Department of Psychology, Scripps College.
Department of Counseling and Educational Psychology, New Mexico State University.
Psychotherapy (Chic). 2023 Mar;60(1):63-75. doi: 10.1037/pst0000404. Epub 2021 Nov 22.
Anti-Black racism is often overlooked in predominantly White spaces such as psychotherapy. This pervasive disregard and dehumanization reflects the perpetuation of ongoing racial trauma that can influence the psychological health of Black people seeking psychotherapy. Therapists, therefore, ought to be equipped and comfortable to have conversations about anti-Blackness and anti-Black racism in sessions, though evidence suggests they are often uncomfortable discussing race and racism in practice. To understand therapists' comfort when clients discuss anti-Black racism, we used a multiple case study approach to interview five practicing clinicians (two White, two Black, one biracial Asian and White). Within-case analysis elicited a sense of participants' personal experiences of being comfortable, and at times less so, when clients discussed having endured anti-Black racism. Cross-case analysis led to the identification of four themes: (a) Beyond Acknowledgment, (b) Drawing Personal Awareness into the Moment, (c) Engaging with One's Own Emotional Responses, and (d) I Am versus I Should: Proactive and Reactive Comfort. These findings are discussed within the scope of multicultural competence, multicultural orientation, and the value of cultural comfort when clients' discuss anti-Black racism. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
反黑人种族主义在以白人为主的空间（如心理治疗）中经常被忽视。这种普遍的忽视和非人化反映了持续的种族创伤的延续，这可能会影响寻求心理治疗的黑人的心理健康。因此，治疗师应该具备并愿意在治疗过程中就反黑人主义和反黑人种族主义进行对话，尽管有证据表明，他们在实践中往往不愿意讨论种族和种族主义。为了了解治疗师在客户讨论反黑人种族主义时的舒适度，我们使用了一项多案例研究方法，对五名执业临床医生（两名白人、两名黑人、一名白人和亚洲混血儿）进行了采访。案例内分析引出了参与者在客户讨论经历反黑人种族主义时感到舒适和有时不那么舒适的个人经历的感觉。跨案例分析导致了四个主题的确定：（a）超越承认，（b）将个人意识融入当下，（c）参与自己的情绪反应，以及（d）我是与我应该：主动和被动的舒适。这些发现是在多元文化能力、多元文化取向以及当客户讨论反黑人种族主义时文化舒适的价值范围内讨论的。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
