Schizophrenia and African-Caribbeans: a conceptual model of aetiology

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Abstract
Several studies in the UK have observed that the inception rates of schizophrenia among the African-Caribbeans are well elevated when compared withWhite populations.However, on the basis of available data on biological factors it appears that social factors play a more important role in the aetiology of schizophrenia in this group. Reviewing the current state of literature on self-esteem and social factors it is proposed that lack of early attachments and prolonged separation from one or both parents may well play a significant role in the genesis of schizophrenia in this group. It is proposed that some of these factors mediate through low self-esteem and the clinicians and researchers alike are urged to explore further the role of self-esteem in genesis and maintenance of symptoms of schizophrenia.

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