Incorporating Struggles with Racism and Ethnic Identity in Therapy with Adolescents

Ethnic and racial minority adolescents enter therapy with the behavioral, emotional, social, familial, and educational problems common to clinical practice. However, therapy with these youth necessitates attention to the effects of racial discrimination on their psychological functioning and to matters of how their ethnic or racial identities are integrated. Of the myriad issues that become part of therapy with minority adolescents, the profound effects of racism and the process of ethnoracial identity development can be seen in adolescents' sense of self and behavior. Experiences with racism and with their own ethnic reference group and others may have led to distortions and partial understanding of their identities that may affect adaptation and functioning. In this paper, the author draws from experiences in clinical practice with minority youth to highlight issues of racism and ethnic identity emergent in treatment. Three cases illustrate discussions of struggles with racism and ethnic identity as they emerged in therapy. In each case, the struggles were made salient by the therapist's purposeful eliciting of them to clarify issues of transference, family relations, peer group relations, and achievement.     

Identity Development in a Transracial Environment: Racial/Ethnic Minority Adoptees in Minnesota

It has been argued that transracially adopted children have increased risk of problems related to self-esteem and ethnic identity development. We evaluated this hypothesis across four groups of transracial adoptees: Asian (n = 427), Latino (n = 28), Black (n = 6), mixed/other (n = 20), and same-race White adoptees (n = 126) from 357 adoptive families. No mean differences were found in adoptees’ ratings of affect about adoption or of curiosity about birth parents. Some differences were found in general identity development and adjustment. There were notable differences in communication about race/ethnicity across groups and between parent and child report.     

Ethnic and Racial Identity of Internationally Adopted Adolescents and Young Adults

Abstract

Results of studies to determine how well children who have been adopted internationally have adjusted consistently raise a concern about identity issues. This paper reports the results of interviews about their sense of racial and ethnic identity with 155 adolescent and young adults who were adopted internationally in Canada during the 1970s and 1980s. The findings are discussed in relation to the rights conferred on these children through the U.N. Convention on the Rights of the Child, the Hague Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption and the Canadian Multiculturalism Act.     

Adolescent Sexual Debut: A Multi-System Perspective of Ethnic and Racial Differences

Data from the 1997 cohort of the National Longitudinal Survey of Youth were used to assess the association between family, self, proximate extra-familial, and distal extra-familial system factors and abstinence/virginity and age of first sexual intercourse by ethnicity and race (N = 1,854). Findings show how and in what circumstances measures associated with these four factors vary for Black, White, and Hispanic youth. Findings point to the robustness of class and gender for each ethnic-racial group on timing of sexual initiation and of delinquency and negative peer relations on abstinence among Black and White youth and of religious affiliation among Hispanic youth.     

The Color Paradigm: The Impact of Colorism on the Racial Identity and Identification of Latinas

Existing research has provided scant analysis on the impact of colorism or skin color privilege and stigma on racial identity and identification among Latinos/as. This article explores the dynamics of colorism and the impact on racial identity and identification among Latinos/as of varying phenotypes. The experiences of a subset of eight Caribbean Latinas and one Chicana are used to illustrate how Latinas negotiate their racial identification and survive experiences of both stigma and privilege within the U.S. context. The article concludes with implications for social work research, practice, and pedagogy.     

Unmasking Racism: Halloween Costuming and Engagement of the Racial Other

We explore Halloween as a uniquely constructive space for engaging racial concepts and identities, particularly through ritual costuming. Data were collected using 663 participant observation journals from college students across the U.S. During Halloween, many individuals actively engage the racial other in costuming across racial/ethnic lines. Although some recognize the significance of racial stereotyping in costuming, it is often dismissed as being part of the holiday's social context. We explore the costumes worn, as well as responses to cross-racial costuming, analyzing how “playing” with racialized concepts and making light of them in the “safe” context of Halloween allows students to trivialize and reproduce racial stereotypes while supporting the racial hierarchy. We argue that unlike traditional “rituals of rebellion,” wherein subjugated groups temporarily assume powerful roles, whites contemporarily engage Halloween as a sort of “ritual of rebellion” in response to the seemingly restrictive social context of the post-Civil Rights era, and in a way that ultimately reinforces white dominance.

The Ethnic Identification of Same-Race Children in Intercountry Adoption

Intercountry adoption is a worldwide phenomenon that has been drawing an ever-increasing amount of research attention. The vast majority of that research has focused on transracial adoptive relationships and, in particular, the ethnic socialization and adjustment of children adopted into racially different families. Very little is known about the ethnic identity development of internationally adopted children who are racially similar to their adoptive parents. In the current study, 50 children adopted into New Zealand from Eastern Europe were interviewed on their ethnic self-identification and self-concept. The adoptees scored in the midrange on an ethnic identity scale and in the high range on a self-concept scale. However, no correlation was found between the two indices, suggesting that ethnic self-identification and self-concept operate independent of each other. These results, plus additional data collected during the interviews, are discussed in light of the New Zealand context and as they relate to the transracial adoption literature.     

Racial and Ethnic Differences in Experiences of Discrimination in Accessing Social Services Among Transgender/Gender-Nonconforming People

Members of the transgender/gender-nonconforming (GNC) community experience higher rates of discrimination based on their gender compared to their cisgender counterparts. Similarly, people of color experience higher rates of discrimination than White people. This study examines the difference in experiences of discrimination among transgender/GNC individuals in accessing social services providers by race/ethnicity (White and people of color). The data collected in a national cross-sectional survey (N = 6,451) and analyzed via chi-square test of independence and binary logistic regression demonstrate the disproportionate prevalence of discrimination based on race/ethnicity within the transgender/GNC population when accessing social services such as drug treatment centers, mental health clinics, domestic violence shelters, and rape crisis centers. Social workers are the most common provider of social services to the community, and have an ethical commitment to provision of services without discrimination. High rates of discrimination in accessing social services among transgender/GNC people, with even higher rates of discrimination for transgender/GNC people of color, highlight the need for improvement in social work education and practice.     

Exploring the Experiences of Lesbian,Gay, Bisexual,and Questioning Adolescents in Foster Care

This article is based on the findings from a subset of gender identity and sexual orientation questions from The Casey Field Office Mental Health Study (CFOMH). It aims to contribute the experiences of youth in the care of Casey Family Programs to the increasing body of research on lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth in foster care, as well as inform future studies in this area. The CFOMH study interviewed 188 adolescents ages 14 to 17 who were receiving foster care services from Casey Family Programs in 2006. The experiences in care of youth who identified as LGBQ (n = 10) are presented in narrative form, along with data from all youth in care (N = 188) regarding their perceptions of the foster care environment for LGBTQ youth. These findings are intended to underscore the need to conduct a larger, more in-depth study of the experiences of LGBTQ youth in foster care and the environment that foster care provides for them.     

Adopted Adolescents' Preoccupation With Adoption: The Impact on Adoptive Family Relationships

This study examines the relationship between the intensity of adopted adolescents' thinking about their adoptions and their adoptive family relationships. Participants included 135 adopted adolescents involved in an ongoing study of openness in adoption. Adolescents who reported high levels of preoccupation with adoption reported greater alienation from their adoptive fathers than did adolescents who reported moderate or low levels of preoccupation. Adolescents with extremely high levels of preoccupation reported significantly higher levels of alienation and significantly lower levels of trust for their adoptive mothers and fathers than adolescents with extremely low levels of preoccupation. These findings, along with the divergences between adolescents' perceptions of dyadic and overall family relationships, are discussed in terms of how they relate to the process of adoptive identity exploration.     

Cultivating Compassion for Self and Others: A School-Based Pilot Study for Peer-Nominated Caring Adolescents

Many have called for school-based student programs that teach skills related to self-care and caring for others. Here, such a program for peer-nominated adolescents was developed and piloted virtually at one high school during the COVID-19 pandemic. Results of a longitudinal, quasi-experimental evaluation of the program showed high-quality program implementation and promising program impacts. Effect sizes indicated moderate to large program impacts on improvements in adolescents' self-compassion, sense of interdependence, and perspective-taking, and female adolescents' interoceptive awareness, compared to controls. No group differences in compassion for others were found. The need for more research on programs that help adolescents balance compassion for the self and for others is discussed.     

Redefining Racial Categories: The Dynamics of Identity Among Brazilian-Americans

Research based on a sample of Brazilian youth living in Massachusetts reveals a variety of responses to racialisation of their phenotypes. Caught between the fluid patterns of colour categories found in Brazilian society and the more rigid racial stratification that characterises the USA, Brazilian-Americans have followed a variety of strategies to adapt to this situation. By exploring the reactions of these young adults of different appearance along the colour continuum to the constraints of the dominant society, questions concerning the future dynamics of race relations in the USA are raised against a background of the continuing post-racialism debate.     

Developmental Implications of Homophobia for Lesbian and Gay Adolescents:

This essay seeks to provide a critical analysis of how the developmental obstacles faced by lesbian and gay adolescents and the limitations on helping them are both byproducts of institutionalized homophobia. Implications for ethical practice grounded in advocacy are presented. Adolescence is above all else a transitional to a more complex set of roles, which have to be integrated into the totality of the self. We argue that most of the difficulties identified among sexual minority youth not burden their development, and that it is an obligation of the helping professional to work toward the eradication of encumbrances to their optimal development. That work must begin with a critical analysis of our own theories and perspectives.     

Exploring Birth Countries: The Mental Health Implications of Heritage Travel for Children/Adolescents Adopted Internationally

Heritage trips are increasingly recognized as beneficial for children adopted internationally for myriad reasons. For example, a large percentage of adults adopted transracially during childhood report birth country travel to be a critical aspect to their ultimate development of positive racial identity. Although generally perceived to be a helpful experience for youth and families, heritage travel is not always without psychological distress. This article describes the theoretical basis for heritage travel, reviews the emerging literature on the mental health impact of heritage trips, and provides anecdotal vignettes to highlight mental health considerations and implications for heritage travel.     

Racial/Ethnic Disparities in Health: The Role of Lifestyle,Education, Income,and Wealth

Abstract

This article addresses the persistent relationship between race/ethnicity, SES, health-related lifestyle behaviors, and self-reported health using data from the 1995 National Health Interview Survey and its topical supplements. Through a series of models, we found that both SES (education, income, home ownership, and house and business monetary value) and health-related lifestyle behaviors (physical activity, nutrition awareness, and smoking) contribute to racial/ethnic disparities in self-reported health. Further, the impact of education on smoking behavior and self-reported health differs by race/ethnicity, with non-Hispanic whites receiving greater health benefits from education than African Americans and Hispanics. Although SES and lifestyle behaviors are indirect paths through which race/ethnicity affects health, the relationship between SES and health also is shaped by racial/ethnic status.     

Race/Ethnic Differences in the Marital Expectations of Adolescents: The Role of Romantic Relationships

I use a sample of 12,973 adolescents in the National Longitudinal Study of Adolescent Health (Add Health) to examine race/ethnic differences in perception of the likelihood of marriage in adulthood and the role of heterosexual romantic relationship experience in explaining this difference. Compared to adolescents from other race/ethnic backgrounds, White adolescents are more likely to date and are especially more likely than Black adolescents to participate in serious romantic relationships that increase marital expectations. Although the type of current or recent relationship is associated with marital expectations, they do not explain the observed race/ethnic gap in these expectations. Overall, the results suggest that these adolescent romantic experiences likely play only a small role in determining differential marital expectations.     

Racial and Ethnic Differences in the Timing of First Marriage and Smoking Cessation

Using data from the National Longitudinal Survey of Youth 1979 (N = 4,050), we consider the relationship between the timing of family formation and positive changes in health behavior. Theories that predict both positive and negative associations are tested. The findings suggest that both mechanisms operate and that the direction of the association depends on the respondent’s race or ethnicity. Whites who marry early are less likely to quit smoking, whereas Whites who marry on time and Blacks and Hispanics who marry at all ages are more likely to quit. The analysis refines the understanding of how family formation shapes changes in health behaviors differentially across the life course, and it underscores the difference in this process for individuals from different racial and ethnic backgrounds.     

The Path to Social Work: Contextual Determinants of Career Choice among Racial/Ethnic Minority Students

While the importance of multiculturalism to social work education and practice have been extensively theorized in the social work literature, very little empirical attention has been paid to the concrete experiences of social work students with instruction on multiculturalism. The experience of students within the multicultural classroom is one aspect of the professionalization process that must be considered in addressing issues of diversity and inclusion in graduate education programs. This article addresses this gap by describing and analyzing the narratives of 15 minority graduate social work students. It examines their perception and experiences with the graduate multicultural curriculum and the meaning they assign to these experiences. Their narratives illuminate the myriad ways that the curriculum excludes minority students and reproduces social inequality. Social work education has a responsibility to eliminate racism and inequality from the content of its courses and in its teaching methodologies. The identification of these negative socializing messages may assist educators in structuring curricular and pedagogical practices that are compatible with the multiethnic groups that both serve and are served by the profession.     

The Central Role of Familial Ethnic Socialization in Latino Adolescents’ Cultural Orientation

The current study utilized an ecological framework to examine the longitudinal interrelations among Latino adolescents’ (N = 323) cultural orientation (i.e., ethnic identity and enculturation), familial ethnic socialization experiences, and generational status. Findings indicated that ethnic identity and enculturation were both predicted by adolescents’ generational status, although some of these relations were indirect via the relation between generational status and familial ethnic socialization. Findings underscore the importance of examining the dimensions of cultural orientation independent of one another and considering the central role of familial socialization practices in these processes. Moreover, the current work provides direction for further theoretical work to advance our understanding of the unique aspects of cultural orientation.