Virtual Library

Our understanding of race and human genetics has advanced considerably since 2003, yet these insights have not led to clear guidelines on the use of race in medicine. The result is ongoing conflict between the latest insights from population genetics and the clinical implementation of race. For example, despite mounting evidence that race is not a reliable proxy for genetic difference, the belief that it is has become embedded, sometimes insidiously, within medical practice. One subtle insertion of race into medicine involves diagnostic algorithms and practice guidelines that adjust or “correct” their outputs on the basis of a patient’s race or ethnicity. Physicians use these algorithms to individualize risk assessment and guide clinical decisions. By embedding race into the basic data and decisions of health care, these algorithms propagate race-based medicine. Many of these race-adjusted algorithms guide decisions in ways that may direct more attention or resources to white patients than to members of racial and ethnic minorities. To illustrate the potential dangers of such practices, we have compiled a partial list of raceadjusted algorithms (Table 1). We explore several of them in detail here. Given their potential to perpetuate or even amplify race-based health inequities, they merit thorough scrutiny.

The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences. She then presents an allegory about a gardener with 2 flower boxes, rich and poor soil, and red and pink flowers. This allegory illustrates the relationship between the 3 levels of racism and may guide our thinking about how to intervene to mitigate the impacts of racism on health. It may also serve as a tool for starting a national conversation on racism.

Celebrating its one-hundredth anniversary in February 2009, the National Association for the Advancement of Colored People (NAACP) has been the leading and best-known African American civil rights organization in the United States. It has played a major, and at times decisive, role in most of the important developments in the twentieth century civil rights struggle. Drawing on original and previously unpublished scholarship from leading researchers in the United States, Britain, and Europe, this important collection of sixteen original essays offers new and invaluable insights into the work and achievements of the association. The first part of the book offers challenging reappraisals of two of the NAACP's best-known national spokespersons, Walter White and Roy Wilkins. Other essays analyze the association's cultural initiatives and the key role played by its public-relations campaigns in the mid 1950s to counter segregationist propaganda and win over the hearts and minds of American public opinion in the wake of the NAACP's landmark legal victory in Brown v. Board of Education. Others provide thought-provoking accounts of the association's complex and difficult relationship with Martin Luther King, the post-World War II Civil Rights movement, and Black Power radicals of the 1960s. The second part of the collection focuses on the work of the NAACP at state, city, and local levels, examining its grassroots organization throughout the nation from Chicago, Cleveland, and Detroit in the North, to California in the West, as well as states across the South including Virginia, Arkansas, Alabama, Louisiana, and Texas. Providing detailed and fascinating information on hitherto little explored aspects of the association's work, these studies complement the previous essays by demonstrating the impact national initiatives had on local activists and analyzing the often-strained relations between the NAACP national office in New York and its regional branches.

By reassessing the history of the civil rights movement and examining questions and areas of research that need to be addressed by future studies, New Directions in Civil Rights Studies challenges students of the civil rights movement to broaden their vision and, at the same time, to look more closely at the people, the communities, and the networks that provide the rich texture of the movement's history.

Written during the 1940s and early 1950s, when Baldwin was only in his twenties, the essays collected in Notes of a Native Son capture a view of black life and black thought at the dawn of the civil rights movement and as the movement slowly gained strength through the words of one of the most captivating essayists and foremost intellectuals of that era. Writing as an artist, activist, and social critic, Baldwin probes the complex condition of being black in America. With a keen eye, he examines everything from the significance of the protest novel to the motives and circumstances of the many black expatriates of the time, from his home in "The Harlem Ghetto" to a sobering "Journey to Atlanta."

Notes of a Native Son inaugurated Baldwin as one of the leading interpreters of the dramatic social changes erupting in the United States in the twentieth century, and many of his observations have proven almost prophetic. His criticism on topics such as the paternalism of white progressives or on his own friend Richard Wright's work is pointed and unabashed. He was also one of the few writing on race at the time who addressed the issue with a powerful mixture of outrage at the gross physical and political violence against black citizens and measured understanding of their oppressors, which helped awaken a white audience to the injustices under their noses. Naturally, this combination of brazen criticism and unconventional empathy for white readers won Baldwin as much condemnation as praise.

How can we think about people and cultures unlike our own? In the early modern period, the fact of human diversity presented Europeans with little cause for anxiety: they simply assumed the superiority of the West. During the 18th century this view was gradually abandoned, as thinkers argued that other peoples possessed reason and sensibility, and thus deserved the same respect that Westerners accorded themselves. Since that time, however, Enlightenment belief in the universalities of human nature has fallen into disrepute; critics allege that such notions have had disastrous consequences in the 20th century, ranging from prejudice to persecution and outright genocide.

Edgar Allan Poe's strength as a writer lay in fabricating fantisies in settings far removed from his own place and time. This dislocation renders the attitudes embedded in his fiction open to interpretation, and over the years some readers have found Poe to be virulently racist, while others found him morally conflicted, and still others detected a subversion of racism in his works' subtle sympathies for non-white characters. As a nineteenth-century Southerner, Poe was a deeply ambiguous figure, evading race issues while living among them, and traversing the North-South border with little sensitivity to its political implications. In this tightly organized volume, a handful of leading Americanists revisit the Poe issue, re-examining what it means to speak of an author and his work as racist, and where the critic's responsibility lies.

With this book, Cheryl Hicks brings to light the voices and viewpoints of black working-class women, especially southern migrants, who were the subjects of urban and penal reform in early-twentieth-century New York. Hicks compares the ideals of racial uplift and reform programs of middle-class white and black activists to the experiences and perspectives of those whom they sought to protect and, often, control. In need of support as they navigated the discriminatory labor and housing markets and contended with poverty, maternity, and domestic violence, black women instead found themselves subject to hostility from black leaders, urban reformers, and the police. Still, these black working-class women struggled to uphold their own standards of respectable womanhood. Through their actions as well as their words, they challenged prevailing views regarding black women and morality in urban America. Drawing on extensive archival research, Hicks explores the complexities of black working-class women's lives and illuminates the impact of racism and sexism on early-twentieth-century urban reform and criminal justice initiatives.

Afrocentrism. Eurocentrism. Caribbean Studies. British Studies. To the forces of cultural nationalism hunkered down in their camps, this bold hook sounds a liberating call. There is, Paul Gilroy tells us, a culture that is not specifically African, American, Caribbean, or British, but all of these at once, a black Atlantic culture whose themes and techniques transcend ethnicity and nationality to produce something new and, until now, unremarked. Challenging the practices and assumptions of cultural studies, The Black Atlantic also complicates and enriches our understanding of modernism.