Microaggressions: Clinical Impact and Psychological Harm

Owen, Jesse; Tao, Karen W.; Drinane, Joanna M.

doi:10.1002/9781119466642.ch5

Cited by 23 publications

(37 citation statements)

References 56 publications

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“…One specific example of this approach is the multicultural orientation framework (Owen et al, 2019), which asserts that therapists must attend to cultural humility (as articulated earlier), cultural comfort (working collaboratively with the whole person and doing so with comfort), and cultural opportunities (being able to identify and clinically use markers of culture to better understand how it influences values and beliefs). Engaging each of these helps reduce the likelihood of microaggressions during therapy and supports development of stronger therapeutic alliances that are linked to stronger clinical outcomes.…”

Section: Cultural Humilitymentioning

confidence: 99%

Implications of inclusion and intersectionality for clinical practice.

Autret¹,

Eeden‐Moorefield²

2022

Treating Contemporary Families: Toward a More Inclusive Clinical Practice.

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Section: Cultural Humilitymentioning

confidence: 99%

Implications of inclusion and intersectionality for clinical practice.

Autret¹,

Eeden‐Moorefield²

2022

Treating Contemporary Families: Toward a More Inclusive Clinical Practice.

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“…Extensive research demonstrates that microaggressions significantly hinder psychotherapy processes and outcomes (Chang & Yoon, 2011;Crawford, 2011;Davis et al, 2016;Gaztambide, 2012;Owen et al, 2011aOwen et al, , 2017Owen et al, , 2018bSpengler et al, 2016;Sue et al, 2007). These cultural ruptures in therapy have been found to result in early termination, low treatment utilization, negative treatment outcomes, feelings of anger, shame and being misunderstood, and weak therapeutic alliance (Crawford, 2011;Davis et al, 2016;Gaztambide, 2012;Owen et al, 2011aOwen et al, , 2017Spengler et al, 2016).…”

Section: Microaggressions In Individual Psychotherapymentioning

confidence: 99%

Cultural ruptures: Addressing microaggressions in group therapy.

Miles¹,

Anders²,

Kivlighan³

et al. 2021

Group Dynamics: Theory, Research, and Practice

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Objective: Because therapy groups represent social microcosms, social dynamics from outside of the group play out in the context of the group, including those related to power, privilege, and oppression, like microaggressions. Left unaddressed, microaggressions have negative impacts on the health and well-being of the targets, perpetuate systemic inequity, and present a particularly destructive form in rupture to the group. The objective of this practice review is to help prepare group therapists to address the cultural ruptures known as microaggressions. Method: We first briefly review the literature on microaggressions, including those that occur in individual and group psychotherapy, to highlight the importance of addressing microaggressions when they occur. Next, we review the literature related to multicultural competence, multicultural orientation, difficult dialogues, and bystander intervention to suggest practice recommendations for addressing microaggressions in group therapy at the therapist and group levels. We also present a case example to illustrate these recommendations in practice. Results: Our practice recommendations highlight actionable ways for group therapists to proactively prepare to address microaggressions both before and outside of the group and in the here-and-now. Conclusions: Microaggressions are likely to occur in the social microcosm of the group and addressing microaggressions in groups is essential. Group leaders can proactively prepare themselves and the group to address microaggressions as they occur to minimize harm to the targets and the group-as-a-whole. Highlights and Implications• Microaggressions, or subtle discriminatory slights that perpetuate inequality, are likely to emerge in the context of the social microcosm of group therapy, as they have been found to in individual therapy.• At the group level, the group can also set norms that encourage and support difficult cultural dialogues, develop a group MCO (i.e., their cultural humility, and willingness and comfort in addressing cultural issues, like those presented by microaggressions), develop capacities for bystander intervention, and create corrective emotional experiences in response to cultural ruptures.• Additional empirical research is needed on microaggressions in group therapy, as well as the preparation of the therapist and group to successfully negotiate these cultural ruptures as they occur.

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“…Despite many books (Williams, 2020) and articles (J. Owen et al, 2019) addressing microaggressions in individual treatment, few have examined microaggressions in group therapy (Bemak & Chung, 2018;Kivlighan & Chapman, 2018). Lefforge et al (2020) were the first to develop a training model to help leaders address microaggressions in group treatment.…”

Section: Microaggressions In Groupmentioning

confidence: 99%

Ruptures and Repairs in Group Psychotherapy: From Theory to Practice

Marmarosh¹

2021

International Journal of Group Psychotherapy

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The group climate, cohesion, and alliance with the leaders are critical elements of effective group psychotherapy. Although there has been significant attention to these curative mechanisms, there has been less attention to ruptures in the group relationships or the repair of them. The current special issue is devoted to theory, research, training, and practice regarding ruptures and repairs in group treatment. Contemporary and more traditional theorists describe how ruptures facilitate change in group therapy. Researchers apply the empirical findings on ruptures in individual therapy to group therapy and describe how ruptures can be measured. Group therapists also address how group leaders can contribute to ruptures and their subsequent repair. This introduction to the special issue concludes with the implications for practice and a call for future research that will help us fully understand how ruptures affect group process and outcomes in group work.This article has been corrected with minor changes. These changes do not impact the academic content of the article.

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Microaggressions: Clinical Impact and Psychological Harm

Cited by 23 publications

References 56 publications

Implications of inclusion and intersectionality for clinical practice.

Implications of inclusion and intersectionality for clinical practice.

Cultural ruptures: Addressing microaggressions in group therapy.

Ruptures and Repairs in Group Psychotherapy: From Theory to Practice

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