The Unbearable Lightness of Being White

In this article I explore the relationship between feelings of superiority, White privilege, White guilt, and a denied White racial identity and how these dynamics are enacted in therapy between White therapist and client. I discuss the concepts of White privilege, White guilt, color-blind racial ideology, and the invisibility of Whiteness and their importance in understanding problems in White identity development. Throughout this discussion I draw implications for clinical practice and training. I conclude by suggesting a process for identifying the dynamics of privilege and power in cross-cultural interactions through the use of self-reflection.     

Potential erosion of psychotherapist-patient privilege beyond California: dangers of "criminalizing" Tarasoff.

The "dangerous patient exception" to psychotherapist-patient privilege, adopted almost a decade before the celebrated case of Tarasoff v. Regents of the University of California (1976), was mentioned in a footnote to that decision in the context of an analogy. Although intended to permit testimony in civil commitment proceedings, this exception has been used to "criminalize" the Tarasoff duty in California. California courts eroded the privilege initially primarily to permit victims to sue psychotherapists and later to require psychotherapists to testify against their patients in criminal proceedings and appear to have confused evidentiary privilege and confidentiality. If consistent, similar reasoning in California in the future should allow therapists to testify against their patients if they were civilly committed in the past for dangerousness and attorneys to testify against their clients in criminal cases if at some earlier time they believed their clients represented a risk of future harm. Although most other jurisdictions may not word their privilege exceptions for civil commitment in the same way as California, most states have some type of privilege exception for civil commitment that could allow for such an interpretation. The United States Supreme Court in Jaffee v. Redmond (1996) found a psychotherapist-patient privilege, but stated in a footnote that an exception to the privilege would exist if a serious threat of harm to the patient could be averted only by means of disclosure by the therapist. Other jurisdictions have begun to consider these issues. Rather than being unique to California, similar reasoning could lead to the "criminalization" of Tarasoff in other jurisdictions and thereby compel therapists outside California to testify against their patients in criminal proceedings.     

Legal and Ethical Issues in the Court-Mandated Treatment of Batterers

Summary

In the following article, we will explore the nature of the therapeutic relationship as it relates to batterers' treatment programs. We will consider the impact of obligations created by forces outside the relationship, such as those imposed by legal proceedings. We will discuss the concepts of confidentiality, privilege, and agency and their impact on the therapeutic relationship and the extent to which the therapists' understanding of the role these concepts play may be altered by court orders that impose treatment on a client/patient. Finally, we examine the issues and choices a therapist must make when engaging in court-ordered treatment of batterers, and the implications of those choices for both therapist and client; we will also suggest guidelines to help therapists sort through the often conflicting goals of therapy and the legal process.     

Protecting Privacy and Confidentiality

Summary

This article discusses the confidentiality of communications between therapist and patient and the scope of, and exceptions to, the privilege preventing such communications from being disclosed. Ethical principles, statutes, and case law will be explored.     

Avowals and First-Person Privilege

When people avow their present feelings, sensations, thoughts, etc., they enjoy what may be called "first-person privilege." If I now said: "I have a headache," or "I'm thinking about Venice," I would be taken at my word: I would normally not be challenged. According to one prominent approach, this privilege is due to a special epistemic access we have to our own present states of mind. On an alternative, deflationary approach the privilege merely reflects a socio-linguistic convention governing avowals. We reject both approaches. On our proposed account, a full explanation of the privilege must recognize avowals as expressive performances, which can be taken to reveal directly the subject's present mental condition. We are able to improve on special access accounts and deflationary accounts, as well as familiar expressive accounts, by explaining both the asymmetries and the continuities between avowals and other pronouncements, and by locating a genuine though non-epistemic source for first-person privilege.     

Examining awareness of privilege among midwestern college students: An analysis of race/ethnicity,gender, and religion

Dominant group members often are not aware of the privileges they benefit from due to their dominant group membership. Yet individuals are members of multiple groups and may simultaneously occupy multiple categories of dominance and marginality, raising the question of how different group memberships work in concert to facilitate or inhibit awareness of multiple forms of privilege. Examining awareness of privilege is important as awareness may be linked to action to dismantle systems of privilege that maintain oppression and inequality. Grounded in intersectional scholarship, in this study we examined how occupying intersecting categories of race/ethnicity, gender, and religion corresponded to an awareness of White, male, and Christian privilege. In a sample of 2321 Midwestern college students, we demonstrated that students from marginalized groups broadly reported greater awareness of all forms of privilege than students from dominant groups, and the difference between marginalized and dominant groups was most pronounced when the specific group category (e.g., gender) aligned with the type of privilege (e.g., male privilege). We also tested interactions among race/ethnicity, gender, and religion, only finding an interaction between race/ethnicity and religion for awareness of White and male privilege. These findings helped to clarify that multiple group memberships tended to contribute to awareness as multiple main effects rather than as multiplicative. Finally, we examined mean differences among the eight intersected groups to explore similarities and differences among groups in awareness of all types of privilege. Taken together, these findings quantitatively demonstrate the ways in which group memberships work together to contribute to awareness of multiple forms of privilege. We discuss study limitations and implications for community psychology research and practice.     

Framing inequity safely: Whites' motivated perceptions of racial privilege

Racial inequity was theorized to threaten Whites' self-image when inequity is framed as White privilege but not when framed as anti-Black discrimination. Manipulations of Whites' need for self-regard were hypothesized to affect their perceptions of White privilege but not of anti-Black discrimination. In Experiment 1, White participants reported less privilege when given threatening (vs. affirming) feedback on an intelligence or personality test; in contrast, perceptions of anti-Black discrimination were unaffected by self-concept manipulations. In Experiment 2, threatening (vs. affirming) feedback decreased privilege perceptions only among Whites high in racial identity. Using a value-based self-affirmation manipulation, Experiment 3 replicated the effect of self-image concerns on Whites' perceptions of privilege and provided evidence that self-concerns, through their effect on perceived privilege, influence Whites' support for redistributive social policies.     

The concept of privilege: a critical appraisal

In this essay, I examine the use of the concept of privilege within the critical theoretical discourse on oppression and liberation (with a particular focus on white privilege and antiracism in the USA). In order to fulfill the rhetorical aims of liberation, concepts for privilege must meet what I term the ‘boundary condition’, which demarcates the boundary between a privileged elite and the rest of society, and the ‘ignorance condition’, which establishes that the elite status and the advantages it confers are not publicly recognised or affirmed. I argue that the dominant use of the concept of privilege cannot fulfill these conditions. As a result, while I do not advocate for the complete abandonment of the rhetoric of privilege, I conclude that it obscures as much as it illuminates, and that the critical theoretical discourse on liberation and oppression should be suspicious of its use.     

Therapists as fixed versus random effects-some statistical and conceptual issues: a comment on Siemer and Joormann (2003)

The authors disagree with M. Siemer and J. Joormann's assertion that therapist should be a fixed effect in psychotherapy treatment outcome studies. If treatment is properly standardized, therapist effects can be examined in preliminary tests and the therapist term deleted from analyses if such differences approach zero. If therapist effects are anticipated and either cannot be minimized through standardization or are specifically of interest because of the nature of the research question, the study has to be planned with adequate statistical power for including therapist as a random term. Simulation studies conducted by Siemer and Joormann confounded bias due to small sample size and inconsistent estimates.     

White Practitioners in Therapeutic Ally-Ance: An Intersectional Privilege Awareness Training Model

Among White¹When referring to individuals or a group of people, “White” is capitalized in accordance with APA style guidelines. However, references to concepts such as whiteness and white privilege, guilt, and identity are not capitalized. licensed psychologists, social workers, marriage and family therapists, and counselors, research has documented a severe lack of awareness of unconscious stereotyping, systemic racism, white privilege, and white racial identity. This article introduces a privilege awareness pedagogical model as a framework for White students in clinical training programs learning about white privilege, enhancing multicultural competencies, and developing as effective allies in the therapeutic relationship, or therapeutic ally-ance. The model emphasizes intersectional privilege studies to address white privilege along with a wide variety of oppressions often neglected in the curriculum, involves personal reflection on biases and assumptions to enhance multicultural competencies, and promotes student learning through social action to dismantle privilege. The pedagogical benefits of the following activities and assignments are described: 1) group analysis of therapeutic scenarios, 2) photo-voice identity assignment, 3) white privilege reflection paper, and 4) identities education project.     

“American” as a Proxy for “Whiteness”: Racial Color-Blindness in Everyday Life

This article discusses racial color-blindness as it relates to a modern strategy used by both Whites and People of Color (POC) to mask their discussions of race and privilege. People who endorse racial color-blindness tend to believe that race should not matter and currently does not matter in understanding individuals’ lived experiences. Therefore, racially color-blind individuals use strategies to justify their racial privilege and racist beliefs and attitudes. One such strategy is to use the term “American” as a proxy for “White” in describing instances of White privilege as norms and to hide discussions of race more generally. Study 1 findings show that there are many different socially constructed definitions for the term American. Study 2 findings reveal differences in definitions for American depending on an individual’s race and generational status.     

Experimental measures of cognitive privilege/deprivation and some of their correlates

An operational definition of intellectual privilege and deprivation was used to develop measures of that construct in each sex from information furnished by 10th-grade students in Project Talent about their family and health background. Information such as reports of high school grades that directly reflected the ability of the students was excluded. The correlation between the experimental measure and the Talent intelligence composite is about .65 in contrast to the usual value of about .40 for a traditional measure of socioeconomic status. Sex differences in the items keyed are minimal. Using a similar definition, measures were also developed for Vernon's mechanical-spatial major group factor (1960), but the level of validity achieved is lower. The measures of privilege/deprivation developed for the two criteria show some degree of differential validity, but there is more generality in the two kinds of privilege than in tested abilities. The measures of intellectual privilege are almost congeneric measures of general intelligence, but there are significant departures from parallel profiles of relationships with other cognitive tests in Talent. The measures of intellectual privilege for both sexes add to the accuracy of prediction obtained from the intelligence criterion of scores on verbal academic and aesthetic information, but add nothing in predicting scores on measures of spatial visualization and rote memory. The possibility of constructing a test of general intelligence using item types that would minimize the correlation with privilige/deprivation is discussed.     

Speaking of privilege: family therapy educators' journeys toward awareness and compassionate action

This study explores how family therapy educators from privileged social locations understand issues of privilege and the process by which they integrate their personal and professional journeys to create and model equity in family therapy training and professional development. These educators developed awareness about issues of privilege and oppression and owned their privilege. Increased awareness involved personal struggles with guilt and managing internalized voices of prejudice that are constantly reinforced in society. These educators adopted a stance of action and accountability for equity. We hypothesize that the process leading to owning one's privilege involves the ability to be compassionate for others' suffering and one's own limitations.     

Rebuilding family relationship bridges

This paper describes two techniques that the family therapist can use to help families in emotional crisis change and heal. They require the family therapist to persuade family members to view the therapy sessions as a project in building or rebuilding their family relationship bridges. An essential component of these approaches is the value placed by the family therapist on building rather than destroying family relationship bridges. Four themes are suggested as building blocks for healing dysfunctional family relationships: Love, Anger, Loss and Forgiveness. Vignettes of several family problems are presented accompanied by an intervention demonstrating an aspect of family bridge building.     

Extending the Knapsack: Using the White Privilege Analysis to Examine Conferred Advantage and Disadvantage

This article describes a self-awareness activity that utilizes a directed reading on privilege and a small-group discussion format to examine unearned disadvantage and unearned advantage in one’s life. This exercise can help clinicians to better understand systemic and individual sources of power and privilege in society. Beginning with my previous work on white privilege, students can extend this analysis to other domains of privilege, including, for example, gender, class, sexuality, age, nationality, and physical ability, to name a few. The primary goals of this reflective exercise are to help clinicians understand how clients’ lives are influenced by societal disadvantages and advantages, to encourage a new understanding of oneself, and to increase empathy towards clients.     

Therapist responses to requests for disclosure of therapeutic records: An introductory study

This paper describes a questionnaire survey of therapists in the UK who have been subject to requests for disclosure of client records as part of a legal process. Therapist responses are outlined in terms of the perceived effect of such disclosure on the client, therapist and the therapeutic relationship. Negative effects included the experience of exposure of sensitive client material in an adversarial legal system, of powerful emotional responses by therapists, and a sense of feeling professionally de‐skilled in an unfamiliar and often challenging legal environment. Positive effects for the client included the achievement of valued outcomes such as compensation, and, for the therapist, the facilitation of support for the client in this process. These findings are discussed in terms of a contrast between therapist perceptions of consensual and contested disclosure. In the former, therapist and client are in agreement about the restorative value and outcome of disclosure. In contested disclosure, the process is experienced as disrupting therapeutic privacy, undermining professional self‐confidence and introducing an unwelcome element of critical re‐evaluation of client motives for undertaking therapy.     

Client self-image,therapist acting,and the establishment of the therapeutic alliance in a training context

This study examined how clients’ self-image and perception of therapist’s behavior are related to the therapeutic alliance, as well as how these variables change in the psychotherapy process in trainee-led psychotherapy. A total of 164 participants (M = 28.9 years) who attended two semesters of treatment at the Psychology Clinic of Umeå University completed the Working Alliance Inventory (WAI) to evaluate their perception of their alliance with the therapist. They also completed two questionnaires based on the Structural Analysis of Social Behavior (SASB) model to give insight into their self-image patterns and to analyze their perceptions of the therapist’s behavior. The results show that a positive self-image and positive perceptions of the therapist’s actions increased significantly over the course of the therapy, with a corresponding decrease in negative patterns. The alliance scores show that the therapeutic alliance gains significance over time and that it is influenced more by the perception of the therapist’s behavior than by the self-image. The self-image becomes relevant after the mid part of therapy, underlining the role of the therapist in co-creating the treatment relationship. The implications of these results are discussed, and so are directions for future research in other trainee-led settings and samples.     

Amelioration of transference resistance: substitute therapists in milieu group psychotherapy

Building upon Wolf's (1949) notion of the use of an alternate session in group psychotherapy, this paper suggests that an alternate therapist substituting for an absent regular therapist in milieu group psychotherapy can facilitate similar therapeutic benefits. The mechanism of this process of overcoming transference resistance is seen as twofold: (1) sessions with a substitute therapist allow patients to confront the infantilization often present in a milieu setting and experiment with more autonomous ego functioning. (2) Sessions with a substitute therapist create conditions which are apart from the ongoing process of the therapy group, thereby allowing for a therapeutic splitting process to develop wherein transference feelings about the regular therapist can be expressed to his or her "alter ego." Several case vignettes are presented in order to illustrate the clinical utility of a substitute therapist.     

“Tell Me How That Makes You Feel”: Philosophy's Reason/Emotion Divide and Epistemic Pushback in Philosophy Classrooms

Alison Bailey has recently explored the nature of what she calls privilege‐evasive epistemic pushback or “the variety of willful ignorance that many members of dominant groups engage in when they are asked to consider both the lived experience and structural injustices that members of marginalized groups experience daily.” In this article, I want to use Bailey's argument to demonstrate how privilege‐evasive epistemic pushback is facilitated and obscured by the disciplinary tools of traditional Western philosophy. Specifically, through exploring philosophical cultures of justification and case studies, this work will reveal how students engage in privilege‐evasive epistemic pushback by deploying the reason/emotion divide and various philosophical norms and practices it underlies to protect their epistemic home turf. Then, I offer three emotion‐enhancing critical philosophical practices aimed at disrupting the ignorance‐promoting moves of privilege‐evasive epistemic pushback and, instead, engage emotion as epistemically significant.     

Leaving whom? Motherless families: problems of termination for the female family therapist

The issue of planned termination is seldom addressed by family therapists. Given the goals and assumptions of most family work the concept may indeed be irrelevant, but there are circumstances where it is necessary not only to understand the principles of planned termination, but the factors in client, family and therapist which can make it difficult to terminate at all. This may be the case where a female therapist has been working with a family where father is the single parent (motherless family): the family may experience itself as incomplete and attempt to draw the therapist into the family to fill the gap left by mother and marital partner, and pari passu the therapist may assume that the family cannot well cope without her. Some strategies for resolving the problems of termination which may arise from such assumptions are described.