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This book considers the history of political engagement with Africa on the part of African Americans, beginning with the birth of Paul Cuffe's back-to-Africa movement in the Federal Period to the Congressional Black Caucus' struggle to reach consensus on the African Growth and Opportunity Act of 2000. In contrast to the prevailing view that pan-Africanism has been the dominant ideology guiding black leaders in formulating foreign policy positions toward Africa, the book highlights the importance of domestic politics and factors within the African American community. Employing an innovative multi-method approach that combines archival research, statistical modeling, and interviews, the book argues that among African American elites, factors internal to the community played a large role in shaping their approach to African issues, and that shaping U.S. policy toward Africa was often secondary to winning political battles in the domestic arena. At the same time, Africa and its interests were important to America's black elite, and the book's analysis reveals that many black leaders have strong attachments to the “motherland.” Spanning two centuries of African American engagement with Africa, the book shows how black leaders continuously balanced national, transnational, and community impulses, whether distancing themselves from Marcus Garvey's back-to-Africa movement, supporting the anticolonialism movements of the 1950s, or opposing South African apartheid in the 1980s.

This book recaptures the history of a largely forgotten New York City institution that embodied new ways of thinking about mental health, race, and the substance of citizenship. Harlem’s Lafargue Mental Hygiene Clinic was founded in 1946 as both a practical response to the need for low-cost psychotherapy and counseling for black residents (many of whom were recent migrants to the city) and a model for nationwide efforts to address racial disparities in the provision of mental health care in the United States. The result of a collaboration among the psychiatrist and social critic Dr. Fredric Wertham, the writer Richard Wright, and the clergyman Rev. Shelton Hale Bishop, the clinic emerged in the context of a widespread American concern with the mental health of its citizens. It proved to be more radical than any other contemporary therapeutic institution, however, by incorporating the psychosocial significance of antiblack racism and class oppression into its approach to diagnosis and therapy. The book shows the Lafargue Clinic to have been simultaneously a scientific and political gambit, challenging both a racist mental health care system and supposedly color-blind psychiatrists who failed to consider the consequences of oppression in their assessment and treatment of African American patients. The book contributes to a growing body of scholarship that highlights the interlocking relationships among biomedicine, institutional racism, structural violence, and community health activism.