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“Thus did African American men at Ionia [Hospital] develop schizophrenia, not because of changes in their clinical presentations, but because of changes in the connections between their clinical presentations and larger, national conversations about race, violence, and insanity. And thus did the men develop schizophrenia not because of symptoms, but because of civil rights.” — Jonathan M. Metzl

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Thus did African American men at Ionia [Hospital] develop schizophrenia, not because of changes in their clinical presentations, but because of changes in the connections between their clinical presentations and larger, national conversations about race, violence, and insanity. And thus did the men develop schizophrenia not because of symptoms, but because of civil rights.
— Jonathan M. Metzl