DCOM Faculty Development : Diversity Equity & Inclusion

Medical science in antebellum America was organized around a paradox: it presumed African Americans to be less than human yet still human enough to be viable as experimental subjects, as cadavers, and for use in the training of medical students. By taking a hard look at the racial ideas of both northern and southern medical schools, Christopher D.E. Willoughby reveals that racist ideas were not external to the medical profession but fundamental to medical knowledge.

Black & Blue is the first systematic description of how American doctors think about racial differences and how this kind of thinking affects the treatment of their black patients. The standard studies of medical racism examine past medical abuses of black people and do not address the racially motivated thinking and behaviors of physicians practicing medicine today. Black & Blue penetrates the physician's private sphere where racial fantasies and misinformation distort diagnoses and treatments. Doctors have always absorbed the racial stereotypes and folkloric beliefs about racial differences that permeate the general population. Within the world of medicine this racial folklore has infiltrated all of the medical sub-disciplines, from cardiology to gynecology to psychiatry. Doctors have thus imposed white or black racial identities upon every organ system of the human body, along with racial interpretations of black children, the black elderly, the black athlete, black musicality, black pain thresholds, and other aspects of black minds and bodies. The American medical establishment does not readily absorb either historical or current information about medical racism. For this reason, racial enlightenment will not reach medical schools until the current race-aversive curricula include new historical and sociological perspectives.

This collection of original chapters gives center stage to the concept of 'narrative' in medical contexts. The contributors come from the disciplines of literary and cultural studies, linguistics, psychology, and medicine and work with texts as diverse as autobiographies, graphic novels, Renaissance medical treatises and reports, short stories, reflective writing, creative writing, and online narratives. The interdisciplinary dialogue shows the richness and scope of the concept 'narrative' and demonstrates how crucial it is for practices in the medical context as well as in the contributing disciplines. The collection raises awareness of the great variety and multivocality of narratives on the experience of illness besides paying heed to the many different positions and angles from which these narratives can be perceived, read, and analyzed. The wide range of approaches assembled in this collection provides a comprehensive view on illness and health and on the multiple ways in which they are represented in narrative.

This collection brings together personal essays written by an interdisciplinary group of scholars, physicians, and medical school deans. The contributors address the everyday circumstances of healthcare differences where race is concerned and shine light on the realities of race itself, on inequalities in healthcare, and on the ways in which these American complexities can be discussed and considered.