Why We Seek Black Providers
Dr. Veronique Thompson, is a California psychologist. In an interview published in the ebook, “Cultural Diversity, A Primer for the Human Services”, she does a more than adequate job of articulating the cumulative and historical forces that accompany clients into the therapy space. In that space, the launching of a successful therapy relationship requires trust, the expectation of acceptance and protection, understanding, and the opportunity to be heard without judgment. That is counter to the everyday experiences for most of us with whites, that is, with our interpretation of our experiences with whites.
We carry our histories into therapy
There are many parties to our interactions in therapy: our assumed acceptance of each other, our personal histories ( or let’s just call it “our baggage”), our body language (a big part of how we blacks communicate), our slang, the topics that are brought up along with those that are avoided, and that delicate dance we do around sensitivity to the other’s perceived differences. With people who are more like us, there are fewer differences to be dealt with.
The movie, 12 Years a Slave, has made the severity of this history clear. When feelings of discrimination are ignored, they fester and erupt later in the therapy , disguised as some other issue. It is trust and understanding that comes from knowing that our therapist has travelled the same road we’re on that accelerates the formation of a bond between therapists & clients.
When the therapist doesn’t recognize racism
How people react to subtle racism is a good example of this. For many whites, it’s not there. It’s been reduced to a meaningless quip in popular media. They (the black who has suffered an invisible slight) are “playing the race card”. In a therapy session it is one of a thousand little cuts that needs to be recognized, vented and grieved over. It can make black folks start to feel a little crazy all on its own but with a black therapist, these underlying wounds get treated.
So baring your soul to a stranger is hard enough, and leaves you very vulnerable – to rejection – while baring your soul to a therapist is even harder, because they have the capacity to reject your sanity if they can’t recognize the validity of your underlying pain. Many white therapists, and some blacks, don’t understand that there’s an historical component to this pain. It is that history, if not the genetic impact of racism, that increases the sensitivity to everyday racism. Dr. Thompson addresses the historical aspect of this pain.
How our history may affect diagnosis and understanding
In the interview, Dr. Thompson, a Spelman graduate, states, “If you understood what the process of enslavement did to turn rage directed toward the self – directed toward one’s community as violence – it would give you a different way of understanding. How can one deal with that rage without pathologizing the person, and making their anger the only issue to be addressed? ” This is an important way to decipher the anger that is so often present in black life. As providers, parents, teachers, police officers, we are shortsighted if we try to approach anger as if it has no roots. It is as ineffective as killing weeds by cutting off the leaves of the plants.
Dr. Thompson goes on to a deeper analysis of some of the emotions with which blacks are unequally burdened. She says rage turns into outrage. She notes that, “When a person is outraged, they’re outraged for a reason and the reason is injustice. So the period of enslavement is important because it shows us where the anger came from and there are a lot of residuals from our history having to do with anger, trust, and suspicion which really should be renamed healthy paranoia.”
Veronique Thompson, PhD. is a listed provider on this site.
Cultural Diversity: A Primer for the Human Services, Jerry Diller. Cengage Learning, February 9, 2010. A Google eBook.
Racism May Speed Up Aging in Black Men
University of Maryland researcher, Dr. David H. Chae, completed a study of the effects of racism on African American men. It is already known that African Americans have shorter life spans and increased chances of suffering stress-related illnesses.
Telomeres, DNA sequences that cap the ends of chromosomes, were examined in 92 African American men, ages 30 to 50 years old. The men were questioned about their experiences of being discriminated against. In addition, these men were tested on their own attitudes toward their race. This measure, along with their experiences of being discriminated against, was associated with shorter telomeres. The telomeres are the cells’ way of stimulating the growth of new cells to replace damaged cells in the human body. The shorter the telomeres, the fewer new cells the body makes and the less the body is able to fight off disease and disability.
The men with fewer experiences of racism had longer telomeres than those with greater experiences of racism. Those men who had positive attitudes toward other blacks (less racial bias), had longer telomeres as well. Per Dr. Chae, “African American men who have more positive views of their racial group may be buffered from the negative impact of racial discrimination.”
Researchers reported that participants felt discriminated against most frequently by police and at their jobs. They also felt discriminated against by service providers in restaurants and stores. In addition, the study noted that African American men reported being routinely treated with less courtesy and respect and experiencing more “daily hassles” which contribute to their overall experience of racism.
The effect of having negative attitudes about their own race is both intriguing and troubling. One wonders, though, if self-hatred & group self-hatred could be sparked by a sense of helplessness & hopelessness. If one thinks that being black is a characteristic that causes negative treatment would that affect how the body responds to illness? Would a man blame himself if he were targeted for poor treatment? And would he assume that other brothers, particularly younger brothers, deserve their prison sentences, for example, for fairly minor offenses?
While telomere shortening provides biological evidence of the effect of racism and explains the increase in premature death due to dementia, diabetes, stroke and heart disease, Dr. Chae puts it in simple terms. “Racism”, he says, “literally makes people old.” Maybe it also unconcsiously makes them biased toward other blacks.
“Discrimination, Racial Bias, and Telomere Length in African-American Men”, David H. Chae (University of Maryland, College Park); Amani M. Nuru-Jeter ( University of California, Berkeley); Nancy E. Adler, Jue Lin, Elizabeth H. Blackburn, and Elissa S. Epel ( University of California, San Francisco); and Gene H. Brody (Emory University), American Journal of Preventive Medicine, February, 2014. The study was supported by grants from the National Institute on Aging, the University of California, and Emory University.
How to reduce “Baby-Mama” drama
Probably one of the most intense of dramas that frequent the therapy office is that of distraught, frustrated folks trying to co-parent. They rely on the court, the visitation schedule, the child support orders to communicate their interpersonal pain.
One can’t understand why the other left the relationship but they can understand how to make visitation difficult. One may have trouble being heard in person but they can make themselves heard through a subpoena. Often they don’t realize they are playing out dramas from their own childhoods – issues they can’t or don’t know to address. This is an instance when employing a therapist to mediate and facilitate more effective communication between estranged partners is a child-saving decision.
As early in the process as possible, begin using these steps to reduce the drama:
1. Set a good intention in place around your interactions. Be determined to be courteous no matter what. Remember, your kids are watching you. For example, say something like, “I really appreciate your patience in working on this” or “I want us to come up with a schedule that works for both of us”.
Or, how about a big intention like, “We are not going to let our relationship problems make our kids miserable or constantly worried. If nothing else, we’re going to keep them out of the drama”.
2. Stay calm. Give your co-parent an “out” when the situation gets tense. Try keeping a calm, low voice tone and say, “I can see this is so upsetting for you. Maybe we should think about it a little more and talk in a couple of days”.
3. Acknowledge your co-parent’s strengths and best efforts. “You’ve always been better at scheduling than I. I’m so glad that the baby can always depend on you….” or “You are such a good mother. Johnnie’s clothes are always so well organized. I really appreciate that!”
Now, you might be thinking, “Why should I make him or her look good when he or she has been such a jerk?” Because it makes you look even better. It also gives you some power over the situation, since if you’re kind or appreciative, your ex-partner might calm down and be nicer to you.
Try it! Consider it to be your own personal research into what will make your life easier. Try different approaches and make note of what works better. Remember, there can’t be an argument if you won’t participate.
For a great resource to help you handle custody & support issues, check out attorney Alicia Crowe’s manual, Real Dads Stand Up
Can we help save the next Hadiya?
Today, Hadiya Pendleton, the 15 year old teen from Chicago’s south side who was shot in a neighborhood park while trying to avoid the rain, was laid to rest. Having performed at the Inauguration of President Obama, just a few days before her death, her picture has appeared in the news all over the world. Her smile, her academic accomplishments and her hearty goals stand in contrast to the assumptions Americans have about the face of victims of gang violence.
Whether it’s Chicago or New Orleans or Philly or L.A. or Memphis or the South Bronx or Newark, it doesn’t matter. Urban violence is staggering. Every death involves someone’s son or daughter and takes away someone’s chance for a good life. As mental health providers, we may not be especially trained to deal with gang violence but we do understand the escalation of depression and desperation that leads to suicide and homicide. We do know what behavioral signs to look for, signs that indicate that a person needs help. So, on the community level, along with teachers and the church we can have a powerful role in disseminating ideas that help change the rising suicide of our children. Gang violence is suicide. Gang participation grows in the absence of concerned and available parents, in the absence of school success, and in the absence of jobs. Gun violence cannot occur without guns, guns that are stored in the homes of parents every night.
In the last year or two, many parents have come into therapy parroting a belief that we find puzzling. After listing the many offenses of their child, they say “You can’t stop kids from getting into trouble. They have to have their fun.” This leaves me wondering what planet I was brought up on. Most of us were stopped from having dangerous “fun”. Most of us were stopped from “getting into trouble” before we could even get started. Why were our parents so successful? Because they did not have that belief. Because there was usually an adult at home or nearby who made sure we didn’t get into trouble. Because we were not exposed to all the trouble that could be gotten into. Our parents intended for us to do what we were told. Current parents lack time and support. More than anything they lack the conviction that they are in charge and that they are supposed to not only set the rules, but enforce them.
Of course, it isn’t just about discipline, supervision and participation in our children’s lives. It’s also about an acceptance that children have feelings, needs that they can’t express or defend and need to have some say so in the requirements that we place on them. If they don’t know where or what college is, why would they work blindly to get there? If we seem unhappy and overburdened in our jobs, why would they want one? Children need for school to be interesting and to have a purpose and a plan that fits their personalities and interests. We can help that happen by helping to expose kids to positive experiences and whenever we have a chance, pointing out to them their special strengths.
What do you think?