THE INFLUENCE OF RACIAL FACTORS ON PSYCHIATRIC-DIAGNOSIS - A REVIEW AND SUGGESTIONS FOR RESEARCH
THE INFLUENCE OF RACIAL FACTORS ON PSYCHIATRIC-DIAGNOSIS - A REVIEW AND SUGGESTIONS FOR RESEARCH
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DOI：
10.1007/bf00755677
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发表时间：
1989-12-01
影响因子：
2.7
通讯作者：
WILLIAMS, D
中科院分区：
文献类型：
--
作者：
NEIGHBORS, HW;JACKSON, JS;WILLIAMS, D
关于种族和诊断的研究最初集中在抑郁症和精神分裂症的黑人和白人差异上。统计数据显示，黑人精神分裂症的患病率较高，抑郁症的患病率较低，这似乎支持黑人没有抑郁症的说法。然而，其他人认为，临床医生误诊了黑人的抑郁症。本文回顾了个体症状种族差异的实证研究，并总结了误诊的证据。它认为，必须更多地注意解决两个相互矛盾的假设，研究人员在种族和诊断推理领域的工作：（1）黑人和白人表现出类似的精神病理学，但诊断医生错误地认为他们是不同的;（2）黑人和白人表现出不同的精神病理学，但诊断医生没有意识到或不敏感的文化差异。文章最后建议的研究方向和关键研究问题的讨论。
Research on race and diagnosis initially focused on black-white differences in depression and schizophrenia. Statistics showing a higher treated prevalence of schizophrenia and a lower prevalence of depression for blacks seemed to support the claim that blacks did not suffer from depression. Others argued, however, that clinicians were misdiagnosing depression in blacks. This article reviews empirical studies of racial differences in individual symptoms and summarizes the evidence on misdiagnosis. It argues that more attention must be paid to resolving two contradictory assumptions made by researchers working in the area of race and diagnostic inference: (1) blacks and whites exhibit symptomatology similarly but diagnosticians mistakenly assume that they are different; (2) blacks and whites display psychopathology in different ways but diagnosticians are unaware of or insensitive to such cultural differences. The article concludes with suggested research directions and a discussion of critical research issues.