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Chester Pierce's list of accomplishments was second to none:
graduate of Harvard University and Harvard Medical School,
president of the American Board of Psychiatry and Neurology,
president of the American Orthopsychiatric Association, founding
national chair of the Black Psychiatrists of America, and namesake
of the American Psychiatric Association's Human Rights Award.
Moreover, his musings about racism as an environmental pollutant,
of the daily microtrauma that racially oppressed individuals
endure, are foundational to modern mental health. But who was the
man behind the numerous professional achievements and seminal
theories? And what can knowledge of his life, when evaluated in
conjunction with his profound impact on psychiatry, reveal about
the Black experience? First published in 1998 and reprinted here
with a new introduction, this collection of interactive discussions
between Ezra Griffith and Chester Pierce takes readers on a journey
through different stages of Pierce's life, including the following:
• His upbringing in the Long Island community of Glen Cove• His
undergraduate years at Harvard, including his athletic pursuits,
membership in the Alpha Phi Alpha fraternity, and early married
life with Patsy Blanchet• His training at the University of
Cincinnati and experiences as a Navy psychiatrist• His time at
the Oklahoma Veterans Administration Hospital What emerges is more
than just a portrait of one particularly determined and talented
man's path to achievement in the face of individual and
institutional obstacles. We find distinct methods of managing the
stress of racial discrimination. There is also a new way to
approach narratives about Black lives. Anyone interested in gaining
a greater understanding of how to evaluate the salience of race
matters in people's lives and develop therapeutic approaches to
coping with the stress will find this a particularly revelatory
resource.
Novel in its approach and unique in its scope, Black Mental Health:
Patients, Providers, and Systems examines the role of African
Americans within American psychiatric health care from distinct but
interconnected perspectives. The experiences of both black patients
and the black mental health professionals who serve them are
analyzed against the backdrop of the cultural, societal, and
professional forces that have shaped their place in this
specialized health care arena. The volume opens with the singular,
first-person accounts of five senior black psychiatrists-including
Dr. Altha J. Stewart, president of the American Psychiatric
Association-who describe their individual journeys to the top of
their field, not shying away from discussing the racism and
discrimination that have challenged their paths to leadership. The
book's second part focuses on the complexities of and opportunities
for delivering mental health care to various subsets of the African
American population, including children, women, elderly patients,
and LGBTQ individuals. System design strategies, biological
therapies, and church-based mental health promotion initiatives are
all considered as methods for reducing racial and ethnic
disparities in access to effective treatment. Part III examines the
training of black mental health professionals and their
representation in psychiatry, particularly in the face of
discrimination and implicit bias. A chapter on historically black
colleges and universities discusses the importance of their role in
the delivery of psychiatric services and research development for
African Americans. The fourth part builds on this discussion,
addressing research that is relevant to the care of the black
population. A concluding chapter highlights the key themes that
emerged from each of the previous four parts, providing a holistic
view of the place of black patients and providers in American
psychiatry. With its blend of scholarship, clinical insight, and
training analysis, Black Mental Health is compulsory reading both
for trainees-as care delivery to minority groups is of ever greater
importance-and practicing clinicians, who will glean useful
information from the chapters on research advances and treatment
modalities. Additionally, policy makers, educators, and historians,
among others, will gain a better understanding of the challenges
and necessity of developing integrated approaches to the care of
nondominant groups.
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