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Psychiatric Bulletin (2003) 27: 277. doi: 10.1192/pb.27.7.277
© 2003 The Royal College of Psychiatrists
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Psychiatric Bulletin (2003) 27: 277
© 2003 The Royal College of Psychiatrists

Correspondence

Institutional racism

Roland Littlewood, Professor of Anthropology and Psychiatry

Department of Anthropology, University College London, Gower Street, London WC1E 6BT

Mike Shooter hardly needs my support on Ian Bronks' demand (Psychiatric Bulletin, April 2003, 27, 155) for an apology and a retraction for his noting of institutional racism in psychiatry. ‘Institutional racism’ is a description of how an institutional system as a whole functions, not, as Dr Bronks argues, what is going on inside an individual practitioner's head.

Our President is to be congratulated on dealing with a depressingly still-continuing problem of disadvantage for ethnic minorities in the mental health system: increased sectioning (incidentally a most appropriate term), patient dissatisfaction, increased use of secure facilities and in some studies, higher dosages of psychoactive medication. If we are not involved with this at some level, then who? Blame the patient?





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