Graduate School of Social Service, Fordham University, New York, NY, USA; email:
Department of Psychology, City College of New York, New York, NY, USA.
Annu Rev Clin Psychol. 2022 May 9;18:527-552. doi: 10.1146/annurev-clinpsy-072720-020644. Epub 2021 Dec 10.
Despite their enormous potential impact on population health and health inequities, police violence and use of excessive force have only recently been addressed from a public health perspective. Moving to change this state of affairs, this article considers police violence in the USA within a social determinants and health disparities framework, highlighting recent literature linking this exposure to mental health symptoms, physical health conditions, and premature mortality. The review demonstrates that police violence is common in the USA; is disproportionately directed toward Black, Latinx, and other marginalized communities; and exerts a significant and adverse effect on a broad range of health outcomes. The state-sponsored nature of police violence, its embedding within a historical and contemporary context of structural racism, and the unique circumstances of the exposure itself make it an especially salient and impactful form of violence exposure, both overlapping with and distinct from other forms of violence. We conclude by noting potential solutions that clinical psychology and allied fields may offer toalleviate the impact of police violence, while simultaneously recognizing that a true solution to this issue requires a drastic reformation or replacement of the criminal justice system, as well as addressing the broader context of structural and systemic racism in the USA.
尽管警察暴力和过度使用武力对人口健康和健康不平等有着巨大的潜在影响,但从公共卫生的角度来看,这一问题直到最近才得到关注。为了改变这种状况,本文从社会决定因素和健康差异的角度来探讨美国的警察暴力问题,强调了最近的文献将这种暴露与心理健康症状、身体健康状况和过早死亡联系起来。综述表明,警察暴力在美国很常见;不成比例地针对黑人和拉丁裔以及其他边缘化社区;对广泛的健康结果产生重大而不利的影响。警察暴力的国家赞助性质,其在历史和当代结构性种族主义背景下的嵌入,以及暴露本身的特殊情况,使其成为一种特别突出和有影响力的暴力暴露形式,既与其他形式的暴力重叠,又与之不同。最后,我们注意到临床心理学和相关领域可能提供的潜在解决方案,以减轻警察暴力的影响,同时认识到要解决这个问题,需要对刑事司法系统进行彻底改革或取代,以及解决美国结构性和系统性种族主义的更广泛背景。