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.
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
modern day slave owner dating the slave never could be a True match, unless both parties were ready & willing to do some serious inner healing. good for you doctor for going to the root of the problem instead of trying to water down and dance around the elephant in the room in that situation.
This is a strange comment. Misogynistic, also. Or, misogynoir-istic.
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!
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.
Audrey the Teacher “Nailed it”
I think the AfroCarribean woman was reacting to her own self judgement to self rejection at a deeper subconscious level .
We need to first accept our own deep rooted biaseses through Awareness and fierce honesty
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.
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 someone who is black African married to a white Irish man .I feel his remark was not racist but an awareness off difference and accepting her for who she is .T he lady I feel had fear of how her own people react to her relationship with a white man, it is frowned on by some black people.
are you serious? he never thought he would be with someone of her dark complexion. are you seriously saying this? this is your response? I have to go.
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 a perfect example of that type of remark which ultimately ends up being the core reason for the relationship failing in the end, a sort of red flag which most people tend to ignore at their own peril. Its not really to do with racism. It’s to do with the prospective love interest letting you know ar the very beginning that you SHOULD be on guard, if for no other reason than that he/she is not very intelligent or empathic, and down the line it will be the reason the relationship fails.
What I mean is, it’s actually no different from one person saying to another person “I never thought I’d be happy sitting in a VW. I’ve always driven around in Skoda’s”.
There is also the possibility that the man in this scenario has Aspergers. He is NOT necessarily a racist, subtle or otherwise….
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.
No disrespect, but you’re kinda missing the point altogether. If you are a therapist, I, as a black woman would be afraid to go to you.
I’ll say it again, white female therapists are incapable of helping black women with racialized trauma. It’s very important that black women seek out black women therapists with a deep and clear understanding of complex, multigenerational trauma, otherwise, you risk re-traumatizing yourself.
Kim,
Who are you refering to ‘would be afraid to go to you’. Or, are you simply reiterating that no white bodied therapist could be helpful to any person of color?
I worry that this idea is a sweeping generalization of the type that is the prejudice we are looking to heal.
Do you imagine a therapist with a black body could be helpful to a client with a white body?
I appreciate the conversation. I am taking notes and look forward to more learning, dialogue and civil debate in service of awareness, reperation, and constructive connection.
Rebecca–I was referring to the original poster, Laura. I’m sorry if my words came off as strong. I’ve had horrible experiences with white therapists, and white women in general. It could be that they didn’t know how to be with a black immigrant woman with a family history of anxiety and depression. I had therapists who made the situation worse. I needed someone to hear and understand but instead I got people who I felt could not see or hear me. I suspect that they were uncomfortable. A lot of my trauma was around my mistreatment by white folks.
not necessarily true, kim. as a Black woman born in America, early on in my healing journey, I encountered an exceptional white healer who without me even asking , voluntarily did a healing on me for low self-esteem and negative effects of slavery that could have been operating. prior to that I was unaware that I perhaps even needed to do any healing for the effects of Slavery. Even with current events, I would not be prejudiced in my selection of a therapist but I definitely would screen them first to see if I felt confident that they were a match for me & could help me with my desired issue (s).
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.
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.
I think the comments here should be illuminating to a person of good conscience, making true effort to learn. Even in an educational context, people are denying the content of what is being taught them, putting the focus on whiteness, blaming the oppressed person for their “perception.” There is no such thing as therapy with a racially oppressed person that isn’t about racial trauma; regardless of presenting issue. There is no area of an oppressed person’s life that is unaffected by racism. This video, though a small first step, misses that truth. That truth- not listening for moments it’s mentioned- is the frame for working with persons in the racial power minority. This fundamental misunderstanding is what leads therapists who start without this mindset (because that can be a therapist of any race) to cause great harm.