Development of the Short Critical Consciousness Scale (ShoCCS)

Discrimination, critical consciousness, and mental health in American youth of color

To resist and cope with oppression, youth of color may use the process of critical consciousness which involves understanding racial injustices (critical reflection), developing motivation to fight these injustices (critical motivation), and taking action to enact sociopolitical change (critical action). However, little is known about how each dimension of critical consciousness affects mental health in adolescents of color. In a sample of 367 ethnically and racially diverse American adolescents of color (age range = 13-17; 68.9% girls, 28.6% boys, and 2.5% gender minority; 84.4% US-born), we conducted multivariate regressions in Mplus to examine the cross-sectional links between each critical consciousness dimension (reflection, motivation, and action) and mental health outcomes (anxiety, depression, and stress) over and above the impact of everyday discrimination. We also investigated the interaction between critical consciousness and discrimination in predicting mental health outcomes. Controlling for age, gender, nativity, and social class, we found that discrimination and critical action were both positively associated with anxiety, depression, and stress. For our covariates, girls and gender minority adolescents reported worse outcomes. No interactions were significant. Overall, critical action, while necessary to enact societal change, may have a complex relationship with youth's depression, anxiety, and psychological stress symptoms and warrants careful exploration. Future research should focus on understanding the longitudinal mechanisms of critical action and how we can maximize the benefits by protecting youth from those negative effects.

Grappling with Whiteness: Latent Profiles of White Racial Consciousness and Affect's Impact on Critical Reflection

Understood from a critical consciousness framework, White racial identity development involves recognizing and combating White privilege and supremacy. The present study investigated the development of White American young adults' racial identity through their racial consciousness and racial affect and their combined impact on critical reflection using a person-centered approach via Latent Profile Analysis (LPA). Participants were 716 White identifying participants (Mage = 21.00, SD = 6.20 years; 68% women) who ethnically identified as White (90%) or European American. Participants completed surveys about their White racial consciousness, affect, and critical reflection. The results gave a six-profile solution to understanding White racial identity that can be closely similar to the six statuses proposed by the model of White identity development. However, White racial consciousness is more complex than theorized. The six-profile solution contained insights into how White adults conceive of their Whiteness, both as a racial identity and emotionally. The most illuminating findings of the LPA are in the combinations of identity and affect. The results indicated that even though White individuals are high in racial consciousness, it does not necessarily mean they critically reflect on their privileged position. Further, there was no support for the influence of multiple marginalized identities in helping develop White racial consciousness.

Health Justice and Systems of Care: A Required Longitudinal Course for MD Students

Problem & Background

Medical education has acknowledged the impact of structural societal factors on health, prompting the need for curricula seeking to eliminate health inequities upstream while simultaneously caring for downstream effects of existing inequities. The Keck School of Medicine of USC (KSOM) implemented one such comprehensive curriculum, Health Justice and Systems of Care (HJSC), integrating health systems science, structural competency, and service-learning in a required course spanning the pre-clerkship and clerkship phases with an optional post clerkship elective.

Approach

The HJSC course addresses topics including racism in medicine, health inequities, and health systems science. Using transformative learning theory, it fosters critical consciousness and structural competency. Assessments include case analyses, reflections, team-based learning sessions, and group projects related to social justice in healthcare. The program aims to instill cultural humility and practical application, fostering a holistic approach to medical education that implores physicians to become advocates for health justice.

Outcomes of the Innovation

Feedback from students indicated generally positive perceptions of the curriculum. Students provided overall positive comments about discussions with guest speakers. However, students expressed a desire for more concrete examples of how health inequities can be remedied. Some found small-group activities less engaging. Other challenges included providing students of different readiness levels with tailored experiences and seamlessly integrating HJSC content within basic and clinical sciences courses.

Critical Reflection

Next steps include continuing to integrate content into the science curriculum and clerkships, improving opportunities for meaningful student interactions, and enhancing faculty development to address health justice concerns in clinical settings.

Critical consciousness and anti-racist action as rooted in family processes

Racially ethnically marginalized communities in the United States are exposed to structural and interpersonal forms of racism that have harmful effects on their health, wealth, education, and employment (Centers for Disease Control and Prevention, Racism and Health. https://www.cdc.gov/minorityhealth/racism-disparities/index.html, 2021). Although a plethora of research exists outlining these harmful effects, research examining how youth from diverse backgrounds effectively combat racism is lacking. Emerging research demonstrates that families may play a key role in the development of critical consciousness and participation in anti-racist actions (Bañales et al., Journal of Social Issues, 2021, 77, 964; Blanco Martinez et al., American Journal of Community Psychology, 2022, 70, 278; Lozada et al., Journal of Black Psychology, 2017, 43, 493). Yet, many key family processes have not been examined in relation to youth development of anti-racist practices. The current study included a sample of 327 racially ethnically diverse emerging adults (Mage = 18.80, SD = 1.28, range = 18-25), and explored the association between ethnic-racial socialization (cultural socialization, preparation for bias) and youth critical consciousness (reflection, motivation, action) and anti-racist (interpersonal, communal, political change) actions, and how familism values impact these associations. Results found that ethnic-racial socialization was positively associated with all aspects of critical consciousness and anti-racist actions. Results also found that familism significantly interacted with ethnic-racial socialization to predict some aspects of critical consciousness and anti-racist actions, but not others. Implications of the findings and future research directions are discussed.

Charting the longitudinal trajectories and interplay of critical consciousness among youth activists

Critical consciousness (CC) is associated with beneficial developmental outcomes among youth contending with oppression, yet we know little about how CC develops and how the three dimensions of CC (i.e., critical action, critical motivation, and critical reflection) interrelate over time. Therefore, this study employed second-order latent growth modeling to illuminate the longitudinal interplay between the three dimensions of CC among 518 youth activists (Mage  = 16; girls = 53%; 11% Asian, 20% Black, 39% Latinx, 8% Multiracial, and 6% White). Youth demonstrated significant growth in critical reflection and action over time, but not in critical motivation. Participation in community-based activism was positively associated with CC development. Altogether, these findings illuminate channels for fostering youth CC and increase our understanding of CC's dynamic development.

Exploratory validation of relationship functioning and non-pregnant partner behavior scales in pregnant people living with HIV in Mpumalanga Province, South Africa

Partner engagement in antenatal care can improve care for pregnant people living with HIV. However, concerns about engaging unsupportive non-pregnant partners warrant further study to avoid engaging partners who pressure their pregnant partner to refuse testing or treatment and/or perpetuate intimate partner violence. We adapted established relationship functioning and partner behaviour questionnaires among pregnant people living with HIV initiating antenatal care in rural South Africa. We identified 13 previously validated psychometric scales with 255 items that assess relationship functioning and partner behaviour, but, to our knowledge, had not been used in Southern Africa. After item translation and cognitive interviewing with 30 pregnant people, we recruited an additional 208 pregnant people living with HIV receiving antenatal care. We conducted an exploratory factor analysis with maximum-likelihood extraction and oblique promax rotation with the 58 items and 10 scales that remained after translation and cognitive interviewing. We used parallel analysis, scree plots, and the Kaiser criterion to guide factor retention and assessed internal factor consistency via Cronbach's alpha. Of the 208 participants recruited, 197 (95%) answered each question and were included in the analysis. Exploratory factor analysis revealed 7 factors that assessed partner social support, sexual relationship power, emotional intimacy, threatened or enacted violence, sexual intimacy, violence in relationships, and partner engagement in pregnancy care via 37 items. Factor absolute Spearman correlations ranged from 0.012 to 0.518 and Cronbach's alpha ranged from 0.84 to 0.92. This preliminary analysis will guide further scale development. Future developments will also include relevant clinical outcomes to assess the predictive validity of the resulting measures. These steps will further refine these questions into a succinct screening tool to assess relationship functioning and partner behaviour. This screening tool may eventually guide the selection of partner-based interventions during pregnancy to improve outcomes for pregnant people and their partners.

Associations between hope and trajectories of critical consciousness among U.S. youth of color

We examined associations between hope as an internal asset that supports positive youth development, and growth trajectories of three critical consciousness components. Using five waves of data collected over the course of high school (N = 618), we modeled growth trajectories of awareness of inequity (critical reflection), a sense of agency about taking sociopolitical action (critical agency), and behaviors targeting systems of oppression (critical action). Hope was highest among those with high trajectories of critical agency and critical action. Clear associations with hope emerged at the last time point for critical reflection, suggesting that sustained growth in critical reflection is associated with hope. When supporting the critical consciousness development of youth of color, concurrent support for hope may be instrumental.

Critical Action Among Asian and Hispanic/Latinx Youth: Identifying a Multidimensional Measure and Exploring Within-Group Differences

Critical action-behaviors aimed at dismantling systems of oppression-must be examined within youths' racialized experiences and should incorporate cultural and sociohistorical factors. We considered an expansive list of items capturing youth behaviors to create a novel four-factor (service, community change, expression, and care) measure of critical action for Asian and Hispanic/Latinx youth. Multiple distinct profiles of critical action were identified within both racial-ethnic groups, and associations between the profiles and sociodemographic and contextual support variables were explored. Gender differences in the type of critical action were found in both racial-ethnic groups, pointing to the potential influence of gender roles on critical action among these populations. Differences in critical action patterns were also found between those born in the U.S. versus those born outside the U.S.; access to critical action may differ within racial-ethnic groups depending on birthplace and associated nuances in familial and cultural contexts. This paper demonstrated a need for attending to variation between and within groups in the study of critical action in order to effectively support racialized youth's coping within and resistance against systems of oppression.

Development and Validation of the Youth Sociopolitical Action Scale for Social Media (SASSM)

Youth sociopolitical action, which encompasses a broad range of behaviors to dismantle systems of oppression, is increasingly taking place on social media and digital platforms. This study presents the development and validation of a 15-item Sociopolitical Action Scale for Social Media (SASSM) through three sequential studies: in Study I, a scale was developed based on interviews with 20 young digital activists (Mage=19, 35% cis-gender women, 90% youth of color). In Study II, Exploratory Factor Analysis (EFA) identified a unidimensional scale using a sample of 809 youth (Mage=17, 55.7% cis-gender women, 60.1% youth of color). In Study III, an EFA and Confirmatory Factor Analysis (CFA) were used to confirm the factor structure of a slightly modified set of items with a new sample of 820 youth (Mage=17, 45.9% cis-gender women, 53.9% youth of color). Measurement invariance testing was conducted by age, gender, racial and ethnic background, and immigrant identity, confirming full configural and metric invariance, and full or partial scalar invariance. The SASSM can further research on youths' efforts to challenge oppression and injustice online.

Critical Consciousness and Wellbeing in Adolescents and Young Adults: A Systematic Review

Youth experiencing systemic oppression(s) face heightened challenges to wellbeing. Critical consciousness, comprised of reflection, motivation, and action against oppression, may protect wellbeing. Wellbeing here refers to mental, socioemotional, and physical health. The aim of this systematic review was to synthesize research on the relationship between critical consciousness and wellbeing among adolescents and young adults (ages 12-29). Five databases (PsycInfo, PsychArticles, ERIC, Sociological Abstracts, and PubMed) were searched systematically using keyword searches and inclusion/exclusion criteria; 29 eligible studies were included. Results demonstrated that the critical consciousness and wellbeing relationship varied by critical consciousness dimension and age. The studies of adolescents most often focused on racial/ethnic marginalization and found critical motivation most strongly associated with better wellbeing. The studies of young adults focused on young adult college students and identified mixed results specifically between activism and mental health. Study methods across age spans were primarily quantitative and cross-sectional. Research on critical consciousness and wellbeing can benefit from studies that consider multiple critical consciousness dimensions, use longitudinal approaches, and include youth experiencing multiple and intersecting systems of privilege and marginalization.

Critical Consciousness in Vocational Psychology: A Vision for the Next Decade and Beyond

We offer a vision for a vocational psychology that places a larger focus on critical consciousness (CC) to be more responsive to marginalized communities (e.g., immigrants, low-income workers, Black, Indigenous, and other People of Color). CC describes how marginalized people analyze systems of oppression, act toward social justice, and become agentic and hopeful. In this article, we review extant theoretical frameworks that have laid a strong foundation for embedding critical consciousness in research, practice, education and training. We then offer suggestions for promoting critical consciousness within vocational psychology over the next decade. We highlight the promise of transformative, intersectional, and action research with and for marginalized communities; of career interventions that respond to oppression and liberation; and of training that prepares future vocational psychologists to engage in praxis in a complex world. We argue that a greater focus on CC is aligned with vocational psychology’s foundational social justice aspirations.

Adolescent Mental Health in Relation to Anti-Racism Critical Action

The relation between critical action and mental health in youth is unclear, despite theory suggesting that engagement in critical action may support adaptive mental health functioning for youth experiencing oppressive systems. The current study contributed to the literature in this understudied area by analyzing the relations between youth critical anti-racism action and their depressive symptoms and psychological well-being, as well as testing two potential moderators of these relations: parent critical motivation and community anti-racism. The study sample consisted of 430 13-to-17-year-old adolescents (M age = 15.3 years, 54% girls, 48% black and 52% white). The findings suggest that critical action is often associated with negative mental health outcomes; however, parent critical motivation and community anti-racism were protective in some instances and communal anti-racism action was more frequently linked to adaptive mental health outcomes than other forms of action. The findings underscore that both psychological risks and rewards are present for youth engaging in critical action for racial justice and highlight the importance of future research to identify malleable factors that are protective for these youth.

Associations between critical consciousness and well-being in a national sample of college students during the COVID-19 pandemic

Critical consciousness (CC) may promote well-being, particularly during the COVID-19 pandemic. In a national survey of 707 college students conducted in April 2020, we first validated the Short Critical Consciousness Scale (ShoCCS) among youth groups not often specifically examined in CC measurement (i.e., Asian, immigrant-origin, LGBQ+, and women youth). Next, we examined associations between ShoCCS subscales and validated measures of both anxiety (Generalized Anxiety Disorder-7) and hopefulness (The Individual-Differences Measure in Hopefulness). The ShoCCS achieved measurement invariance across racial/ethnic groups and immigrant-origin status, and partial invariance among LGBQ+ and women-identifying youth. We found critical reflection and action associated with anxiety for the full sample, but no evidence of moderation by sociodemographic factors. ShoCCS subscales were differentially associated with hopefulness for Asian youth and LGBQ+ youth. This study contributes to the evolution of CC measurement and extends the field by identifying well-being associations during the onset of the COVID-19 pandemic.

A 21st Century Take on Racial-Ethnic Socialization: Patterns of Competency and Content among Diverse Parents of Color

Racial-ethnic socialization is a process where parents pass beliefs and behaviors to their children, including critical reflections on race and racism. Currently, it is not well known across racial/ethnic groups in the U.S how parents’ socialization competency (confidence, skills, and stress surrounding the delivery of racial-ethnic socialization) coalesces with the frequency with which they deliver different types of socialization messages (socialization content). The current study utilizes latent profile analysis to examine racial-ethnic socialization content and competency patterns among 203 Black, 194 Latinx, and 188 Asian American parents (n = 585, Mage = 44.46, SD = 9.14, 59.70% mothers) with children 10–18 years old (Mage = 14.30, SD = 2.49, 50.3% female). Furthermore, we relate profiles to sociodemographic and relevant factors posited to impact socialization competency and content delivery, namely, discrimination and critical consciousness dimensions (reflection, motivation, action). We observed three parental profiles: Less Prepared Stressed Low Frequency (LPSLF; n = 285), Prepared Low Stress Frequent (PLSF; n = 204), and Prepared Stressed Frequent (PSF; n = 96) socializers. Profile differences emerged on parental and youth sociodemographic factors, lifetime discrimination exposure, and each parental critical consciousness dimension. This study lays a foundation for the combined study of racial-ethnic socialization competence and content in diverse groups, a practice crucial to understanding 21st century parenting.

Applying the Psychology of Working Theory for Understanding Adaptive Career Progress of Youth

This study extends existing research on psychology of working theory by assessing components of the model among two community samples (N = 364) of high school youth. We examined structural models linking student perceptions of external barriers to higher education to three indices of adaptive career progress, work volition, career adaptability, and school motivation. We also assessed the roles of student perceptions of proactive personality, critical motivation, and teacher social support as moderators of perceived external barriers for the three career progress indices. The findings reveal main effects, rather than moderating contributions for critical motivation and proactive personality, with only teacher support being a significant moderator for career adaptability and work volition. The moderating effect was inconsistent with theoretical expectations, however. The results are discussed with attention to further research and applicability for vocational intervention.

Critical Reflection and Cognitive Empowerment among Youth Involved in Community Organizing

Through youth organizing initiatives, young people conduct research into social issues and build power to address these issues. This study examines the developmental interplay between the cognitive components of two of the most influential civic developmental constructs—critical consciousness and psychological empowerment—through analysis of interviews with 19 current and former participants in a youth organizing initiative in San Bernardino, CA, all of whom identify as Latinx. Most participants clearly articulated viewpoints consonant with the cognitive components of critical consciousness and psychological empowerment, but these were much more pronounced among those who had been involved for longer periods of time. Findings provide insights into distinctions and crosscurrents between critical reflection and cognitive empowerment, and into the settings and processes leading to their development. Cycles of action and reflection can support the simultaneous development of critical reflection and cognitive empowerment.

Differentiating Pathways between Ethnic-Racial Identity and Critical Consciousness

Critical consciousness is one way in which minoritized youth can resist oppression and move towards sociopolitical change, but little is known about how it evolves alongside developmentally-relevant assets such as ethnic-racial identity. Among 367 ethnically-racially diverse youth (M_age = 15.85, 68.9% female, 85% U.S-born), links between multiple identity constructs (oppressed minority identity, centrality, public regard) and critical consciousness (reflection, motivation, action) were examined using structural equation modeling. Oppressed minority ideology and centrality were associated with more reflection, more motivation, but less critical action. In contrast, public regard was associated with less reflection, less motivation, but more action. The results suggest that different identity processes should be cultivated to help promote these largely independent dimensions of critical consciousness. Further implications of the findings and ideas for future research are discussed.