Vetta L. Sanders Thompson

African Americans' Perceptions of Psychotherapy and Psychotherapists.

Although psychologists are aware of the differential pattern of use and response to mental health services among ethnic clients, the in-depth understanding that would permit development of appropriate responses and programs is limited. Psychologists often struggle with whether, when, and how efforts to address issues of race, ethnicity, and culture will affect mental health attitudes and therapeutic response. The focus group is a qualitative research strategy that uses a semistructured discussion format to elicit a more in-depth understanding of the attitudes, values, and beliefs that affect behavior (Stewart & Shamdasani, 1990). Although this strategy sacrifices the rigor and precision of quantitative studies, it is a useful preliminary strategy that allows members of communities to share their insights on relevant issues and their opinions about how needs and concerns might be addressed. The current study represents a preliminary effort to understand what values and concerns may affect African American mental health attitudes and service use, as well as what efforts by the psychological community may prove beneficial in promoting an image of multicultural sensitivity and competence. African Americans have been identified as a group that uses mental health services inconsistently (Kessler et al., 1994; D. W.

Perceived experiences of racism as stressful life events.

The impact of racism on African American personality, behavior, and health has been debated in the psychological literature. There has been little research however, on racism as a stressful life event. The goal of this study was to learn whether perceived racism produces symptoms of subjective distress noted in relationship to other stressful life events. In addition, this study sought to find whether racial identification mediated the psychological impact of perceived experiences of racism. Two hundred African American adults were surveyed. Participants completed a 30 item racial identification measure, a questionnaire that requested information on the experience of racism, and the Impact of Events scale. The results showed that one third of the participants reported a perceived experience of racism within six months of the interview. Mean scores for intrusion symptoms were higher as the seriousness of the reported event increased. While participants reported avoidance symptoms, there were no differences based on the seriousness of the racial incident. Racial identification did not mediate the impact of the experience of racism.

Socialization to Race and Its Relationship to Racial Identification among African Americans

This study focuses on the relationship between socialization to race and the level of racial identification among African Americans. In a survey of 225 African Americans (140 females and 85 males, 18 years of age or older) participants were asked to report on the extent and content of discussions related to race in their family and the impact of these discussions on their beliefs and attitudes related to race. Racial identification was assessed using a 30-item questionnaire that assessed racial identity on four parameters: cultural, physical, sociopolitical, and psychological. The relationship offamily socialization to race and racial identification was examined. The results indicated that 79% of African American adults reported having discussed race and race relations with their parents and 85% had discussed the issue with anotherfamily member There was an association between racial socialization and racial identification on each of the four parameters. Discussions of race with family members other than parents, as well as the impact of racial socialization, were strongly associated with the level of racial identification.

Racism: Perceptions of Distress Among African Americans

Some scholars have suggested that stressful living conditions are a major source of mental disorder among African Americans (Krieger, 1999; Neighbors, 1990; Kessler & Neighbors, 1986). There has, however, been debate as to whether this higher level of distress is due to racism or the fact that African Americans are more often of lower socioeconomic status. Stressors that play a significant role in mental disorder might be expected to occur more frequently among African Americans than the general population. This paper attempts to provide empirical support for the notion that racism is a separate and unique source of stress for African Americans. Specifically, it was hypothesized that African Americans would report more experiences of (1) daily stress and (2) racism than other groups and (3) the impact of racial stress would be greater among African Americans. One hundred and fifty six participants completed the Daily Stress Inventory and the Experience of Discrimination questionnaire. Multivariate analysis of variance indicated that African Americans reported higher impact of discrimination scores than European Americans. There were no gender or ethnicity differences in daily stress or the number of racial incidents reported. The implications of the data are discussed.

Intimate Partner Violence and Women of Color: A Call for Innovations

In this commentary, we focus on violence against women of color. Although African American women experience higher rates of intimate partner homicide than White women, the cumulative rates for nonfatal intimate partner violence are similar and do not vary between urban and rural locations (though access to services may vary by location). Much of the research about intimate partner violence is based on women with low socioeconomic status and on interventions that were developed by and for White women. Current primary prevention strategies focus on violence that is perpetrated by strangers rather than their primary perpetrators--intimate partners. We recommend the development and rigorous evaluation of prevention strategies that incorporate the views of women of color and attention to primary prevention.

Variables Affecting Racial-Identity Salience Among African Americans

The author clarified the African American racial-group identification process by addressing the issue of salience and its relationship to racial-group attitudes. A sample of 409 African American adults responded to surveys pertaining to their racial-group salience, racial-group attitudes, racial socialization, racial-group interaction, political activism, experiences of discrimination, and demographic data (e.g., sex, age, and income). The author tested 3 hypotheses: (a) Racial socialization and interaction with other African Americans are predictive of African American racial-identity salience; (b) discriminatory experiences are predictive of African American racial-identity salience; and (c) racial-identity salience is a stronger predictor of African American racial-group identification than are previously identified predictive variables (D. H. Demo & H. Hughes, 1990; V. L. Thompson Sanders, 1991, 1995). The results supported the 1st and 3rd hypotheses.

Stigmatization, Discrimination, and Mental Health: The Impact of Multiple Identity Status

The authors present the empirical characteristics of the Experience of Discrimination Scale (EDS) using baseline data from the Center for Mental Health Services-funded, multisite Consumer Operated Services Project. Specific hypotheses focused on the influence of multiple identity status on reports of discrimination. Data indicated that discrimination caused by mental disability was associated with level of psychiatric symptoms and perceived social rejection as a result of mental illness, whereas discrimination for other reasons was associated with broader quality of life and social interaction indicators. The clinical and policy implications of findings are discussed.

Factors Affecting the Level of African American Identification

Two hundred and one African Americans, including 99 males and 102 females, were interviewed in an attempt to identify variables that impact on racial identification. All participants were eighteen years of age or older and resided within a large midwestern city. The data were collected utilizing two instruments. A structured interview protocol was developed that elicited life course data for individuals including geographical, educational, social, and family history. Information on political and social activities, as they related to Black empowerment movements, was collected, as well. The questionnaire was a 44-item instrument that assessed the level of sociocultural participation and the orientation of the subject on two parameters of racial identification: cultural identity and psychological identity. The results indicated that participation in African American political organizations and experiences with racism were important factors in determining identification on the psychological parameter. Sex, education, and the age at which racism was experienced were important factors in determining cultural identification.

African American Parents’ HPV Vaccination Intent and Concerns

This study describes attitudes and social and environmental factors that affect African American parents’ intent to vaccinate their daughters against human papillomavirus (HPV). Thirty African American parents of daughters aged nine to 17 years and no history of HPV infection completed semi-structured interviews. Interviews addressed factors that influenced intent to vaccinate, perception of community norms related to vaccination, vaccination scenarios involving place of vaccination, and vaccination prior to or after the child’s initiation of sexual activity. A recurring theme was the influence of physician recommendation on African American parents’ intent to obtain HPV vaccination for their daughters. Most parents reported that they could overcome barriers to vaccination, except vaccine costs and lack of insurance. While religious beliefs were important to parents, they reported that they would not interfere with vaccination decisions; fears of early sexuality due to vaccination were limited. The implications of these findings are discussed.

The Complexity of African American Racial Identification

Current theoretical interest in racial identification is sustained by the view that it is a culture specific personality variable. The importance of racial identification is based on its ability to explain a process that brings people together or separates them. Racial identification has implications for the social, cultural, and personal striving of members of the African American community. It is important that social scientists begin to examine the ability of various assessment strategies to answer questions related to African American racial identification. This article presents empirical findings that address the usefulness of a multidimensional approach to racial identification. Current data suggest that only approximately 15% of African Americans report consistent levels of racial identification when various content aspects are assessed. This fact suggests the potential of the multi-dimensional model to provide new insights into African American personality and behavior.