Structural racism has received renewed focus over the past year, fueled by the convergence of major political and social events. Psychiatry as a field has been forced to confront a legacy of systemic inequities. Here, we use examples from our clinical and supervisory work to highlight the urgent need to integrate techniques addressing racial identity and racism into psychiatric practice and teaching. This urgency is underlined by extensive evidence of psychiatry's long-standing systemic inequities. We argue that our field suffers not from a lack of available techniques, but rather a lack of sustained commitment to understand and integrate those techniques into our work; indeed, there are multiple published examples of strategies to address racism and racial identity in psychiatric clinical practice. We conclude with recommendations geared toward more firmly institutionalizing a focus on racism and racial identity in psychiatry, and suggest applications of existing techniques to our initial clinical examples.
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http://dx.doi.org/10.1097/NMD.0000000000001442 | DOI Listing |
World Neurosurg
December 2024
College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA; Global Neurosurgery Laboratory, SUNY Downstate Health Sciences University, Brooklyn, New York, USA; Department of Neurology, One Brooklyn Health/Brookdale University Hospital and Medical Center, Brooklyn, New York, USA; Department of Neurology; SUNY Downstate Health Sciences University, Brooklyn, New York, USA; Institute for Genomics in Health, SUNY Downstate Health Sciences University, Brooklyn, New York, USA; Division of Neurosurgery, Department of Surgery, SUNY Downstate Health Sciences University, Brooklyn, New York, USA; Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University; Department of Surgery, One Brooklyn Health/Brookdale University Hospital and Medical Center, Brooklyn, New York, USA. Electronic address:
Traumatic brain injury (TBI) is a leading cause of death and disability worldwide and a major global health concern. In the United States (US), individuals of Black or African American racial identity experience disproportionately higher rates of TBI and suffer from worse post-injury outcomes. Contemporary research agendas have largely overlooked or excluded Black populations, resulting in the continued marginalization of Black patient populations in TBI studies, thereby limiting the generalizability of ongoing research to patients in the US and around the world.
View Article and Find Full Text PDFSalud Colect
December 2024
Licenciada en Ciencias Antropológicas. Becaria Doctoral, Consejo Nacional de Investigaciones Científicas y Técnicas, con sede en el Centro de Estudios en Nutrición y Desarrollo Infantil, Buenos Aires, Argentina.
This study aims to analyze the configuration of inequalities in one of Argentina's most significant production zones for fresh vegetables and cut flowers, located in Greater La Plata, Buenos Aires Province. This ongoing anthropological research, initiated in 2021, employs methods such as participant observation, interviews, food mapping, and digital ethnography. Among the main findings, we highlight that this production zone exhibits, in both its origins and daily operations, certain racist dynamics that are not solely generated by the host society toward migrants but are disseminated throughout the social fabric, including by migrant producers themselves.
View Article and Find Full Text PDFSoc Sci Med
December 2024
Gauteng City-Region Observatory, University of Johannesburg, University of the Witwatersrand, 11 Jorissen Street, Johannesburg, South Africa; School of Geographical Sciences, University of Bristol, University Road, Bristol, BS8 1SS, UK.
Background: South Africa's history of apartheid has led to persistent inequalities. While progress has been made since 1994, disparities in quality of life (QoL) remain, particularly along racial lines. This study examines how race, gender, and sexual orientation intersect to influence QoL in Gauteng - South Africa's most populous and economically vibrant province.
View Article and Find Full Text PDFJ Public Health Dent
December 2024
American Institute of Dental Public Health (AIDPH), River Forest, Illinois, USA.
Background: While recent US policies restrict access to healthcare and resulting health disparities among the transgender community, little is known about oral health access and utilization among this population. This study assessed self-reported access to dental care among transgender adults living in the United States.
Method: The study sample included 1,284,526 observations representing a weighted population of 290,000,163 from Behavioral Risk Factor and Surveillance Survey (BRFSS) datasets.
Am Psychol
December 2024
Department of Counseling, Developmental, and Educational Psychology, Boston College.
Identity formation among immigrant communities, particularly for ethnic-racial minorities like Asian Indian Americans, is a multifaceted process. Shaped by preimmigration histories of British colonization and the caste system and the Indian diasporic postimmigration, experiences of physical and psychological displacement alongside racism in the United States contribute to the complexity of identity for this community. Although existing racial and ethnic identity models offer valuable frameworks, they may not fully capture the nuanced in-between spaces created by the intersectionality of ethnicity and race for Asian Indian Americans in the United States.
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