Black Lives Matter: A Call to Action for Counseling Psychology Leaders

COVID-19, the COVID-19 response, and racial injustice: Associations with depressive and anxiety symptoms among US adults from April 2020 to March 2021

Background

People in the United States have faced numerous large and intersecting threats to their mental health since the onset of the coronavirus disease pandemic. This study aimed to understand the unique relationships between these co-occurring threats - including the police killings of unarmed Black people and the fight for racial justice - and how they affect mental health symptoms among various demographic groups.

Methods

Data on population mental health, state-level COVID-19 incidence rates, cases of police-involved killings, and occurrences of racial justice protests were analyzed. The primary outcome was depression or anxiety symptoms. Regression models were used to estimate prospective associations between individual-, household-, and state-level exposures to hypothesized mental health threats and subsequent depression or anxiety symptoms.

Results

Data from 2,085,041 individual participants were included. Most were women (51.2%), and most were white, non-Hispanic (61.2%), with almost half (47.7%) reporting some loss of household income since March 13, 2020. Neither the killing of unarmed Black people by police, nor the above-average occurrence of Black Lives Matter (BLM) protests, were observed to be associated with anxiety or depressive symptoms in the overall population, though the BLM protests were associated with reduced depressive and anxiety symptoms among younger participants. State-level COVID-19 incidence risk was more strongly associated with depressive and anxiety symptoms among women, Black people, older people, and higher income people, compared to men, white people, younger people, and lower income people.

Conclusion

Our findings are relevant for anticipating and addressing the mental health consequences of social injustice and protest movements in the context of COVID-19 pandemic, as well as future pandemics. Promoting population mental health requires addressing underlying social and structural inequities and prioritizing the pursuit of social justice and health equity as a primary mental health intervention.

The depth of stories: How Black young adults' disclosure of high arousal negative affect in narratives about the COVID-19 pandemic and the BLM protests improved adjustment over the year 2020

The present study investigates whether the way Black young adults constructed their narratives regarding the stressful events of the COVID-19 pandemic and the black lives matter (BLM) protests related to adjustment over time. A two-wave mixed prospective and retrospective longitudinal study was conducted in July and December 2020 and included a total of 90 Black young adults. Narrative reports were collected at baseline to determine the psychological interpretations of the two events and were coded based on affect disclosure. Both time points examined adjustment to the COVID-19 pandemic and the BLM protests as well as the extent to which the basic psychological needs for autonomy, relatedness, and competence were affected. Our results showed that disclosure of high arousal negative affect in narratives at baseline was associated with better adjustment over time. Additionally, results of process analyses showed that satisfaction of the basic psychological need for autonomy (e.g., feelings of personal agency, choice, and volition) mediated the association between narratives and adjustment. These results suggest that engaging in disclosure of high arousal negative affect may be associated with heightening adjustment because it enhances individuals' autonomy, perhaps resulting in a beneficial integration of the events into their broader life narratives. These findings highlight the potential of well-constructed narratives to impact adjustment over time and have implications for clinical practice to support Racialized communities during unprecedented events.

The role of the Africentric worldview in the Liberatory process

As the Black Lives Matter movement brings increasing awareness to systemic racism in American society, the Eurocentric worldview and intellectual racism nonetheless remain prevalent. However, opportunity to engage with Africentric knowledge that could help counter the focus on Eurocentric worldview among adults remains limited in graduate courses. When such opportunities do arise, however, they are powerful and transformative. This paper conducts a case study of four students of African descent enrolled in graduate programs that engaged with Africentric knowledge. The results demonstrate that such experiences can create a powerful Liberatory transformation. The five step Liberatory process is a cognitive awakening and a discussion of the implications for practice and research are presented as well.

Building strength for the long haul toward liberation: What psychology can contribute to the resilience of communities targeted by state-sanctioned violence

State-sanctioned violence (SSV) has resounding effects on entire populations, and marginalized communities have long persisted in the work toward liberation despite continued SSV. This paper aims to bridge the gap between the vast scholarship on resilience and the practical challenge of sustaining and thriving in communities targeted by SSV. We use the theoretical frame of the Transconceptual Model of Empowerment and Resilience (TMER) to articulate the process of resilience and the resources that support it: maintenance, efficacy, skills, knowledge, and community resources. As a practical frame, we ground our application of the model in the experiences of the first two authors in their own communities. Centering examples from the Black Lives Matter movement and the CeCe McDonald Support Committee, we use our theoretical and practical frames to explore the scholarship on resilience relevant to resisting SSV, and we identify mechanisms for supporting community stakeholders' efforts to move toward liberation from SSV. We discuss implications for future research and activism, and we include a toolkit with suggested strategies as an appendix for psychologists, activists, and community stakeholders to consider as they work to facilitate community resilience and build a society free from SSV.

Black Love, Activism, and Community (BLAC): The BLAC Model of Healing and Resilience

The purpose of this article is to describe the Black Love, Activism, and Community (BLAC) model of healing and resilience. The assumption of the BLAC model is that Black activism is inspired and sustained by love and community. Building on empirical research, liberation psychology, and African-centered psychology, the BLAC model identifies four culturally grounded domains of resilience (relationships, spirituality, identity, and active expression) that are hypothesized to serve as protective factors. These domains are also postulated to be critical components of culturally centered healing practices. Within the context of anti-Black racism, it is important to understand how activism can mitigate mental health outcomes among Black activists. The BLAC model also describes culturally centered intervention approaches for healing and wellness. Finally, applications of the BLAC model are discussed.

Accountability in promoting representation of historically marginalized racial and ethnic populations in the eating disorders field: A call to action

Promoting representation of historically marginalized racial and ethnic populations in the eating disorders (EDs) field among professionals and the populations studied and served has long been discussed, with limited progress. This may be due to a reinforcing feedback loop in which individuals from dominant cultures conduct research and deliver treatment, participate in research, and receive diagnoses and treatment. This insularity maintains underrepresentation: EDs in historically marginalized populations are understudied, undetected, and undertreated. An Early Career Investigators Workshop generated recommendations for change that were not inherently novel but made apparent that accountability is missing. This paper serves as a call to action to spearhead a paradigm shift from equality to equity in the ED field. We provide a theoretical framework, suggest ways to disrupt the feedback loop, and summarize actionable steps to increase accountability in ED leadership and research toward enhancing racial/ethnic justice, equity, diversity, and inclusion (JEDI). These actionable steps are outlined in the service of challenging our field to reflect the diversity of our global community. We must develop and implement measurable metrics to assess our progress toward increasing diversity of underrepresented racial/ethnic groups and to address JEDI issues in our providers, patients, and research participants.

Better Together: Family and Peer Support for Black Young Adults During the COVID-19 Pandemic and the Black Lives Matter Movement

The study investigated how the COVID-19 pandemic and the Black Lives Matter (BLM) movement impacted Black young adults’ social relationships and how receiving support from family or peers differentially influenced psychological adjustment. Surveys were sent in January 2021 and respondents included a total of 346 Black adults (66% female; mean age 26.2). A 2X2 repeated measures analysis of variance with social convoys and events was performed. Separate hierarchical regression analyses were performed with psychological well-being, psychological distress, and psychological need satisfaction. The pandemic negatively impacted relationships with peers. The BLM movement had favorable effects on both peer and family relationships. Family support relating to the pandemic and peer support relating to the BLM movement were associated with heightened psychological adjustment. The beneficial effects of pandemic-related support were mediated by greater psychological need satisfaction. The results indicate how important family and peer support are to individuals’ psychological adjustment during pivotal events.

The psychological effects of COVID-19 spread in young Canadian adults

BACKGROUND AND AIM

The novel coronavirus disease 2019 (COVID-19) not only threatens physical health but also psychological well-being. As a result of the pandemic, increased mental health burdens have been recorded in young adults around the world. We sought to understand the association of stressors related to the COVID-19 pandemic with symptoms of psychological and emotional distress in young Canadian adults.

METHOD

Questionnaire respondents were asked about the extent to which they were personally impacted by COVID-19, and symptoms related to depression, anxiety, post-traumatic disorder, and emotional distress.

RESULTS

Of 84 respondents, most identified as female (74%; 62/84). Overall, 61% (51/84) reported experiencing symptoms of psychological distress related to depression, anxiety, or post-traumatic stress disorder (PTSD); specifically, 43% (36/84) reported anxiety-related symptoms, 33% (28/84) reported depression-related symptoms, and 6% (5/84) reported PTSD-related symptoms. Individuals with family in settings high risk for COVID-19 infection and individuals who received government aid with a reduction in income were 4.30-fold and 2.80-fold more likely, respectively, to experience symptoms of psychological distress (95% CI 1.31-14.14; p = .013 and 95% CI 1.08-7.25; p = .038, respectively). Visits to social media daily to hourly for COVID-19 related news resulted in a 3.24-fold increase in the likelihood of experiencing depression-related symptoms (95% CI 1.26-8.35; p = .020).

CONCLUSION

We demonstrate a necessity to focus on alleviating the mental health burdens and contributing stressors within young Canadian adults. Though the mental health burdens are currently exacerbated by the effects of the COVID-19 pandemic, they may persist after the pandemic ends if left unaddressed.

From Beckham until now: Recruiting, retaining, and including Black people and Black thought in school psychology

This article reflects on key ideas in Graves (2009) that are relevant to recruitment, retention, and inclusion of Black people in school psychology. The article begins with a critique of the field's lack of engagement with the ideas Albert Beckham introduced in the 20th century. Then, the article discusses issues that Black school psychologists are engaging today through their research and practice to illustrate the critical need for inclusion of Black thought and Black people in school psychology. Next, the article offers a brief review of extant research related to the recruitment and retention of Black people in school psychology. The article concludes with implications for the recruitment, retention, and inclusion of Black people in school psychology.

"White people stress me out all the time": Black students define racial trauma

OBJECTIVE

Using a constructivist-interpretivist paradigm and a Black feminist qualitative framework, this study investigated how Black students at a predominantly White university in the southeast defined racial trauma.

METHOD

A purposive sample of 26 participants (10 men and 16 women, aged 18-27) participated in a semistructured interview about their definitions of race-based stress and racial trauma. Data analysis consisted of a six-phase inductive, latent thematic analysis. Researcher reflexivity, interviews, observations, and research memos contributed to trustworthiness.

RESULTS

Participants' understandings of race-based stress and racial trauma-informed two composite definitions of racial trauma. Participants conceptualized racial trauma and race-based stress as related and identified three salient components of racial trauma: (a) "Sticking with": temporal component, (b) "Suffering severely": intensity component, and (c) "Repeating regularly": frequency component.

CONCLUSIONS

The findings of this study contribute to the existing literature by providing an academic and community definition of racial trauma grounded in the voices of Black collegians. These definitions of racial trauma may be used to inform future research, clinical services, and outreach. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Prevalence of post-traumatic stress disorder in the United States: a systematic literature review

OBJECTIVE

This study synthesized evidence regarding the prevalence of post-traumatic stress disorder (PTSD) in the United States (US).

METHODS

A systematic literature review (SLR) identified recently published (2015-2019) observational studies of PTSD prevalence in the US via the MEDLINE, EMBASE, and PsycINFO databases. Eligible studies' most recent data were collected no earlier than 2013. Data elements extracted included study design, sample size, location, data source/year(s), study population(s), traumatic event type, prevalance estimates with corresponding look-back periods, and clinical metrics.

RESULTS

Data from 38 identified articles were categorized by population, diagnostic criteria, and lookback period. Among civilians, point prevalence ranged from 8.0% to 56.7%, 1-year prevalence from 2.3% to 9.1%, and lifetime prevalence from 3.4% to 26.9%. In military populations, point prevalence ranged from 1.2% to 87.5%, 1-year prevalence from 6.7% to 50.2%, and lifetime prevalence from 7.7% to 17.0%. Within these ranges, several estimates were derived from relatively high quality data; these articles are highlighted in the review. Prevalence was elevated in subpopulations including emergency responders, refugees, American Indian/Alaska Natives, individuals with heavy substance use, individuals with a past suicide attempt, trans-masculine individuals, and women with prior military sexual trauma. Female sex, lower income, younger age, and behavioral health conditions were identified as risk factors for PTSD.

CONCLUSIONS

PTSD prevalence estimates varied widely, partly due to different study designs, populations, and methodologies, and recent nationally representative estimates were lacking. Efforts to increase PTSD screening and improve disease awareness may allow for a better detection and management of PTSD.

Skin Color and Skin Tone Diversity in Human Sexuality Textbook Anatomical Diagrams

Little is known about skin tone and skin color representation within sexuality education materials. A content analysis was performed to assess skin tone and skin color diversity among anatomical images (n = 182) within eight contemporary, college-level human sexuality textbooks. Of these images, 1.1% represented dark skin tones while 83.5% represented light skin tones. Skin colors commonly associated with Black and Brown people were underrepresented in comparison to colors generally associated with white or white-presenting people such as conch, which comprised 42.3% (n = 77) of anatomical images. We encourage sex therapists to use racially conscious and inclusive imagery and educational materials when serving clients.

Race-Based Stress Reactions and Recovery: Pilot Testing a Racial Trauma Meditation

Twenty-six Black collegians were exposed to a vicarious racial harassment stimulus (VRHS) then randomized into a Black Lives Matter Meditation for Healing Racial Trauma condition or a silence control condition. Heart rate (HR) was recorded throughout the experiment. Semi-structured interviews were then conducted to elicit participants’ appraisal of the VRHS and meditation. Using a Qual:Quan mixed methods experimental design, this pilot study qualitatively categorized how participants (1) described their reactions to the VRHS and (2) appraised the meditation. Participants described three types of race-based stress reactions and reported mostly positive appraisal of the meditation, although some indicated that it would not be a preferred coping strategy. To triangulate the quantitative findings, we found a significant increase in HR during VRHS. The meditation group displayed statistically significant reductions in HR from stimulus to the end of meditation; however, there were no statistically significant differences between the control and meditation groups. Results have implications for understanding and facilitating race-based stress recovery.

The Restorative Justice Attitudes Scale: Development and Initial Psychometric Evaluation

Restorative justice as an applied and theoretical construct has received growing public attention; yet, little research on restorative justice has been conducted within psychology, including counseling psychology—a subfield devoted to social justice, advocacy, and the promotion of human rights and dignity for all people. This may in part be due to the lack of established empirical measurement concerning restorative justice. We developed the Restorative Justice Attitudes Scale (RJAS) using data collected from 650 US adults. Exploratory analyses yielded a 5-factor structure composed of 20 items within five dimensions: (a) Empathic Understanding, (b) Harm and Needs, (c) Restoration Processes, (d) Accountability, and (e) Community Engagement. However, confirmatory analyses suggested the use of a total scale score. Evidence of construct validity was established as the RJAS score was related to measures of empathy and perspective-taking. We discuss implications for the use of the RJAS in practice, advocacy, education, training, and research.

Working toward anti-racist perspectives in attachment theory, research, and practice

Recent social movements have illuminated systemic inequities in U.S. society, including within the social sciences. Thus, it is essential that attachment researchers and practitioners engage in reflection and action to work toward anti-racist perspectives in the field. Our aims in this paper are (1) to share the generative conversations and debates that arose in preparing the Special Issue of Attachment & Human Development, "Attachment Perspectives on Race, Prejudice, and Anti-Racism"; and (2) to propose key considerations for working toward anti-racist perspectives in the field of attachment. We provide recommendations for enriching attachment theory (e.g. considering relations between caregivers' racial-ethnic socialization and secure base provision), research (e.g. increasing the representation of African American researchers and participants), and practice (e.g. advocating for policies that reduce systemic inequities in family supports). Finally, we suggest two relevant models integrating attachment theory with perspectives from Black youth development as guides for future research.

Attachment research and anti-racism: learning from Black and Brown scholars

Preliminary evidence suggests that people and scholars of African and/or Latin American and Caribbean origin are often under-represented in mainstream attachment scholarship. In this commentary, we highlight the difficulty of conducting attachment theory research outside of the United States, particularly in Latin American countries. We reflect on the contributions by the authors of this special issue . We also identify (a) ways in which to center the experiences of Black and Brown people and scholars to push the field toward antiracism, and (b) the challenges of attachment theory and research in becoming anti-racist by considering the structural nature of racism.

Development of a support for Black Lives Matter measure among racially-ethnically diverse college students

This paper developed and validated a new measure of support for the Black Lives Matter (BLM) movement among a racially-ethnically diverse sample of college students. The measure focuses on the movement's principles of Black liberation, intersectionality, and alliance building. Participants included 1934 college students (75% female) from a large public Southwestern university. The factor structure was supported by exploratory and confirmatory factor analyses, resulting in an 18-item measure, Support for Black Lives Matter, with two underlying factors. Black Liberation includes 12 items representing support for BLM because of awareness of and challenging structural inequality and racism experienced by Black individuals. Intersectional Values includes six items representing support for BLM because it embraces and affirms marginalized populations within the Black community, especially disabled Blacks, queer Blacks, Black women, and Black families with children. Evidence of criterion-related validity was demonstrated with racial group differences in support of BLM factors. Evidence of convergent validity was supported by significant positive correlations between support for BLM factors and critical consciousness (including awareness of racism, classism, and heterosexism), and negative correlations between support for BLM factors and subtle racist attitudes toward Blacks. Measurement invariance was evident between White, Black, Asian American, Latinx, and Multiracial participants. Implications and suggestions for use of the new measure are discussed.

Building a Climate for Advocacy Training in Professional Psychology

Counseling psychologists have been at the forefront of social justice and advocacy efforts in the discipline of psychology. Despite these foci, few graduate training programs in psychology offer formal courses or training in advocacy, social justice, and public policy. To develop and fill a pipeline of professionals involved in social justice and advocacy efforts, graduate training programs in psychology must expose and prepare students to these areas. The purpose of the current paper is to describe how faculty within the professional psychology program at the University of Denver incorporate advocacy, public policy, and social justice education and training into their program. We describe how the program climate and curriculum were created to meet these training needs.

Black Psychology and Whiteness: Toward a Conceptual Model of Black Trauma through the Prism of Whiteness

The main objective of this article is to introduce and examine whiteness as a source of trauma for Black people. We explore Black psychology scholarship to conceptually ground whiteness as the impetus for racism, while identifying it as an interpersonal, psychosocial, and contextual phenomenon that informs the race-based traumatic experiences of Black people. The primary factors constituting whiteness are ethnocentric monoculturalism, White standardization, ontological expansiveness, White emotions, attitudes, reactions to race, and White privilege. While racism operates through oppression and exclusion to produce trauma among Black people, we argue that whiteness operates similarly to produce race-based traumatic stress. With this premise, we offer and explain a conceptual model to promote empirical research that identifies and operationalizes whiteness and its components as observable contributors to the traumatic experiences of Black persons.

Teaching During a Pandemic: A Model for Trauma-Informed Education and Administration

Coronavirus disease 2019 (COVID-19) realities have demanded that educators move swiftly to adopt new ways of teaching, advising, and mentoring. We suggest the centering of a trauma-informed approach to education and academic administration during the COVID-19 pandemic using the Substance Abuse and Mental Health Services Administration's (SAMHSA) guidance on trauma-informed approaches to care. In our model for trauma-informed education and administration (M-TIEA), SAMHSA's four key organizational assumptions are foundational, including a realization about trauma and its wide-ranging effects; a recognition of the basic signs and symptoms of trauma; a response that involves fully integrating knowledge into programs, policies, and practices; and an active process for resisting retraumatization. Since educators during the pandemic must follow new restrictions regarding how they teach, we have expanded the practice of teaching in M-TIEA to include both academic administrators' decision making about teaching, and educators' planning and implementation of teaching. In M-TIEA, SAMHSA's six guiding principles for a trauma-informed approach are infused into these two interrelated teaching processes, and include the following: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice, and choice; and cultural, historical, and gender issues. M-TIEA's organizational assumptions, processes, and principles are situated within an outer context that acknowledges the potential influences of four types of intersectional traumas and stressors that may occur at multiple socioecological levels: pandemic-related trauma and stressors; other forms of individual, group, community, or mass trauma and stressors; historical trauma; and current general life stressors. This acknowledges that all trauma-informed work is dynamic and may be influenced by contextual factors.

Critical consciousness of anti-Black racism: A practical model to prevent and resist racial trauma

The negative impacts of racism, including experiences of racial trauma, are well documented (e.g., Bryant-Davis & Ocampo, 2006; Carter, 2007). Because of the deleterious effects of racial trauma on Black people, interventions that facilitate the resistance and prevention of anti-Black racism are needed. Critical consciousness is one such intervention, as it is often seen as a prerequisite of resistance and liberation (Prilleltensky, 2003, 2008). To understand how individuals advance from being aware of anti-Black racism to engaging in actions to prevent and resist racial trauma, nonconfidential interviews with 12 Black Lives Matter activists were conducted. Using constructivist grounded theory (Charmaz, 2014) under critical-ideological and Black feminist-womanist lenses, a model of Critical Consciousness of Anti-Black Racism (CCABR) was co-constructed. The 3 processes involved in developing CCABR include: witnessing anti-Black racism, processing anti-Black racism, and acting critically against anti-Black racism. This model, including each of the categories and subcategories, are detailed herein and supported with quotations. The findings and discussion provide context-rich and practical approaches to help Black people, and counseling psychologists who serve them, prevent and resist racial trauma. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Instagram as a Window to Societal Perspective on Mental Health, Gender, and Race: Observational Pilot Study

BACKGROUND

Gender and race are known to impact attitudes toward mental health topics and help-seeking behavior. Men and minorities are more likely to cite stigma as a reason for not seeking help for mental health concerns, which is of particular relevance given the high rate of suicide in men and challenges of historic proportion currently facing minority communities. Instagram provides a platform to discuss mental health, though a lack of male and minority representation may further alienate these populations.

OBJECTIVE

We aimed to investigate whether men and nonwhite individuals are underrepresented in Instagram photos tagged with #mentalhealth (compared to photos tagged with #health) to better understand how gender and race-based representations are manifested on this popular social media platform and discuss the implications.

METHODS

Three investigators of different genders and racial backgrounds met on nine different days via teleconference to analyze a total of 215 publicly available Instagram photos tagged with #mentalhealth and 215 with #health. These photos were generated using Instagram's search function, and search results were sorted by most recently published at the time of data collection. For each photo, the three investigators recorded their observations about the gender (male versus female) and race (white versus nonwhite versus racially unclassifiable) of subjects featured in the photo, which they did not discuss with other investigators. Chi-squared analysis was performed on each investigator's data set to compare the frequency of male versus female and white versus nonwhite subjects identified in each hashtag category. Kappa interrater agreement was calculated for each investigator pair, category (gender or race), and hashtag.

RESULTS

All three investigators observed significantly more female as compared to male subjects in photos tagged with #mentalhealth (X²=14.4, P<.001 for all investigators) while observing no significant difference between numbers of male and female subjects in photos tagged with #health (X²=1.533, P=.22; X²=1.241, P=.27; X²=0.096, P=.76). All three investigators identified significantly more white than nonwhite subjects in photos tagged with both #health and #mentalhealth (X² values range from 11.912 to 98.927, P<.001 for all). Kappa interrater agreement revealed almost perfect agreement for gender (kappa=0.908-0.992) with the agreement for race ranging from 0.614 to 0.822, depending on hashtag and rater pair.

CONCLUSIONS

Women are featured more frequently than men in Instagram photos tagged with #mentalhealth. The topic of #health, meanwhile, is not gendered this way. Low visibility of mental health among men may both represent and exacerbate existing stigma and barriers to care. White subjects are featured significantly more frequently than nonwhite subjects in photos tagged with both #mentalhealth and #health. Directed interventions using the Instagram platform may be indicated to increase the visibility of underrepresented groups and break the cycle of stigma.

Keeping Your Guard Up: Hypervigilance Among Urban Residents Affected By Community And Police Violence

Hypervigilance, a state of heightened awareness and watchfulness, is a consequence of violence that has been linked to adverse psychosocial outcomes. Although well documented in veteran populations, it remains poorly quantified in community populations that are exposed to high levels of neighborhood violence. In-person surveys of 504 adults were conducted in Chicago, Illinois, in 2018 to assess the relationships between hypervigilance and exposure to neighborhood violence, including community and police altercations. Exposure to police violence was associated with a 9.8-percentage-point increase in the hypervigilance score (on a 100-point scale)-nearly twice that associated with exposure to community violence (a 5.5-percentage-point increase). Among participants who reported having had a police stop, experiencing the stop as a traumatic event (defined as exposure to actual or threatened death or serious injury) was associated with a 20.0-percentage-point increase in the hypervigilance score. Scoring in the highest quartile of hypervigilance was associated with higher systolic blood pressure (an increase of 8.6 mmHg). Understanding hypervigilance and, importantly, its linkages with violence and health may help inform policing practices and health care responses to violence in urban communities.

Health Implications of Black Lives Matter Among Black Adults

OBJECTIVE

The current study examined whether knowledge, understanding and support of the Black Lives Matter movement were positively linked to self-reported physical health among a representative sample of Black American adults.

METHODS

The 2016 Collaborative Multiracial Post-election Survey (CMPS) examined attitudes about the 2016 US election, immigration, policing, racial equality, and racial discrimination among Asian American, Black American, Latinx, and White adults. The current study used the Black American sample, which included 3102 individuals (69% female) older than 18 years of age. We used a set of logistic regression models to assess the associations of knowledge, support, and understanding of Black Lives Matter with overall physical health.

RESULTS

Although knowledge of Black Lives Matter was not a significant predictor for physical health, understanding and supporting Black Lives Matter significantly predicted positive physical health among Black American adults.

CONCLUSIONS

Black American adults who understand and support Black Lives Matter reported more positive overall physical health.

Counseling Psychologists and Behavioral Health: Promoting Mental and Physical Health Outcomes

On the occasion of the 50th Anniversary of The Counseling Psychologist, we reflect on the many contributions that counseling psychologists have made and are poised to make in the areas of behavioral health and behavioral health care. We note that psychologists’ engagement in health promotion and prevention of behavioral, mental, and emotional disorders is consistent with counseling psychology values. We provide a concise review of theories that are widely applied in behavioral health contexts and discuss ways in which counseling psychologists may apply these theories to help ameliorate health disparities, empower communities to take control of their own health, and promote social justice. In addition, we highlight the need to create interdisciplinary partnerships to conduct culturally sensitive research on the bi-directional relationship between mental health and physical health. The article ends with wide-ranging implications and recommendations for theory development, research, training, practice, and advocacy.

Injustice in the Justice System: Reforming Inequities for True “Justice for All”

True justice is equitable. Counseling psychologists, through their skills, knowledge, and values, can be a powerful force in reforming a system that oppresses marginalized groups to one that is just. In this paper, we focus on three major aspects of the justice system: laws and the courts, law enforcement, and detention and corrections, and we further describe injustice in these three areas. We then use critical race theory and counseling psychology perspectives to develop a framework to provide counseling psychologists with practical strategies to transform inequities. Such strategies include advocating to change unjust laws, filling the research gap for effective and humane practices, developing evidence-based programs, and providing leadership and training.

Counseling Psychology and the Amelioration of Oppression: Translating Our Knowledge Into Action

In the new millennium, counseling psychologists have answered the call to address oppression related to intersectional identities. We have played a major role in the development of practice guidelines and policies, as well as in the application of ethical principles in cultural contexts. The Counseling Psychologist has served to disseminate information addressing needs and interventions for diverse communities. In this article, we review the history and impact of our efforts to ameliorate oppression. The pressing challenges of economic and educational disparities are highlighted along with how counseling psychologists are uniquely situated to meet the needs of the underserved. Our research, training, and practice are anchored in methodological pluralism, global helping paradigms, participatory engagement, and the promotion of liberation and radical healing. We offer recommendations to deconstruct current models and reconstruct a decolonized approach, embrace interdisciplinary collaboration to fight cultural encapsulation, strengthen prevention and advocacy, train a culturally diverse workforce, and prioritize intersectional research.

Social Justice in Counseling Psychology: Then, Now, and Looking Forward

In this article, a diverse group of early, mid, and advanced career scholars call for counseling psychology to continue to evolve in our integration of social justice action in our field. In doing so, we first consider our history as proponents and enactors of social justice, highlighting the ways in which counseling psychologists have served as social justice leaders in psychology. We then discuss our field’s contemporary challenges to, and opportunities for, social justice progress as we work toward equity and justice. Finally, we offer recommendations for counseling psychologists individually and as a field to move forward in our social justice action. Given our longstanding social justice values and our unique training as counseling psychologists, if we aim with intentionality to use our skills toward systems change, counseling psychologists are poised to have a strong and proactive role as social change agents within psychology and society at large.

White Supremacy and Counseling Psychology: A Critical–Conceptual Framework

The mainstreaming of White nationalism in the United States and worldwide suggests an urgent need for counseling psychologists to take stock of what tools they have (and do not have) to combat White supremacy. We review the rise of social justice issues in the field of counseling psychology and allied helping professions and point to the limits of existing paradigms to address the challenge of White supremacy. We introduce transnationalism as an important theoretical perspective with which to conceptualize global racisms, and identify White racial affect, intersectionality, and allyship as three key domains of antiracist action research. Finally, we suggest three steps for sharpening counseling psychologists’ approaches to social justice: rejecting racial progress narratives, engaging in social justice-oriented practice with White clients, and centering White supremacy as a key problem for the field of counseling psychology and allied helping professions.

Police Interactions and the Mental Health of Black Americans: a Systematic Review

Black Americans comprise 13% of the US population, yet data suggests that they represent 23% of those fatally shot by police officers. Data on non-lethal encounters with police in the Black community is less available but can understandably result in emotional trauma, stress responses, and depressive symptoms. The aim of this systematic literature review is to assess if interactions with the police are associated with mental health outcomes among Black Americans. Following pre-defined inclusion criteria, 11 articles were reviewed. Using a quality assessment tool, eight studies received a fair quality rating, two studies a poor rating, and one study received a good rating. The types of police interaction reported among study participants included police use of force during arrest, police stops, police searches, exposure to police killings, and interactions with police in the court system and varied mental health outcomes. Most of the studies (6 of 11) reviewed found statistically significant associations between police interactions and mental health (psychotic experiences, psychological distress, depression, PTSD, anxiety, suicidal ideation and attempts), indicating a nearly twofold higher prevalence of poor mental health among those reporting a prior police interaction compared to those with no interaction. Although better quality studies are needed, findings suggest an association between police interactions and negative mental health outcomes. Changes in law enforcement policy, development and implementation of a validated instrument for police experiences, improved community outreach, a federally mandated review of policy and practice in police departments, and expanded police training initiatives could reduce the potential negative mental health impact of police interactions on Black Americans.

Toward a Psychological Framework of Radical Healing in Communities of Color

Advancing beyond individual-level approaches to coping with racial trauma, we introduce a new psychological framework of radical healing for People of Color and Indigenous individuals (POCI) in the United States. We begin by providing a context of race and racism in the United States and its consequences for the overall well-being of POCI. We build on existing frameworks rooted in social justice education and activism and describe a form of healing and transformation that integrates elements of liberation psychology, Black psychology, ethnopolitical psychology, and intersectionality theory. We briefly review these conceptual foundations as a prelude to introducing a psychological framework of radical healing and its components grounded in five anchors including: (a) collectivism, (b) critical consciousness, (c) radical hope, (d) strength and resistance, and (e) cultural authenticity and self-knowledge. We conclude with a discussion of the applications of radical healing to clinical practice, research, training, and social justice advocacy.

Something Old and Something New: Future Directions in Vocational Research With People of Color in the United States

Vocational psychology scholarship has largely overlooked the work experiences of people of color. In this article, we present evidence that vocational research that addresses the work issues of people of color has been neglected in the key outlets for vocational research among vocational psychologists. We outline seven directions for research inquiry with people of color, namely using culturally sensitive research methods, increasing research on the effectiveness of career interventions, integrating interdisciplinary perspectives, merging psychological and educational science with vocational development, using intersectional approaches, examining collective mobility strategies and structural reforms, and assessing the impact of environmental disasters on long-term educational and work outcomes.

Future Shock: Counseling Psychology in a VUCA World

This article represents the conclusion of our special two-part issue of The Counseling Psychologist focused on leadership in counseling psychology. In this article, we reflect upon the state of leadership in counseling psychology as captured in the articles in this special issue. First, we explain the concept of a VUCA (volatile, uncertain, complex, ambiguous) world and why it is important to considerations of leadership by counseling psychologists. Next, we comment on each of the articles that comprise this two-part special issue, noting their strengths, relevance to current knowledge about and concepts of leadership, and questions that remain unanswered and thus ripe for further study. We conclude with recommendations for leadership-related efforts in counseling psychology as a field. It is our hope that this brief critique provides directions for future study and action regarding leadership in counseling psychology.

Leadership in Counseling Psychology: Introduction to the Special Issue

In this article, we introduce a special two-part issue of The Counseling Psychologist focused on leadership in counseling psychology. Despite the critical role of leadership in the field’s development, current status, and future possibilities, the topic has received little attention as a focus of scholarly inquiry within counseling psychology. We first present a context and rationale for the creation of this special issue, noting the timeliness of this topic within psychology and in society more broadly. Next, we introduce the articles that comprise this two-part special issue as well as two closely related articles contained in the August issue. A brief concluding article at the end this two-part special issue will (a) review the scholarship presented, (b) discuss its relevance, and (c) consider implications and directions for future work in the areas of research, education and training, practice, advocacy, and social justice.