Kevin L. Nadal

Racial microaggressions in everyday life: implications for clinical practice

Racial microaggressions are brief and commonplace daily verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative racial slights and insults toward people of color. Perpetrators of microaggressions are often unaware that they engage in such communications when they interact with racial/ethnic minorities. A taxonomy of racial microaggressions in everyday life was created through a review of the social psychological literature on aversive racism, from formulations regarding the manifestation and impact of everyday racism, and from reading numerous personal narratives of counselors (both White and those of color) on their racial/cultural awakening. Microaggressions seem to appear in three forms: microassault, microinsult, and microinvalidation. Almost all interracial encounters are prone to microaggressions; this article uses the White counselor--client of color counseling dyad to illustrate how they impair the development of a therapeutic alliance. Suggestions regarding education and training and research in the helping professions are discussed.

Sexual Orientation Microaggressions: “Death by a Thousand Cuts” for Lesbian, Gay, and Bisexual Youth

In recent years, there has been a growth of literature examining the mental health impacts of microaggressions, which are defined as subtle forms of discrimination toward oppressed groups. The current study utilized a qualitative focus group method and directed content analysis to categorize several types of sexual orientation microaggressions that exist. Eight themes were identified, including “Use of heterosexist terminology” and “Endorsement of heteronormative culture/behaviors.” Results suggest that lesbian, gay, and bisexual (LGB) individuals experience both conscious and unconscious microaggressions from heterosexuals and support that microaggressions negatively impact LGB individuals mental health. Implications for youth development are discussed.

Interpersonal and Systemic Microaggressions Toward Transgender People: Implications for Counseling

This study utilized a qualitative method with transgender female and male participants (N = 9) to identify types of microaggressions, or subtle forms of discrimination, that transgender people experience. Twelve categories of microaggressions were identified: (a) use of transphobic and/or incorrectly gendered terminology, (b) assumption of universal transgender experience, (c) exoticization, (d) discomfort/disapproval of transgender experience, (e) endorsement of gender normative and binary culture or behaviors, (f) denial of existence of transphobia, (g) assumption of sexual pathology/abnormality, (h) physical threat or harassment, (i) denial of individual transphobia, (j) denial of bodily privacy, (k) familial microaggressions, and (l) systemic and environmental microaggressions. Implications for counseling are discussed.

Sexual Orientation Microaggressions: Processes and Coping Mechanisms for Lesbian, Gay, and Bisexual Individuals

Previous literature on microaggressions has suggested that oppressed groups including lesbian, gay, and bisexual (LGB) persons are affected by overt discrimination. However, there has been little research to explore how LGB individuals cope with microaggressions (subtle forms of discrimination), or how microaggressions affect their mental health. This article uses a qualitative focus group method and directed content analysis to categorize the types of processes that exist. With a sample of 26 LGB participants, results were categorized into five domains: (a) behavioral reactions, (b) cognitive reactions, (c) emotional reactions, (d) mental health, and (e) systems and groups who enact microaggressions. Themes were classified under each domain, with examples including passive coping, resiliency and empowerment, and anger/frustration toward sexual orientation microaggressions. Recommendations for culturally competent counseling with LGB populations in school and clinical mental health settings are discussed.

The Adverse Impact of Racial Microaggressions on College Students' Self-Esteem

Racial microaggressions are subtle (often unintentional or unconscious) forms of racial discrimination that negatively affect victims’ mental health. Utilizing an undergraduate student sample (N = 225), the current study examined the relationship between racial microaggressions and self-esteem. Results indicate that racial microaggressions negatively predict a lower self-esteem, and that microaggressions that occur in educational and workplace environments are particularly harmful to self-esteem. Finally, findings reveal that individuals of various racial and ethnic minority groups experience racial microaggressions differently. Implications for student development and recommendations for further research involving racial microaggressions and college students are discussed.

Microaggressions Toward Lesbian, Gay, Bisexual, Transgender, Queer, and Genderqueer People: A Review of the Literature

Microaggressions are subtle forms of discrimination, often unconscious or unintentional, that communicate hostile or derogatory messages, particularly to and about members of historically marginalized social groups. While Sue’s (2010a, 2010b) microaggression theory formed its foundation in studies based on racial microaggressions, the following review summarizes microaggression literature to date, as it pertains to the lesbian, gay, bisexual, transgender, queer, and genderqueer (LGBTQ) people. Searching PsycINFO and other databases between 2010 and 2015, we found 35 peer-reviewed papers or dissertations that concentrate on the negative impact microaggressions have on LGBTQ people. A comprehensive overview of the experiences of individual LGBTQ subgroups (e.g., lesbian women, gay men, bisexual people, transgender people, and genderqueer people) is included, as well as microaggressions based on intersectional identities (e.g., experiences of LGBTQ people of color). The significance of this review is that it is the only known article to comprehensively analyze the literature on LGBTQ people and microaggressions, examining the strengths and weaknesses of past literature while encouraging future areas of theory, research, and practice.

Microaggressions experienced by persons with mental illnesses: an exploratory study

OBJECTIVE Microaggressions are subtle verbal or behavioral communications of disparaging messages to people based upon membership in a socially marginalized group. Their negative impact has been demonstrated for racial/ethnic groups, gender, sexual orientation, and physical disability, but currently no research exists on microaggressions as experienced by persons with mental illnesses. METHOD Qualitative data were gathered from 4 focus groups with 2 samples: adult mental health consumers in an assertive community treatment program and college students with mental illness diagnoses. Focus group transcripts were then analyzed using an open coding approach (Strauss & Corbin, 1990) to identify hierarchical themes and categories. RESULTS Five major themes were identified, including invalidation, assumption of inferiority, fear of mental illness, shaming of mental illness, and second class citizen. Perpetrators of microaggressions were most commonly identified as being close friends, family members, and authority figures. Importantly, participants reported experiencing more overt discrimination experiences than subtle microaggression experiences. Reported negative outcomes related to microaggression experiences included isolation, negative emotions, and treatment nonadherence. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE Reported consequences of microaggressions have important implications for mental health treatment, especially as perpetrators were reported to include treatment providers and were usually unaware of such negative social exchanges. Loss of social support reported by participants and the frequent occurrence of microaggressions within close relationships implies these experiences could contribute to internalization of stigmatizing attitudes toward mental illness. Directions for future research include an investigation of motivation and reasoning behind perpetration of microaggressions against persons with mental illnesses.

Transgender Women and the Sex Work Industry: Roots in Systemic, Institutional, and Interpersonal Discrimination

Because transgender people face discrimination on systemic, institutional, and interpersonal levels, the previous literature has supported that many transgender women view the sex work industry as their only viable career option. The current article reviews the literature on discrimination against transgender people, explores how discrimination influences their participation in sex work, and discusses how institutional discrimination against transgender women manifests within the criminal justice system. Furthermore, recommendations are provided for advocating for the rights of transgender people while promoting healthy behaviors and higher quality of life. Throughout the article, quotes from previous qualitative research are used to illustrate the experiences of transgender women through their own voices and perspectives.

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.

Lesbian, Gay, Bisexual, and Queer People's Perceptions of the Criminal Justice System: Implications for Social Services

Previous literature has found historically marginalized groups report more negative perceptions of the criminal justice system and lower levels of procedural justice, which then influences their mental health and their willingness to report crimes. While previous research on procedural justice has focused mostly on racial and ethnic minority groups, it is hypothesized that lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals would also report negative experiences of the criminal justice system. The current study utilized focus groups with 16 participants who identified as lesbian, gay, bisexual, and queer (LGBQ), with ages ranging from 26 to 35 years (M = 30.5 years, SD = 3.5). Participants were asked open-ended questions about how they felt about various aspects of the criminal justice system (e.g., police officers, courts, legal processes, etc.). Through the consensual qualitative research (CQR) process, researchers identified five domains that influenced participants’ experiences of the criminal justice system: (a) gender presentation, (b) influences of intersectional identities, (c) systemic and political issues, (d) experiences of discrimination, and (e) help-seeking behaviors and the criminal justice system. Implications for social services are discussed.