Lewis G, Croft-Jeffreys C, David A
Institute of Psychiatry, London.
Br J Psychiatry. 1990 Sep;157:410-5. doi: 10.1192/bjp.157.3.410.
Out of a sample of 220 British psychiatrists, 139 completed a questionnaire regarding a case vignette of psychotic illness. The sex and 'race' of the vignette were varied and the responses compared. The Afro-Caribbean case was regarded as that of an illness of shorter duration, and requiring less neuroleptics than the white case. Respondents judged the Afro-Caribbean case as potentially more violent and thought criminal proceedings were more appropriate. The female vignette was perceived as less violent, less criminal, and less likely to need neuroleptics. Cannabis psychosis and acute reactive psychosis tended to be diagnosed more often and schizophrenia less often in Afro-Caribbean cases, refuting the claim that psychiatrists tend to overdiagnose schizophrenia in this group. Such 'race thinking' (a form of stereotyping which is distinct from ideological racism) could lead to inappropriate management.
在220名英国精神科医生的样本中，139人完成了一份关于精神病病例摘要的调查问卷。病例摘要中的性别和“种族”各不相同，并对回答进行了比较。与白人病例相比，非裔加勒比病例被认为病程较短，所需抗精神病药物较少。受访者认为非裔加勒比病例潜在暴力倾向更大，认为刑事诉讼更为合适。女性病例摘要被认为暴力倾向较小、犯罪性较低且不太可能需要抗精神病药物。在非裔加勒比病例中，大麻所致精神病和急性反应性精神病往往比精神分裂症更常被诊断出来，这反驳了精神科医生倾向于对该群体过度诊断精神分裂症的说法。这种“种族思维”（一种与意识形态种族主义不同的刻板印象形式）可能导致不适当的治疗。
