The Mental Health of Black Americans

Psychiatric Diagnosis and Treatment
  • Charles B. Wilkinson
  • Jeanne Spurlock
Part of the Critical Issues in Psychiatry book series (CIPS)


When subjected to prolonged and unjust oppression, people are occupied with two overriding concerns: their physical survival, and the avoidance of, as much as is possible, the attendant psychosocial stress. On a worldwide basis, oppression may be the result of any one of a combination of conditions—e.g., the tyranny of a dictatorship, persecution on the basis of religion, behavior rooted in the belief in ethnic superiority, nationalism, or economic exploitation. For black Americans, the common or universal oppressive condition is racism. When survival in a racist society is less of a threat, however, more attention is directed to psychosocial concerns. In recent years, black persons in increasing numbers have sought relief of stress through the mental health system.


Mental Health Black Male Black Patient Negro Child Community Mental Health Center 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    A. D. Greeson, Racism and mental health, in: Encyclopedia of Bioethics ( W. T. Reich, ed.), Free Press, Glencoe, Illinois, 1978.Google Scholar
  2. 2.
    K. B. Clark, Fifteen years of deliberate speed, in: Annual Progress in Child Psychiatry and Child Development ( S. Chess and A. Thomas, eds.), Brunner/ Mazel, New York, 1970.Google Scholar
  3. 3.
    D. P. Ausubel, Personality disorder is disease, American Psychologist 16: 69–74, 1961.CrossRefGoogle Scholar
  4. 4.
    T. Parsons, Definition of health and illness in the light of American values and social structure, in: Patients, Physicians and Illness ( E. G. Jaco, ed.), Free Press, Glencoe, Illinois, 1963.Google Scholar
  5. 5.
    A. D. Schwartz, Evaluation of mental health: Three suggested approaches, California Health 18, 1961.Google Scholar
  6. 6.
    J. C. Baratz, Language and cognitive assessment of Negro children: Assumptions and research needs, Presented at the Annual Meeting of the American Psychological Association, San Francisco, 1968.Google Scholar
  7. 7.
    C. B. Wilkinson, Destructiveness of myths, American Journal of Psychiatry 126: 1087–1092, 1970.PubMedGoogle Scholar
  8. 8.
    O. Petro and B. French, The black client’s view of himself, Social Casework. October: 466–472, 1972.Google Scholar
  9. 9.
    W. A. Hayes and W. M. Banks, The nigger box or a redefinition of the counselor’s role, in: Black Psychology ( R. L. Jones, ed.), Harper & Row, New York, 1972.Google Scholar
  10. 10.
    R. Ellison, An American Dilemma: A Review, Shadow and the Act, Random House, New York, 1964.Google Scholar
  11. 11.
    C. Prudhomme and D. F. Musto, Historical perspective on mental health and racism in the United States, in: Racism and Mental Health ( B. M. Kramer and B. S. Brown, eds.), University of Pittsburgh Press, Pittsburgh, 1973.Google Scholar
  12. 12.
    R. M. Stamps, The Peculiar Institution: Slavery in the Ante-Bellum South, Knopf, New York, 1956.Google Scholar
  13. 13.
    M. S. Cannon and B. Z. Locke, Being black is detrimental to one’s mental health: Myth or reality? Phylon 38 (4): 408–428, 1977.CrossRefGoogle Scholar
  14. 14.
    D. Wilson and E. Lantz, The effect of cultural change on the Negro race in Virginia as indicated by a study on state hospital admissions, American Journal of Psychiatry 114: 25–32, 1957.PubMedGoogle Scholar
  15. 15.
    B. Pasamanick, Myths regarding prevalence of mental disease in the American Negro, Journal of the National Medical Association 56 (1): 6–17, 1964.PubMedGoogle Scholar
  16. 16.
    H. Pope and J. Lipinski, Diagnosis in schizophrenia and manic depressive illness, Archives of General Psychiatry 35: 811–828, 1978.PubMedGoogle Scholar
  17. 17.
    R. Kleiner, J. Tuckman, and M. Lovell, Mental disorder and status based on race, Psychiatry 23: 271–274, 1960.PubMedGoogle Scholar
  18. 18.
    C. Tonks, E. Paykel, and G. Klerman, Clinical depression among Negroes, American Journal of Psychiatry 127: 329–335, 1970.PubMedGoogle Scholar
  19. 19.
    A. Poussaint, Black suicide, in: Textbook of Black Related Disease ( R. Williams, ed.), McGraw-Hill, New York, 1975.Google Scholar
  20. 20.
    R. Simon, J. Fleiss, et al, Depression and schizophrenia in hospitalized black and white mental patients, Archives of General Psychiatry 28: 509–512, 1973.PubMedGoogle Scholar
  21. 21.
    R. I. Shader and M. Tracy, On being Black, old and emotionally troubled: How little is known, Psychiatric Opinion 10 (6), 1973.Google Scholar
  22. 22.
    L. Bender, Behavior problems in Negro children, Psychiatry 2: 213–228, 1939.Google Scholar
  23. 23.
    The Negro Family: The Case for National Action, U. S. Department of Labor, Office of Policy Planning and Research, Washington, D.C., 1965.Google Scholar
  24. 24.
    H. Biller and R. Bahm, Father absence, perceived material behavior and masculinity of self control among junior high school boys, Developmental Psychology 4, 1971.Google Scholar
  25. 25.
    E. M. Hetherington, Effects of paternal absence on sex type behaviors in Negro and white preadolescent males, Journal of Personality and Social Psychology 4, 1966.Google Scholar
  26. 26.
    M. Leichty, The absence of the father during early childhood and its effect upon the oedipal situation as reflected in young adults, Merrill-Palmer Quarterly 6, 1960.Google Scholar
  27. 27.
    D. Lynn and W. Sawrey, The effects of father absence on Norwegian boys and girls, Journal of Abnormal and Social Psychology 59, 1959.Google Scholar
  28. 28.
    T. F. Pettigrew, A Profile of the Negro American, Van Nostrand, Princeton, New Jersey, 1964.Google Scholar
  29. 29.
    G. Jacobson and R. Ryder, Parental loss and some characteristics of the early marriage relationship, American Journal of Orthopsychiatry 39, 1969.Google Scholar
  30. 30.
    L. Hunt and J. Hunt, Race and the father-son connection: The conditional relevance of father absence for the orientation and identities of adolescent boys, Social Problems 23, 1975.Google Scholar
  31. 31.
    C. Wilkinson, W. O’Connor, and S. Daniels, Family studies and the treatment of black patients, Presented at the 132nd Annual Meeting of the American Psychiatric Association, Chicago, 1979.Google Scholar
  32. 32.
    R. Rubin, Adult male absence and self-attitudes of black children, Child Study Journal 4: 33–45, 1974.Google Scholar
  33. 33.
    E. Herzog and H. Lewis, Children in poor families, American Journal of Orthopsychiatry 40: 375–387, 1970.PubMedCrossRefGoogle Scholar
  34. 34.
    K. T. Mehlinger, How to retire on social security disability without really trying, Journal of the National Medical Association 59 (l): 51–54, 1967.PubMedGoogle Scholar
  35. 35.
    E. B. Davis and J. V. Coleman, Interaction between community psychiatry and psychoanalysis, Presented at the Annual Meeting of the American Psychoanalytic Association, Denver, May 3, 1974.Google Scholar
  36. 36.
    K. B. Clark, The Negro child and race prejudice, in: Prejudice and Your Child, Beacon, Boston, 1955.Google Scholar
  37. 37.
    M. E. Goodman, Race Awareness in Young Children, Collier Books, New York, 1964.Google Scholar
  38. 38.
    A. Hollingshead and F. Redlich, Social stratification and schizophrenia, American Sociological Review 19: 302–306, 1954.CrossRefGoogle Scholar
  39. 39.
    E. M. Goldberg and S. L. Morrison, Schizophrenia and social class, British Journal of Psychiatry 109: 785–802, 1963.PubMedCrossRefGoogle Scholar
  40. 40.
    A. Thomas, Pseudo-transference reactions due to cultural stereotyping, American Journal of Orthopsychiatry 32: 894–900, 1962.PubMedCrossRefGoogle Scholar
  41. 41.
    J. P. Comer, What happened to minorities and the poor? Psychiatric Annals 7 (10): 7996, 1977.Google Scholar
  42. 42.
    G. Alport, The Nature of Prejudice, Anchor Books, New York, 1958.Google Scholar
  43. 43.
    W. D. Jordan, White over Black: American Attitudes toward the Negro, Penguin Books, Baltimore, 1969, pp. 1550–1812.Google Scholar
  44. 44.
    C. A. Pinderhughes, Psychological and physiological origins of racism and other social discrimination, Journal of the National Medical Association 63 (1), 1971.Google Scholar
  45. 45.
    J. Schwab, Personal communication, 1980.Google Scholar
  46. 46.
    R. I. Shader, Discussion: Cultural aspects of mental health care for black Americans: Cultural aspects of psychiatric training, in: Cross-Cultural Psychiatry ( A. Gaw, ed.), John Wright, Littleton, Massachusetts, 1982, pp. 187–197.Google Scholar
  47. 47.
    H. Gross et al., The effect of race and sex on the variation of diagnosis and disposition in a psychiatric emergency room, Journal of Nervous and Mental Disease 48 (6): 638–642, 1969.Google Scholar
  48. 48.
    A. Jackson, H. Berkowitz, and G. Farley, Race as a variable affecting the treatment involvement of children, Journal of the American Academy of Child Psychiatry 13 (1): 20–31, 1974.PubMedCrossRefGoogle Scholar
  49. 49.
    D. Rosenthal and J. Frank, Fate of psychiatric clinic outpatients assigned to psychotherapy, Journal of Nervous and Mental Disease 127: 330–343, 1958.PubMedCrossRefGoogle Scholar
  50. 50.
    J. Wilder and M. Coleman, The walk-in psychiatric clinic: Some observations and follow-up, International Journal of Social Psychiatry 9: 192–199, 1963.PubMedCrossRefGoogle Scholar
  51. 51.
    S. Sue, D. Allen, H. McKinney, and J. Hall, Delivery of Community Mental Health Services to Black and White Clients, University of Washington, Seattle, 1974.Google Scholar
  52. 52.
    A. E. Raynes and G. Warren, Some distinguishing features of patients failing to attend a psychiatric clinic after referral, American Journal of Orthopsychiatry 41 (4), 1971.Google Scholar
  53. 53.
    J. Yamamoto, Q. C. James, and N. Pailey, Cultural problems in psychiatric therapy, Archives of General Psychiatry 19: 4549, 1969.Google Scholar
  54. 54.
    B. G. Fiman, Special Report on Inequities in Mental Health Service Delivery, Prepared for the National Institute of Mental Health Center for Study of Minority Group Mental Health Programs, Human Sciences Research, Inc., March 1975.Google Scholar
  55. 55.
    R. Warren et al, Differential attitudes of black and white patients toward psychiatric treatment in a child guidance clinic, American Journal of Orthopsychiatry 42 (2): 301–302, 1972.Google Scholar
  56. 56.
    R. W. Reddick, Addition Rates to Federally Funded Community Mental Health Centers, United States, 1973, Mental Health Statistical Note No. 126, U. S. Department of Health, Education and Welfare, Public Health Service, Alcohol, Drug Abuse and Mental Health Administration, National Institute of Mental Health, Division of Biometry and Epidemiology, Survey and Reports Branch.Google Scholar
  57. 57.
    L. K. Brown, Psychotherapy: Black and white, Journal of the National Medical Association 64 (l): 19–22, 1972.Google Scholar
  58. 58.
    J. B. Deregowski, Effect of cultural value of time and recall, British Journal of Social and Clinical Psychology 9: 37–41, 1970.CrossRefGoogle Scholar
  59. 59.
    F. C. Bartlett, Remembering: A Study in Experimental and Social Psychology, Cambridge University Press, Cambridge, Massachusetts, 1932, pp. 253.Google Scholar
  60. 60.
    C. B. Wilkinson, Growing up in the ghetto, in: Current Issues in Adolescent Psychiatry ( J. C. Schoolar, ed.), Brunner/Mazel, New York, 1973.Google Scholar
  61. 61.
    C. J. Sager, T. L. Brayboy, and B. R. Waxenberg, Black patient-white therapist, American Journal of Orthopsychiatry 42 (3): 415–423, 1972.PubMedCrossRefGoogle Scholar
  62. 62.
    S. Chess, K. B. Clark, and A. Thomas, Importance of cultural evaluation in psychiatric diagnosis and treatment, Psychiatric Quarterly 27 (102), 1953.Google Scholar
  63. 63.
    W. Bradshaw, Personal communication, July 1979.Google Scholar
  64. 64.
    W. Grier and P. Cobbs, Black Rage, Basic Books, New York, 1968.Google Scholar
  65. 65.
    C. Reed, Personal communication, 1977.Google Scholar
  66. 66.
    S. Parker and R. J. Kleiner, Mental Illness in the Urban Negro Community, Free Press, New York, 1966.Google Scholar
  67. 67.
    P. M. Blau, Social mobility and interpersonal relations, American Sociology Review 21: 290, 1956.CrossRefGoogle Scholar
  68. 68.
    L. W. Warner, The society, the individual and his mental disorders, American Journal of Psychiatry 94: 274, 1937.Google Scholar
  69. 69.
    S. M. Lipset and R. Bendix, Social Mobility in Industrial Society, University of California Press, Berkeley of Los Angeles, 1963, pp. 64–72, 251–252.Google Scholar
  70. 70.
    R. J. Kleiner and O. G. Dalgard, Social mobility and psychiatric disorders: A reevaluation and interpretation, American Journal of Psychotherapy 29: 150–165, 1975.PubMedGoogle Scholar
  71. 71.
    J. Ruesch, Chronic Disease and Psychological Invalidism: A Psychosomatic Study, American Society for Research in Psychosomatic Problems, New York, 1946, pp. 104–124.Google Scholar
  72. 72.
    T. H. Holmes, Life situations, emotions and disease, Psychosomatics 19 (12): 747–754, 1978.PubMedGoogle Scholar
  73. 73.
    E. Durkheim, Suicide, Free Press, Glencoe, Illinois, 1957.Google Scholar
  74. 74.
    R. Waite, The Negro patient and clinical theory, Journal of Consulting and Clinical Psychology 32: 427–433, 1968.PubMedCrossRefGoogle Scholar
  75. 75.
    W. H. Bradshaw, Training psychiatrists for working with blacks in basic residency program, American Journal of Psychiatry 135: 1520–1524.Google Scholar
  76. 76.
    J. H. Carter, Frequent mistakes made with black patients in psychotherapy, Journal of the National Medical Association 71: 1007–1009, 1979.PubMedGoogle Scholar
  77. 77.
    M. Calnek, Racial factors in the countertransference: The black therapist and the black client, American Journal of Orthopsychiatry 40: 39–46, 1970.PubMedCrossRefGoogle Scholar
  78. 78.
    C. A. Pinderhughes and E. B. Pinderhughes, Prospective of training directors, in: Cross-Cultural Psychiatry ( A. Gaw, ed.), John Wright-PSG Inc., Boston, 1982.Google Scholar
  79. 79.
    E. Chance, Transference in group therapy, International Journal of Group Psychotherapy 1: 40, 1952.Google Scholar
  80. 80.
    J. D. Frank, The psychodynamics of the psychotherapeutic relationship, Psychiatry 22: 17, 1959.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1986

Authors and Affiliations

  • Charles B. Wilkinson
    • 1
  • Jeanne Spurlock
    • 2
  1. 1.The Greater Kansas City Mental Health Foundation, and University of Missouri-Kansas City School of MedicineKansas CityUSA
  2. 2.American Psychiatric AssociationWashingtonUSA

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