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Culture, Medicine, and Psychiatry

, Volume 37, Issue 2, pp 288–306 | Cite as

Behind the Scenes of a Research and Training Collaboration: Power, Privilege, and the Hidden Transcript of Race

  • Elizabeth Carpenter-Song
  • Rob Whitley
Original Paper

Abstract

This paper examines a federally funded research and training collaboration between an Ivy League psychiatric research center and a historically Black university and medical center. This collaboration focuses on issues of psychiatric recovery and rehabilitation among African Americans. In addition, this multidisciplinary collaboration aims to build the research capacity at both institutions and to contribute to the tradition of research in culture and mental health within the medical social sciences and cultural psychiatry. This article provides a window into the complex, often messy, dynamics of a collaboration that cross cuts institutional, disciplinary, and demographic boundaries. Taking an auto-ethnographic approach, we intend to illustrate how collaborative relationships unfold and are constructed through ongoing reciprocal flows of knowledge and experience. Central to this aim is a consideration of how issues of power, privilege, and the hidden transcript of race shape the nature of our research and training efforts.

Keywords

Collaboration Multidisciplinary research Psychiatry Race 

References

  1. Agency for Healthcare Research 2000 Addressing Racial and Ethnic Disparities in Health Care (Rep. No. 00-P041). Bethesda, MD: Agency for Healthcare Research.Google Scholar
  2. Benedict, Ruth 1940 Race: Science and Politics. New York: Viking.Google Scholar
  3. Bhopal, R. and L. Donaldson 1998 White, European, Western, Caucasian, or What? Inappropriate Labeling in Research on Race, Ethnicity, and Health. American Journal of Public health 88: 1303-1307.CrossRefGoogle Scholar
  4. Brada, Betsey 2011 “Not Here”: Making the Spaces and Subjects of “Global Health” in Botswana. Culture, Medicine and Psychiatry 35(2):285-312.CrossRefGoogle Scholar
  5. Carpenter-Song, Elizabeth A., Megan Nordquest Schwallie, and Jeffrey Longhofer 2007 Cultural Competence Reexamined: Critique and Directions for the Future. Psychiatric Services 58: 1362-1365.CrossRefGoogle Scholar
  6. Carpenter-Song, Elizabeth, Rob Whitley, William Lawson, Ernest Quimby, and Robert Drake 2011 Reducing Disparities in Mental Health Care: Suggestions from the Dartmouth-Howard Collaboration. Community Mental Health Journal 47: 1-13.CrossRefGoogle Scholar
  7. Carpenter-Song, E., M. Hipolito, and R. Whitley 2012 “Right Here Is an Oasis”: How ‘Recovery Communities’ Contribute to Recovery for People with Severe Mental Illness. Psychiatric Rehabilitation Journal 35(6): 435–440.Google Scholar
  8. Chang, Heewon 2008 Autoethnography as Method. Walnut Creek, CA: Left Coast Press.Google Scholar
  9. Chapman, Rachel R., and Jean R. Berggren 2005 Radical Contextualization: Contributions to an Anthropology of Racial/Ethnic Health Disparities. Health 9: 145-167.Google Scholar
  10. Corley, Elizabeth A., P. Craig Boardman, and Barry Bozeman 2006 Design and the Management of Multi-Institutional Research Collaborations: Theoretical Implications from Two Case Studies. Research Policy 35: 975–993.Google Scholar
  11. Crane Johanna T. 2010 Unequal Partners: AIDS, Academia, and the Rise of Global Health. Behemoth: a Journal on Civilizaiton 3: 78-97.CrossRefGoogle Scholar
  12. de Tocqueville, Alexis 2000 Democracy in America. Translated by Harvey C. Mansfield and Delba Winthrop. Chicago: University of Chicago Press.Google Scholar
  13. DelVecchio Good, Mary-Jo, Cara James, Byron Good, and Anne Becker 2003 “The Culture of Medicine and Racial, Ethnic, and Class Disparities in Health Care,” in Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, ed. Brian D. Smedley, Adrienne Y. Stith, and Alan R. Nelson. Washington, DC.: IOM, The National Academies Press, pp. 594–625 (2003, revised 2005).Google Scholar
  14. Farmer, Paul 1999 Pathologies of Power: Rethinking Health and Human Rights. American Journal of Public Health 89: 1486-1496.CrossRefGoogle Scholar
  15. Fearnley, Andrew 2008 Primitive Madness: Re-Writing the History of Mental Illness and Race. Journal of the History of Medicine and Allied Sciences 63: 245-257.CrossRefGoogle Scholar
  16. Fullilove, M.T. 1998 Comment: Abandoning “Race” as a Variable in Public Health Research – an Idea Whose Time Has Come. American Journal of Public Health 88: 1297-1298.CrossRefGoogle Scholar
  17. Good, Mary-Jo DelVecchio, Sarah S. Willen, Seth D. Hannah, Ken Vickery, and Lawrence T. Park 2011 Shattering Culture: American Medicine Responds to Cultural Diversity. New York: Russell Sage Foundation.Google Scholar
  18. Gravlee, Clarence C., and Elizabeth Sweet 2008 Race, Ethnicity, and Racism in Medical Anthropology, 2977-2002. Medical Anthropology Quarterly 22: 27-51.CrossRefGoogle Scholar
  19. Harrison, Faye 1995 The Persistent Power of “Race” in the Cultural and Political Economy of Racism. Annual Review of Anthropology 24:47-74.CrossRefGoogle Scholar
  20. Hill, Jane H. 1999 Language, Race, and White Public Space. American Anthropologist 100(3): 680-689.CrossRefGoogle Scholar
  21. Hipolito, Maria Mananita S., Elizabeth Carpenter-Song, and Rob Whitley 2011 Meanings of Recovery From the Perspective of People With Dual Diagnosis. Journal of Dual Diagnosis 7: 141-149.CrossRefGoogle Scholar
  22. Hipolito, Maria M., Mansoor Malik, Elizabeth Carpenter-Song, and Rob Whitley 2012 Capacity-Building for African American Mental Health Training and Research: Lessons from the Howard-Dartmouth Collaborative Summer School. Academic Psychiatry 36: 47-50.CrossRefGoogle Scholar
  23. James C., M. Thomas, M. Lillie-Blanton, and R.Garfield 2007 Key facts: Race, Ethnicity, and Medical Care. Washington, DC: Henry J Kaiser Foundation.Google Scholar
  24. Jenkins, Janis H., and Elizabeth Carpenter-Song 2005 The New Paradigm of Recovery from Schizophrenia: Cultural Conundrums of Improvement without Cure. Culture Medicine and Psychiatry 29: 379-413.CrossRefGoogle Scholar
  25. Jenkins, Janis H., and Elizabeth A. Carpenter-Song 2008 Stigma Despite Recovery: Strategies for Living in the Aftermath of Psychosis. Medical Anthropology Quarterly 22: 381-409.CrossRefGoogle Scholar
  26. Kleinman, Arthur 2006 What Really Matters: Living a Moral Life Amidst Uncertainty and Danger. New York: Oxford University Press.Google Scholar
  27. Miranda J., T.G. McGuire, D.R. Williams, P.S. Wang 2008 Mental Health in the Context of Health Disparities. American Journal of Psychiatry165: 1102-8.CrossRefGoogle Scholar
  28. Montagu A. 1971 [1942] Man’s Most Dangerous Myth: The Fallacy of Race. New York: World (Reprint).Google Scholar
  29. Newell, Susan, and Jacky Swan 2000 Trust and Inter-Organizational Networking. Human Relations 53: 1287–1328.Google Scholar
  30. Nicholson, Joanne, and William Deveny 2009 Why Not Support(ed) Parenting? Psychiatric Rehabilitation Journal 33: 79-82.CrossRefGoogle Scholar
  31. Scott, James C. 1990 Domination and the Arts of Resistance: Hidden Transcripts. Ann Arbor, Michigan: Edward Brothers, Inc.Google Scholar
  32. Shanklin E. 1994 Anthropology and Race. Belmont, CA: Wadsworth.Google Scholar
  33. Smedley B.E., A.Y. Stith, A.R. Nelson 2003 Unequal Treatment: Confronting Ethnic and Racial Disparities in Health Care. Washington, DC: National Academies Press.Google Scholar
  34. U.S. Department of Health and Human Services. 2001 Culture, Race, and Ethnicity - A Supplement to Mental health: A Report of the Surgeon General. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.Google Scholar
  35. Willen, Sarah S. 2013 Confronting a “Big Huge Gaping Wound”: Emotion and Anxiety in a Cultural Sensitivity Course for Psychiatry Residents. Culture, Medicine, and Psychiatry. doi: 10.1007/s11013-013-9310-6.
  36. Whitley, Rob, Maxine Harris, Robert E. Drake 2008 Safety and Security in Small-Scale Recovery Housing for People With Severe Mental Illness: An Inner-City Case Study. Psychiatric Services 59: 165-169.CrossRefGoogle Scholar
  37. Whitley, Rob 2011 Social Defeat or Social Resistance? Reaction to Fear of Crime and Violence Among People with Severe Mental Illness Living in Urban ‘Recovery Communities’. Culture, Medicine and Psychiatry 35: 519-535.CrossRefGoogle Scholar
  38. Whitley, Rob 2012 “Thank you God”: Religion and Recovery From Dual Diagnosis Among Low-Income African Americans. Transcultural Psychiatry 49: 87-104.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Community and Family Medicine, Geisel School of Medicine at DartmouthDartmouth Psychiatric Research CenterLebanonUSA
  2. 2.McGill UniversityMontrealCanada
  3. 3.Department of Psychiatry, Geisel School of Medicine at DartmouthDartmouth Psychiatric Research CenterLebanonUSA

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