the prediction of drug knowledge, attitudes, and use among African American youth.” Journal of Black Psychology, 26(4) (2000): 386–401.Google Scholar
  18. C. E. Berganza, J. E. Mezzich, et al. “The Latin American Guide for Psychiatric Diagnosis: A Cultural Overview.” Psychiatric Clinics of North America, 24 (2001): 433–446.CrossRefPubMedGoogle Scholar
  19. M. E. Bernal, and F. G. Castro, “Are clinical psychologists prepared for service and research with ethnic minorities?” American Psychologist, 49 (1994): 797–805.CrossRefPubMedGoogle Scholar
  20. R. K. Blashfield, and A. K. Fuller, “Predicting the DSM-V.” Journal of Nervous and Mental Disease, 184 (1996): 4–7.CrossRefPubMedGoogle Scholar
  21. F. Boateng, “African traditional education: A tool for intergenerational communication.” In African Culture: The Rhythms of Unity. Eds. MK Asante and KW Asante (Trenton, NJ: Africa World Press, 1990).Google Scholar
  22. E. Bolaji Idowu, Oludumare: God in Yoruba belief (New York: Wazobia 1994).Google Scholar
  23. G. C. Bowker, and S. L. Star, Sorting Things Out: Classification and Its Consequences (Cambridge: MIT Press, 2000).Google Scholar
  24. N. Boyd-Franklin Black Families in Therapy: A Multisystems Approach (New York: Guilford,1989).Google Scholar
  25. A. M. Brandt, “Behavior, disease, and health in the twentieth-century United States: The moral valence of individual risk.” In Morality and Health, Eds. A. M. Brandt, and P. Rozin (New York: Routledge, 1997).Google Scholar
  26. J. E. Brent, and G. B. Callwood, “Culturally relevant psychiatric care: The West Indian as a client.” Journal of Black Psychology, 19 (1993): 290–302.Google Scholar
  27. R. T. Carter, The Influence of Race and Racial Identity in Psychotherapy (New York: John Wiley & Sons 1995).Google Scholar
  28. V. R. Cherry, F. Z. Belgrave, et al. “NTU: An Africentric approach to substance abuse prevention among African American youth.” Journal of Primary Prevention, 18 (1998): 319–339.CrossRefGoogle Scholar
  29. L. Comas–Diaz, and B. Greene, (eds.). Women of Color: Integrating Ethnic and Gender Identities in Psychotherapy (New York: Guilford 1994).Google Scholar
  30. R. H. Dana, Multicultural Assessment Perspectives for Professional Psychology (Boston: Allyn & Bacon 1993).Google Scholar
  31. M. P. DelBello, M. P. Lopez-Larson, et al. “Effects of race on psychiatric diagnosis of hospitalized adolescents: A retrospective chart review.” Journal of Child and Adolescent Psychopharmacology, 11, (2001): 95–103.CrossRefPubMedGoogle Scholar
  32. D. Dennard, “Application of the Azibo nosology in clinical practice with Black clients: A case study.” Journal of Black Psychology, 24 (1998): 182–195.Google Scholar
  33. F. J. Diaz, and J. DeLeon, “Excessive Antipsychotic Dosing in 2 U.S. State Hospitals.” Journal of Clinical Psychiatry, 63 (2002): 998–1003.PubMedGoogle Scholar
  34. A. B. Evarts, “Dementia Precox in the Colored Race.” Psychoanalytic Review, 14 (1913): 388–403.Google Scholar
  35. H. Fabrega, “Cultural and historical foundations of psychiatric diagnosis.” In Culture and Psychiatric Diagnosis: A DSM-IV Perspective. Eds. J. E. Mezzich, A Kleinman, et al. (Washington, DC: American Psychiatric Press 1996).Google Scholar
  36. H. Fabrega, J. Mezzich, and R. Ulrich. “Black-white differences in psychopathology in an urban psychiatric population.” Comprehensive Psychiatry, 29 (1988): 285–297.CrossRefPubMedGoogle Scholar
  37. H. Fabrega, “Culture and history in psychiatric diagnosis and practice.” Psychiatric Clinics of North America, 24 (2001): 391–405.PubMedGoogle Scholar
  38. H. H. Fairchild, “Scientific racism: The cloak of objectivity.” Journal of Social Issues, 47, 3(1991): 101–115.Google Scholar
  39. R. E. Fancher, Pioneers of Psychology (2nd ed.) (New York: Norton 1990).Google Scholar
  40. S. Fernando, Mental Health, Race and Culture (New York: St. Martin's Press, 1991).Google Scholar
  41. B. J. Fowers, and F. C. Richardson, “Why is multiculturalism good?” American Psychologist, 51, (1996): 609–621.CrossRefGoogle Scholar
  42. A. Frances, and R. Ross, DSM-IV Cy‘ase Studies: A Clinical Guide to Differential Diagnosis (Washington, DC: American Psychiatric Press 1996).Google Scholar
  43. R. B. Franklin, and S. Pack-Brown, “Team Brothers: An Africentric approach to group work with African American male adolescents.” Journal for Specialists in Group Work, 26 (2001): 237–245.Google Scholar
  44. A. D. Gaines, “From DSM-I to DSM-III-R; voices of self, master and the other: A cultural constructivist reading of U.S. psychiatric classification.” Social Science and Medicine, 35 (1992): 3–24.PubMedGoogle Scholar
  45. S. Gopaul-McNicol, Working with West Indian Families (New York: Guilford 1993).Google Scholar
  46. B. Greene, “Considerations in the Treatment of Black Patients by White Therapists.” Psychotherapy, 22 (1985): 389–393.Google Scholar
  47. B. Greene, “What difference does a difference make?: Societal privilege, disadvantage, and discord in human relationships.” In Diversity in Human Interactions: The Tapestry of America, Eds. Robinson JD and LC James (London: Oxford 2003).Google Scholar
  48. A. Gursoy, “Beyond the orthodox: Heresy in medicine and the social sciences from a cross-cultural perspective.” Social Science and Medicine, 43 (1996): 577–599.PubMedGoogle Scholar
  49. R. V. Guthrie, Even the Rat Was White (2nd ed.) (Boston: Allyn & Bacon 1998).Google Scholar
  50. J. Haley, Learning and Teaching Therapy (New York: Guilford 1996).Google Scholar
  51. P. A. Hays, “Multicultural applications of cognitive-behavior therapy.” Professional Psychology: Research and Practice, 26 (1995): 3 309–315.Google Scholar
  52. J. E. Helms, and R. M. Talleyrand, “Race is not ethnicity.” American Psychologist, 52 (1997): 1246–1247.CrossRefGoogle Scholar
  53. P. Hill, “Africentric rites of passage: Nurturing the next generation.” In Counseling African American families: The family psychology and counseling series, Eds. Sanders JL and C. Bradley (Alexandria, VA: American Counseling Association 2003).Google Scholar
  54. K. K. Kambon, The African Personality in America: An African-centered framework (Tallahassee, FL: Nubian Nation 1992).Google Scholar
  55. A. Kleinman, “Triumph or pyrrhic victory? The inclusion of culture in DSM-IV.” Harvard Review of Psychiatry, 4 (1997): 343–344.PubMedGoogle Scholar
  56. B. Lewis, “Psychiatry and postmodern theory.” Journal of Medical Humanities, 21 (2000): 71–84.CrossRefGoogle Scholar
  57. E. T. Liu, “The uncoupling of race and cancer genetics.” Cancer, 83 (1998): 1765–1769.Google Scholar
  58. D. Longshore, C. Grills, et al. “Promoting recovery from drug abuse: An Africentric intervention.” Journal of Black Studies, 28 (1998): 319–332.Google Scholar
  59. T. M. Luhrmann, Of Two Minds: The Growing Disorder in American Psychiatry (New York: Knopf 2001).Google Scholar
  60. J. Mbiti, “Man in African religion.” In Africa and the West: The legacies of Empire, Eds. IJ Mowoe and R Bjornson (New York: Greenwood 1986).Google Scholar
  61. J. S. Mbiti, “African Religions and Philosophy (2nd ed.) (Oxford: Heineman Educational Publishers 1990).”Google Scholar
  62. J. E. Mezzich, and L. J. Kirmayer, et al. “The place of culture in DSM-IV.” Journal of Nervous and Mental Disease, 187 (1999): 457–464.CrossRefPubMedGoogle Scholar
  63. J. E. Mezzich, C. E. Berganza, and M. A. Ruiperez, “Culture in DSM-IV, ICD-10, and evolving diagnostic systems.” Psychiatric Clinics of North America, 24 (2001): 407–419.PubMedGoogle Scholar
  64. S. Minsky, W. Vega, et al. “Diagnostic patterns in Latino, African American, and European American psychiatric patients.” Archives of General Psychiatry, 60 (2003): 637–644.CrossRefPubMedGoogle Scholar
  65. G. C. Nagayama Hall, “Misunderstandings of multiculturalism: Shouting fire in crowded theaters.” American Psychologist, 52 (1997): 654–655.Google Scholar
  66. G. C. Nagayama Hall, and G. G. Maramba, “In search of cultural diversity: Recent literature in cross-cultural and ethnic minority psychology.” Cultural Diversity & Ethnic Minority Psychology, 7 (2001): 12–26.CrossRefGoogle Scholar
  67. A. M. Neal-Barnett, and J. Smith, “African Americans.” In Cultural Issues in the Treatment of Anxiety, Ed. S. Friedman (New York: Guilford 1997).Google Scholar
  68. C. W. Nuckolls, “Toward a cultural history of the personality disorders.” Social Science and Medicine, 35 (1992): 37–47.PubMedGoogle Scholar
  69. A. O. Ogbonnaya, “Person as community: An African understanding of the person as an intrapsychic community.” Journal of Black Psychology, 20 (1994): 75–87.Google Scholar
  70. G. M. Oppenheimer, “Paradigm lost: Race, ethnicity, and the search for a new population taxonomy.” American Journal of Public Health, 91 (2001): 1049–1055.PubMedGoogle Scholar
  71. K. A. Opoku, Hearing and Keeping: Akan Proverbs (Accra, Ghana: Asempa Publishers 1997).Google Scholar
  72. J. E. Oshodi, “The place of spiritualism and ancient Africa in American psychology.” Journal of Black Studies, 27 (1996): 172–182.Google Scholar
  73. O. Owomoyela, Yoruba trickster tales. (Lincoln, NE: University of Nebraska Press 1997).Google Scholar
  74. S. M. Rosoff, and M. C. Leone, “The public prestige of medical specialties: Overviews and undercurrents.” Social Science and Medicine, 32 (1997): 321–326.Google Scholar
  75. C. E. Semmes, “Racism, Health, and Post-Industrialism: A theory of African-American Health (Westport, CT: Praeger 1996).”Google Scholar
  76. M. Shostak, Nisa: The Life and Words of a !Kung Woman (New York: Vintage 1983).Google Scholar
  77. W. Soyinka, “The African world and the ethnocultural debate.” In African Culture: The Rhythms of Unity, Eds. Asante MK and KW Asante (Trenton, NJ: Africa World Press (1990)).Google Scholar
  78. S. M. Strakowski, H. S. Lonozak, et al. “The effects of race on diagnosis and disposition from a psychiatric emergency service.” Journal of Clinical Psychiatry, 56 (3) (1995): 101–107.PubMedGoogle Scholar
  79. S. M. Strakowski, J. M. Hawkins, et al. “The effects of race and information variance on disagreement between psychiatric emergency service and research diagnoses in first-episode psychosis.” Journal of Clinical Psychiatry, 58 (1997): 457–463.PubMedGoogle Scholar
  80. S. Sue, “Science, ethnicity, and bias: Where have we gone wrong?” American Psychologist, 54 (1999): 1070–1077.PubMedGoogle Scholar
  81. S. Sue, and N. Zane, “The role of culture and cultural techniques in psychotherapy: A critique and reformulation.” American Psychologist, 42 (1987): 37–45.CrossRefPubMedGoogle Scholar
  82. D. W. Sue, R. P. Bingham, L. Porche-Burke, and M. Vasquez, “The diversification of psychology: A multicultural revolution.” American Psychologist, 54 (1999): 1061–1069.PubMedGoogle Scholar
  83. T. Szasz, The myth of mental illness: Foundations of a theory of personal conduct (New York: Dell, 1961).Google Scholar
  84. S. B. Thomas, “The color line: Race matters in the elimination of health disparities.” American Journal of Public Health, 91 (2001): 1046–1048.PubMedCrossRefGoogle Scholar
  85. A. Thomas, and S. Sillen, Racism and Psychiatry (New York: Carol Publishing 1972, 1991).Google Scholar
  86. H. C. Triandis, and E. M. Suh, “Cultural influences on personality.” Annual Review of Psychology, 53 (2002): 133–160.CrossRefPubMedGoogle Scholar
  87. S. J. Trierweiler, H. W. Neighbors, et al. “Clinician attributions associated with the diagnosis of schizophrenia in African American and non-African American patients.” Journal of Consultin and Clinical Psychology, 68 (2000): 171–175.Google Scholar
  88. A. L. Whaley, “Ethnicity/race, paranoia, and psychiatric diagnoses: Clinician bias versus sociocultural differences.” Journal of Psychopathology and Behavioral Assessment, 19 (1997): 1–20.CrossRefGoogle Scholar
  89. A. N. Wilson, “Black-on-Black violence: The psychodynamics of Black self-annihilation in service of White domination” (New York: Afrikan World InfoSystems 1990).Google Scholar
  90. P. Wolpe, “The holistic heresy: Strategies of ideological challenge in the medical profession.” Social Science and Medicine, 31 (1990): 913–923.PubMedGoogle Scholar
  91. P. R. Wolpe, “The dynamics of heresy in a profession.” Social Science and Medicine, 39 (1994): 1133–1148.ADSPubMedGoogle Scholar
  92. B. E. Wright, “Black suicide: Lynching by any other name is still lynching.” Black Books Bulletin, 7 (2) (1991): 15–17.Google Scholar
  93. D. R. Wright, African Americans in the colonial era: From African origins through the American revolution (Arlington Heights, IL: Harlan Davidson 1990).Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Department of Sociomedical Sciences, Mailman School of Public HealthColumbia UniversityNew York

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