Enhancing or reducing interethnic hierarchies? Teacher diversity approaches and ethnic majority and minority students' ethnic attitudes and discrimination experiences.

Diversity approaches in school may affect students' interethnic relations but are often only assessed through students' perceptions. We related teacher-reported diversity approaches (i.e., assimilationism, multiculturalism, color-evasion, and intervening with discrimination) to ethnic majority and minority students' ethnic attitudes as well as to their experiences or perceptions of ethnic discrimination. We also explored students' perceptions of teacher approaches as hypothetical mediators of teacher effects on interethnic relations. We coupled survey data from 547 teachers (Mage = 39.02 years, 70% female) in 64 schools in Belgium with large-scale longitudinal survey data from their students, including 1287 Belgian majority students (Mage = 15.52, 51% female) and 696 Turkish- or Moroccan-origin minority students (Mage = 15.92, 58% female) enrolled in the same schools (Phalet et al., 2018). Longitudinal multilevel models revealed that over time, teacher-reported assimilationism predicted (even) more positive attitudes towards Belgian majority members, and multiculturalism predicted less highly positive attitudes towards Belgian majority members among Belgian majority students. Teacher-reported intervening with discrimination predicted more perceived discrimination of ethnic minority students over time among Belgian majority students. We did not find significant longitudinal effects of teachers' diversity approaches with Turkish- or Moroccan-origin minority students' ethnic attitudes, nor with their discrimination experiences or perceptions. We conclude that teachers' multiculturalism and anti-discrimination approaches reduced interethnic bias and raised awareness of discrimination among ethnic majority students. However, different perceptions by teachers and students suggest the need for schools to better communicate inclusive diversity approaches.

Structural Racism Hurts All Nurses.

Why health care must be reenvisioned through a DEI lens.

The unsanitary other and racism during the pandemic: analysis of purity discourses on social media in India, France and United States of America during the COVID-19 pandemic.

The global rise of populism and concomitant polarizations across disenfranchised and marginalized groups has been magnified by so-called echo chambers, and a major public health crisis like the COVID-19 pandemic has only served to fuel these intergroup tensions. Media institutions disseminating information on ways to prevent the propagation of the virus have reactivated a specific discursive phenomenon previously observed in many epidemics: the construction of a defiled 'Other'. With anthropological lenses, discourse on defilement is an interesting path to understand the continuous emergence of pseudo-scientific forms of racism. In this paper, the authors focus on 'borderline racism', that is the use of an institutionally 'impartial' discourse to reaffirm the inferiority of another race. The authors employed inductive thematic analysis of 1200 social media comments reacting to articles and videos published by six media in three different countries (France, United States and India). Results delineate four major themes structuring defilement discourses: food (and the relationship to animals), religion, nationalism and gender. Media articles and videos portrayed Western and Eastern countries through contrasting images and elicited a range of reaction in readers and viewers. The discussion reflects on how borderline racism can be an appropriate concept to understand the appearance of hygienic othering of specific subgroups on social media. Theoretical implications and recommendations on a more culturally sensitive approach of media coverage of epidemics and pandemics are discussed.

Centering race in procedural justice theory: Structural racism and the under- and overpolicing of Black communities.

OBJECTIVE: We assessed the factors that legitimized the police in the United States at an important moment of history, just after the police killing of George Floyd in 2020. We also evaluated one way of incorporating perceptions of systemic racism into procedural justice theory. HYPOTHESES: We tested two primary hypotheses. The first hypothesis was that perceptions of police procedural justice, distributive justice, and bounded authority were important to the legitimization of the police. The second hypothesis was that perceptions of the under- and overpolicing of Black communities also mattered to the delegitimization of the institution, especially for people who identified with the Black Lives Matter movement. METHOD: A cross-sectional quota sample survey of 1,500 U.S. residents was conducted in June 2020. Data were analyzed using confirmatory factor analysis, structural equation modeling, and latent moderated structural equation modeling. RESULTS: People who viewed the police as legitimate also tended to believe that police treated people with respect and dignity, made decisions in unbiased ways, fairly allocated their finite resources across groups in society, and respected the limits of their rightful authority. Moreover, people who believed that Black communities were underpoliced and overpoliced also tended to question the legitimacy of the police, especially if they identified with the Black Lives Matter movement. These results held among Black and White study participants alike. CONCLUSIONS: At the time of the study, systemic racism in policing may have delegitimized the institution in a way that transcended the factors that procedural justice theory focuses on, such as procedural justice. This was especially so for individuals who identified with a social movement, Black Lives Matter, that had an extremely high profile in 2020. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Counterintuitive race effects in legal and nonlegal contexts.

OBJECTIVE: Despite documented racial disparities in all facets of the criminal justice system, recent laboratory attempts to investigate racial bias in legal settings have produced null effects or racial-bias reversals. These counterintuitive findings may be an artifact of laboratory participants' attempts to appear unprejudiced in response to social norms that proscribe expressions of racial bias against Black individuals. Furthermore, given pervasive stereotypes linking Black people with crime and heightened attention to issues of racial injustice in the legal system, laboratory participants may be especially likely to attempt to appear unprejudiced in studies examining judgments of Black individuals in legal as opposed to nonlegal contexts. HYPOTHESES: We predicted that counterintuitive race effects (null and pro-Black effects) are more likely to occur in laboratory research examining race in legal than in nonlegal contexts. METHOD: We conducted a quantitative review of race effects in three leading social psychology and legal psychology journals over the last four decades (Personality and Social Psychology Bulletin [PSPB]; Law and Human Behavior [LHB]; Psychology, Public Policy, and Law [PPPL]). We then conducted two experiments in which students (N = 314; Experiment 1) and Mechanical Turk workers (N = 695; Experiment 2) read descriptions of White and Black targets in either legal or nonlegal contexts and rated each target along various characteristics (e.g., dangerous, trustworthy). RESULTS: Our analysis of the literature indicated that counterintuitive race effects were more frequent in studies examining race in legal compared with nonlegal contexts. Our experiments likewise revealed that pro-Black race effects were stronger in legal than in nonlegal contexts. CONCLUSIONS: Laboratory research on racial bias against Black people-especially in legal settings-may produce misleading conclusions about the effects of race on important real-world outcomes. Methodological innovations for studying racial bias are needed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Introduction to special section: Addressing racism, anti-blackness, and racial trauma in psychotherapy.

This article introduces the special section on "Addressing Racism, Anti-Blackness, and Racial Trauma in Psychotherapy." The special section was organized to highlight research and clinical practices on addressing racism, anti-Blackness, and racial trauma in psychotherapy. We provide an overview of the special section with attention to future research to continue to advance practice and scholarship on addressing racism, anti-Blackness, and racial trauma in psychotherapy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

COVID-19, Racial Injustice, and Medical Student Engagement With Global Health: A Single-Institution Survey.

INTRODUCTION: United States medical schools continue to respond to student interest in global health (GH) and the evolution of the field through strengthening related curricula. The COVID-19 pandemic and superimposed racial justice movements exposed chasms in the US healthcare system. We sought to explore the possible relationship between the pandemic, US racial justice movements, and medical student interest in GH to inform future academic offerings that best meet student needs. METHODS: A novel, mixed-methods 30-question Qualtrics survey was disseminated twice (May-August 2021) through email and social media to all current students. Data underwent descriptive and thematic analysis. RESULTS: Twenty students who self-identified as interested in GH responded to the survey. Most (N = 13, 65%) were in preclinical training, and half were women (N = 10, 50%). Five (25%) selected GH definitions with paternalistic undertones, 11 (55%) defined GH as noncontingent on geography, and 12 (60%) said the pandemic and US racial justice movement altered their definitions to include themes of equity and racial justice. Eighteen (90%) became interested in GH before medical school through primarily volunteering (N = 8, 40%). Twelve (60%) students plan to incorporate GH into their careers. CONCLUSIONS: Our survey showed most respondents entered medical school with GH interest. Nearly all endorsed a changed perspective since enrollment, with a paradigm shift toward equity and racial justice. Shifts were potentially accelerated by the global pandemic, which uncovered disparities at home and abroad. These results highlight the importance of faculty and curricula that address global needs and how this might critically impact medical students.

The effects of racism, social exclusion, and discrimination on achieving universal safe water and sanitation in high-income countries.

Drinking water and sanitation services in high-income countries typically bring widespread health and other benefits to their populations. Yet gaps in this essential public health infrastructure persist, driven by structural inequalities, racism, poverty, housing instability, migration, climate change, insufficient continued investment, and poor planning. Although the burden of disease attributable to these gaps is mostly uncharacterised in high-income settings, case studies from marginalised communities and data from targeted studies of microbial and chemical contaminants underscore the need for continued investment to realise the human rights to water and sanitation. Delivering on these rights requires: applying a systems approach to the problems; accessible, disaggregated data; new approaches to service provision that centre communities and groups without consistent access; and actionable policies that recognise safe water and sanitation provision as an obligation of government, regardless of factors such as race, ethnicity, gender, ability to pay, citizenship status, disability, land tenure, or property rights.

The role of social desirability and establishing nonracist credentials on mock juror decisions about Black defendants.

OBJECTIVE: Recently, experimental work on racial bias in legal settings has diverged from real-world field data demonstrating racial disparities, instead often producing null or potential overcorrection effects favoring Black individuals over White individuals. We explored the role of social desirability in these counterintuitive effects and tested whether allowing participants to establish nonracist moral credentials increased their willingness to convict a Black defendant. HYPOTHESES: We predicted that establishing nonracist moral credentials would increase convictions of Black defendants-especially for participants likely to harbor racial bias and external motivation to control it. METHOD: In two experiments, we randomly assigned White mock jurors (Study 1: N = 1,018; Study 2: N = 1,253) to establish nonracist moral credentials by acquitting a Black defendant in an initial case, acquit a White defendant in the same case, or see no prior case. Next, they judged an ambiguous case against a Black (Studies 1 and 2) or White (Study 2) defendant. After choosing verdicts, they provided open-ended guesses of what the study was about. Participants completed measures of explicit prejudice, motivations to control prejudice, and political orientation. RESULTS: Most participants who were asked to judge at least one Black defendant guessed that the study was about racial bias and convicted Black defendants less often than did those who guessed the study was about something else. White participants who established nonracist credentials were significantly more likely to convict Black defendants compared with White participants who did not establish nonracist credentials. Subsequent analyses revealed that conservatives showed this predicted credentialing pattern, whereas liberals did not. Credentialed liberals' convictions of Black defendants remained low; instead, they convicted White defendants more than did noncredentialed liberals. CONCLUSIONS: Social desirability plays a clear role in whether White people acquit Black defendants in experiments, which does not align with persistent racial bias in the legal system. Research participants' concern about looking prejudiced might undermine the validity of experiments investigating racial bias in legal settings by artificially inflating pro-Black judgments. The opportunity to credential oneself as nonracist, however, might make conservatives more comfortable making anti-Black legal judgments-whereas credentialed liberals continue to judge Black individuals more favorably than White individuals in legal settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Does "Jamal" receive a harsher sentence than "James"? First-name bias in the criminal sentencing of Black men.

OBJECTIVE: Using archival and experimental methods, we tested the role that racial associations of first names play in criminal sentencing. HYPOTHESES: We hypothesized that Black defendants with more stereotypically Black names (e.g., Jamal) would receive more punitive sentences than Black defendants with more stereotypically White names (e.g., James). METHOD: In an archival study, we obtained a random sample of 296 real-world records of Black male prison inmates in Florida and asked participants to rate the extent to which each inmate's first name was stereotypically Black or stereotypically White. We then tested the extent to which racial stereotypicality was associated with sentence length, controlling for relevant legal features of each case (e.g., criminal record, severity of convicted offenses). In a follow-up experiment, participant judges assigned sentences in cases in which the Black male defendant was randomly assigned a more stereotypically Black or White name from our archival study. RESULTS: Controlling for a wide array of factors-including criminal record-we found that inmates with more stereotypically Black versus White first names received longer sentences ß = 0.09, 95% confidence interval (95% CI) [0.01, 0.16]: 409 days longer for names 1 standard deviation above versus below the mean on racial stereotypicality. In our experiment, participant judges recommended significantly longer sentences to Black inmates with more stereotypically Black names above and beyond the severity of the charges or their criminal history, ß = 0.07, 95% CI [0.02, 0.13]. CONCLUSIONS: Our results identify how racial associations with first names can bias consequential sentencing decisions despite the impartial aims of the legal system. More broadly, our findings illustrate how racial biases manifest in distinctions made among members of historically marginalized groups, not just between members of different groups. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Racial bias in jury selection hurts mock jurors, not just defendants: Testing one potential intervention.

OBJECTIVES: Prosecutors often use race as a basis for excluding Black jurors in cases with Black defendants. The current research tested whether this practice influences juror attitudes (Study 1). It also tested an intervention to prevent racially biased jury selection (Study 2). HYPOTHESES: We predicted that participants exposed to the exclusion of Black prospective jurors would have more negative feelings compared with those who were not exposed to such exclusions (Study 1). We also predicted that participants taking on the role of a prosecutor would be more likely to exclude a Black (vs. White) prospective juror in a case with a Black defendant and that warnings against race-based decisions would result in elaborate race-neutral rationales for the exclusions (Study 2). METHOD: In Study 1 (N = 228), participants witnessed a simulated jury selection process. For half of the participants, Black jurors were differentially excluded. In Study 2 (N = 298), participants selected between a Black and a White prospective juror for a case with a Black defendant. RESULTS: Exposure to race-based exclusions negatively impacted perceptions of fairness and emotional responses, especially for Black participants (Study 1). Participants were more likely to exclude a Black juror (vs. White juror) but gave race-neutral rationales for their decisions. The effect of race on juror selection was eliminated when participants were warned against using race as a basis for excluding jurors (Study 2). CONCLUSIONS: Race-motivated exclusions affect not only Black defendants, by depriving them of their right to a jury of their peers, but also the jurors who remain to deliberate. A warning could be a viable intervention for curbing the influence of race on prosecutorial decisions during jury selection. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The impact of anti-Asian racism on routine activities and mental health among Korean American older adults and their caregivers.

Introduction: Reported anti-Asian discrimination has been on the rise since the COVID-19 pandemic. Nevertheless, limited research addresses the health impact of perceived anti-Asian racism on Asian Americans, especially among older adults, during COVID-19. To address the gap, we examined how the novel coronavirus pandemic affected Korean American older adults, one of the largest Asian subgroups. Specifically, this study addressed the magnitude of racism or discrimination related to the pandemic and impact of anti-Asian racism on negative mental health symptoms among Korean American older adults and their caregivers. Methods: We used survey data collected from 175 Korean American older adults with probable dementia and their primary caregivers (female = 62%, mean age = 71 years) who went through eligibility screening for an ongoing randomized controlled trial involving dyads in the Baltimore-Washington and the New York Metropolitan areas (ClinicalTrials.gov Identifier: NCT03909347). Results: Nearly a quarter of the survey sample reported they were fearful for their safety due to anti-Asian racism related to the pandemic. Additionally, 47% of the respondents indicated changes to routine activities due to anti-Asian racism or discrimination related to COVID-19. The most common changes included avoiding walking alone or physical activities outside, followed by avoiding public transportation or leaving the house to go to any public places such as grocery stores, churches, or schools, not carrying out usual social activities, and avoiding going to health care appointments. Multinomial logistic regression revealed that people who reported changes to routine activities were at least five times more likely (adjusted odds ratio = 5.017, 95% confidence interval = 1.503, 16.748) to report negative mental health symptoms than those who did not. Being fearful for their own safety was not associated with experiencing negative mental health symptoms in the survey sample. Discussion: Study findings indicate that the increased reporting of anti-Asian racism during the COVID-19 pandemic has substantially affected Korean American older adults and their caregivers. The mechanism by which changes to routine activities is related to negative mental health symptoms is unclear, future research is needed to elucidate this pathway. Furthermore, our findings highlight the importance of identifying multi-level strategies to raise awareness of and to mitigate the reported surge of racism.

Intersectional discrimination and its impact on Asian American women's mental health: A mixed-methods scoping review.

Introduction: Gendered racism against Asian American women has become an increasing public health threat in recent years. Although intersectional discrimination (i.e., co-occurring race- and gender-based discrimination) against Asian American women is not new, research on this topic is lacking. The present scoping review sought to explore how Asian American women report experiences of intersectional discrimination through a systematic examination of the current literature. We included studies that explicitly or implicitly discuss intersectional discrimination. We also aimed to identify indicators of psychological wellbeing and coping associated with these experiences. Methods: Following PRISMA Guidelines for Systematic Scoping Reviews, database searches were conducted for peer-reviewed articles. A total of 1,476 studies were title- and abstract-screened by two independent reviewers. Then, 148 articles were full-text screened for eligibility. Results: A final sample of 23 studies was identified (15 qualitative and 8 quantitative). Only nine of the included studies explicitly used an intersectional framework. Results from qualitative studies revealed that Asian American women experience intersectional discrimination through fetishization, the ascription of passivity, invalidation through lack of representation and pervasive white beauty ideals, and workplace tokenization and scrutiny. Study findings suggested that Asian American women experience these forms of intersectional discrimination across multiple levels of influence (i.e., internalized, interpersonal, institutional, structural). Findings from both qualitative and quantitative studies also indicated how discrimination, whether explicitly or implicitly intersectional, contributes to adverse mental health outcomes such as body shame, disordered eating, depression, and suicidality. Studies also touched on common coping mechanisms employed by Asian American women when facing or anticipating discrimination, such as avoidance, shifting, proactive coping, and leaning on networks of support. There was a lack of studies using quantitative assessments of intersectional discrimination. Also, most studies did not include disaggregated data by ethnicity, age, sexual identity, religion, socioeconomic status, immigration status, or skin color, all of which are likely to shape their experiences. Discussion: Our scoping review highlights how the marginalization of Asian American women is an urgent threat to their mental wellbeing. These findings are discussed to inform future research, interventions, and policy changes that prevent racialized and gendered violence against Asian American women.

"It was just one moment that I felt like I was being judged": Pregnant and postpartum black Women's experiences of personal and group-based racism during the COVID-19 pandemic.

BACKGROUND: Racial inequities in maternal and child health outcomes persist: Black women and birthing people experience higher rates of adverse outcomes than their white counterparts. Similar inequities are seen in coronavirus disease (COVID-19) mortality rates. In response, we sought to explore the intersections of racism and the COVID-19 pandemic impact on the daily lives and perinatal care experiences of Black birthing people. METHODS: We used an intrinsic case study approach grounded in an intersectional lens to collect stories from Black pregnant and postpartum people residing in Fresno County (July-September 2020). All interviews were conducted on Zoom without video and were audio recorded and transcribed. Thematic analysis was used to group codes into larger themes. RESULTS: Of the 34 participants included in this analysis, 76.5% identified as Black only, and 23.5% identified as multiracial including Black. Their mean age was 27.2 years [SD, 5.8]. Nearly half (47%) reported being married or living with their partner; all were eligible for Medi-Cal insurance. Interview times ranged from 23 to 96 min. Five themes emerged: (1) Tensions about Heightened Exposure of Black Lives Matter Movement during the pandemic; (2) Fear for Black Son's Safety; (3) Lack of Communication from Health Care Professionals; (4) Disrespect from Health Care Professionals; and (5) Misunderstood or Judged by Health Care Professionals. Participants stressed that the Black Lives Matter Movement is necessary and highlighted that society views their Black sons as a threat. They also reported experiencing unfair treatment and harassment while seeking perinatal care. CONCLUSIONS: Black women and birthing people shared that exposure to racism has heightened during the COVID-19 pandemic, increasing their levels of stress and anxiety. Understanding how racism impacts Black birthing people's lives and care experiences is critical to reforming the police force and revising enhanced prenatal care models to better address their needs.

Addressing Racism in Ethics Consultation: An Expansion of the Four-Box Method.

AbstractRacism is a pervasive issue in patient care and a key social determinant of health. Clinical ethicists, like others involved in patient care, have a duty to recognize and respond to racism on both individual and systems-wide levels to improve patient care. Doing so can be challenging and, like other skills in ethics consultation, may benefit from specialized training, standardized tools and approaches, and practice. Learning from existing frameworks and tools, as well as building new ones, can help guide clinical ethicists to systematically approach racism as it affects clinical cases. Here, we propose an expansion of the commonly used four-box method to clinical ethics consultation, where racism is considered as a potential factor in each of the four boxes. We apply this method to two clinical cases to highlight ethically salient information that might be missed using the standard formulation of the four boxes but captured with the expanded version. We argue that this expansion of an existing clinical ethics consultation tool is ethically justified insofar as it (a) creates a more just approach, (b) supports individual consultants and services, and (c) facilitates communication in contexts where racism impinges on effecting good patient care.

Exploring Race, Racism, and Structural Racism in Medicine.

Race and racism are rooted in the man-made belief that the color of a person's skin determines a person's hierarchal rank in humanity. Early scientific theories of polygenics and misleading scientific studies were used to promote the concept of the inferiority of people of color and to support and maintain the institution of slavery. These discriminatory practices have filtered into society as structural racism, including the field of medicine. Structural racism has led to health disparities in black and brown communities. Dismantling structural racism requires us all to become change agents at societal and institutional levels.