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9 - Hip-Hop and Mental Health

Perspectives from Psychiatry, Psychology, Public Health, and Neuroscience

from Part III - Applications of Rap

Published online by Cambridge University Press:  25 July 2025

Richard Bramwell
Affiliation:
Loughborough University
Alex de Lacey
Affiliation:
Goldsmiths, University of London
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Summary

This chapter invites readers to consider how an engagement with hip-hop music and culture can contribute to a better understanding of mental health, psychiatry, psychology, public health, and neuroscience. It provides an introduction to hip-hop therapy, highlighting the use of rap by psychologists and counsellors to promote mental well-being. The chapter goes on to examine the work that the Hip-Hop Psych initiative has undertaken in advancing the role of hip-hop in primary care. With hip-hop’s pre-eminence as a global musical force, greater attention to how mental health is represented in hip-hop can provide healthcare professionals with tools to aid discussions with patients about potential trends related to hip-hop icons, such as contagion effects of suicide, self-harm, and self-medication. Hip-hop offers a platform for artists and those who embrace the culture to address their emotional experiences through rap. By exploring lyrical content, the chapter uncovers how performers express their mental health challenges and fashion resilience within challenging circumstances. It argues that attention to this material could also help identify language disturbances associated with mental health conditions, and indicates the potential gains from the use of technology and neuroscientific research to support hip-hop music interventions.

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