Post-Traumatic Stress Across Color Lines: A History of Anti-Black Exclusion & PTSD.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-23 DOI:10.1007/s10597-025-01450-3
Rose E Miola, Matthew R Morgan, McKenzie N Green, Rayelle N Ross
{"title":"Post-Traumatic Stress Across Color Lines: A History of Anti-Black Exclusion & PTSD.","authors":"Rose E Miola, Matthew R Morgan, McKenzie N Green, Rayelle N Ross","doi":"10.1007/s10597-025-01450-3","DOIUrl":null,"url":null,"abstract":"<p><p>Black Americans with Posttraumatic Stress Disorder have less access to mental healthcare compared to White Americans. Many factors contribute to this inequity, including broader disparities within the healthcare system driven by systemic racism, and an underutilization of mental health services by Black Americans due to provider bias and stigma around mental health care. These disparities are rooted in a racist historical context of exclusion and abuse of the Black community by the White psychiatric establishment, and a perpetration of further trauma on Black clients, a context that is largely missing from traditional mental health education and literature on Black mental health today. This article aims to provide a necessary historical context of how the U.S. mental health care system has excluded Black Americans from trauma treatment. We use a contemporary trauma lens to demonstrate the ways in which Black trauma has existed throughout U.S. history, but how White psychiatry has cast trauma symptoms as evidence of racial inferiority, has excluded Black individuals from treatment, and has abused Black patients, thereby increasing Black trauma. The purpose of this review is to inform and educate mental health providers about our collective history, to counter a narrative of amnesia which identifies Black underutilization of services but forgets the exclusion from and abuse of Black people within the mental health system. We conclude with recommendations that providers can utilize to engage in antiracist practice and create an affirmative space for Black Americans to utilize trauma treatment and mental health care freely.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1102-1114"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community Mental Health Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10597-025-01450-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Black Americans with Posttraumatic Stress Disorder have less access to mental healthcare compared to White Americans. Many factors contribute to this inequity, including broader disparities within the healthcare system driven by systemic racism, and an underutilization of mental health services by Black Americans due to provider bias and stigma around mental health care. These disparities are rooted in a racist historical context of exclusion and abuse of the Black community by the White psychiatric establishment, and a perpetration of further trauma on Black clients, a context that is largely missing from traditional mental health education and literature on Black mental health today. This article aims to provide a necessary historical context of how the U.S. mental health care system has excluded Black Americans from trauma treatment. We use a contemporary trauma lens to demonstrate the ways in which Black trauma has existed throughout U.S. history, but how White psychiatry has cast trauma symptoms as evidence of racial inferiority, has excluded Black individuals from treatment, and has abused Black patients, thereby increasing Black trauma. The purpose of this review is to inform and educate mental health providers about our collective history, to counter a narrative of amnesia which identifies Black underutilization of services but forgets the exclusion from and abuse of Black people within the mental health system. We conclude with recommendations that providers can utilize to engage in antiracist practice and create an affirmative space for Black Americans to utilize trauma treatment and mental health care freely.

跨肤色的创伤后压力:反黑人排斥和创伤后应激障碍的历史。
与美国白人相比,患有创伤后应激障碍的美国黑人获得精神保健的机会较少。造成这种不平等的因素有很多,包括由系统性种族主义导致的医疗保健系统内更大的差异,以及由于提供者对精神卫生保健的偏见和耻辱,美国黑人对精神卫生服务的利用不足。这些差异的根源是种族主义的历史背景,白人精神病机构对黑人社区的排斥和虐待,以及对黑人客户的进一步创伤,这在传统的心理健康教育和今天关于黑人心理健康的文献中基本上是缺失的。本文旨在提供一个必要的历史背景,美国精神卫生保健系统如何将美国黑人排除在创伤治疗之外。我们使用当代创伤镜头来展示黑人创伤在美国历史上存在的方式,但白人精神病学如何将创伤症状视为种族自卑的证据,将黑人排除在治疗之外,并虐待黑人患者,从而增加了黑人的创伤。本综述的目的是告知和教育精神卫生提供者关于我们的集体历史,以对抗一种失忆的叙述,这种叙述认为黑人对服务的利用不足,但忘记了黑人在精神卫生系统中被排斥和虐待。最后,我们提出了一些建议,建议提供者可以利用这些建议来从事反种族主义的实践,并为美国黑人自由地利用创伤治疗和精神卫生保健创造一个积极的空间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信