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Shrouded in misunderstandings, both cultural and medical, the psychological anguish of blacks has been all but invisible throughout most of our nation's history. As late as the 1950s, some articles in medical journals still pronounced blacks too intellectually uncomplicated to suffer from depression and considered suicide an all but unknown problem among blacks. More recently, the pendulum has swung the other way: perusal of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, the psychiatrist's bible, reveals that being black means being at heightened risk for nearly every form of serious mental disorder. But why?
Today clinicians, scholars, and
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