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Black Lives are Beautiful: Countering Anti-Black Messaging Through PhotoVoice and Self-Help Reading

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Objectives The syndemic that is COVID-19 and the disproportionate policing of Black communities have recently generated mass social consciousness of the anti-Black racism (ABR) pervading health, social, and cultural institutions. However, little is known about the implementation of public health measures addressing ABR in an evolving pandemic context. The objective of this scoping review is to provide an overview of public health initiatives undertaken to address ABR across North American jurisdictions between December 2019 and June 2022. Methods A search for public health initiatives was conducted in June 2021 across MEDLINE, Ovid Embase, EBSChost, CINAHL, SocINDEX, and Google.ca. Included initiatives were those focussing on Black, African diasporic, or African American communities in the North American context. Community-led action, as well as initiatives in primary healthcare care, academic journals, and those broadly focused on racialized communities, were excluded from this review. Synthesis Seventy-five articles were included in this review, suggesting that ABR emerged as a public health priority. Strategies and action plans to address structural ABR were the most common types of initiatives observed (n = 21), followed by programs or interventions (n = 16), budget allocations or investments (n = 8), task forces (n = 7), guidance and recommendations for organizational capacity (n = 8), action-oriented declarations of ABR as a public health crisis (n = 8), and legislation and mandates (n = 7). Initiatives were largely cross-cutting of two or more socioeconomic themes (n = 23), while organizational change was also common (n = 16). Gaps in the current literature include a lack of community participation and outcome measurement for actions identified, which limit institutional accountability to communities of interest. Conclusion This research provides insights on public health accountability to social justice. This research outlines activities in upstream interventions, organizational transformation, and resource allocation in shaping anti-racist change, and require evaluation and input from those whom initiatives are intended to serve.
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Few scholars have considered the racial socialization that Black mothers offer to their daughters on racial discrimination and violence or how mothers’ other social identities (social class and ethnicity) may influence their discourse on these topics. To address this gap, we used consensual qualitative research methods to explore the racial socialization that 47 Black college women recalled from their mothers on racial discrimination and violence during their formative years. The following themes emerged: (a) the nature of Black mothers’ socialization on racial discrimination (consistent messaging, messaging focused on sons, more socialization in response to police shootings, anti-Black messaging from immigrant mothers, and absence of messages) and (b) the ways that mothers socialized their daughters to respond to racial discrimination (self-advocacy, get home safe, code switching, and take the high road). Participants described how their mothers’ socialization messages reflected their personal race-related beliefs and experiences including perceptions of the United States racial climate. Our findings highlight the need for socialization in Black family contexts that addresses the unique and intersectional experiences of Black girls. In particular, scholars and practitioners must draw attention to how racism and sexism contribute to the state-sanctioned violence that Black women and girls experience.
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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.
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Many scholars and activists assume the public would be motivated to fight inequality if only they knew the full extent of existing disparities. Ironically, exposure to extreme disparities can cause people to become more, not less, supportive of the very policies that create those disparities (Hetey & Eberhardt, 2014). Here, we focus on the criminal justice system—policing and incarceration in particular. We argue that bringing to mind racial disparities in this domain can trigger fear and stereotypic associations linking Blacks with crime. Therefore, rather than extending an invitation to reexamine the criminal justice system, the statistics about disparities may instead provide an opportunity to justify and rationalize the disparities found within that system. With the goals of spurring future research and mitigating this paradoxical and unintended effect, we propose three potential strategies for more effectively presenting information about racial disparities: (a) offer context, (b) challenge associations, and (c) highlight institutions.
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This phenomenological study assessed master-level students’ experiences of using photovoice, a creative learning activity, in a race-based multicultural counseling course. Students were asked to engage in weekly written reflections regarding a course-related photographic image, with the goal of more deeply processing cognitive and affective reactions to the course. Data analyzed included focus groups, student written responses, and photos. Findings indicated use of photovoice as a means for processing cognitions, which allowed students to deepen learning by extending a racialized lens outside of the classroom. Students also indicated use of the tool to process emotional reactions at various stages of the course, allowing learners to creatively and visually express feelings as they surfaced.
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Racial discrimination is conceptualized as a psychosocial stressor that has negative implications for mental health. However, factors related to racial identity may influence whether negative experiences are interpreted as instances of racial discrimination and subsequently reported as such in survey instruments, particularly given the ambiguous nature of contemporary racism. Along these lines, dimensions of racial identity may moderate associations between racial discrimination and mental health outcomes. This study examined relationships between racial discrimination, racial identity, implicit racial bias, and depressive symptoms among African American men between 30 and 50 years of age (n = 95). Higher racial centrality was associated with greater reports of racial discrimination, while greater implicit anti-Black bias was associated with lower reports of racial discrimination. In models predicting elevated depressive symptoms, holding greater implicit anti-Black bias in tandem with reporting lower racial discrimination was associated with the highest risk. Results suggest that unconscious as well as conscious processes related to racial identity are important to consider in measuring racial discrimination, and should be integrated in studies of racial discrimination and mental health.
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Context: Qualitative research is widely accepted as a legitimate approach to inquiry in health professions education (HPE). To secure this status, qualitative researchers have developed a variety of strategies (e.g. reliance on post-positivist qualitative methodologies, use of different rhetorical techniques, etc.) to facilitate the acceptance of their research methodologies and methods by the HPE community. Although these strategies have supported the acceptance of qualitative research in HPE, they have also brought about some unintended consequences. One of these consequences is that some HPE scholars have begun to use terms in qualitative publications without critically reflecting on: (i) their ontological and epistemological roots; (ii) their definitions, or (iii) their implications. Objectives: In this paper, we share our critical reflections on four qualitative terms popularly used in the HPE literature: thematic emergence; triangulation; saturation, and member checking. Methods: We discuss the methodological origins of these terms and the applications supported by these origins. We reflect critically on how these four terms became expected of qualitative research in HPE, and we reconsider their meanings and use by drawing on the broader qualitative methodology literature. Conclusions: Through this examination, we hope to encourage qualitative scholars in HPE to avoid using qualitative terms uncritically and non-reflexively.
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AimTo discuss the implications of drawing on core nursing knowledge as theoretical scaffolding for qualitative nursing enquiry.Background Although nurse scholars have been using qualitative methods for decades, much of their methodological direction derives from conventional approaches developed for answering questions in the social sciences. The quality of available knowledge to inform practice can be enhanced through the selection of study design options informed by an appreciation for the nature of nursing knowledge.DesignDiscussion paper.Data sourcesDrawing on the body of extant literature dealing with nursing's theoretical and qualitative research traditions, we consider contextual factors that have shaped the application of qualitative research approaches in nursing, including prior attempts to align method with the structure and form of disciplinary knowledge. On this basis, we critically reflect on design considerations that would follow logically from core features associated with a nursing epistemology.Implications for nursingThe substantive knowledge used by nurses to inform their practice includes both aspects developed at the level of the general and also that which pertains to application in the unique context of the particular. It must be contextually relevant to a fluid and dynamic healthcare environment and adaptable to distinctive patient conditions. Finally, it must align with nursing's moral mandate and action imperative.Conclusion Qualitative research design components informed by nursing's disciplinary epistemology will help ensure a logical line of reasoning in our enquiries that remains true to the nature and structure of practice knowledge.
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This longitudinal content analysis of ESPN’s SportsCenter from 1999 to 2009 found that women’s sports continue to be almost wholly absent from the influential program. Women were also no more likely to be depicted as show hosts, reporters, or coaches in 2009 than 1999. Furthermore, coverage of women’s sports was noteworthy for a lack of journalistic depth when compared to men’s sports. This study also looked at coverage of athletes of color. Results revealed increasing evidence of the hypervisible Black male athlete in the relative absence of African Americans and other ethnic minorities in positions of power (from SportsCenter hosts to head coaches) across the two seasons. These results, when taken together, point to the perpetuation of normative hegemonic White masculinity in mediated sports.
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This article provides an overview of the major Black racial identity-development theories to date, summarizing the general strengths and limitations of these models. In addition, the authors discuss salient issues that should be considered in future conceptualizations of Black racial identity development.
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Photo novella does not entrust cameras to health specialists, policymakers, or professional photographers, but puts them in the hands of children, rural women, grassroots workers, and other constituents with little access to those who make decisions over their lives. Promoting what Brazilian educator Paulo Freire has termed "education for critical consciousness," photo novella allows people to document and discuss their life conditions as they see them. This process of empowerment education also enables community members with little money, power, or status to communicate to policymakers where change must occur. This paper describes photo novella's underpinnings: empowerment education, feminist theory, and documentary photography. It draws on our experience implementing the process among 62 rural Chinese women, and shows that two major implications of photo novella are its contributions to changes in consciousness and informing policy. PIP Contrary to the traditional approach of relying upon photographic images taken by health specialists, policymakers, and professional photographers to document what transpires in a particular community or subpopulation, photo novella encourages children, rural women, grassroots workers, and other constituents with little access to decision-makers to take their own photographs of life as they see it. This process of empowerment education enables community members with little money, power, or status to communicate to policymakers where change must occur. This paper describes photo novella's foundation in empowerment education, feminist theory, and documentary photography. It draws upon experience implementing the process among 62 rural Chinese women, highlighting the ability of photo novella to change consciousness and inform policy.
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Photovoice is a process by which people can identify, represent, and enhance their community through a specific photographic technique. As a practice based in the production of knowledge, photovoice has three main goals: (1) to enable people to record and reflect their community's strengths and concerns, (2) to promote critical dialogue and knowledge about important issues through large and small group discussion of photographs, and (3) to reach policymakers. Applying photovoice to public health promotion, the authors describe the methodology and analyze its value for participatory needs assessment. They discuss the development of the photovoice concept, advantages and disadvantages, key elements, participatory analysis, materials and resources, and implications for practice.
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