Department of Counseling Psychology, The Chicago School of Professional Psychology.
Department of Psychiatry and Behavioral Medicine, Baylor College of Medicine.
Psychotherapy (Chic). 2018 Mar;55(1):73-79. doi: 10.1037/pst0000152.
Culturally responsive and racially conscious psychotherapeutic work requires that therapists recognize the ways clients are impacted by their multiple marginalized identities and by systems of oppression (e.g., racism, ethnocentrism, sexism, heterosexism, and nativism). Attending exclusively to clients' marginalized identities (i.e., weak intersectionality) may drive therapists to only focus on internal, subjective, and emotional experiences, hence, missing the opportunity to consider and address how multiple sociostructural dimensions (i.e., strong intersectionality) may be impacting the client's presenting problems. Alternatively, focusing solely on the impact of sociostructural dimensions on the lives of clients may miss the more nuanced and variable individual personal experiences. In this article, we highlight the challenge of maintaining a culturally responsive and racially conscious stance when considering multiple marginalized identities, overlapping systemic inequities, and how both affect clients' lives and experiences. The case of an AfroLatinx queer immigrant is presented to illustrate some of the challenges and opportunities while simultaneously considering (a) the client's multiple marginalized identities, (b) the way clients are impacted by systemic oppression, and (c) integrating the client's personal experiences and narratives in psychotherapy. (PsycINFO Database Record
文化响应和种族意识的心理治疗工作要求治疗师认识到客户受到其多种边缘化身份和压迫系统(例如种族主义、种族中心主义、性别歧视、异性恋主义和本土主义)的影响。仅关注客户的边缘化身份(即弱交叉性)可能会促使治疗师仅关注内部、主观和情感体验,从而错失考虑和解决多个社会结构维度(即强交叉性)如何可能影响客户当前问题的机会。或者,仅关注社会结构维度对客户生活的影响可能会忽略更细微和多变的个人个人经历。在本文中,我们强调了在考虑多种边缘化身份、重叠的系统性不平等以及它们如何影响客户的生活和经历时,保持文化响应和种族意识立场的挑战。介绍了一个 AfroLatinx 酷儿移民的案例,以说明在同时考虑(a)客户的多种边缘化身份、(b)客户受到系统性压迫的方式以及(c)在心理治疗中整合客户的个人经历和叙述时遇到的一些挑战和机遇。