305 p., Examines how social inequalities, in combination with identified social risk factors, contribute to disparities in the incidence of schizophrenia among individuals of African-Caribbean descent in England. It addresses the psychiatric epidemiological puzzle that indicates African-Caribbbeans in England have significantly greater rates of schizophrenia than the general British population. Based on two years of ethnographic fieldwork with patients diagnosed with schizophrenia, their relatives, and community members in North London, the researcher argued that specific social changes and historical forces interlink to create a toxic environment characterized by negative expressed emotions and social defeat to affect African-Caribbeans' mental health.
