?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Systemic+lupus+erythematosus+in+African-American+women%3A+immune+cognitive+modules%2C+autoimmune+disease%2C+and+pathogenic+social+hierarchy&rft.creator=Wallace%2C+Rodrick&rft.subject=Theoretical+Biology&rft.description=Examining+elevated+rates+of+systemic+lupus+erythematosus+in+African-American+women+from+the+perspective+of+the+emerging+theory+of+immune+cognition+suggests+the+disease+constitutes+an+internalized+physiological+image+of+external+patterns+of+psychosocial+stress%2C+a+'pathogenic+social+hierarchy'+involving+the+synergism+of+racism+and+gender+discrimination.+The+disorder+represents+the+punctuated+resetting+of+'normal'+immune+self-image+to+a+self-attacking+'excited'+state%2C+a+process+formally+analogous+to+models+of+punctuated+equilibrium+in+evolutionary+theory.++We+speculate+that+this+punctuated+onset+takes+place+in+the+context+of+an+immunological+'cognitive+module'+similar+to+what+has+been+proposed+by+evolutionary+psychologists+for+the+human+mind.+We+discuss+the+broader+implications+of+a+high+rate+of+this+disorder+within+a+marginalized+population%2C+finding+it+to+be+a+leading+indicator+for+phenomena+likely+to+entrain+powerful+subgroups+into+a+larger+pattern+of+embedding+pathology&rft.date=2003-01&rft.type=Preprint&rft.type=NonPeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F2684%2F1%2Flupus4.pdf&rft.identifier=++Wallace%2C+Rodrick++(2003)+Systemic+lupus+erythematosus+in+African-American+women%3A+immune+cognitive+modules%2C+autoimmune+disease%2C+and+pathogenic+social+hierarchy.++%5BPreprint%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F2684%2F