Anti-Racism Strategies in Pediatric Psychology: Using STYLE Can Help Children Overcome Adverse Experiences With Police

Black children are exposed to police violence at alarming rates. Such stress impacts development and treatment of physical health problems. In the current discourse, we introduce STYLE (Self-examination, Talk about community-police relations and racism, Yield space and time to anti-racism work, Learn about how structural racism impacts child health, Evaluate policies and practices through an anti-racism lens). STYLE offers a framework through which professionals in pediatric psychology can engage in anti-racist work across contexts from clinical care to academic and advocacy settings. Pediatric psychologists have a responsibility to be on the frontline as interventionists, educators, researchers, organizers, and advocates for racial justice through anti-racism practices. The current paper introduces STYLE in clinical care, community service, training/supervision, and academic and advocacy contexts. Case examples are provided. Professionals in pediatric psychology must first focus on changing their STYLE to promote individual and infrastructural change consistent with anti-racism work.

     

Racism and White Counselor Training: Influence of White Racial Identity Theory and Research

White counselors currently and in the future are projected to constitute the majority of counseling practitioners. In a racist and culturally diverse society, White counseling students need to learn to effectively counsel racially diverse clients. In this article, the inclusion of awareness, knowledge, and skills around racism and racial identity development is discussed as critical to counselor training programs with White counseling students. Intentional and strategic efforts to assist White counseling students recognize their personal racial identity and privileges of racism are presented as tools to assist the counseling profession to reduce the perpetuation of racist attitudes and racism.     

Differentiation of self and racial identity

This study explored the relationship between personal identity development and in-group/out-group identities within the sociopsychological context of the USA. Specifically, the study examined the relationship between Bowen’s construct of differentiation of self and Helms’ construct of racial identity for an American sample of 309 undergraduate and graduate students. Insofar as both models refer to a progression from an externally defined sense of self to an internally defined sense of self, it was hypothesized that higher levels of more sophisticated racial identity statuses would be positively associated with higher levels of self-differentiation for both white participants and participants of color. Overall, the findings suggest that for white students, attitudes associated with a more differentiated sense of self are also associated with a more sophisticated racial identity statuses, increased awareness of how white privilege and racism operate, and less internal conflict about one’s own racial identity. The results of this study also indicated that, in general, participants of color who have a more differentiated sense of self endorse attitudes associated with higher statuses of racial identity development, more awareness of societal racism, and less ambivalence about their racial identity. Implications of the findings for the practice of counseling and the training of counseling psychologists are considered.     

Modern Racism Attitudes Among White Students: The Role of Dominance and Authoritarianism and the Mediating Effects of Racial Color-Blindness

ABSTRACT

Among 342 white college students, we examined the effects of social dominance orientation (SDO), right-wing authoritarianism (RWA), and racial color-blindness on modern racism attitudes. Structural equation modeling was used to test the indirect effects of SDO and RWA on modern racism attitudes through color-blind racial attitudes. We found strong indirect effects of SDO and RWA on modern racism through racial color-blindness. We did not find support for an alternative model, in which we tested racial color-blindness as a moderator of the effects of SDO and RWA on modern racism. Findings suggest that highly dominant and authoritarian white students endorse color-blind racial attitudes, although likely for different reasons. In turn, this predicts their modern racism attitudes. These findings indicate racial color-blindness is important to address as part of anti-racism education.     

Racial identity and reflected appraisals as influences on Asian Americans' racial adjustment

J. E. Helms's (1990) racial identity psychodiagnostic model was used to examine the contribution of racial identity schemas and reflected appraisals to the development of healthy racial adjustment of Asian American university students (N = 188). Racial adjustment was operationally defined as collective self-esteem and awareness of anti-Asian racism. Multiple regression analyses suggested that racial identity schemas and reflected appraisals were significantly predictive of Asian Americans' racial adjustment. Implications for counseling and future research are discussed.     

White Feminist Therapists and Anti-Racism

The tenacity of White racism is analyzed and a model for active anti-racism is presented. The daily, on-going effects of White Privilege are also explored, including their impact on a White feminist therapist's work with her clients. Recognizing that an individual's personal anti-racism is never completed, the author discusses the necessity of individual feminist involvement in cognitive and affective domains in exploring Cultural Literacy and White Privilege. The importance of both external and internal motivators are also emphasized and suggestions given for developing external motivators when necessary. Applications of external motivators for anti-racism in therapy and community involvement, the personal and the political, are discussed.     

Advocacy for the Counseling Profession: Results of a National Survey

Seventy‐one leaders in state, regional, and national professional and credentialing associations in counseling responded to a survey concerning professional advocacy efforts, resources, obstacles, and needs. The results indicate a variety of ongoing advocacy initiatives, specific needs for resources and interprofessional collaboration, and agreement on the importance of advocacy for the future of the profession.     

Promoting Self‐Advocacy Among Minority Students in School Counseling

This article presents self‐advocacy competencies developed to promote the academic, career, and personal/social success of minority students. The authors discuss challenges faced by minority students in today's educational environment and review principles of self‐advocacy. Competencies for developing self‐advocacy awareness, knowledge, and skills are discussed along with school counseling strategies for promoting self‐advocacy among minority students.     

Uncommon strategies for a common problem: addressing racism in family therapy

Race and racism have a profound effect on our daily lives and the practice of family therapy. Whether individual or institutional level, overt or covert, intentional or unintentional, there are a variety of ways in which racism can infiltrate the therapeutic process. Before therapists can take steps to address racism effectively within the context of family therapy, it is important to attend to the development of their racial awareness and racial sensitivity. These provide the critical foundation upon which specific skills and strategies associated with effectively identifying and responding to racism in therapy are based. This article defines racial awareness and sensitivity and provides suggestions for enhancing both. In the section that follows, three major ways in which racism can infiltrate the therapeutic process are described. Skills and strategies for addressing each of these in family therapy are presented.     

Lessons from Freelancing,Lighting Design to Genetic Counseling

Theatrical lighting design and genetic counseling may seem like antipodal career choices. The former was chosen from a belief in the dynamism of the theatrical experience, as well as love of the actual work. As I grew older, the powerful personal experiences of a life encompassing miscarriages, the birth of a child with a genetic disorder, and breast cancer profoundly directed my choice of a new career; one that I also love. Clearly, the day-to-day work is very different. However, people in both professions strive to create a transformative space for their respective public. Rather than being left behind, lessons learned by working as a freelancer have served as a source of inspiration as I have matured into my new career. Three specific strategies, supported by literature on career models, have been paramount. First, keeping an eye on the big picture encourages awareness of where the field of genetics and the genetic counseling job market are headed. That awareness leads to the advocacy necessary to achieve the outcomes genetic counselors want. Second, striving for continual personal growth keeps genetic counselors engaged and personally ready for professional changes. Third, networking provides the connections to make clinical and advocacy efforts successful, in addition to essential social support.     

Social justice advocacy among doctoral students in professional psychology programs

This study examined the relationships among multicultural competency, task-oriented coping, spirituality, political involvement, and experiences of discrimination on students’ engagement in social justice advocacy in a sample of 412 clinical, counseling, and school psychology doctoral students. Specifically, this study examined the mediating role of political involvement and task-oriented coping between the predictor variables and social justice advocacy. The results showed that the relationship between experiencing discrimination and social justice advocacy was only present when participants reported more political involvement and more task-oriented coping. The same was true for the relationship between spirituality and social justice advocacy; this relationship was only present when going through task-oriented coping. Further while there was a relationship between students’ multicultural knowledge and social justice advocacy, it was partly accounted for by political involvement. Similarly, the relationship between multicultural awareness and social justice advocacy was partly accounted for by task-oriented coping. Implications and recommendations for future research are addressed.     

The assessment of present-moment awareness and acceptance: the Philadelphia Mindfulness Scale

The purpose of this project was to develop a bidimensional measure of mindfulness to assess its two key components: present-moment awareness and acceptance. The development and psychometric validation of the Philadelphia Mindfulness Scale is described, and data are reported from expert raters, two nonclinical samples (n = 204 and 559), and three clinical samples including mixed psychiatric outpatients (n = 52), eating disorder inpatients (n = 30), and student counseling center outpatients (n = 78). Exploratory and confirmatory factor analyses support a two-factor solution, corresponding to the two constituent components of the construct. Good internal consistency was demonstrated, and relationships with other constructs were largely as expected. As predicted, significant differences were found between the nonclinical and clinical samples in levels of awareness and acceptance. The awareness and acceptance subscales were not correlated, suggesting that these two constructs can be examined independently. Potential theoretical and applied uses of the measure are discussed.     

Analyzing the Impact of the Medicare Coverage Gap on Counseling Professionals: Results of a National Study

The authors surveyed 6,550 members of the American Counseling Association regarding the current impact of Medicare policy on counseling professionals. More than half of respondents (54.8%) had been directly affected by Medicare reimbursement barriers, including 70.0% of practicing counselors. Statistical analyses indicated significant associations between years in the profession, direct experience with the Medicare coverage gap, and participation in professional advocacy related to Medicare. Implications for counselors, counselor educators, and counseling scholarship are discussed.     

Advancing access to Medicare-funded mental health treatment during the opioid epidemic: A counselor advocacy analysis

Although advocacy is a priority for counseling professionals, little is known about counseling advocates’ participation in the legislative advocacy process. Recent legislation to address the opioid crisis allowed counseling advocates to provide public comments to advance counselor inclusion in the Medicare program. A thematic analysis of 548 public comments provided on behalf of the counseling profession yielded four categories: advocacy on behalf of (1) the proposed rule change; (2) broader Medicare inclusion; (3) the proposed rule change with an additional request for broader Medicare reimbursement; and (4) no clear advocacy. Subthemes included increasing access to care, qualifications necessary to provide care, and the urgency of the opioid epidemic, among others. Implications for the counseling profession and counselor advocacy are discussed.     

What Do White Counselors and Psychotherapists Need to Know About Race? White Racial Socialization in Counseling and Psychotherapy Training Programs

Multicultural training in academic counseling and psychotherapy programs is often designed to address the needs of minority populations, and it rarely places Whiteness in the spotlight. Its structure, in fact, risks mirroring the very dynamics embedded in White privilege. Using the framework of feminist theory, we build on key findings on White racial socialization—which has a profound impact on the quality of communication and interaction within and across racial groups—to outline the skills and awareness needed for White counselors and psychotherapists to promote racial justice in both their individual/counseling and community/advocacy work.     

Perceived Impact of Professional Counselor Identity: An Exploratory Study

Counselor educators (N= 378) provided their viewpoints regarding the impact of counselor identity on professional advancement and recognition. Respondents indicated that counselors, the American Counseling Association, and other counseling organizations are responsible for advocacy of the counseling profession. Collaboration among counselors for the development of a single coherent message is necessary for advocacy efforts aimed at congressional Medicare leaders, managed care organizations, state licensing boards, and allied professions.     

Lesbians With Physical Disabilities: A Qualitative Study of Their Experiences With Counseling

The authors interviewed 25 lesbians with physical disabilities about their counseling experiences. Using a phenomenological qualitative approach, the authors identified 9 themes. Five themes addressed participants' perceptions of their counselors: general satisfaction or dissatisfaction, counselors' general effectiveness, counselors' awareness and education regarding sexual orientation and/or disability, discrimination and bias, and counselor identity. Three themes related to the participants' attempts to negotiate the counseling process: coming out or self‐disclosure, self‐advocacy, and accessibility/accommodations. The final theme related to depression.     

Best Practices for Counseling Clients Experiencing Poverty: A Grounded Theory

Poverty is a pressing sociopolitical issue in the United States and worldwide. Poverty experiences have a significant effect on one’s mental health and overall wellness. Therefore, the ability to effectively serve clients experiencing poverty is critically important to professional counselors. However, there are no empirical models for counseling clients experiencing poverty. The authors present the results of a constructivist grounded theory study in which 21 professional counselors who work with clients experiencing poverty were interviewed to identify best practices for working with this population. Five major best practices are identified: (a) awareness, (b) training, (c) knowledge, (d) skills, and (e) advocacy. Implications for professional counseling are included.