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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

  • Sannisha K. Dale
  • Kimberly J. Merren
Chapter
Part of the Current Clinical Psychiatry book series (CCPSY)

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.

Keywords

African Americans Slavery Trauma Thoughts Emotions Behaviors Cognitive behavioral therapy 

References

  1. 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.CrossRefGoogle Scholar
  2. 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. 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.CrossRefGoogle Scholar
  4. 4.
    Farley JE, Squires GD. Fences and neighbors: segregation in 21st-century America. Contexts. 2005;4(1):33–9.CrossRefGoogle Scholar
  5. 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. 6.
    Gee GC, Ford CL. Structural racism and health inequities. Du Bois Rev. 2011;8(01):115–32.CrossRefGoogle Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 9.
    Kirchmeier JL. Lynching and race in America. Oxford: Oxford University Press; 2015.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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. 13.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 18.
    Courtois CA. Complex trauma, complex reactions: assessment and treatment. Psychother Theory Res Pract Train. 2004;41(4):412–25.CrossRefGoogle Scholar
  19. 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. 20.
    Foster T. The sexual abuse of black men under American slavery. J Hist Sex. 2011;20(3):445–64.PubMedGoogle Scholar
  21. 21.
    Shepherd G. The rape of black women during slavery. 1988.Google Scholar
  22. 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. 23.
    Lynching Statistics. The Charles Chesnutt digital archive. 1999. Available from http://www.chesnuttarchive.org/classroom/lynchingstat.html.Google Scholar
  24. 24.
    Wells-Barnett IB. The red record: tabulated statistics and alleged causes of lynching in the United States. 1895.Google Scholar
  25. 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.CrossRefGoogle Scholar
  26. 26.
    Dana RH. Mental health services for African Americans: a cultural/racial perspective. Cult Divers Ethn Minor Psychol. 2002;8(1):3–18.CrossRefGoogle Scholar
  27. 27.
    Vontress C, Woodland C, Epp L. Cultural dysthymia: an unrecognized disorder among African Americans? J Multicult Couns Devel. 2007;35(3):130–41.CrossRefGoogle Scholar
  28. 28.
    Watson NN, Hunter CD. I had to be strong. J Black Psychol. 2016;42(5):424–52.CrossRefGoogle Scholar
  29. 29.
    Waldrep C. Lynching in America: a history in documents. New York: New York University Press; 2006.Google Scholar
  30. 30.
    Thomas A, Hope EC. Walking away hurt, walking around scared. J Black Psychol. 2016;42(5):453–76.CrossRefGoogle Scholar
  31. 31.
    Rochman H. Growing up in slavery: stories of young slaves as told by themselves. Booklist. 2005;101(11):967.Google Scholar
  32. 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. 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.CrossRefGoogle Scholar
  34. 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.CrossRefGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.PubMedPubMedCentralGoogle Scholar
  37. 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.CrossRefGoogle Scholar
  38. 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.CrossRefGoogle Scholar
  39. 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.CrossRefGoogle Scholar
  40. 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.CrossRefGoogle Scholar
  41. 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.CrossRefGoogle Scholar
  42. 42.
    Cooper B. Does anyone care about black women? Meridians Fem Race Transnatl. 2014;12(2):153–225.CrossRefGoogle Scholar
  43. 43.
    Gibbs JT. African-American suicide: a cultural paradox. Suicide Life Threat Behav. 1997;27(1):68–79.PubMedGoogle Scholar
  44. 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. 45.
    Hollar M. The impact of racism on the delivery of health care and mental health services. Psychiatry Q. 2001;72(4):337–45.CrossRefGoogle Scholar
  46. 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.CrossRefGoogle Scholar
  47. 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. 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. 49.
    Krysan M, Farley R. The residential preferences of blacks: do they explain persistent segregation? Soc Forces. 2002;80(3):937–80.CrossRefGoogle Scholar
  50. 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.CrossRefGoogle Scholar
  51. 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.CrossRefGoogle Scholar
  52. 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.CrossRefGoogle Scholar
  53. 53.
    Young H. Embodying black experience: stillness, critical memory, and the black body. Ann Arbor: University of Michigan Press; 2010.CrossRefGoogle Scholar
  54. 54.
    Bobo L. Katrina: unmasking race, poverty, and politics in the 21st century. Du Bois Rev. 2006;3(1):1–6.CrossRefGoogle Scholar
  55. 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. 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.CrossRefGoogle Scholar
  57. 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.CrossRefGoogle Scholar
  58. 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.CrossRefGoogle Scholar
  59. 59.
    Klonoff EA, Landrine H, Ullman JB. Racial discrimination and psychiatric symptoms among blacks. Cult Divers Ethn Minor Psychol. 1999;5(4):329.CrossRefGoogle Scholar
  60. 60.
    VanderVelde L. Redemption songs: suing for freedom before Dred Scott. Oxford: Oxford University Press; 2014.CrossRefGoogle Scholar
  61. 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.CrossRefGoogle Scholar
  62. 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.CrossRefGoogle Scholar
  63. 63.
    Goode-Cross DT, Grim KA. An unspoken level of comfort. J Black Psychol. 2016;42(1):29–53.CrossRefGoogle Scholar
  64. 64.
    Joseph J, Kuo BCH. Black Canadians’ coping responses to racial discrimination. J Black Psychol. 2009;35(1):78–101.CrossRefGoogle Scholar
  65. 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.CrossRefGoogle Scholar
  66. 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.CrossRefGoogle Scholar
  67. 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. 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.CrossRefGoogle Scholar
  69. 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. 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.CrossRefGoogle Scholar
  71. 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. 72.
    Burns S. Daybreak of freedom: the Montgomery bus boycott. Chapel Hill: University of North Carolina Press; 2012.Google Scholar
  73. 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.CrossRefGoogle Scholar
  74. 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.CrossRefGoogle Scholar
  75. 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. 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. 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.CrossRefGoogle Scholar
  78. 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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of MiamiCoral GablesUSA
  2. 2.Department of PsychiatryMassachusetts General HospitalBostonUSA
  3. 3.Housing Search, FinanceHomeStart, Inc., Boston Healthcare for the Homeless ProgramBostonUSA

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