Indian GPs and ASD

In my neck of the woods it's a case of find a GP who isn't Indian. The numbers must be so few that one could count them on their fingers.

It's a well known fact that young south Asians in Britain are attracted to studying medicine (the human body), and it's commonplace for their parents to push them to into becoming doctors, but it's rare for a south Asian to choose to study psychology (the human mind). Just visit a university and you will find about 2 out 3 students studying medicine are south Asian but the students studying psychology are almost exclusively white and British.

The south Asian community also happens to be behind the curve (for a multitude of reasons including those that are cultural or religious) when it comes to ASD than the white British middle class are. A significant proportion of south Asian medicine students attended private schools which often do not recognise ASD or want any children there with ASD.

Has anybody given any thought to the effects of this on getting a diagnosis of ASD via a GP? In general, GPs (of all races and backgrounds) are behind the curve when it comes to ASD but when cultural factors are brought into the picture it adds a new dimension. Trying to encourage more young Asians to study psychology will be like trying to encourage them to study classics - which is a subject they show virtually no interest in studying.

Parents
  • Former Member
    Former Member

    There are a number of issues rolled up in your post Arran.

    People with autism are often prone to dichotomous thinking. i.e. over categorisation, black and white thinking (a bit of a double entendre there!) and a tendency to stereotype beyond what is prudent. If you find yourself generalising and saying that all Xs do Y then you might have fallen into a trap.

    It is always a bit of a red flag to me when anyone says "It is well known that..." If something is true then there are probably some references that you could quote perhaps?

    Inter-racial communication absolutely (particularly in emotional senses) is an issue. Hence there are many articles such as www.theguardian.com/.../bme-mental-health-patients-marginalised. White doctors often struggle to understand what is going on in a black person's mind.

    Facial recognition can be an issue for white journalists trying to identify black athletes www.dailymail.co.uk/.../What-gigantic-gymnastics-gaffe-Philadelphia-newspaper-SLAMMED-confusing-Final-Five-members-Simone-Biles-Gabby-Douglas-embarrassing-cover-story-mix-up.html If you can't even tell who you are looking at then you might struggle to get any further into their minds and feelings.

    If you are trying to make yourself understood by another person then you have to overcome

    a) your own ability to express yourself emotionally. This is the Catch-22 of autism. How do you persuade another person that you have a problem with communication if you struggle with communication.

    b) the other persons ability to understand your emotions. If you suffer from a blank expression (common with autistic people) then that is another hurdle.

    c) the other person needs to be emotionally sensitive to your emotions. Lets take a fictional example of a white middle class doctor, Doc Martin, who's character is based on a doctor who has autism. Can you imagine that he might struggle to spot the emotional turmoil in another person?

    Mental health diagnosis and treatment is a cinderalla service for all people in this country. I don't think that it is particularly useful to call out one group of doctors for special attention. Many white middle class (particularly male) doctors are emotionally hopeless and are of little use to someone with a MH problem. If you struggle to make yourself understood by one doctor then by all means switch doctors but I'm not sure that tarring the Indian doctors with this brush does anyone any good at all.

    By the way, I was diagnosed by an Indian consultant who was entirely capable of identifying autism in his white middle class patient.

Reply
  • Former Member
    Former Member

    There are a number of issues rolled up in your post Arran.

    People with autism are often prone to dichotomous thinking. i.e. over categorisation, black and white thinking (a bit of a double entendre there!) and a tendency to stereotype beyond what is prudent. If you find yourself generalising and saying that all Xs do Y then you might have fallen into a trap.

    It is always a bit of a red flag to me when anyone says "It is well known that..." If something is true then there are probably some references that you could quote perhaps?

    Inter-racial communication absolutely (particularly in emotional senses) is an issue. Hence there are many articles such as www.theguardian.com/.../bme-mental-health-patients-marginalised. White doctors often struggle to understand what is going on in a black person's mind.

    Facial recognition can be an issue for white journalists trying to identify black athletes www.dailymail.co.uk/.../What-gigantic-gymnastics-gaffe-Philadelphia-newspaper-SLAMMED-confusing-Final-Five-members-Simone-Biles-Gabby-Douglas-embarrassing-cover-story-mix-up.html If you can't even tell who you are looking at then you might struggle to get any further into their minds and feelings.

    If you are trying to make yourself understood by another person then you have to overcome

    a) your own ability to express yourself emotionally. This is the Catch-22 of autism. How do you persuade another person that you have a problem with communication if you struggle with communication.

    b) the other persons ability to understand your emotions. If you suffer from a blank expression (common with autistic people) then that is another hurdle.

    c) the other person needs to be emotionally sensitive to your emotions. Lets take a fictional example of a white middle class doctor, Doc Martin, who's character is based on a doctor who has autism. Can you imagine that he might struggle to spot the emotional turmoil in another person?

    Mental health diagnosis and treatment is a cinderalla service for all people in this country. I don't think that it is particularly useful to call out one group of doctors for special attention. Many white middle class (particularly male) doctors are emotionally hopeless and are of little use to someone with a MH problem. If you struggle to make yourself understood by one doctor then by all means switch doctors but I'm not sure that tarring the Indian doctors with this brush does anyone any good at all.

    By the way, I was diagnosed by an Indian consultant who was entirely capable of identifying autism in his white middle class patient.

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