Racial Microaggressions,Whiteness, and Feminist Therapy

Over the last decade, several authors have described the role of racial microaggressions in the lives of historically marginalized populations. However, the exact mechanisms in which racial microaggressions manifest in psychotherapy remain an area in need of further exploration. Drawing from research and scholarship on Feminist therapy and microaggressions, we use a case vignette of a 40-year-old African-American woman in treatment for depression with a White female therapist to demonstrate how microaggressions may unwittingly occur in a clinician–client dyad. We underscore the challenges that White therapists may encounter and provide suggestions and recommendations for culturally responsive therapy.     

When the seemingly innocuous "stings": racial microaggressions and their emotional consequences

Commonplace situations that are seemingly innocuous may nonetheless be emotionally harmful for racial minorities. In the current article the authors propose that despite their apparent insignificance, these situations can be harmful and experienced as subtle racism when they are believed to have occurred because of their race. In Study 1, Asian Americans reported greater negative emotion intensity when they believed that they encountered a situation because of their race, even after controlling for other potential social identity explanations. Study 2 replicated this finding and confirmed that the effect was significantly stronger among Asian Americans than among White participants. These findings clarify how perceptions of subtle racial discrimination that do not necessarily involve negative treatment may account for the "sting" of racial microaggressions, influencing the emotional well-being of racial minorities, even among Asian Americans, a group not often expected to experience racism.     

“You're overreacting!”: The ambiguity of Asian American microaggressions delegitimizes collective action

Asian Americans are lauded as the model minority who are intelligent and industrious. Simultaneously, they are deemed as perpetual foreigners. The current research examines how racial microaggressions expressed by a White American source toward an Asian American target affect perceptions of the perpetrator and target. White Americans and Asian Americans read about an interaction between two college students, where the racial microaggression made was either an ambiguous expression of the model minority myth (MMM; all studies), an ambiguous perpetual foreigner stereotype (all studies), an unambiguous MMM (all studies), or no racial bias (Studies 2 and 3). Findings indicate that both Whites and Asian Americans respond differently—when exposed to the aforementioned conditions—regarding perceived racism of the White perpetrator and appropriateness of response by the Asian American target; however, they respond similarly regarding perceived legitimacy of collective action by the target. Nevertheless, Whites and Asian Americans deemed the ambiguous microaggression against the target as a model minority not racist relative to unambiguous MMM. Our findings show that ambiguous forms of bias toward Asian Americans go “under the radar” of both Whites and Asian Americans as being racist and contribute to the maintenance of the racial status quo.     

Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale

Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed method empirical study to assess microaggressions among LGBT-POC. The LGBT People of Color Microaggressions Scale is an 18-item self-report scale assessing the unique types of microaggressions experienced by ethnic minority LGBT adults. The measure includes three subscales: (a) Racism in LGBT communities, (b) Heterosexism in Racial/Ethnic Minority Communities, and (c) Racism in Dating and Close Relationships, that are theoretically consistent with prior literature on racial/ethnic minority LGBTs and have strong psychometric properties including internal consistency and construct validity in terms of correlations with measures of psychological distress and LGBT-identity variables. Men scored higher on the LGBT-PCMS than women, lesbians and gay men scored higher than bisexual women and men, and Asian Americans scored higher than African Americans and Latina/os.     

The impact of perceived racial discrimination on the mental health of Asian American and Latino college students

The authors examined the impact of perceived racial discrimination on various mental health outcomes for Asian American and Latino college students within an emic and etic framework. Results indicate that Asian American and Latino college students experienced similar exposure and reactions to various kinds of discrimination. However, Latino students were more likely than Asian American students to have been accused of doing something wrong, such as cheating and breaking the law, and more likely to appraise these experiences as stressful. Asian Americans evidenced higher risk for trait anxiety. Regardless of ethnicity, perceived racial discrimination was associated with several negative mental health outcomes, including higher psychological distress, suicidal ideation, state anxiety, trait anxiety, and depression. Findings highlight the need to address discrimination across multiple social and professional settings and to understand the broad array of mental health outcomes.     

Psychiatric Diagnoses and Clinical Characteristics of Asian American Youth in Children's Services

This study examined the psychiatric diagnoses and clinical characteristics of the 981 Asian American children enrolled in the first phase of the Comprehensive Community Mental Health Services for Children and Their Families Program. Asian Americans were less likely than non- Asian Americans to receive diagnoses of depression and ADHD and more likely to receive diagnoses of anxiety and adjustment disorder. As compared to non-Asians, Asian Americans were significantly more likely to be rated with severe functional impairment in community role performance, self-harmful behavior, and thinking. There was also a trend for fewer externalizing behavior problems. Implications for research and practice are discussed.     

Seemingly Harmless Racial Communications Are Not So Harmless: Racial Microaggressions Lead to Suicidal Ideation by Way of Depression Symptoms

Racial microaggressions, a contemporary form of subtle discrimination that occurs in everyday interactions, are associated with a variety of negative mental health outcomes. Research has not extended the connection between racial microaggressions and negative mental health to include suicide risk. Given the well‐known association between negative mental health outcomes and suicide risk, the current study examined whether racial microaggressions predicted suicidal ideation through depression symptoms among 405 young adults of color. Depression symptoms mediated the relationship between racial microaggressions and suicidal ideation. This is the first study to associate racial microaggressions to suicide risk. Societal and clinical implications are discussed.     

Acceptability of racial microaggressions among Asian American college students: internalized model minority myth,individualism, and social conscience as correlates

ABSTRACT

How much someone finds a racial microaggression to be acceptable can vary. We focus on the acceptability of racial microaggressions among Asian American college students, in relation to cultural and religious variables. We predicted that internalized model minority stereotype and individualism will be associated with being more accepting of microaggressions. We predicted that social conscience, or the belief that the church should be active in social justice, will be associated with being less accepting of microaggressions. Results based on 102 Asian American students indicated that vertical individualism predicts greater acceptance of microaggressions, and results based on 77 Christian individuals out of the 102 participants indicated that social conscience predicts less acceptance of microaggressions. Excessive individualism may lead one to ignore the impact of racism and have a greater tolerance for microaggressions, whereas social conscience may support participation in social justice efforts, which may lead to a greater awareness of microaggressions.     

The Impact of Racial Microaggressions on Mental Health: Counseling Implications for Clients of Color

This study examined the relationship between racial microaggressions (subtle and unintentional forms of racial discrimination) and mental health. Results from a large sample (N = 506) indicated that higher frequencies of racial microaggressions negatively predicted participants' mental health and that racial microaggressions were significantly correlated with depressive symptoms and negative affect. Differences in the types of microaggressions experienced by various racial groups (Asian, Latina/o, Black, White, and multiracial) and counseling implications are discussed.     

Understanding Familial/Cultural Factors in Adolescent Depression: A Culturally-Competent Treatment for Working With Chinese American Families

A significant challenge for researchers and clinicians is in the process of determining culturally sensitive strategies to ensure treatment effectiveness with ethnic populations in the United States. This article highlights key aspects of treating Chinese American families where a child is struggling with adolescent depression. Relevant literatures associated with adolescent depression and effective treatment of Chinese Americans are reviewed and organized according to the dimensions of therapist knowledge, awareness, and skills. Therapist guidelines are provided using key aspects of cognitive behavioral therapy. Additional suggestions are presented for culturally competent therapy with Chinese American youth and their families.     

The Racial and Ethnic Microaggressions Scale (REMS): construction, reliability, and validity

Racial microaggressions are subtle statements and behaviors that unconsciously communicate denigrating messages to people of color. In recent years, a theoretical taxonomy and subsequent qualitative studies have introduced the types of microaggressions that people of color experience. In the present study, college- and Internet-based samples of African Americans, Latina/os, Asian Americans, and multiracial participants (N = 661) were used to develop and validate the Racial and Ethnic Microaggression Scale (REMS). In Study 1, an exploratory principal-components analyses (n = 443) yielded a 6-factor model: (a) Assumptions of Inferiority, (b) Second-Class Citizen and Assumptions of Criminality, (c) Microinvalidations, (d) Exoticization/Assumptions of Similarity, (e) Environmental Microaggressions, and (f) Workplace and School Microaggressions, with a Cronbach's alpha of .912 for the overall model and subscales ranging from .783 to .873. In Study 2, a confirmatory factor analysis (n = 218) supported the 6-factor model with a Cronbach's alpha of .892. Further analyses indicate that the REMS is a valid measure of racial microaggressions, as evidenced by high correlations with existing measures of racism and participants' feedback. Future research directions and implications for practice are discussed.     

Preparing for racial microaggressions: The role of cognition and emotion in the proactive coping process of African American college students

Traditionally, conceptual models of racial stressors (including racial microaggressions) have characterized the reactive experiences of African Americans, particularly identifying how African Americans cognitively, emotionally, and behaviorally respond to racial stress. The current study extends beyond the reactive coping experience and identifies nuances in the anticipatory and preparatory coping processes associated with racial microaggressions. Methods: 58 African American college students participated in a stress induction condition that exposed them to racial microinsults and prompted anticipatory concerns of further exposure to racial stress while completing a task with a racially insensitive peer. Following exposure to the stress induction condition, participants completed self-report questionnaires about their anticipatory thoughts, current affect, and proactive coping behaviors. Results: Threat-oriented thinking and negative affect were experienced in anticipation of racial discrimination; however, the endorsement of challenge-oriented thinking and positive affect were better predictors of how the current sample planned to use proactive coping behaviors to manage the anticipated racial stress. Implications: The current findings expand the racial stress coping narrative by capturing how the expression of optimism, perceived control, self-confidence, goal attainability, and positive emotion in anticipation of racial stress increases one's intention to implement coping strategies to minimize the impact of racial stress on task completion. Such findings provide cognitive and emotional targets for assessment when attempting to understand how African Americans are preparing themselves to manage anticipated racial stressors.     

Asian American-white American differences in expressions of social anxiety: a replication and extension

This study examined whether Asian American-White American differences on a trait measure of social anxiety extend to nonverbal behavior and to reports of anxiety-related emotions during a 3-min social performance task. Forty Asian Americans and 40 White Americans completed a trait measure of social anxiety and rated their emotions before, and immediately after, a social performance task. Their videotaped behavior was coded using microlevel behavioral codes (e.g., gaze avoidance, fidgeting). Results indicated that Asian Americans reported more anxiety than White Americans on the trait measure and on the emotion rating scales but that they did not differ substantially on microlevel behavioral indexes of social anxiety. Implications of ethnic variations in the patterns of anxious responding are discussed.     

Indigenous Healing Practices and Asian Immigrant Women

ABSTRACT

The current article highlights the importance of indigenous psychology for Asian immigrant women. A brief overview is provided about Asian American immigration and the importance of understanding women’s experiences with the contextual lens of gender, ethnicity, and race. Key values relevant to help-seeking and service utilization are also presented. Complementary alternative approaches to Western-based mental health treatment are discussed as ways in which feminist and multicultural treatment approaches can be integrated. Given the inherent diversity of Asians and Asian Americans, which includes over 60 ethnic subgroups, the article is not meant to provide an exhaustive list of available native practices nor to reflect the experiences of Asians as a homogenous group. Instead, the goal of this article is to provide readers with an understanding of how culturally based healing practices and concepts are needed to complement and contribute to our extant understanding of help-seeking. We conclude by highlighting the ways in which Western-based healthcare would benefit by integrating indigenous practices with gender and ethnic/racial cultural perspectives.     

Asian Americans and racism: when bad things happen to "model minorities."

Due to the limited psychological research on Asian Americans' experiences with racism, in the current study the authors examined the relationships between racial socialization, racial identity, and perceptions of racism, with a college-aged sample (N = 254) consisting primarily of Chinese Americans and Filipino Americans. With the use of multiple regression analyses, the results indicated that racial socialization, particularly discussions about race and racism, was positively related to one's perceptions of racism. Moreover, the study also showed that the relationship between racial socialization and perceptions of racism was partially mediated by racial identity schemas. To understand how Asian Americans regard racism, it is useful to have an understanding of racial identity theory and the manner in which Asian Americans are socialized to perceive racism.     

Racial and Sexual Objectification of Asian American Women: Associations with Trauma Symptomatology,Body Image Concerns,and Disordered Eating

ABSTRACT

Sexism and racism often imbue Asian American women’s socialization experiences. Operating from an objectification theory framework, the present article (a) examines the conceptual relevance of racial and sexual objectification in describing Asian American women’s oppressive experiences, (b) reviews empirical studies linking racial and sexual objectification with Asian American women’s mental health issues, specifically in the areas of trauma symptomatology, body image concerns, and disordered eating, (c) offers critiques of existing research and points to directions for future research, and (d) discusses clinical implications for therapy work with Asian American women based on available literature. In essence, the present review highlights how Asian American women may experience body image concerns, disordered eating, and trauma symptomatology through processes ethnoculturally and socioculturally distinct to them via experiences of racial and sexual objectification. This review calls for a more nuanced and precise understanding of Asian American women’s racial and sexual objectification experiences and associated mental health difficulties. This understanding can only occur through increased empirical research and clinical practice, as informed by feminist scholarship situated in a culturally expanded objectification framework.     

Positioning Asian Americans in social cognition

Asian Americans are increasingly positioned at the center of current events, yet extant theories and approaches in social psychology (and social cognition specifically) may not adequately capture how Asian Americans are perceived and treated in the current American racial landscape. We propose three directions to propel social cognition research on Asian Americans. First, research emphasizes Asian Americans' perceived high status (e.g., the model minority stereotype) while often overlooking their perceived foreignness. The two-dimensional Racial Position Model elucidates the consequences of being stereotyped as perpetual foreigners for Asian Americans and their relations with other racial and ethnic groups. Second, research and laypeople alike consider East Asian Americans to be the prototypical Asian Americans, thereby excluding subgroups such as South and Southeast Asian Americans. Considering the ethnic diversity of Asian Americans challenges and extends existing social psychological theories. Lastly, much of psychological research approaches race in isolation without considering its intersection with other identities such as gender. An intersectional framework offers insights into how Asian Americans' gender and race overlap in our social cognition. More nuanced research on Asian Americans is needed to fully understand race relations in the 21st century and we hope these three interconnected directions can guide researchers who are interested in the topic.     

Cognitive-Behavioral Therapy for Depression in an Older Gay Man: A Clinical Case Study

Although strong evidence supports cognitive-behavioral therapy for late-life depression and depression in racial and ethnic minorities, there are no empirical studies on the treatment of depression in older sexual minorities. Three distinct literatures were tapped to create a depression treatment protocol for an older gay male. Interventions were deduced from the late-life depression literature, culturally adapted CBT protocols for racial minorities, and the emerging social and developmental psychological theories for lesbian, gay, and bisexual populations. Specific treatment interventions, processes, and outcomes are described to illustrate how these literatures may be used to provide more culturally appropriate and effective health care for the growing, older sexual minority population.     

The relationship of microaggressions with alcohol use and anxiety among ethnic minority college students in a historically White institution

Little is known about how microaggressions may impact the health and mental health of college students of color attending historically White universities. In this study, students provided self-report of the number of racial and ethnic microaggressions they had experienced over the previous month, as well as data on anxiety symptoms (Beck Anxiety Inventory), alcohol consumption (Daily Drinking Questionnaire) and consequences (Rutgers Alcohol Problem Index), and self-efficacy to cope with daily hassles (General Self-efficacy Scale) and with high risk drinking situations (Situational Confidence Questionnaire). As expected, students of color reported significantly more microaggressions than their European American counterparts. Microaggressions and self-efficacy were significantly associated with anxiety (Full Model R2 = .20; p < .001), microaggressions and self-efficacy were significantly associated with binge drinking (Full Model R2 = .10; p < .01), and microaggressions, binge drinking events, self-efficacy, and microaggressions × self-efficacy interaction were significantly associated with alcohol related consequences (Full Model R2 = .28; p < .001) among the students of color. Results suggest that microaggressions may represent a health and mental health risk to students of color. Implications of study results and future research directions are discussed.