Article Reflection: Racial Disparity in Schizophrenia Diagnosis
The special topics and guest speaker reflections are not intended to be formal, polished papers. They are intended to provide students opportunities for brief (i.e., maximum 500 words) written reflection oncourse content. Grading criteria are as follows:
1. Reflections show ample evidence that students carefully read the special topics article/chapter or viewed the guest speaker recording – 1 point.
2. Reflections directly address the question(s) posed in the reflection assignment – 1 point.
3. Reflections show evidence of thoughtful, meaningful engagement with the material that goes well
beyond surface-level commentary (e.g., “I think the Watters chapter was great because the topic is so interesting.”) – 1 point.
For #2, In their review of research, the authors demonstrated that African Americans are more likely to receive a schizophrenia diagnosis compared to European Americans. The critical question is why. What possible explanations of this racial disparity did the authors mention? Do you have ideas regarding reasons for the racial disparity in schizophrenia diagnoses?
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Article Reflection: Racial Disparity in Schizophrenia Diagnosis
Consistent study results show racial disparities in the diagnosis of psychotic disorders. The diagnosis of schizophrenia is among the medical practices that have been significantly implicated in this disparity. The review article “Racial disparities in psychotic disorder diagnosis: A review of empirical literature” by Schwartz et al. is among the academic journals that evaluate this phenomenon. The authors base their research on the finding that African Americans are more likely to get schizophrenia diagnoses compared to Euro-Americans by a factor of three to four times. The mystery lies in explaining this disparity given that there is no genetic evidence showing that African Americans are more susceptible to the disease compared to Euro-Americans.
The lack of empirical-based evidence explaining the overrepresentation of African Americans in schizophrenia diagnosis has led to predictions of possible explanations. As explained in the article, misdiagnosis due to clinicians’ bias is among the factors that result in the disparity. This implies the existing societal racial stereotypes and biases play a significant role in the misdiagnoses that results in African Americans being...
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