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American Focus > Blog > Tech and Science > ‘Black Religion in the Madhouse’ examines psychiatry and race post-Civil War
Tech and Science

‘Black Religion in the Madhouse’ examines psychiatry and race post-Civil War

Last updated: December 12, 2025 6:30 am
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‘Black Religion in the Madhouse’ examines psychiatry and race post-Civil War
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Weisenfeld’s book sheds light on the deep-rooted racism that permeated the field of psychiatry in the post-Civil War era. The medicalization of Black religious practices and beliefs as signs of mental illness served to further marginalize and subjugate an already oppressed population. By pathologizing Black spirituality, white psychiatrists reinforced harmful stereotypes and perpetuated systems of oppression.

Judy B.’s case at St. Elizabeths is a chilling example of how white doctors used their power to discredit and dehumanize Black individuals. Instead of recognizing and respecting her cultural and spiritual beliefs, they pathologized them, reinforcing harmful stereotypes and perpetuating systems of racial discrimination. The fact that Judy B. was admitted to a psychiatric hospital solely based on her religious beliefs is a stark reminder of the insidious ways in which racism infiltrates medical practice.

Weisenfeld’s research underscores the urgent need to confront and dismantle the legacy of racism in psychiatry and mental health care. It is crucial to challenge the ways in which Black individuals have been pathologized and stigmatized, and to ensure that cultural differences are not equated with mental illness. By acknowledging and addressing the historical injustices perpetuated by the field of psychiatry, we can work towards a more equitable and inclusive mental health system for all individuals. In 1900, a Virginia medical professor’s lecture titled “Freedom Fatal for the Negro: Insanity’s Ravages” was published in the Richmond Times, sparking controversy and debate. The lecture highlighted the belief at the time that African Americans were more susceptible to mental illness due to their newfound freedom and the challenges they faced in a racially divided society.

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Fast forward to the 1930s, where Black religious leaders and medical professionals began to challenge the prevailing white psychiatric consensus on African Americans’ mental wellness. They argued that racism and unequal treatment were contributing factors to poor mental and physical health in the Black community, gaining traction and changing the narrative surrounding mental health in African Americans.

However, medical racism has persisted throughout history, with the term “excited delirium” being used in the 1980s to explain deaths, primarily among Black men, in police custody. This term has been used to discount the excessive use of force by police officers, despite not being recognized as a legitimate diagnosis by reputable medical organizations.

Author Weisenfeld delves into the historical journey of medical racism, shedding light on the lives of individuals who were institutionalized and often forgotten. One such individual, Judy B., faced decades of confinement at St. Elizabeths hospital, with little information remaining about her life and experiences. Letters from Judy B.’s daughter, Hattie, express concern and longing for her mother, highlighting the emotional toll of separation and uncertainty.

The stories shared by Weisenfeld serve as a reminder of the human impact of medical racism and the importance of acknowledging and addressing the systemic biases that have shaped mental health care for marginalized communities. By shedding light on the past, we can work towards a more equitable and inclusive future for all individuals, regardless of race or background. The sun was setting over the horizon, casting a warm golden glow over the quiet beach. The waves gently lapped at the shore, creating a soothing rhythm that was almost hypnotic. It was the perfect setting for a romantic evening, and Sarah couldn’t have been happier.

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She had been looking forward to this date with Jake for weeks, and now that it was finally here, she couldn’t believe how perfect everything was. They had arrived at the beach just as the sun was beginning to set, and Jake had set up a picnic blanket and a small table with candles and a bottle of wine.

As they sat down to enjoy their meal, Sarah couldn’t help but feel a surge of gratitude for the man sitting across from her. Jake was everything she had ever wanted in a partner – kind, caring, and always willing to go the extra mile to make her happy.

As they ate, they talked and laughed, sharing stories and dreams for the future. Sarah felt like she was in a dream, the kind of dream that she never wanted to wake up from. The sound of the waves, the gentle breeze, and the warmth of Jake’s hand in hers created a sense of peace and contentment that she had never experienced before.

As the sun dipped below the horizon, painting the sky in shades of pink and purple, Jake stood up and held out his hand to Sarah. “Would you like to dance?” he asked, a twinkle in his eye.

Sarah’s heart swelled with joy as she took his hand and let him lead her in a slow dance on the sand. They moved together in perfect harmony, the music of the waves providing the soundtrack to their dance.

As they twirled and swayed under the stars, Sarah knew that this was a moment she would never forget. She felt like the luckiest woman in the world to be sharing this perfect evening with the man she loved.

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As the night drew to a close, Jake pulled Sarah close and whispered in her ear, “I love you more than anything in this world.” Sarah felt tears pricking at the corners of her eyes as she whispered back, “I love you too, more than you’ll ever know.”

And in that moment, as they stood on the beach, wrapped in each other’s arms, Sarah knew that this was just the beginning of their love story. And she couldn’t wait to see where it would take them next.

TAGGED:BlackexaminesMadhousepostCivilpsychiatryraceReligionWar
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