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The Legacy of Slavery in Thoughts, Emotions, and Behaviors: Using Cognitive Behavioral Therapy to Frame the Impact of Slavery on African Americans

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Racism and Psychiatry

Part of the book series: Current Clinical Psychiatry ((CCPSY))

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Abstract

Over 200 years of slavery and trauma, as well as present-day racism and oppression, have had negative psychological effects on generations of African Americans. Posttraumatic stress disorder (PTSD) and complex trauma help to shed light on specific ways in which centuries of trauma may psychologically impact African Americans. However, in the face of slavery, racism, and oppression, African Americans have utilized adaptive coping strategies to survive and thrive. This chapter (1) discusses PTSD and complex trauma; (2) revisits traumas that have occurred during and after slavery; (3) uses a cognitive behavioral therapy (CBT) framework to discuss the impact of slavery on the thoughts, feelings, and behaviors of African Americans; (4) highlights adaptive coping mechanisms; and (5) provides an example of a promising and culturally adapted psychological treatment.

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References

  1. Jones N. “The regular routine”: proactive policing and adolescent development among young, poor black men. New Dir Child Adolesc Dev. 2014;2014(143):33–54.

    Article  Google Scholar 

  2. Annamma S, Morrison D, Jackson D. Disproportionality fills in the gaps: connections between achievement, discipline and special education in the school-to-prison pipeline. Berkeley Rev Educ. 2014;5(1):53–87.

    Google Scholar 

  3. Bly A. In pursuit of letters: a history of the bray schools for enslaved children in colonial Virginia. Hist Educ Q. 2011;51(4):429.

    Article  Google Scholar 

  4. Farley JE, Squires GD. Fences and neighbors: segregation in 21st-century America. Contexts. 2005;4(1):33–9.

    Article  Google Scholar 

  5. Royster D. “Invisible” and visible hands (chapter 2). In: Race and the invisible hand: how white networks exclude black men from blue-collar jobs. Berkeley: University of California Press; 2003. p. 16–36.

    Google Scholar 

  6. Gee GC, Ford CL. Structural racism and health inequities. Du Bois Rev. 2011;8(01):115–32.

    Article  Google Scholar 

  7. Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–63.

    Article  Google Scholar 

  8. Price GN, Darity WA, Headen AE. Does the stigma of slavery explain the maltreatment of blacks by whites? The case of lynchings. J Socio Econ. 2008;37(1):167–93.

    Article  Google Scholar 

  9. Kirchmeier JL. Lynching and race in America. Oxford: Oxford University Press; 2015.

    Book  Google Scholar 

  10. Lewis TT, Cogburn CD, Williams DR. Self-reported experiences of discrimination and health: scientific advances, ongoing controversies, and emerging issues. Annu Rev Clin Psychol. 2015;11:407–40.

    Article  Google Scholar 

  11. Utsey SO, Ponterotto JG, Reynolds AL, Cancelli AA. Racial discrimination, coping, life satisfaction, and self-esteem among African Americans. J Couns Dev. 2000;78(1):72–80.

    Article  Google Scholar 

  12. Amani na Uwezo ya Ukombozi, and Michael McMillan. Reparations for the descendants of enslaved Africans: what’s psychology got to do with it? Race Gend Cl. 2011;18(1/2):111–24.

    Google Scholar 

  13. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013.

    Book  Google Scholar 

  14. Miller G, Cohen S, Janicki-Deverts D, Brody G, Chen E. Viral challenge reveals further evidence of skin-deep resilience in African Americans from disadvantaged backgrounds. Health Psychol. 2016;35(11):1225.

    Article  Google Scholar 

  15. Utsey SO, Giesbrecht N, Hook J, Stanard PM. Cultural, sociofamilial, and psychological resources that inhibit psychological distress in African Americans exposed to stressful life events and race-related stress. J Couns Psychol. 2008;55(1):49–62.

    Article  Google Scholar 

  16. Dale SK, Pierre-Louis C, Bogart LM, O’Cleirigh C, Safren SA. Still I rise: the need for self-validation and self-care in the midst of adversities faced by black women with HIV. Cult Divers Ethn Minor Psychol. 2018;24(1):15–25.

    Article  Google Scholar 

  17. Dale SK, Safren SA. Striving Towards Empowerment and Medication Adherence (STEP-AD): a tailored cognitive behavioral treatment approach for black women with HIV. Cogn Behav Pract. 2017. https://doi.org/10.1016/j.cbpra.2017.10.004.

    Article  Google Scholar 

  18. Courtois CA. Complex trauma, complex reactions: assessment and treatment. Psychother Theory Res Pract Train. 2004;41(4):412–25.

    Article  Google Scholar 

  19. Crew SR, Bunch LG, Price CA, ProQuest (Firm). Physical abuse and intimidation (chapter 6). In: Memories of the enslaved: voices from the slave narratives. Santa Barbara: Praeger; 2015. p. 193. 200–1.

    Google Scholar 

  20. Foster T. The sexual abuse of black men under American slavery. J Hist Sex. 2011;20(3):445–64.

    PubMed  Google Scholar 

  21. Shepherd G. The rape of black women during slavery. 1988.

    Google Scholar 

  22. Anderson WJ. Life and narrative of William J. Anderson, twenty-four years a slave; sold eight times! In jail sixty times!! Whipped three hundred times!!! Or the dark deeds of American slavery revealed. Containing scriptural views of the origin of the black and of the white man. Also, a simple and easy plan to abolish slavery in the United States. Together with an account of the services of colored men in the revolutionary war–day and date, and interesting facts. Chicago: Daily Tribune Book and Job Printing Office; 1857. p. 81. Available from: http://docsouth.unc.edu/neh/andersonw/andersonw.html.

  23. Lynching Statistics. The Charles Chesnutt digital archive. 1999. Available from http://www.chesnuttarchive.org/classroom/lynchingstat.html.

    Google Scholar 

  24. Wells-Barnett IB. The red record: tabulated statistics and alleged causes of lynching in the United States. 1895.

    Google Scholar 

  25. Williams KE. Resolving the paradox of our lynching fixation: reconsidering racialized violence in the American South after slavery. Am Ninet Century Hist. 2005;6(3):323–50.

    Article  Google Scholar 

  26. Dana RH. Mental health services for African Americans: a cultural/racial perspective. Cult Divers Ethn Minor Psychol. 2002;8(1):3–18.

    Article  Google Scholar 

  27. Vontress C, Woodland C, Epp L. Cultural dysthymia: an unrecognized disorder among African Americans? J Multicult Couns Devel. 2007;35(3):130–41.

    Article  Google Scholar 

  28. Watson NN, Hunter CD. I had to be strong. J Black Psychol. 2016;42(5):424–52.

    Article  Google Scholar 

  29. Waldrep C. Lynching in America: a history in documents. New York: New York University Press; 2006.

    Google Scholar 

  30. Thomas A, Hope EC. Walking away hurt, walking around scared. J Black Psychol. 2016;42(5):453–76.

    Article  Google Scholar 

  31. Rochman H. Growing up in slavery: stories of young slaves as told by themselves. Booklist. 2005;101(11):967.

    Google Scholar 

  32. Mullan-Gonzalez J. Slavery and the intergenerational transmission of trauma in inner city African American male youth: a model program—from the cotton fields to the concrete jungle, vol. 308. San Francisco: California Institute of Integral Studies; 2012. p. 3539806.

    Google Scholar 

  33. Scott LD Jr, House LE. Relationship of distress and perceived control to coping with perceived racial discrimination among black youth. J Black Psychol. 2005;31(3):254–72.

    Article  Google Scholar 

  34. Berntsen D, Rubin DC. The centrality of event scale: a measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behav Res Ther. 2006;44(2):219–31.

    Article  Google Scholar 

  35. Foa EB, Ehlers A, Clark DM, Tolin DF, Orsillo SM. The Posttraumatic Cognitions Inventory (PTCI): development and validation. Psychol Assess. 1999;11(3):303–14.

    Article  Google Scholar 

  36. Alim TN, Graves E, Mellman TA, Aigbogun N, Gray E, Lawson W, et al. Trauma exposure, posttraumatic stress disorder and depression in an African-American primary care population. J Natl Med Assoc. 2006;98(10):1630–6.

    PubMed  PubMed Central  Google Scholar 

  37. Beneduce R. Traumatic pasts and the historical imagination: symptoms of loss, postcolonial suffering, and counter-memories among African migrants. Transcult Psychiatry. 2016;53(3):261–85.

    Article  Google Scholar 

  38. Davis RG, Ressler KJ, Schwartz AC, Stephens KJ, Bradley RG. Treatment barriers for low-income, urban African Americans with undiagnosed posttraumatic stress disorder. J Trauma Stress. 2008;21(2):218–22.

    Article  Google Scholar 

  39. Golin CE, Haley DF, Wang J, Hughes JP, Kuo I, Justman J, et al. Post-traumatic stress disorder symptoms and mental health over time among low-income women at increased risk of HIV in the US. J Health Care Poor Underserved. 2016;27(2):891–910.

    Article  Google Scholar 

  40. Pieterse AL, Carter RT. The role of racial identity in perceived racism and psychological stress among black American adults: exploring traditional and alternative approaches. J Appl Soc Psychol. 2010;40(5):1028–53.

    Article  Google Scholar 

  41. Mcguffey C. Rape and racial appraisals culture, intersectionality, and black women’s accounts of sexual assault. Du Bois Rev. 2013;10(1):109–30.

    Article  Google Scholar 

  42. Cooper B. Does anyone care about black women? Meridians Fem Race Transnatl. 2014;12(2):153–225.

    Article  Google Scholar 

  43. Gibbs JT. African-American suicide: a cultural paradox. Suicide Life Threat Behav. 1997;27(1):68–79.

    CAS  PubMed  Google Scholar 

  44. Walker TE. “Revisiting the Tragic Form: The Black Rape Tragedy in Contemporary African American Women’s Drama.” Order No. 3494878 Howard University, 2011. Ann Arbor: ProQuest. Web. 6 June 2018.

    Google Scholar 

  45. Hollar M. The impact of racism on the delivery of health care and mental health services. Psychiatry Q. 2001;72(4):337–45.

    Article  CAS  Google Scholar 

  46. Masuda A, Anderson PL, Edmonds J. Help-seeking attitudes, mental health stigma, and self-concealment among African American college students. J Black Stud. 2012;43(7):773–86.

    Article  Google Scholar 

  47. Moore B. Black faces white spaces: reimagining the relationship of African Americans to the great outdoors. West J Black Stud. 2015;39(3):262–3.

    Google Scholar 

  48. Marrington-Mir P, Rimmer A. Black people and mental health in Britain: social exclusion and a strategy for inclusion. Soc Dev Issues. 2006;28(3):43–56.

    Google Scholar 

  49. Krysan M, Farley R. The residential preferences of blacks: do they explain persistent segregation? Soc Forces. 2002;80(3):937–80.

    Article  Google Scholar 

  50. Carpenter-Song E, Whitley R, Lawson W, Quimby E, Drake R. Reducing disparities in mental health care: suggestions from the Dartmouth–Howard collaboration. Community Ment Health J. 2011;47(1):1–13.

    Article  Google Scholar 

  51. Staton-Tindall M, Duvall J, Stevens-Watkins D, Oser C. The roles of spirituality in the relationship between traumatic life events, mental health, and drug use among African American women from one southern state. Subst Use Misuse. 2013;48(12):1246–57.

    Article  Google Scholar 

  52. Thomas A, Hammond WP, Kohn-Wood LP. Chill, be cool man: African American men, identity, coping, and aggressive ideation. Cult Divers Ethn Minor Psychol. 2015;21(3):369–79.

    Article  Google Scholar 

  53. Young H. Embodying black experience: stillness, critical memory, and the black body. Ann Arbor: University of Michigan Press; 2010.

    Book  Google Scholar 

  54. Bobo L. Katrina: unmasking race, poverty, and politics in the 21st century. Du Bois Rev. 2006;3(1):1–6.

    Article  Google Scholar 

  55. Kemedjio C. Rape of bodies, rape of souls: from the surgeon to the psychiatrist, from the slave trade to the slavery of comfort in the work of Edouard Glissant. Res Afr Lit. 1994;25(2):51.

    Google Scholar 

  56. Gaylord-Harden NK, Cunningham JA. The impact of racial discrimination and coping strategies on internalizing symptoms in African American youth. J Youth Adolesc. 2009;38(4):532–43.

    Article  Google Scholar 

  57. Pieterse AL, Todd NR, Neville HA, Carter RT. Perceived racism and mental health among black American adults: a meta-analytic review. J Couns Psychol. 2012;59(1):1–9.

    Article  Google Scholar 

  58. Khaylis A, Waelde L, Bruce E. The role of ethnic identity in the relationship of race-related stress to PTSD symptoms among young adults. J Trauma Dissociation. 2007;8(4):91–105.

    Article  Google Scholar 

  59. Klonoff EA, Landrine H, Ullman JB. Racial discrimination and psychiatric symptoms among blacks. Cult Divers Ethn Minor Psychol. 1999;5(4):329.

    Article  Google Scholar 

  60. VanderVelde L. Redemption songs: suing for freedom before Dred Scott. Oxford: Oxford University Press; 2014.

    Book  Google Scholar 

  61. Aten J, Topping S, Denney R, Bayne T. Collaborating with African American churches to overcome minority disaster mental health disparities: what mental health professionals can learn from Hurricane Katrina. Prof Psychol Res Pract. 2010;41(2):167–73.

    Article  Google Scholar 

  62. Richardson BL, Macon TA, Mustafaa FN, Bogan ED, Cole-Lewis Y, Chavous TM. Associations of racial discrimination and parental discrimination coping messages with African American adolescent racial identity. J Youth Adolesc. 2015;44(6):1301.

    Article  Google Scholar 

  63. Goode-Cross DT, Grim KA. An unspoken level of comfort. J Black Psychol. 2016;42(1):29–53.

    Article  Google Scholar 

  64. Joseph J, Kuo BCH. Black Canadians’ coping responses to racial discrimination. J Black Psychol. 2009;35(1):78–101.

    Article  Google Scholar 

  65. West LM, Donovan RA, Roemer L. Coping with racism: what works and doesn’t work for black women? J Black Psychol. 2010;36(3):331–49.

    Article  Google Scholar 

  66. Shavitt S, Cho YI, Johnson TP, Jiang D, Holbrook A, Stavrakantonaki M. Culture moderates the relation between perceived stress, social support, and mental and physical health. J Cross-Cult Psychol. 2016;47(7):956–80.

    Article  Google Scholar 

  67. Helms JE, Parham TA. The racial identity attitude scale. In: Handbook of tests and measurements for black populations, vol. 2. Hampton: Cobb & Henry; 1996. p. 167–74.

    Google Scholar 

  68. Forsyth J, Carter RT. The relationship between racial identity status attitudes, racism-related coping, and mental health among black Americans. Cult Divers Ethn Minor Psychol. 2012;18(2):1.

    Article  Google Scholar 

  69. Helms JE, Ponterotto JG, Casas JM, Suzuki LA, Alexander CM. An update of Helm’s white and people of color racial identity models. In: Handbook of multicultural counseling. Thousand Oaks: Sage Publications, Inc; 1995. p. 181–98.

    Google Scholar 

  70. Sellers RM, Caldwell CH, Schmeelk-Cone KH, Zimmerman MA. Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults. J Health Soc Behav. 2003;43:302–17.

    Article  Google Scholar 

  71. Euchner C, Jones WP. March on Washington (1963). In: The Cambridge guide to African American history. Cambridge: Cambridge University Press; 2016. p. 177.

    Google Scholar 

  72. Burns S. Daybreak of freedom: the Montgomery bus boycott. Chapel Hill: University of North Carolina Press; 2012.

    Google Scholar 

  73. Tillman LC. (Un)intended consequences? The impact of the Brown v. Board of Education decision on the employment status of black educators. Educ Urban Soc. 2004;36(3):280–303.

    Article  Google Scholar 

  74. Heynen N. Bending the bars of empire from every ghetto for survival: the Black Panther Party’s radical antihunger politics of social reproduction and scale. Ann Assoc Am Geogr. 2009;99(2):406–22.

    Article  Google Scholar 

  75. Bogart LM, Dale SK, Daffin GK, Patel K, Klein DJ, Mayer KH, Pantalone DW. Pilot intervention for discriminationrelated coping among HIV-positive Black sexual minority men. In Press. Cultural Diversity and Ethnic Minority Psychology.

    Google Scholar 

  76. Haynes TT, Dale SK. Shades of black: a psychotherapy group for black men who have sex with men. In: Follins LD, Lassiter JM, editors. Black LGBT health in the United States: at the intersection of race, gender, and sexual orientation. Lanham: Rowman & Littlefield; 2016.

    Google Scholar 

  77. Elligan D, Utsey S. Utility of an African-centered support group for African American men confronting societal racism and oppression. Cult Divers Ethn Minor Psychol. 1999;5(2):156.

    Article  CAS  Google Scholar 

  78. Johnson OJ, Johnson IN. Traumatic grief among African American soldiers exposed to combat: implications for social work education. J Hum Behav Soc Environ. 2013;23(6):726–36.

    Article  Google Scholar 

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Dale, S.K., Merren, K.J. (2019). The Legacy of Slavery in Thoughts, Emotions, and Behaviors: Using Cognitive Behavioral Therapy to Frame the Impact of Slavery on African Americans. In: Medlock, M., Shtasel, D., Trinh, NH., Williams, D. (eds) Racism and Psychiatry. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-90197-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-90197-8_2

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