Intersections of gendered racial trauma and childbirth trauma: Clinical interventions for Black women.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2023-03-01 DOI:10.1037/pst0000403
Rayna D Markin, M Nicole Coleman
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引用次数: 8

Abstract

Studies suggest that racism affects the type and quality of health care that patients who are Black receive, perhaps in part because poorer patient-provider communication and less provider encouragement of patient involvement have been consistently reported for patients of color. In particular, Black women are 3-4 times more likely to experience dangerous and even life-threatening complications, and more likely to report mistreatment and neglect from medical providers and staff, during childbirth. Experiences with gendered racism during childbirth, which in itself is a vulnerable, intense, and potentially traumatic experience when proper support is absent, may lead to posttraumatic stress reactions. Psychotherapy can help affected clients to process gendered racial and childbirth traumas through: (a) the establishment of a safe, trusting, and collaborative therapeutic relationship, in which careful attention is paid to repairing alliance ruptures caused by cultural misunderstandings or gendered racial microaggressions, and (b) framing experiences and "symptoms" as understandable reactions to gendered race-based traumatic stress during childbirth. In addition to direct therapeutic intervention, therapists should collaborate with doulas and/or medical providers on patient care, and, separately, advocate for systemic-level change, supporting clients' lived experiences outside of the therapy room. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

性别、种族创伤和分娩创伤的交叉点:黑人妇女的临床干预。
研究表明,种族主义会影响黑人患者接受的医疗服务的类型和质量,部分原因可能是有色人种患者与医疗服务提供者之间的沟通更差,医疗服务提供者对患者参与的鼓励更少。特别是,黑人妇女在分娩期间经历危险甚至危及生命的并发症的可能性是其他妇女的3-4倍,报告医疗提供者和工作人员虐待和忽视的可能性也更大。在分娩过程中遭受性别歧视的经历,在缺乏适当支持的情况下,本身就是一种脆弱、强烈和潜在的创伤性经历,可能导致创伤后应激反应。心理治疗可以通过以下方式帮助受影响的客户处理性别种族和分娩创伤:(a)建立一种安全、信任和合作的治疗关系,在这种关系中,仔细注意修复由文化误解或性别种族微侵犯造成的联盟破裂,以及(b)将经历和"症状"作为分娩期间性别种族创伤压力的可理解反应。除了直接的治疗干预外,治疗师应该与导乐和/或医疗服务提供者合作进行患者护理,并且,单独地,倡导系统层面的改变,支持客户在治疗室之外的生活体验。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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