Structural Racism and Psychiatric Practice: A Call for Sustained Change.
Structural Racism and Psychiatric Practice: A Call for Sustained Change.
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结构性种族主义和精神病学实践：呼吁持续变革。
DOI：
10.1097/nmd.0000000000001442
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Siris,SamuelG
中科院分区：
文献类型：
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作者：
Talley,RachelM;Edwards,MatthewL;Berlant,Jeffrey;Wagner,ElizabethS;Adler,DavidA;Erlich,MatthewD;Goldman,Beth;Dixon,LisaB;First,MichaelB;Oslin,DavidW;Siris,SamuelG
结构性种族主义在过去一年中受到了新的关注，主要政治和社会事件的汇合助长了这种关注。精神病学作为一个领域，被迫面对系统性不平等的遗留问题。在这里，我们使用我们的临床和监督工作的例子来强调迫切需要将解决种族身份和种族主义的技术整合到精神病学的实践和教学中。精神病学长期存在的系统性不平等的大量证据强调了这种紧迫性。我们认为，我们的领域并不缺乏可用的技术，而是缺乏持续的承诺，理解和整合这些技术到我们的工作;事实上，有多个出版的例子，在精神病学临床实践中解决种族主义和种族认同的战略。最后，我们提出了一些建议，旨在更坚定地将精神病学中的种族主义和种族认同问题制度化，并建议将现有技术应用于我们最初的临床案例。
Structural racism has received renewed focus over the past year, fueled by the convergence of major political and social events. Psychiatry as a field has been forced to confront a legacy of systemic inequities. Here, we use examples from our clinical and supervisory work to highlight the urgent need to integrate techniques addressing racial identity and racism into psychiatric practice and teaching. This urgency is underlined by extensive evidence of psychiatry's long-standing systemic inequities. We argue that our field suffers not from a lack of available techniques, but rather a lack of sustained commitment to understand and integrate those techniques into our work; indeed, there are multiple published examples of strategies to address racism and racial identity in psychiatric clinical practice. We conclude with recommendations geared toward more firmly institutionalizing a focus on racism and racial identity in psychiatry, and suggest applications of existing techniques to our initial clinical examples.