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Our Most Troubling MadnessCase Studies in Schizophrenia Across Cultures$
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T.M. Luhrmann and Jocelyn Marrow

Print publication date: 2016

Print ISBN-13: 9780520291089

Published to California Scholarship Online: May 2017

DOI: 10.1525/california/9780520291089.001.0001

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PRINTED FROM CALIFORNIA SCHOLARSHIP ONLINE (www.california.universitypressscholarship.com). (c) Copyright University of California Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CALSO for personal use.date: 22 September 2021

Racism and Immigration

Racism and Immigration

An African-Caribbean Woman in London

(p.86) Case 5 Racism and Immigration
Our Most Troubling Madness

Johanne Eliacin

University of California Press

Arguably the most important discovery in the recent social epidemiology of schizophrenia is that the illness does not occur at a fixed rate across the globe as researchers used to believe, but at variable rates. One of the best documented cases is among the African Caribbean community in Britain, where the risk for schizophrenia is as high as fifteen times the rate for the local white community. Rates among the African-Caribbean British are much more elevated than rates among African-Caribbeans living in Jamaica. The author argues that there are five features of social experience within the community that may contribute to these increased rates: social inequality, racism, social fragmentation, increasingly fragile cultural identity, and community “expressed emotion.” This chapter describes a British African Caribbean woman living with schizophrenia.

Keywords:   London, African Carribeans, Schizophrenia, Mental Hospital, Racism, Community expressed emotion

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