Program for Recovery and Community Health, Yale School of Medicine, New Haven, Connecticut, USA.
Beulah Heights First Pentecostal Church, New Haven, Connecticut, USA.
Am J Community Psychol. 2024 Mar;73(1-2):104-117. doi: 10.1002/ajcp.12654. Epub 2023 Apr 3.
Despite increased societal focus on structural racism, and its negative impact on health, empirical research within mental health remains limited relative to the magnitude of the problem. The current study-situated within a community-engaged project with members of a predominantly Black and African American church in the northeastern US-collaboratively examined depressive experience, recovery, and the role of racism and racialized structures. This co-designed study featured individual interviews (N = 11), a focus group (N = 14), and stakeholder engagement. A form of qualitative, phenomenological analysis that situates psychological phenomena within their social structural contexts was utilized. Though a main focal point of the study was depressive and significantly distressing experience, participant narratives directed us more towards a world that was structured to deplete and deprive-from basic neighborhood conditions, to police brutality, to workplace discrimination, to pervasive racist stereotypes, to differential treatment by health and social services. Racism was thus considered as atmospheric, in the sense of permeating life itself-with social, affective, embodied, and temporal dimensions, alongside practical (e.g., livelihood, vocation, and care) and spatial (e.g., neighborhood, community, and work) ones. The major thematic subsections-world, body, time, community, and space-reflect this fundamental saturation of racism within lived reality. There are two, interrelated senses of structural racism implicated here: the structures of the world and their impact on the structural dimensions of life. This study on the atmospheric nature of racism provides a community-centered complement to existing literature on structural racism and health that often proceed from higher, more population level scales. This combined literature suggests placing ever-renewed emphasis on addressing the causes and conditions that make this kind of distorted world possible in the first place.
尽管社会越来越关注结构性种族主义及其对健康的负面影响,但心理健康领域的实证研究相对于问题的严重程度仍然有限。本研究是一个社区参与项目的一部分,参与者是美国东北部一个以黑人和非裔美国人为主的教堂的成员,该项目共同探讨了抑郁经历、康复以及种族主义和种族化结构的作用。这项合作设计的研究采用了个体访谈(N=11)、焦点小组(N=14)和利益相关者参与的方式。一种将心理现象置于其社会结构背景下的定性、现象学分析被用于该研究。尽管研究的一个主要焦点是抑郁和显著的痛苦经历,但参与者的叙述引导我们更多地关注一个被设计为消耗和剥夺的世界——从基本的邻里条件,到警察暴行,到工作场所的歧视,到普遍存在的种族主义刻板印象,再到医疗和社会服务的差别待遇。因此,种族主义被认为是弥漫性的,它渗透到生活本身——具有社会、情感、身体和时间维度,以及实际(如生计、职业和护理)和空间(如邻里、社区和工作)维度。主要的主题小节——世界、身体、时间、社区和空间——反映了种族主义在现实生活中无处不在的基本特征。这里涉及到两种相互关联的结构性种族主义意义:世界的结构及其对生活结构维度的影响。这项关于种族主义弥漫性本质的研究为现有关于结构性种族主义和健康的文献提供了一个以社区为中心的补充,这些文献通常从更高、更具人口规模的层面展开。这些综合文献表明,要始终如一地强调解决导致这种扭曲世界产生的原因和条件。