Psychiatry is in the process of rediscovering its roots. It seemed as if the long history of interest in the impact of society on the rates and course of serious mental illness had been forgotten, overtaken by the advances of neuroscience and genetics. However, as our knowledge of physiological and genetic processes improves it becomes increasingly clear that social conditions and experiences over the life course are crucial to achieving a full understanding. Old controversies are giving way to genuinely integrated models in which social, psychological and biological factors interact over time, culminating in the onset of psychosis. This book reviews these issues from an international perspective, laying the foundations for a new understanding of the psychotic disorders, with profound implications for health policy and clinical practice. It should be read by all members of the mental health team and those responsible for service organization and management.

`The book will be of interest, and easily read by anyone working with a multi-ethnic clientele and should be required reading for anyone in the field of mental health' -Journal of the Canadian Academy of Child and Adolescent Psychiatry `I recommend this book as an important addition to the literature on mental health and on racism...this is a book well worth readying and studying.' - Transcultural Psychiatry Sept 2005 `Kam Bhui makes a valuable and important contribution to our understanding of culture and ethnicity. I strongly advise all psychiatrists, both consultants and trainees, to read this book and to respond honestly to the challenges it presents. It demonstrates the value of political and social analyses of our work in the training of psychiatrists. But for me, its greatest value is in the way it shows how we must acknowledge the influence of our own histories and cultural backgrounds on the way we approach our work and those we struggle to help. The Other will cease to be an Other only when we accept the Other in ourselves.' -British Journal of Psychiatry `This is a refreshing addition to the growing body of literature on racism and mental health. Bhui draws together personal and professional experiences with current research evidence to provide a cogent analysis of the relationship between racism and mental health from both theoretical and experiential perspectives. The particular strength of this model is that it is anchored in the lived experiences of black service users...[It] should be a call to action for all mental health practitioners.' -Mental Health today `The book provides an excellent illustration of the extent of institutional racism, not just in mental health, but within the NHS as a whole and should be widely used particularly in education institutions and medical schools.' - community practitioner This thought-provoking book investigates the impact of racism (both conscious and unconscious) in mental health settings, covering individual clinical encounters and the broader picture of service provision. The authors offer insights into manifestations of racism in contemporary Britain; racial and cultural identity and the significance of these in psychotherapy; and the inequalities in provision of mental health services to minority ethnic communities. They consider the problems of racism and mental health, not in isolation but in the larger context of cultural difference and social inequalities, and also on the level of human relationships. Bringing together the experiences of mental health professionals and incorporating a service user's perspective, this book provides many practical strategies for addressing racism and dealing with its effects in psychiatric work, and will prove useful and informative to practitioners in many areas of mental health work.