Derricks Veronica, Johnson India R, Pietri Evava S
Department of Psychology, Indiana University - Purdue University Indianapolis, Indianapolis, IN, USA.
Department of Psychology, Butler University, Indianapolis, IN, USA.
J Health Psychol. 2023 Jan;28(1):30-47. doi: 10.1177/13591053221090850. Epub 2022 May 16.
Two online experiments investigated whether hypothetical physicians' use of an identity-safety cue acknowledging systemic injustice (a Black Lives Matter pin) improves Black Americans' evaluations of the physician and feelings of identity-safety. Across studies, findings showed that when a White physician employed the identity-safety cue, Black Americans reported stronger perceptions of physician allyship and increased identity-safety (e.g. trust). As predicted, use of the identity-safety cue produced smaller or non-significant effects when employed by a Black physician. These benefits emerged regardless of physicians' perceived motivation for employing the cue (e.g. whether the physician was personally motivated to employ the cue or his medical practice encouraged use of the cue; Study 2). Furthermore, analyses revealed that exposure to the identity-safety cue promoted a greater sense of identity-safety for Black Americans due to increased perceptions that the physician is an ally for Black individuals. Implications of identity-safety cues for racially discordant medical interactions are discussed.
两项在线实验调查了假设的医生使用承认系统性不公正的身份安全提示（一枚“黑人的命也是命”徽章）是否会改善美国黑人对医生的评价以及身份安全感。在各项研究中，结果表明，当白人医生使用身份安全提示时，美国黑人报告称对医生同盟关系的认知更强，身份安全感（如信任）增加。正如预测的那样，当黑人医生使用身份安全提示时，产生的效果较小或不显著。无论医生使用该提示的动机如何（例如，医生是出于个人动机使用该提示，还是其医疗实践鼓励使用该提示；研究2），这些益处都会出现。此外，分析表明，由于美国黑人越来越认为医生是黑人个体的同盟，接触身份安全提示会增强他们的身份安全感。文中讨论了身份安全提示对种族不和谐医疗互动的影响。
