Experiencing Discrimination and Black Patients' Reactions to Medical Care

2010 ◽  
Author(s):  
Louis A. Penner ◽  
John F. Dovidio ◽  
Donald Edmondson ◽  
Rhonda K. Dailey ◽  
Tsveti Markova ◽  
...  
Keyword(s):  
Author(s):  
Diane Miller Sommerville

Freedmen and freedwomen suffered emotionally and materially after emancipation, even while many of the circumstances related to enslavement that had triggered their suffering as slaves ended. Like southern whites, they had lived in a war zone and suffered from the exigencies of civil war: deprivation, starvation, and dislocation. New obstacles, too, emerged as the formerly enslaved experienced freedom: they lacked shelter, food, medical care, and stable employment. The path to freedom was strewn with new obstacles: uncertainty, negotiating new terms of employment, redefining marital roles and relationships, racial violence and abuse. Many freed African Americans struggled emotionally and psychologically under the new conditions of emancipation and entered insane asylums or became suicidal. Despite increasing numbers of black patients in asylums and a purported ‘rise in insanity’ among blacks, southern whites continued to believe the region’s black population was impervious to melancholy because they were an inferior, content, uncivilized race whose simple needs were met. Instead, insane blacks were deemed ‘manic,’ a condition resulting from ex-slaves receiving freedom and responsibilities they were ill-equipped to handle. A racialized construction of suffering and mental illness emerged after the war; melancholy and suicide were reserved for whites, madness and mania for southern blacks.


Author(s):  
Shirley A. Hill

Substantial data suggests that African Americans, even those who are insured, simply do not get the same quality of medical care as do White Americans. They not only bring to the medical encounter a legacy of medical mistrust, but are often treated disrespectfully by physicians who are less likely to aggressively pursue diagnoses and treatments for their black patients. Unequal access to quality health care is also a product of the dual health care system, with Blacks more likely to experience inferior and impersonal care in the public sector of that system.


2009 ◽  
Vol 19 (2) ◽  
pp. 49-57
Author(s):  
Brian E. Petty ◽  
Seth H. Dailey

Abstract Chronic cough is the most frequent reason cited by patients for seeking medical care in an ambulatory setting and may account for 10% to 38% of a pulmonologist's practice. Because chronic cough can be caused by or correlated with a wide array of disorders and behaviors, the diagnosis of etiologic factors and determination of appropriate therapeutic management in these cases can prove to be daunting for the physician and speech-language pathologist alike. This article will describe the phenomenon of chronic cough, discuss the many etiologic factors to consider, and review some of the more common ways in which speech-language pathologists and physicians collaborate to treat this challenging condition.


2001 ◽  
Vol 120 (5) ◽  
pp. A410-A410
Author(s):  
T KOVASC ◽  
R ALTMAN ◽  
R JUTABHA ◽  
G OHNING

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