Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Eur Psychiatry. 2021 Jun 17;64(1):e42. doi: 10.1192/j.eurpsy.2021.2216.
The concept of "race" and consequently of racism is not a recent phenomenon, although it had profound effects on the lives of populations over the last several hundred years. Using slaves and indentured labor from racial groups designated to be "the others," who was seen as inferior and thus did not deserve privileges, and who were often deprived of the right to life and basic needs as well as freedoms. Thus, creation of "the other" on the basis of physical characteristics and dehumanizing them became more prominent. Racism is significantly related to poor health, including mental health. The impact of racism in psychiatric research and clinical practice is not sufficiently investigated. Findings clearly show that the concept of "race" is genetically incorrect. Therefore, the implicit racism that underlies many established "scientific" paradigms need be changed. Furthermore, to overcome the internalized, interpersonal, and institutional racism, the impact of racism on health and on mental health must be an integral part of educational curricula, from undergraduate levels through continuing professional development, clinical work, and research. In awareness of the consequences of racism at all levels (micro, meso, and macro), recommendations for clinicians, policymakers, and researchers are worked out.
“种族”概念及其所导致的种族主义并不是一个新现象，尽管它在过去几百年里对人口的生活产生了深远的影响。利用被视为“劣等人”的、来自被指定为“他者”的种族群体的奴隶和契约劳工，他们被认为低人一等，因此不应享有特权，而且往往被剥夺生命权和基本需求以及自由。因此，基于身体特征将“他者”非人化的做法变得更加突出。种族主义与健康状况不佳，包括心理健康状况不佳密切相关。种族主义在精神科研究和临床实践中的影响尚未得到充分调查。研究结果清楚表明，“种族”概念在基因上是不正确的。因此，需要改变许多既定“科学”范式所隐含的种族主义。此外，为了克服内化的、人际的和体制的种族主义，种族主义对健康和精神健康的影响必须成为从本科到继续教育、临床工作和研究等各个层面教育课程的一个组成部分。在意识到各个层面（微观、中观和宏观）的种族主义后果的情况下，为临床医生、政策制定者和研究人员制定了建议。
