The Injurious Relationship Between Racial Microaggressions and Physical Health: Implications for Social Work

ABSTRACT

In recent years, the study of racial microaggressions (or subtle forms of racial discrimination) has increased significantly in the social sciences, particularly highlighting the negative impact of racial microaggressions on individuals’ mental health. Despite this, there is a dearth of literature that has examined the relationship between racial microaggressions and physical and psychological health. Using two self-reported measures—the Racial and Ethnic Microaggressions Scale (REMS) and the RAND 36-Item Short Form Health Survey—with a diverse group of participants (N = 277), results suggest that racial microaggressions are significantly correlated with poorer health conditions. Furthermore, racial microaggressions were found to predict various types of physical health conditions, such as general health problems, pain, lower energy levels, and fatigue. Finally, different types of microaggressions (e.g., microaggressions in school or the workplace, environmental microaggressions) were found to be predictors of specific health issues. Implications for social work are discussed.     

Victimization and Microaggressions Targeting LGBTQ College Students: Gender Identity As a Moderator of Psychological Distress

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer and questioning (LGBTQ) discrimination continues to be common on college campuses. While a number of studies have examined blatant victimization among students, little attention has been given to LGBTQ microaggressions. In this study, we examine both blatant victimization and microaggressions and their association with psychological distress among LGBTQ college students (N = 497) and look at whether gender identity moderates these relationships. Both forms of discrimination are associated with lower self-esteem and greater stress and anxiety. Victimization is more negatively associated with self-esteem among trans* students. Our findings emphasize the importance of addressing both blatant and subtle forms of discrimination targeting LGBTQ college students.     

The LGBQ Social Climate Matters: Policies,Protests, and Placards and Psychological Well-Being Among LGBQ Emerging Adults

Sexual minority youth, including emerging adults, are at risk for negative health outcomes. Minority stress theory posits that heterosexism can contribute to these outcomes among sexual minorities. Researchers have tested this theory with respect to interpersonal heterosexism; however, little attention has been given to macro-level and environmental forms of heterosexism, especially among lesbian, gay, bisexual, and queer (LGBQ) youth. In this study, we examine the role of objective social climate (LGB state-level policies) and experiential distal and proximal environmental microaggressions on the psychological well-being of LGBQ emerging adults. Furthermore, we examine the role of LGBQ identity salience as a moderating factor on the macro/environmental-heterosexism and well-being relationship. Multivariable linear regression results suggest that living in a state without same-sex marriage laws is associated with greater self-esteem, whereas both distal and proximal environmental microaggressions are risk factors for anxiety and perceived stress. Furthermore, identity salience can ameliorate the effects of distal microaggressions and intensify the effects of proximal microaggressions and same-sex marriage legislation. Implications for practice with sexual minority youth are discussed.     

“Our Kids Aren’t Dropping Out; They’re Being Pushed Out”: Native American Students and Racial Microaggressions in Schools

ABSTRACT

Poor graduation rates, truancy rates, and standardized tests results have been presented as indicators of a school crisis among Native American youths. This crisis, however, relies on ahistoric and deficit models of intervention, which imagine academic success as an individual- or family-level phenomenon. Responding to Reyhner’s (1991) suggestion to assess the role of schools and teachers in working to push students out of school, we explored the experiences of Native American youths in schools. This article documents findings from a community-based mixed-methods study. It establishes not only the significant prevalence of microaggressions for Native American youths in schools but it also presents the unique discriminatory experiences and aspects of those microaggressions. We suggest that these microaggressions play a role in school climate and push-out and provide suggestions for research, professional development, and social action.     

Trans* Partner Relationships: A Qualitative Exploration

ABSTRACT

The study of romantic partner relationships among trans* individuals is critical to providing a more complete understanding of their unique challenges and experiences. There is a paucity of research in this area, despite its significance in the lives of trans* individuals. The current study sought to examine the nature of partner relationships for people who identify as trans* by looking at the common experiences that they might share. A sample of 38 trans* participants completed a one-hour, semi-structured interview that qualitatively investigated their experiences in partner relationships. The results indicate five important themes: (1) The Oppressive Gender Binary System, (2) Coming Out and Disclosure Decision, (3) Emotional and Physical Sexuality Concerns, (4) Healthy Relationships Are Work, and (5) Living an Authentic Life. Implications for future research and how to better support the trans* community are discussed.     

Experience of Racism as a Correlate of Developmental and Health Outcomes Among Urban Adolescent Mental Health Clients

Summary

Correlates of race/ethnicity and perceived racism among 760 urban, predominantly Hispanic/Latino and African-American, adolescent mental health clients were investigated using an exploratory, clinical data-mining approach. All racial/ethnic groups reported substantial rates of racism, ranging from 80.0% for Asian/Pacific Islanders to 32.4% for Hispanic/Latinos. Racism was associated with significantly elevated environmental risk (e.g., violence, sexual abuse or assault, exposure to drug use), behavioral risk (e.g., drug use) and worry (e.g., worry about hurting self or others, worry about doing dangerous things). Overall, racism was significantly associated with more negative health and well-being outcomes than ability to get a gun, sexual orientation, and being enrolled in school. The authors conclude that experience of racism should be routinely assessed at intake to mental health services along with traumatic experiences such as physical or sexual abuse.     

The moment of microaggression: The experience of acts of oppression,dehumanization, and exploitation

ABSTRACT

After a brief introduction and review of recent literature on microaggressions, a theoretical typology of three sources of social injustice (oppression, dehumanization, and exploitation) contributes to the theorization of the sources of microaggressions. A selected compendium of words and affective phrases generated in classroom exercises illustrates the nature of the experience of the moment of microaggression. Future research on microaggressions as well as evaluation of practice should examine the experience of microaggression, including being subjected to microaggression, initiating such acts, and observing such acts.     

A randomized controlled trial of the effectiveness of the youth crime prevention program ‘New Perspectives’ (NP): Post-treatment changes and moderator effects

ObjectivesNew Perspectives (NP) aims to prevent that youth at onset of a criminal career will develop a more persistent criminal behavior pattern. The study aim was to examine whether NP was effective relative to care as usual in preventing and reducing (persistent) delinquency. Moreover, we examined improvements in secondary outcomes (e.g., peer and parent relationships and cognitive distortions) and other outcomes (e.g., substance use and self-esteem).MethodsAt-risk youth (N = 101) aged 12 to 19 years were randomly assigned to the intervention group (NP, n = 47) or control group (‘care as usual’, n = 54). The effects of the NP intensive phase (3 months after program start) and aftercare phase (6 months after program start) were analyzed.ResultsNP and care as usual did not differ on any of the outcome measures at both post-test occasions. The effects of NP were the same for boys and girls, different age groups, and ethnic groups.ConclusionsThe overall null-effects are discussed, including implications for further research, policy, and practice.     

Religious Microaggressions: A Case Study of Muslim Americans

ABSTRACT

The increasing population of Muslims in America faces challenges not uncommon to other faith and immigrant communities. One particular challenge is Muslim experiences of various forms of discrimination, prejudice, anti-Muslim bigotry, and microaggressions, especially in post-9/11 America. While microaggressions have been discussed in the social sciences literature, religious microaggressions have not been clearly addressed in the social work literature. This article aims to fill this gap in the literature by examining the connections among racial microaggressions, the racialization of religion, and ultimately religious microaggressions. The article concludes by presenting implications for social work policy, practice, and education in the area of religious microaggressions.     

The effectiveness of creative bibliotherapy for internalizing,externalizing, and prosocial behaviors in children: A systematic review

IntroductionCreative bibliotherapy is the guided reading of fiction and poetry relevant to therapeutic needs. Experiencing stories is hypothesized to act on the same mechanisms as cognitive behavioral therapy (CBT). This systematic review assesses the efficacy and effectiveness of creative bibliotherapy for the prevention and treatment of internalizing and externalizing behaviors, and the strengthening of prosocial behaviors in children (aged 5–16).MethodAn electronic search in seven major databases was conducted along with hand searches of key journals and bibliographies. Only randomized or cluster-randomized trials were included. Primary outcomes: internalizing behavior (e.g., anxiety and depression), externalizing behavior (e.g., aggression), and prosocial behavior (e.g., behavioral intentions and attitudes towards others). Secondary outcomes: parent–child relationship, peer relationship, educational attainment and reading ability.Results9180 records were located after removing duplicates. 9134 were excluded prior to screening. Of the 46 full-text articles assessed for eligibility, eight met the inclusion criteria and 38 were excluded. Meta-analysis was inappropriate due to study heterogeneity. Overall results suggest that creative bibliotherapy has small to moderate effect for internalizing behavior (δ range: 0.48–1.28), externalizing behavior (δ range: 0.53–1.09), and prosocial behavior (δ range: 0–1.2).ConclusionCreative bibliotherapy can have a small to moderate positive effect on child behavior. Although no definitive model of creative bibliotherapy emerges from the included studies, to some extent all interventions reflected CBT mechanisms. Further research is required to: 1) model the change processes taking place when children experience stories; 2) develop and pilot an intervention; 3) assess subgroup effects by gender, age, modality and literacy.     

Is Ethnic Identity a Buffer? Exploring the Relations Between Racial Microaggressions and Depressive Symptoms Among Asian-American Individuals

ABSTRACT

This study explores the moderating role of ethnic identity in the relations between racial microaggressions and depressive symptoms. Using survey data from 353 Asian-American college students, we found that racial microaggressions significantly predicted depressive symptoms and accounted for 24% of the variance in a hierarchical multiple regression analysis. In addition, ethnic identity moderated the relations between racial microaggressions and depressive symptoms. Thus, ethnic identity buffers Asian-Americans against the negative mental health effects of racial microaggressions. Implications for research and practice in the field of social work are discussed.     

Black women’s experience of colorist microaggressions

ABSTRACT

This paper reports the findings of a study that investigated Black women’s experiences of colorism. The authors introduce a new framework, “colorist microaggressions”, which highlight the microaggressions experienced by Black women. The results indicate that colorist microaggressions impacted the social, relational, emotional, and relational aspects of Black women’s lives and their well-being. The results also showed that like racial microaggressions, the “colorist microaggressions” that Black women encountered in their community, family, and in society, were pervasive. We conclude with a discussion of the implications for social work research, education, and practice.     

Posttreatment 12-Step Program Affiliation and Dropout: Theoretical Model and Qualitative Exploration

ABSTRACT

Treatment outcome research has repeatedly demonstrated that involvement in twelve-step (TS) programs (e.g., Alcoholics Anonymous or Narcotics Anonymous) following treatment is associated with improved substance use outcomes. Treatment providers widely encourage TS program attendance during treatment and for aftercare; yet, evidence suggests that minimal and sporadic attendance or complete dropout is the more common occurrence. Providers would benefit from knowledge that would contribute to a greater understanding of factors that influence posttreatment TS program affiliation or dropout to guide treatment strategies. This article reviews the literature on TS affiliation, advances theory and a model to explain affiliation, and reports findings from a qualitative research study focused on understanding what people in TS facilitative treatment report as good (the pros) and not so good (the cons) about TS program involvement. Results suggest that unresolved ambivalence as well as socio-cultural barriers to support contribute to poor TS program utilization.     

Nutritional status of foster children in the U.S.: Implications for cognitive and behavioral development

ObjectiveChildren in foster care are at greater risk for poor health, physical, cognitive, behavioral, and developmental outcomes than are children in the general population. Considerable research links early nutrition to later cognitive and behavioral outcomes. The aim of this narrative review is to examine the prevalence of poor nutrition and its relation to subsequent health and development in foster children.MethodRelevant studies for inclusion were identified from numerous sources (e.g., PubMed, Google Scholar, and reference sections). Inclusion criteria were studies published between 1990 and 2016 of (i) the nutritional status of children in foster care or (ii) the nutritional status of children exposed to early adversity (e.g., low-income and internationally adopted children) or (iii) the developmental effects of poor nutrition and micronutrient deficiencies.ResultsTwo key findings that have adverse implications for cognitive development emerged: (i) the prevalence of anemia and iron-deficiency anemia is higher among foster children than among the general population of children in the U.S., and (ii) the developmental demands of catch-up growth post-placement may lead to micronutrient deficiencies even after children have begun sufficient dietary intake of these nutrients. Moreover, there is a paucity of recent studies on the nutritional status of children in foster care, despite the multiple factors that may place them at risk for malnutrition.ConclusionAttention to nutritional status among care providers and medical professionals may remove one of the possible negative influences on foster children's development and in turn significantly alter their trajectories and place them on a more positive path early in life. Recommendations for further research, policy, and practice are discussed.     

“You are a Besya”: Microaggressions Experienced by Trafficking Survivors Exploited in the Sex Trade

ABSTRACT

This article exposes the prevalence of microaggressions as experienced by female sex-trafficking survivors in their everyday lives. Using a case example from Nepal, this article investigates the under-researched experiences of microaggressions against trafficking survivors and their cumulative effects on their lives. A participatory action research (PAR) process was used with eight trafficking survivors to delineate and explore categories of microaggressive behaviors to them. The results of the study reveal the occurrence of microaggressive behaviors against sex-trafficking survivors, grounded in experiential evidence in personal narratives. Implications for social work education and practices are discussed.     

Chronic Avoidance Helps Explain the Relationship Between Severity of Childhood Sexual Abuse and Psychological Distress in Adulthood

ABSTRACT

Recent studies have found that chronic avoidance of unpleasant internal experiences (e.g., thoughts, emotions, memories) is a maladaptive means of affect regulation often adopted by women with a history of sexual victimization in childhood. The primary aim of this study was to replicate and extend previous findings suggesting that higher levels of experiential avoidance may account for the relationship between childhood sexual abuse (CSA) and psychological distress in adulthood. It was hypothesized that, in a sample of undergraduate females (n = 151), the relationship between severity of CSA (e.g., frequency, nature of victimization) and trauma-related psychological distress would be mediated by avoidance. Results supported this hypothesis. Findings are consistent with previous studies, and further suggest that the general tendency to avoid or escape from unpleasant internal experiences may be a specific factor that exacerbates psychological distress among women with a history of sexual victimization in childhood.     

“Do You Know Your Real Parents?” and Other Adoption Microaggressions

Myths, fairy tales, films, books, and everyday communication contain images and stories of orphans and adoptees that convey societal discomfort and judgment about adoption (i.e., adoption stigma). In this article, I apply the microaggression model to adoption-related experiences using the literature and theory on adoption stigma. Definitions for adoption-related microaggressions (microassaults, microinvalidations, and microinsults) and a fourth type of microaggression called microfictions (i.e., shared and hidden narratives that contribute to and define the secrecy in adoption) are introduced. Thirteen themes for adoption microaggressions and examples for each are proposed.     

Common Beliefs About Child Sexual Abuse and Disclosure: A College Sample

ABSTRACT

Adults’ common beliefs about child sexual abuse and disclosure were explored. Participants (N = 670) were questioned about key areas of child sexual abuse that could affect decision-making processes of jurors evaluating child sexual abuse cases. These areas included victim and perpetrator characteristics, medical and behavioral indicators of child sexual abuse, memories for the event, and disclosure of the event. The scientific literature pertaining to these same areas are reviewed. While individual beliefs were consistent with some areas of the scientific literature (e.g., victim and perpetrator characteristics), they strongly contrasted the literature in other important areas (e.g., memories for the event, indicators of child sexual abuse, and the likelihood of denial and recantation). Implications, including the option of providing expert testimony to reduce discrepancies, are discussed.     

Using Photovoice as a method to examine microaggressions: Conceptualizing culturally competent practice and curriculum with Asian Americans

ABSTRACT

In recent years, the racial microaggressions has increased significantly in the social work education and negative impact of racial microaggressions on individual’s family and group in their community well-being. Microaggressions can occur out of misunderstanding and lack of awareness of cultural differences and similarities. Microaggressions also are common everyday whether intentional or unintentional. The purpose of this study is to examine the evolving methodology, usage of photovoice, and conceptualizing culturally competent practice and curriculum with Asian Americans.