Skip to main content

African mental health: Historical context and cultural beliefs

Historical context

Race and slavery overlap with mental health throughout the history of the United States. In the mid-1800s, American physician Samuel Cartwright created two racist and false mental diagnoses. He called these “drapetomania” and “dysaesthesia aethiopica.” The purpose of this was to keep Black people oppressed, captive, and abused.

Cartwright claimed that free Black and African American individuals suffered from mental diagnoses more than enslaved folks. Much of the medical community backed this claim. They used this in arguments with abolitionists. Even in the early 1900s, leading psychiatrists thought Black and African American people to be “psychologically unfit” for freedom.

The history of communities of African descent in the U.S. has been plagued by trauma and oppression. But that does not make up the whole story. There is much to be celebrated and learned from Black and African American cultures. Some communities' specific ethnic origins have been lost over time due to slavery. These communities came from various areas of Africa. This includes places in which the earliest humans may have originated 2 to 6 million years ago.

In the U.S., communities of African descent have been relatively erased from history books. They are often reduced to only the difficulties of their pasts. But these communities have been on the front lines of activism and fights for justice. This includes historical greats such as Harriet Tubman and Dr. Martin Luther King Jr..

Bebe Moore Campbell was an author whose writing and advocacy focused on the experiences of Black women and those with mental health conditions. This led to the formal recognition of Bebe Moore Campbell National Minority Mental Health Awareness Month in July.

Marsha P. Johnson was one of the revolutionaries who helped make LGBTQ+ pride what it is today. Audre Lorde spoke of intersectionality long before the term was coined by Kimberlé Crenshaw. Frederick McKinley Jones invented theautomatic portable air-cooling unit. This allowed us to preserve food, medicines, and other medical supplies. Due to the erasure of Black positive history, many of these great leaders are not commonly known names.

Cultural beliefs

Communities of African descent have traditionally held a strong stigma against mental health challenges. Mental health challenges may be seen as inappropriate to discuss and a sign of personalweakness. The stereotype of the “strong Black woman” who perfectly embodies independence and resilience can contribute to this stigma for women in this community. Black men face similar stereotypes, especially because of the adultification of young black boys. They are expected to express minimum signs of vulnerability or sensitivity. All of these factors may make it more difficult for people of African descent to seek out mental health support. 

The root of this stigma in the U.S. can be traced back to slavery. Mental health challenges were ignored. They were explained away as “stress” or “exhaustion." They were also blamed on the individual. The attitudes about mental health that existed during slavery continue to affect how communities of African descent view mental health today. These negative attitudes cause many in the Black and African American community to avoid seeking help.

In several Black communities in the U.S., faith plays a central role as in community support. Many people choose to seek support from their faith community over medical treatment. In some cases, people of African descent may believe they are going through mental health challenges because their faith isn’t strong enough. Mental health stigma linked to religiosity can make it less likely for individuals from this community to seek help.

However, faith and spirituality can also help aid in healing and be a valuable part of a treatment plan. For Black and African American individuals, mental health providers who seek to explore a person’s faith may have stronger chances at providing effective support.

Take a Mental Health Test

If you are struggling with your mental health, take an anonymous, free, and private mental health test. It only takes a few minutes, and after you are finished you will be given information about the next steps you can take based on the results.

Take a screen

If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat 988lifeline.org. You can also reach Crisis Text Line by texting HELLO to 741741.