There may be times when a client comes into a session with a specific story about racism that they experienced, and they want to talk about it.
But according to Usha Tummala-Narra, PhD, a client’s experience of racial stress will usually come up much more subtly – and it could be easy to miss if we aren’t listening carefully.
In the video below, Usha will share a case of a woman whose presenting problem did not initially seem to be connected to racism, and yet it turned out to be a critical part of her story. I’ll let Usha take it from here.
What are your biggest takeaways from Usha’s case study? Please let us know by leaving a comment below.
LR, I would like to understand your comment. If you are open to explaining your meaning. Can you please explain who or what is the master and who or what is the slave you are referring to? Thanks!
I am a psychotherapist and I have recently started working with a patient who suffers with Post Traumatic Slave Disorder. Even though my patient is a black male and I am a white, Jewish, woman, I am finding ways to help him heal his multi-generational pain. I find this work fascinating and I am learning as much from him, as I hope he is learning from me.
racial divide is an illusion based on rhetoric in the absolute sense.
A colleague of mine: she is black, I am Caucasian , when in group process work, heard my personal story of abuse, neglect,, which to her almost identically mirrored her own, she admitted that she thought white people were somehow exempt from such horrors. It was a moment of deep healing for her, I am happy to say. I’m glad it helped. We may not all have had slavery in our ancestry in the same way, but we have all been enslaved in a lot of different ways. Authentic and empathic listening is the key
The importance of truly listening to the client. Listening with Jung’s 3rd ear. Usha caught and did not let the connection slide because she truly listened.
Female bodies are heavily objectified to begin with whether in sex industry or in beauty and fashion. One may not be consciously aware, but products are developed for white people – choices of colors to the very designs and functions of products are specific to white bodies/facial structures. These are subliminal, but if your body type belongs to an ethnic group, it is felt everyday conscious or not. I think that’s what’s coming to the surface. At least that’s how I saw it.
There are always multiple determinants to a symptom/reaction…in the case discussed…it is unlikely to be one source though it fine the hidden source was uncovered
another toxic example of benign neglect. she definitely attracted the perfect therapist for her to truly find healing in that situation and thank God it was not you. The guy is a blatant colorist and racist.
As a therapist, we deal with many issues that we have not personally experienced…and yet we can be highly effective and impacting as we ourselves can also be impacted in amazing ways to do better and be better. I disagree with therapists suddenly becoming hunters of racism without more research and backing about client outcomes. People come to us hurting for numerous reasons and we need to walk with them to find health without an agenda. We don’t do this with religion, politics, etc. (I will definitely seek my own help first to address racism or oppression before doing this with a client.) Racism and oppression is terribly hurtful for everyone involved physically and mentally. When it comes up or appears to be an issue, it should be processed and explored to find health and healing. As with any issue, if I am not the proper person or expert, I will refer out for their best interest. I wish all of us the best to do no harm to our clients while assisting us all to find unity in this world.
Excellent response
Well said, I second that.
Simply a comment about many different points of view and opinion posted herein.
So, basically, you’re denying it’s possible for the direct comment about her race to be racism. Instead, any aggression toward her race should be believed to be her own mental defect. I sincerely hope, but highly doubt, this attitude doesn’t show up in your medical work.
Laura, describing a racial preference isn’t like describing a preference for a car. Further, someone who upholds white supremacy in subtle ways shouldn’t lead us to wonder if they should diagnosed with Aspergers. What you are doing here is denying, minimizing and invalidating centuries of suffering Black bodies hold. Focus less on the White man. Focus on the Black woman. She’s the client. For once, see if you can not center whiteness. At a minimum, please ensure you don’t see Black patients if this is how you’d respond to their experience. Comments like this cause irreparable harm.
Thank you. You said it better than I could.
Let me first say that I appreciate the spirit of what is being conveyed. However, as a descendant of persons subjected to American slavery, my takeaway may be different than the norm.
As a descendant and clinician i see many things through a new lense. Where is our voice in this “new American awareness”? Throughout history someone other than us has creates the dialogue and thus defines how we interpret our experiences.
For me, authentic Anti-racism is more than awareness or even inclusion. In a time such as this, it is passing the mic, having a seat, and taking notes.
Again, it is not my aim to discount Usha’s revelation nor your intention. I have been trying to conceptualize what’s whirling in my mind but, unfortunately, the big picture eludes me. Suffice it to say, all areas of American life are founded on the pathological construct of white supremacy.
What is the goal of Anti-racism? Is this the ideal of the moment?
Is the behavioral health community ready or for that matter interested in efficacy? Systemic change? Humility?
Who among my esteemed colleagues is willing to experience the prolonged discomfort of confronting the privelege bestowed as a result of, not just expertise, but the profound benefit/privelege of an arbitrary and and man made construct.
I implore all of you, let true healing, reckoning, and reparations begin with us.
This is good work to be able to work with clients who experience the variety of ways racism manifests. So good she listened closely and followed up with her client about her memory about her boyfriend’s comment about being attracted to a black woman. I am also thinking that given the therapist was also a person of colour, did that provide more possibility she could better sense the impact of this incident ? I believe there needs to be more practice development in providing appropriate ways to support clients who are dealing with racism, have trauma based on being racialized, are addressing historic racism injustices upon family, community, as well as being affected today given how society is more closely examining, reacting to, with many protesting the destructiveness of systemic racism and its manifestations within institutions such as law enforcement, etc.
It’s taken this long for white psychologists to get that living under a system of systemic oppression is psychologically harming to people of colour.
I’m still not sure they get it. White therapists, especially women, do a lot of damage to their black female clients every single day.
I am a Caribbean-Canadian; I must say some excellent points, but I have to agree with Kim. I can remember a time when I was experiencing systemic racism in the workplace, prior to opening up my own practice. I went to see a therapist and unfortunately there was no Black Therapist where I was living so I chose a white therapist who had lived and worked in a metropolitan city having experience with working with diverse groups of people. It was a mistake, she could not understand the depth of what I was feeling, yes she empathized and encouraged me to use my voice, but she could not relate, so the sessions were not helpful. Based on my experience, a black therapist who isn’t afraid to challenge, empower, and break down barriers, would be the best fit to address racialized trauma.