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Impact of Racism on Ethnic Minority Mental Health

Author(s): Sumie Okazaki


Source: Perspectives on Psychological Science, Vol. 4, No. 1, Improving Psychological
Science (Jan., 2009), pp. 103-107
Published by: Sage Publications, Inc. on behalf of Association for Psychological Science
Stable URL: http://www.jstor.org/stable/40212301
Accessed: 25-01-2018 11:09 UTC

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PERSPECTIVES ON PSYCHOLOGICAL SCIENCE

Social Issues

Impact of Racism on Ethnic


Minority Mental Health
Sumie Okazaki

Department of Applied Psychology, New York University

ABSTRACT- A problem in ethnic minority mental health about the psychological processes of White individuals who
that
hold
can be solved in the foreseeable future is understanding varying levels of racial bias than about the psychological
how
subtle and covert forms of racism affect psychologicalprocesses
health of non- White individuals who are directly or indi-
of racial minorities. Although scientific psychology has
rectly affected by racism. Although it can be argued that un-
generated a large body of literature on racial prejudice,
derstanding and intervening with racism in those who hold the
stereotypes, intergroup attitudes, and racial bias andpower
theirin our society can have significant social benefits, it is also
often implicit and automatic nature, relatively little isimportant
known to understand and intervene with effects of racism
among
about the effects of these subtle racial bias on minority indi-those who hold relatively less power in our society.
viduals. Following a selective review of recent developments
Second, even though both psychologists and the lay public likely
in experimental psychology and multicultural psychology,
agree that extreme and overt racism is harmful, there continues
to be
I suggest some promising approaches and opportunities scholarly and public debates as to whether racial minori-
for
future integration that would advance the field. ties who perceive racism in subtle forms are psychologically
harmed or whether they are simply being "too sensitive." For
example, in reaction to Sue et al.'s (2007) paper on racial
What is the biggest question in ethnic minority mental health
microaggression - everyday, invisible encounters that racial
research that I would like to see the field solve in the foreseeable
minorities perceive as racism - one scholar (Thomas, 2008)
future? What question will most advance our field? Ethnic mi-
suggested that much of what Sue and his colleagues presented
nority psychology is a field that is still relatively young (Jenkins
were "macrononsense," that the strong negative emotional re-
et al., 2003), and it is difficult to select one question - or even a
action to an encounter that Sue felt was racially discriminatory
few questions - given the many unknowns and pressing needs.
"seems excessive," and that some of the racial stereotypes "may
However, with the election of the first biracial African American
be inappropriate, but they hardly necessitate the hand-wringing
candidate to the presidency of the United States, conversations
reactions" (p. 274). Given the various advances that I review in
about race and race relations have never been timelier. Given
this article, there is a good deal of promise that the future of
the ongoing discussions about racism and racial bias in the
scientific psychology will answer this "hot topic" question that
public discourse and given the recent developments in various
has significant societal consequences.
subfields in psychology, I believe that there is a great potential
for scientific psychology to make a substantial progress toward WHAT DO WE ALREADY KNOW?
understanding the following question: How do subtle and covert
forms of racism affect psychological health of racial minorities?
My encouragement to take up the question of the effect of racism
on racial minorities is not to suggest that the scientific psy-
WHY IS THIS QUESTION IMPORTANT? chology community has ignored questions surrounding racism,
racial bias, racial prejudice, and racial attitudes. To the con-
My reason for selecting this question as critical to the future of
trary, we know much about the social and cognitive processes
scientific psychology of ethnic minorities is twofold. First, there
surrounding White racism toward Blacks. There is a large body
is an imbalance in the knowledge base: We know much more
of psychological literature on the complex and multifaceted
nature of racism that intersect the psychology of stereotypes,
Address correspondence to Sumie Okazaki, Department of Applied
prejudice, and discrimination (Jones, 1997). Racism is under-
Psychology, New York University Steinhardt School of Culture,
Education, & Human Development, 239 Greene Street, 5thstood
Floor,asNew
not just as the expression of individual negative atti-
York, NY 10003; e-mail: sumie.okazaki@nyu.edu. tudes, beliefs, and acts against minorities, but as a system of

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Impact of Racism

cultures and institutions involving social power and resulting in responses to racism and discrimination among Blacks, Harrell,
inequitable outcomes for various racial groups. Psychological Hall, and Taliaferro (2003) reviewed four types of research
research has accumulated vast evidence that personal or insti- designs used in physiological research: self-report correlational
tutional racism in contemporary life often occurs implicitly, studies, basic psychophysiology, moderated psychophysiology,
automatically, without intent to harm member of minority groups and mediated psychophysiology. In correlational studies, racism
or any awareness of one's role in a system that disadvantages and discrimination are assessed by self-report recall of past
member of minority groups (Henkel, Dovidio, & Caertner, encounters and correlated with physiological indices (typically
2006). We also know a great deal about cognitive processes blood pressure and/or heart rate). In the other three designs,
involved in racial face recognition among adults as well as in- laboratory analogues of bias treatment are presented and
fants. Research has shown how the own-race effect (the tendency physiological reactions to the encounters are assessed. Harrell
to be more accurate in recognizing faces from one's own race) et al.9s review, which included only research involving Black
can be affected by multiple factors such as contextual infor- participants with or without White counterparts, found some
mation, individual differences in racial bias and motivation to inconsistent results among correlational studies but found more
respond without prejudice, and so on (e.g., Kelly et al., 2007; uniform results among experimental studies. Generally, the
Richeson & Trawalter, 2008). With the advances in social experimental studies found that exposure to subtle or overt forms
neuroscience, there is also an active research on cognitive, of racism in laboratory had measurable physiological arousal
affective, and neural mechanisms involved in race perception that mirrored other forms of social stress.

and regulation of anti-Black prejudice among Whites (e.g., Clark, Anderson, Clark, and Williams (1999) framed the ef-
Amodio, Devine, & Harmon-Jones, 2007; Eberhardt, 2005). fects of impact of racism on African Americans within a con-
Recent research suggests that interracial encounters exact textual model, suggesting that a race-based encounter - when
psychosocial toll on Whites. For example, Mendes, Gray, perceived as racism - act as a stressor that elicit coping
Mendoza-Denton, Major, and Epel (2007) found that when responses as well as psychological and physiological stress re-
White Americans were being evaluated by Black interviewers, sponse, which in turn can lead to negative health outcomes
those with lower implicit racial bias showed lower stress re- among African Americans. Clark et al.9s model is based on ex-
sponses (i.e., lower threat appraisals, lower observed anxiety, isting literature linking racial stress and health (particularly
and more adaptive neuroendocrine reactivity) than did those cardiovascular reactivity and higher rates of hypertension)
who had higher implicit racial bias. among African Americans, in which chronic perceptions of
However, in comparison with how much we know about cog- racism and passive coping responses are thought to lead to
nition and behavior of White individuals who hold varying levels elevated and prolonged activation of sympathetic responses
of racial bias, we know relatively little about how being an actual (e.g., higher resting systolic blood pressure) that then lead to
or potential target of those racially biased encounters affect hypertension in this population. In results consistent with this
racial minorities9 mental health. To be sure, psychology and view, Blascovich, Spencer, Quinn, and Steele (2001) have shown
other social sciences have shown a long-standing interest in - that even subtle racism, such as stereotype threat, can elicit
and have made major contributions to- the understanding of increases in mean arterial blood pressure among African
the deleterious effects of race and racism on racial minorities Americans.

(primarily Blacks). For example, psychological research has In a more clinical vein, Comas-Diaz and Jacobsen (2001)
documented that racial bias and racial stereotypes matter in argued that past exposure to historical and contemporary racial
high-stakes contexts such as in employment (e.g., Dovidio & trauma can result in ethnocultural allodynia or "an abnormally
Gaertner, 2000) and criminal justice (e.g., Eberhardt, Davies, increased sensitivity to ethnocultural dynamics associated with
Purdie- Vaughns, & Johnson, 2006). In worst case scenarios, past exposure to emotionally painful social and ethnocultural
racial bias can have deadly consequences such as in the case stimuli99 (p. 246). They maintained that some racial minority
with police officers9 tendencies in computer simulations to shoot individuals may sustain a lasting psychological injury from a
at unarmed Black criminal suspects more frequently than at traumatic racial victimization, which results in hypervigilance
unarmed White suspects (Plant & Perusche, 2005). A myriad of and hypersensitivity toward potential racial re-victimization in
ill-health effects of racism has also been documented. For exam- ambiguous social situations.
ple, a recent study showed that perceived racism by African More recently in an integrative review of the literature on
American pregnant women over their lifetime as well as during psychological and emotional effects of racism on people of color,
their childhood predicted their infants9 birth weight, above and Carter (2007) suggested that it is important for the field to better
beyond the effects of medical and sociodemographic factors facilitate recognition of "systematic, covert, subtle, and un-
(Dominguez, Dunkel-Schetter, Glynn, Hobel, & Sandman, 2008). conscious forms of racism99 (p. 17) to assess the potentially
There have been a handful of efforts by ethnic minority re- traumatic impact of racism. Cartels model of race-based trau-
search scholars to address the question of racism's effect on matic stress injury proposed that an event - whether at an in-
racial minorities. In surveying the literature on physiological dividual, cultural, or institutional level, or whether it is racial

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Sumie Okazaki

discrimination, racial harassment, or discriminatory harass-


In addition to the test of these general mechanisms, I would
ment - must be experienced by the targeted individual as like
neg-to pose two more specific questions. First, is the perception
ative, sudden, memorable, and uncontrollable for the traumatic
of racism by a racial minority individual necessary for an en-
counter or an environmental factor to have a deleterious effect?
stress reactions to occur and for the PTSD-like symptom clusters
to emerge. Carter did note that because of the potentiallyMuch
cu- of the existing studies associating racism with psycho-
logical distress rely on reports of perceived racism. However,
mulative nature of racism, a seemingly innocuous or minor event
scholars have also noted that contemporary racism can take on
may trigger a stress reaction. Based on his survey of the existing
literature, Carter concluded that there is ample evidence subtle
that and attributionally ambiguous forms, and Sue et al.
racism has negative impact on the mental health of ethnic
(2007) argued that some of the adverse effects of racial micro-
minorities. aggression derive from its ambiguous nature. A recent study on
Sue et al. (2007) presented a taxonomy of racial microag-
effects of attributional ambiguity on stigmatized groups suggests
gressions, which they defined as "brief and commonplace that
dailyattributional ambiguity in some situations can allow soci-
verbal, behavioral, or environmental indignities, whether in- stigmatized individuals (such as Latinos and other racial
etally
minorities) to attribute negative encounters to discrimination
tentional or unintentional, that communicate hostile, derogatory
or negative racial slights and insults toward people of color"
and thus have self-protective effect, albeit at some psychologi-
(p. 271). Some of the examples included an Asian Americancal cost (Hoyt, Aguilar, Kaiser, Blascovich, & Lee, 2007).
being questioned "Where are you from?", an African American
However, another study found that Black men who perceived
being described as "clean cut and articulate," or a person of
higher levels of racism in an attributionally ambiguous scenario
involving unfair treatment showed increased cardiovascu-
color being mistaken as a service worker. Sue and colleagues
argued that because racial microaggressions are often dismissed
lar reactivity in a subsequent stressful task (Merritt, Benett,
as being innocent and innocuous, those who respond with Williams,
neg- Edwards, & Soller, 2006). More research is needed to
ative reactions are labeled as being overly sensitive or paranoid.
resolve these apparent contradictions regarding the particular-
The reviews of existing evidence provided by Carter (2007), ities of the attributionally ambiguous contexts and individ-
Clark et al. (1999), Harrell et al. (2003), and Sue et al. (2007)
ual factors that act as risk or protective factors in interracial
converge to suggest that perceived racism is associated encounters.
with
negative psychological states including symptoms of depression
Second, it would also be important to interrogate the historica
and sociological contexts that may give rise to different re
and anxiety, lower well-being, lower self-regard, and ill health.
However, the majority of the evidence (with the exception of
sponses among racial minority individuals. As have already
psychophysiology studies) come from correlational studies,
been mentioned, much of the existing research on racism in
primarily with African Americans, which relied on self-reported
volve Black-White race relations, which is not surprising give
the long history of anti-Black racism in the United States.
and recalled past experiences with racism. These methodolog-
ical issues leave some unanswered questions regarding how
The biopsychosocial model of racial stressor on health among
African
subtle and covert forms of racism affect psychological health of Americans (Harrell et al., 2003) also makes sense be
racial minorities. cause of the documented high rates of high blood pressure an
hypertension in this population. However, to what extent is th
REMAINING QUESTIONS proposed mechanism of racial stress and racial traumatic injur
(Carter, 2007) applicable to Latinos, Asian Americans, Nativ
In documenting the vast disparities in knowledge, access,Americans,
uti- or Pacific Islanders? How do the different individua
and racial group histories with racism matter? And how does th
lization, and quality of mental health care for racial and ethnic
minorities, the Surgeon General's supplement report on mental
complex and dynamic nature of racial positionality among var
health (U.S. Department of Health and Human Services, 2001)
ious minority groups, in which Asian Americans are valorized a
commented on the role of racism in mental health disparities.
model minorities at the cost to other minority groups (see, e.g.
Kim, 2004), affect psychological health of minority individuals
The report noted that racism and discrimination adversely affect
Certainly, there is emerging evidence that racism toward
health and mental health of racial minorities and likely place
Asian Americans takes on a different tone than does racism
them at risk for mental disorders. The report proposed three
possible pathways through which racism and discrimination
toward African Americans. For example, Lin, Kwan, Cheung,
and Fiske (2005) showed that anti-Asian prejudice and dis-
adversely impact the mental health of minorities: (a) through
crimination by Whites is based on resentment and envy for
internalization of negative racial stereotypes that harm their
Asian Americans' competence, work ethic, and success-orien-
self-worth, (b) through the effects of chronic stressors of poorer
living conditions as a result of institutional and historicaltation
rac- as well as derision for their perceived social ineptitude.
Similarly,
ism, and (c) through the effects of chronic or discrete stressors of Maddux, Galinsky, Cuddy, and Polifroni (2008)
encounters with racism and discrimination. Each of theseshowed
pos- that the stereotypes of Asian Americans as the "model
sible pathways generates a number of testable hypotheses.minority" (e.g., intelligent, hard-working, serious) aroused

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Impact of Racism

negative attitudes and emotions among other Americans toward mutual investments across subfields of psychology, and they
them because Asian Americans were perceived as threats to must be guided by sound theories. However, the potential dis-
their own opportunities and resources. At the same time, ex- coveries of similar and dissimilar ways in which subtle forms of
posure to racial stereotype of one group is not necessarily helpful racism may impact the mental health of minorities would make
to other groups. A recent study by Kim-Prieto, Goldstein, socially significant contributions.
Okazaki, & Kirschner (in press) found that individuals who were Diversification of methods and paradigms in future research
primed with an image or a text about an American Indian sports on racism effects on minorities should also extend beyond
mascot were more likely to endorse stereotypes about Asian experimental methods. Although laboratory methods can mirror
Americans than were those who were primed with nonracial or some of the critical elements of race-based (or racially ambig-
neutral symbols. Many questions still remain as to the condi- uous) social encounters that may be psychologically distressing,
tions under which psychological injuries occur for minority they are - by design - limited in temporality to examining rel-
individuals being exposed to racism against in-group or out- atively immediate reactions to discrete events. To answer
group minorities. questions about the potentially cumulative effects of subtle or
covert forms of racism, one could employ daily ecology studies
WHAT SHOULD PSYCHOLOGICAL SCIENCE DO TO spanning days and weeks using experiential sampling methods
ANSWER THESE QUESTIONS? (e.g., Cole & Yip, 2008) or longitudinal methods (e.g., Greene,
Way, & Pahl, 2006). Mixed methods that incorporate qualitative
Scientific psychology can make major progress toward answer-and narrative approaches (e.g., Bauer, McAdams, & Pals, 2008)
ing the questions about impact of racism on racial minorities in may also be fruitful in discovering the characteristics of mi-
the next decade by forming new intellectual and methodological norities who are relatively resilient or vulnerable in face of
collaborations. One of the critical new alliances would be with various forms of racism.

multicultural psychology scholars in applied subfields (such as Discussing race and racism in scholarly discourses and in lay
clinical and counseling psychology) who have begun to lay theconversations can be challenging, but scientific psychology can
conceptual groundwork on the impact of racism on mental healthdo much to contribute to potential solutions. By paying atten-
(e.g., Carter, 2007; Sue et al., 2007). Carter's extensive survey of tion - and investing resources - to examine the "other side" of
the existing literature suggested that much of the existing the well-researched coin of White racial bias against minorities,
knowledge concerns anti-Black racism and that correlationalpsychology can begin to address the insidious effects of racism
designs with self-reports of past racism and current distresson individuals in our society.
symptoms has been the dominant methodology, which has made
it difficult to explicate the causal relationship between per-
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