Black Psychotherapy: Observations of Black Psychiatrists and Psychologists
20 Years After “Unequal Treatment” Report, Still No Meaningful Changes
In 2003, the Institute of Medicine (now the National Academy of Medicine) released a ground-breaking report entitled Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. The report demonstrated the staggering inequities in both health and mental health services, regardless of insurance coverage. Regrettably, 20 years on, it doesn’t appear that there have been any meaningful changes.
This article takes a brief look at the observations of Black mental health professionals with specific reference to psychotherapy among Black individuals. In 2004 and 2005, I conducted 10 interviews with Black psychiatrists and psychologists (nine participants were US-based and one was UK-based). Their reflections about the state of Black therapy services are (sadly) still very relevant today.
The Diagnosis of Black Individuals
The overall consensus among interviewees was that in Western societies, the diagnosis of Black mental health concerns is based on the White experience and does not recognize the racialized stressors affecting Black clients, resulting in frequent diagnostic errors. As one psychologist pointed out, the diagnosis of Black patients is based on “the…
