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Cited by 169Racial and Ethnic Identity ResearchMental Health Treatment and AccessMental Health and Psychiatry

Are British Psychiatrists Racist?

Lewis, Glyn, Croft-Jeffreys, Caroline, David, Anthony·1990·British Journal of Psychiatry
DOI 10.1192/bjp.157.3.410
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Abstract

Out of a sample of 220 British psychiatrists, 139 completed a questionnaire regarding a case vignette of a psychotic illness. The sex and ‘race’ of the vignette were varied and the responses compared. The Afro-Caribbean case was regarded as that of an illness of shorter duration, and requiring less neuroleptics than the white case. Respondents judged the Afro-Caribbean case as potentially more violent and thought criminal proceedings were more appropriate. The female vignette was perceived as less violent, less criminal, and less likely to need neuroleptics. Cannabis psychosis and acute reactive psychosis tended to be diagnosed more often and schizophrenia less often in Afro-Caribbean cases, refuting the claim that psychiatrists tend to overdiagnose schizophrenia in this group. Such ‘race thinking’ (a form of stereotyping which is distinct from ideological racism) could lead to inappropriate management.

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  • Health care providers hold stereotypes based on patient race, class, sex, and other characteristics that influence their interpretation of behaviors and symptoms and their clinical decisions.

    “There is significant evidence that (1) health care providers hold stereotypes—based on patient race, class, sex, and other characteristics4–17—that influence their interpretation of behaviors and symptoms, and their clinical decisions17–25”

    From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [10]

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Related

Authors
Lewis, G., Croft-Jeffreys, C., & David, A.
Corresponding author
Lewis, Glyn
ORCID
Venue
British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
1990-09
Volume
157
Issue
3
Pages
410-415
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.157.3.410
OpenAlex
W1973545833
Cited by
169
References
27
Citations by year
2025: 3 · 2024: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 7 · 2012: 8
FWCI
24.06
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 9985 d)
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
Afro-Caribbean patients, psychosis, case vignettes, stereotyping, violence risk assessment, criminal proceedings, cannabis-induced psychosis, sex differences in diagnosis
MeSH terms
Adult, Black or African American, Female, Gender Identity, Humans, Male, Middle Aged, Physician-Patient Relations, Prejudice, Psychiatric Status Rating Scales, Psychiatry, Psychotic Disorders

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