19
Feb 21

A Prescription for Equality

We must acknowledge there are racial differences and biases at play in the diagnosis and treatment of people with psychological disorders. The world of providers for people with psychological disorders cannot be separated from the concept of race. These biases affect evaluation of clients, which in turn affects diagnoses. The effects of racial bias on diagnosis lead to an effect on treatment and client outcomes. All practitioners would benefit from an intervention which would spread awareness of racial disparity and bias, striving for a more equitable action moving forward and improving all steps of the process, from evaluation to treatment. 

Clinicians are affected by group stereotypes, showing a racial bias in diagnosis. In an experiment conducted by Jenkins-Hall and Sacco (1991), mental health professionals assessed depressed clients on an interpersonal rating scale. The professionals in the study rated white clients more favorably than black clients (Gruman, 2017), showing them to be affected by a racial bias or group stereotype. Unfortunately, these biases are influential enough to affect diagnoses of patients, as can be seen in the lower rates of schizophrenia diagnoses in white patients over black patients (Bresnahan et al., 2007).

To take it a step further, racial biases in diagnosis and evaluation of patients lead to biases in treatment, affecting prescription of medication and potentially patient outcomes. Fewer antidepressants and more antipsychotics are prescribed to black patients over white patients (Cerdeña et al., 2021). More research needs to be done on these disparities, but there are many more out there like them. Over and over again we can see racial bias in treatment of mental health. We need to start asking an important question: what is the effect on patient outcome?

An intervention must be enacted to prevent racial biases from negatively affecting the decisions of practitioners in diagnosis and treatment of patients. Applied social psychology serves to use its power to solve problems. Through intervention and the application of psychological theory, black and white patients could achieve equality in treatment. Not only would patients benefit, but researchers would benefit from a world in which race is no longer a variable.

References

Bresnahan M, Begg MD, Brown A, Schaefer C, Sohler N, Insel B, Vella L, Susser E. Race and risk of schizophrenia in a US birth cohort: another example of health disparity? Int J Epidemiol. 2007 Aug;36(4):751-8. doi: 10.1093/ije/dym041. Epub 2007 Apr 17. PMID: 17440031.

Cerdeña, I., Holloway, T., Cerdeña, J. P., Wing, A., Wasser, T., Fortunati, F., . . . Li, L. (2021). Racial and ethnic differences in psychiatry resident prescribing: A quality improvement education intervention to address health equity. Academic Psychiatry, doi:http://dx.doi.org.ezaccess.libraries.psu.edu/10.1007/s40596-021-01397-z

Gruman, J. A., Schneider, F. W., & Coutts, L. M. (2017). Applied social psychology: understanding and addressing social and practical problems. SAGE.


27
Jul 20

We Need More Interracial Contact

When we speak about race, you’ll find that most Americans agree that people of all races and ethnicities should be treated equally and with respect. However, personal experiences and news reports show us that race and ethnicity continues to be a problem and it affects how people are treated and how we all interact with each other on a daily basis. Most of us are aware that racial prejudice has a major impact on our lives and on our community. However, prejudice alone does not fully account for all racial dynamics, including occurrences where people of color may experience different treatment from white people. Therefore, we must realize the impact of racial anxiety (the discomfort people feel in anticipation of or during interracial interactions).

Most of us are concerned about how we may be perceived when we are communicating with others who come from different racial groups or ethnicities, and this can make us feel unsure about how to act. In the subject of race, this concern may be particularly severe, as people of color worry that they will fall victim to racial bias and white people worry that their words or actions will be misconstrued or assumed to be racist. This anxiety very often comes from lack of experience in interacting or being around other racial groups, this leads us to develop cultural stereotypes or distorted perceptions about what other groups are like.

Racial anxiety can be interpreted into behaviors that may seem to be bias, for example, the following are all examples of symptoms of racial anxiety:

  • maintaining less eye contact
  • keeping a physical distance
  • smiling less
  • using an aggressive or less friendly verbal tone, or even
  • avoiding all interactions with people from other races altogether

All these behaviors can have major repercussions for perpetuating racial injustices, for example, a white teacher to appear to be engaging less with students color due to awkward body language, or by actually engaging less with students of color. Also, white employers conducting shorter interviews with non-white applicants, or patients of a certain race being less trusting of doctors from a different race. In addition, avoidance and distancing behaviors can also be due to racial prejudice, and people of different race may interpret these behaviors to be coming from racial prejudice, instead of interpreting them as a result of anxiety about interacting with other racial groups.

However, fortunately, racial anxiety is something that can be changed. This would require us to reach beyond our segregated friendship circles or communities, and develop meaningful relationships with people of other races, this has been proven by psychological research (Tropp, 2011). The more we do, the more we can:

  • develop positive attitudes/empathy with people of other races
  • gain confidence about navigating cross race interactions in the future, and
  • alleviate our anxieties about cross race interactions

Positive experiences with people from other races can also help to lower the impact of negative cross racial encounters and help to make people more resilient when they engage in stressful interactions in the future. Most importantly, the advantage of cross race contact may not occur right away, one brief meeting between strangers or acquaintances can induce anxiety, especially for those with a brief history of interracial experiences. People usually become more comfortable with one another through repeated interactions across racial lines that grow closer over time. Even among people that show high levels of racial bias, physiological signs of stress can decrease through repeated interracial interactions, which can in turn cause future interracial experiences to be more positive in nature.

The circumstances in which people from different races come into contact matter. Reduced prejudice and racial anxiety happens most often when people from different races work together as equals towards a common goal, institutional support that endorses this kind of equal status also helps a great deal. Some examples of how these conditions can facilitate familiarity, positive changes and mutual respect in interracial attitudes are integrated sports teams and cooperative learning strategies. However, such favorable conditions can’t always be guaranteed across different situations. We may use these additional strategies to help create a common sense of identity and increase the potential for members from different groups to become friends, we can do this by establishing norms that promote interaction and empathy between groups and encourage respect for group differences.

However, given the fact that most of our communities and social circles remain segregated, it can be difficult to achieve interracial contact. Racial anxiety is usually a byproduct of racially similar environments, which render cross race interaction less likely and increase the changes that it will be less positive if it does occur. In such cases like these, indirect forms of contact, such as observing positive interracial interactions, or knowing that members of your racial group have friends and/or acquaintances in other racial groups, can help to reduce anxiety, promote more positive expectation for future interracial interactions, and create positive shifts in attitude.

The most important thing is to continue to reduce the impact of racial bias and prejudice, and address the structural and institutional conditions that perpetuate our country’s history of racial discrimination. While engaging in these efforts, we must also realize that addressing our racial anxiety is critical if we hope to achieve long-term goals in removing racialized barriers to belonging, opportunity, and inclusion.

We can use intergroup contact techniques to reduce racial anxiety and promote positive interracial relationships as an important complement to other anti-discrimination efforts. We can all benefit from moving past the confines of our group boundaries and into a broader more open circle of friendships, relationships, and colleagues.

References:

Pettigrew, Thomas & Tropp, L.R.. (2012). When groups meet: The dynamics of intergroup contact. When Groups Meet: The Dynamics of Intergroup Contact. Retrieved July 27, 2020, from 1-310. 10.4324/9780203826461.

Tropp, L. R., & Mallett, R. K. (Eds.). (2011). Moving beyond prejudice reduction: Pathways to positive intergroup relations. American Psychological Association. Retrieved July 27, 2020, from https://doi.org/10.1037/12319-000

 

 

 


20
Feb 20

MACHISMO IS HARMING WOMEN

When we hear the term macho, many of us think of a macho man. The term Macho is defined as having or characterized by qualities considered manly, especially when manifested in an assertive, self-conscious, or dominating way; Having a strong or exaggerated sense of power or the right to dominate. Every day in Mexico and all over Latin America, women have to put up with lascivious comments or other forms of street harassment. Catcalling is a universal issue and countries like my own still joke about how to distinguish compliments and harassment. (Ortiz, 2018) 

I was born in the U.S and spent all my childhood and part of my early adulthood living in Mexico. I know that the macho culture in Mexico is still very alive today. Women aren’t safe from all harassment they encounter on the streets for simply being a woman. I have been a victim of this many times, and I guess you could call it normal. I even had a man grab my behind and squeezed it like it was a fluffy pillow or something. Many women experience this daily.

The sad truth is that the culture of machismo in Mexico harms women. Everyday femicide is disappearing the women of Mexico. Less than a week ago, the lifeless body of Fatima, a seven-year-old, was found inside a plastic bag with signs of sexual assault. Just a couple days earlier, Ingrid Escamilla, 25, was stabbed to death by the man she lived with, who then skinned and disemboweled her mutilated body in an attempt to hide the evidence. Before Fatima and Ingrid, many other innocent women had been found raped and brutally murdered. Their only crime was being born female in a sexist country.

Mexico still practices sexism and machismo up to this day. Women are supposed to stay home and take care of the family. Women are taught how to cook and clean. Women are also told they are whores and prostitutes for dressing up nicely or when going out. Daughters are supposed to help mothers set the table and serve the boys. In all honesty, many of us grew up knowing by nature that men are known to be superior to women. This is when the culture of machismo or sexism occurs. Although, in the United States of America, while sexism and femicide exist, it is not as persistent as in other countries. Here we are more open and more tolerant towards the opposite sex, in my opinion.

I believe that it all starts at home by building the character of our children. Teaching our children, who are the future, the values and morals. We have to tell our children that boys and girls are capable of anything and that no other sex is weaker than the other.

To all the innocent women who lost their lives because they were out partying with their friends, because they had a dress or skirt, because they looked pretty, because they liked to drink, because they were out late, because they took a taxi to get home “safely” because they were walking home from school. Because at the end of the day, it was their fault they were raped, murdered, and mutilated. The men who committed these atrocities thought at the time, and probably still think, that it was the girl’s fault. These same men who grew up with a machista mentality, believe that women are just a piece of meat.

 

Ortiz, V. L. (2018, December 31). The Culture of Machismo in Mexico Harms Women. Retrieved February 20, 2020, from https://merionwest.com/2018/01/28/the-culture-of-machismo-in-mexico-harms-women/

Macho. (n.d.). Retrieved February 20, 2020, from https://www.dictionary.com/browse/macho

Picheta, R., & Gallón, N. (2020, February 14). Newspaper publishes photos of brutally murdered woman, sparking outrage in Mexico. Retrieved February 20, 2020, from https://edition.cnn.com/2020/02/13/americas/ingrid-escamilla-mexico-murder-case-scli-intl/index.html


20
Nov 19

The Food Inequality Epidemic

 

There are many things that we take advantage of on a daily basis that seems inconsequential, but others do not have the same luxury. In today’s society we are bombarded with food commercials that entice us to go to the store and grab new products or visit a nearby restaurant and try new foods. Unfortunately, in some areas people are afforded the luxury to go buy any foods that they desire while others lack the same opportunities. With the growing trend to become more health conscious, food selection is an important aspect of health. But if some areas lack the opportunity to choose healthy foods, then there is a major injustice. A food desert, according to the USDA (2010), is a neighborhood that lacks choices of healthy and affordable food options. This is more common among small rural and low-income neighborhoods that lack transportation and retailers that supply healthy foods.  These food deserts can only further health concerns and contribute to disease and high obesity rates.

There has been some participatory action research done in order to understand that factors associated with food deserts and to give suggestions to bring about social action. As stated in our lecture, participatory research aims to learn about issues that are prevalent in the community and create a strategy to effectively change the issues. One research study found that food deserts occur more among black and Hispanic neighborhoods that have higher rates of poverty (Brooks, 2014). The researcher suggested that, in order to combat the lack of grocery stores and healthy food options in the area, the community should develop some initiatives for food programs like farmers markets or a grocery delivery service. They also suggested that policies be made in order to entice supermarkets to develop infrastructure within these food deserts. Public advocacy, social action, and local services development are all essential in order to initiate change (Gruman, Schneider, and Coutts, 2017). Another study conducted by the USDA (2012) found that food deserts correlated with areas with high poverty rates and areas with minimal public transportation, but also found that rural areas with increasing population were less likely to have food deserts. Although some rural neighborhoods can be considered food deserts, many food deserts exist in urban areas with high unemployment rates and racial minorities.

So how can we change food deserts so that they have more access to healthy foods and overall better quality of life? Many organizations are already utilizing their resources to educate and awareness about food deserts, while also using social outreach to encourage policy change. One organization called the Food Empowerment Project works to provide more sustainable and healthy food options to low-income neighborhoods, while also encouraging those in more affluent neighborhoods to make healthier and environmentally friendly choices. They often do surveys of the community to determine the needs of the community and then contact public officials on how to better assist the community. Another way community members have helped minimize the impact of food deserts, are mobile food trucks like Second Harvest Food Bank in California that help distribute healthy foods to those in need (Food Tank, 2016).

Food deserts can have a major impact on the quality of health and wellbeing in low-income and minority neighborhoods. Many of these neighborhoods suffer from high rates of obesity, diabetes, and heart disease because of the lack of healthy foods in their area. By conducting more participatory research in these areas, it can help increase awareness of these social issues and bring about social justice. Policy change and community involvement are just some of the ways change can be initiated in these areas, but it first starts with awareness.

References

Brooks, K. (2014, March 10). Research shows food deserts more abundant in minority neighborhoods. Retrieved from https://hub.jhu.edu/magazine/2014/spring/racial-food-deserts/.

Dutko, Paula, Ver Ploeg, Michelle, & Farrigan, Tracey (2012). Characteristics and Influential Factors of Food Deserts, ERR-140, U.S. Department of Agriculture, Economic Research Service.

Food Empowerment Project. (n.d.). Retrieved from https://foodispower.org/.

Food Tank. (2016, November 27). Five Innovative Solutions From “Food Desert” Activists. Retrieved from https://foodtank.com/news/2013/05/five-innovative-solutions-from-food-desert-activists/.

Gruman J.A., Schneider, F.W., & Coutts, L.M. (2017). Applied Social Psychology: Understanding and Addressing Social and Practical Problems (3rd ed.). Thousand Oaks, CA: SAGE Publications, Inc.

United States Department of Agriculture. (2010). Access to Affordable, Nutritious Food Is Limited in “Food Deserts”. Retrieved from https://www.ers.usda.gov/amber-waves/2010/march/access-to-affordable-nutritious-food-is-limited-in-food-deserts/.

 

 


Skip to toolbar