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Disability, difference, discrimination: perspectives on justice in bioethics and public policy
- Authors:
- SILVERS Anita, WASSERMAN David, MAHOWALD Mary B.
- Publisher:
- Rowman and Littlefield
- Publication year:
- 1998
- Pagination:
- 343p.
- Place of publication:
- Lanham, MD
How should we respond to individuals with disabilities? What does it mean to be disabled? Over fifty million Americans, from neonates to the fragile elderly, are disabled. Some people say they have the right to full social participation, while others repudiate such claims as delusive or dangerous. In this book, three experts in ethics, medicine, and the law address pressing disability questions in bioethics and public policy. The authors test important theories of justice by bringing them to bear on subjects of concern in a wide variety of disciplines dealing with disability. They do so in the light of recent advances in feminist, minority, and cultural studies, and of the Americans with Disabilities Act.
Discrimination and delusional ideation
- Authors:
- JANSSEN I., et al
- Journal article citation:
- British Journal of Psychiatry, 182(1), January 2003, pp.71-76.
- Publisher:
- Cambridge University Press
In the UK and The Netherlands, people with high rates of psychosis are chronically exposed to discrimination. A 3-year prospective study of cohorts with no history of psychosis and differential rates of reported discrimination on the basis of age, gender, disability, appearance, skin colour or ethnicity and sexual orientation was conducted in the Dutch general population (n=4076). The main outcome was onset of psychotic symptoms (delusions and hallucinations). The rate of delusional ideation was 0.5% (n=19) in those who did not report discrimination, 0.9% (n=4) in those who reported discrimination in one domain, and 2.7% (n=3) in those who reported discrimination in more than one domain (exact P=0.027). This association remained after adjustment for possible confounders. No association was found between baseline discrimination and onset of hallucinatory experiences. Perceived discrimination may induce delusional ideation and thus contribute to the high observed rates of psychotic disorder in exposed minority populations.