American Journal of Orthopsychiatry最新文献

This study examined the relationship between online racism exposure and mental health outcomes among Arab-Palestinian young adults in Israel, focusing on the moderating roles of ethnic identity and national self-definition. A sample of 601 Arab-Palestinian citizens of Israel (aged 18-27) completed a questionnaire measuring perceived online racism, ethnic identity, national self-definition, social media political participation, well-being, and depression. Higher exposure to online racism was associated with a lower well-being level and higher depression. A more consolidated ethnic identity (stronger sense of belonging to one's ethnic group) was related to a higher well-being level, while a stronger Arab-Palestinian national self-definition (identifying primarily as Arab-Palestinian rather than Israeli) was associated with higher depression when exposed to online racism. The interaction between online racism and ethnic identity was significant for both well-being and depression. For individuals with low ethnic identity, higher online racism exposure was related to a lower well-being level and higher depression. This relationship was not significant for those with high ethnic identity, suggesting a protective effect. Conversely, the interaction between online racism and national self-definition was significant only for depression. For individuals with high national self-definition as Arab-Palestinian, higher online racism exposure was associated with higher depression. Additionally, higher social media political participation was associated with a lower well-being level and higher depression. These findings highlight the complex interplay between online racism, identity factors, and mental health among Arab-Palestinians in Israel, emphasizing the need for culturally sensitive interventions and policies to address online racism and support affected individuals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Racial trauma, betrayal trauma, and institutional betrayal are baked into the history of the United States. This legacy of injustice encompasses direct experiences of racism and discrimination, as well as a broader sense of betrayal in which the very institutions tasked with helping people, such as the U.S. health care system, let them down in egregious, painful, or even fatal ways. Using the theories of racial trauma (i.e., an extreme stress response to cumulative firsthand and vicarious experiences of racism and discrimination), betrayal trauma (i.e., a violation of trust by a person on whom someone is reliant, particularly for well-being), and institutional betrayal (i.e., when the violation of trust is perpetrated by an institution on which someone relies), we describe how Black Americans have been mistreated by the U.S. health care system in the past and at present. We then utilize a modified version of Bronfenbrenner's socioecological framework to explore the role of racial and betrayal trauma in perpetuating harm against Black Americans at the micro, meso, and macrolevels. We also provide concrete examples and strategies to address racial healing and provide racial trauma-informed care to Black Americans by promoting the role of providers in engaging in such practices, the role of administrators in making these practices part of institutional policy, and the role of broader institutions in admitting wrongdoing and promoting full transparency in making meaningful and lasting changes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

University and health clinic professionals employed community engaged research to identify facilitators of and barriers to trust in a community clinic's collaborative care pediatric adolescent psychiatry consultation conference model. The clinic operates as a federally qualified health center medical home offering integrated behavioral health and medical care for all ages and serving majority low-income Latine families. Fourteen parents and six patients ages 9 to 17 were interviewed qualitatively about their experiences participating in the interdisciplinary conference model. Thematic analysis identified patient and parent perceptions of trust toward the collaborative care process, the clinic's health care providers, and the consulting psychiatrist. Results found that facilitators of trust included the primary care provider serving as a bridge to help trusting relationships form between the consulting psychiatrist and families, reciprocal respect between clinic providers and families, and the psychiatrist taking an educational/rapport-building approach. Barriers to trust included the lack of available, quality Spanish interpreter services and lack of a tailored approach for patients depending on diagnosis. Other factors such as parent-child synchrony and optimism contributed to overall reactions to the psychiatry conference model as well as retention processes. In summary, our study elucidates how to implement community engaged qualitative research and contributes information on parent and youth acceptability of collaborative psychiatric care within a medical home. Study results can be used to enhance mental health access for an underresourced population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

This conceptual article explores the potential theoretical synergies between culturally grounded and nonappropriative mindfulness and critical consciousness in addressing the challenges faced by youth of color in coping with racial- and ethnic-related stressors. Drawing on the existing literature, it demonstrates the efficacy of combining mindfulness and critical consciousness to promote resilience among youth of color. Recommendations are proposed for integrating mindfulness and critical consciousness into therapy and out-of-school programs, increasing the potential for positive outcomes for youth of color navigating systemic oppression across multiple contexts. Two primary arguments are advanced: First, mindfulness, when practiced through a critical consciousness lens, can enhance youth of color's capacity to navigate oppressive systems (Critical Consciousness-Informed Mindfulness Interventions). Second, mindfulness can support the mental well-being of youth engaged in critical consciousness efforts, mitigating the toll that such activism can take on their mental health (Mindfulness-Informed Critical Consciousness Programming). By leveraging these shared reflective processes, mindfulness and critical consciousness offer a synergistic, holistic approach to addressing the multifaceted challenges faced by marginalized youth. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Black individuals in the United States face disproportionately high rates of police violence, which profoundly impacts their physical, mental, and spiritual health. Courageous Connection was developed to explore the potential of mindfulness to improve relations between Black community members and the police in Flint, Michigan. In this qualitative study, we analyzed sessions of a 6-week culturally tailored mindfulness group attended by 12 Black community leaders (BCLs) in preparation for a community dialogue with members of the police force, who were also receiving mindfulness training. Thematic analysis of session transcripts focused on three core questions: (1) How did instructors present mindfulness and what it had to offer to BCLs, (2) what cultural adaptations were made to engage and address the needs of the group, and (3) how did BCLs respond and integrate these practices into their lives? The BCL participants spoke about what it means to be Black in America and mindfulness as an embodied resource they already had. Cultural adaptations included references to the Black church, as well as specific antioppressive mindfulness practices. Despite some barriers to attendance, participants reported a range of positive responses to the practices, including expressions of gratitude and increases in insight and awareness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Research on the pervasiveness of racial- and disability-based disparities in schools is not new. For decades, scholars and practitioners alike have been privy to the disparate outcomes between student groups based on identity markers such as race and disability status. Despite the overwhelming evidence of the existence of disparities, less is known about how to effectively shift them. One often overlooked dimension of transforming disparities is identifying strategies to address the inner lives of those in positions of power in schools, such as teachers and school leaders, whose decisions play a large role in perpetuating and/or disrupting inequities. Because systems live through individuals, namely those in positions of power, inner transformation is needed in order to realize collective and social transformation. In this article, a novel model is presented, mindfully informed conscious choice, as a framework for applying mindfulness-based principles in the work of antiracism and antiableism in schools by equipping educators with in the moment strategies to address the effects of bias on their instructional and disciplinary decisions. The model is introduced and the development of an intervention designed based on its tenets is described, demonstrating how this model might be used to address the effects of bias in schools. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Mindfulness-based interventions that lack cultural resonance and fail to address liberation can fall short in supporting the well-being of communities impacted by social injustices. This study aimed to identify and illuminate how the lived experiences of two Black women psychologists informed the creation of mindfulness-based, emancipatory contemplative practice programs designed for Black and other racially minoritized groups who have experienced colonial-cultural trauma and ongoing oppression. The study utilized collaborative autoethnography, a relational and reflexive qualitative research approach. Guided by a theoretical framework based on the African wisdom of Sankofa (return, retrieval, revitalization), the authors constructed narratives describing the emergence of contemplative practice programs from their own experiences of cultural reclamation and liberation. One program introduces soulfulness as an entry to mindful presence and awareness, while the other invites embodiment through water-based contemplative healing practices. Through introspection and collaborative reflection, the authors identified four themes conceptualized as emancipatory pathways: (1) returning "home"; (2) sacredness of culture, spirituality, and nature; (3) movement and flow; and (4) release, resistance, and reimagining. These pathways reflect a liberatory-decolonial ethos and offer healing-oriented recommendations for expanding experiential awareness and enhancing well-being. It is suggested that mindfulness and contemplative practice interventions with Black and other racially minoritized communities can be enhanced by centering cultural resonance, addressing the harmful disconnections of coloniality and oppression, and integrating these four emancipatory pathways into program design and delivery. By prioritizing reclamation and liberation, mindfulness-based programs can advance a more inclusive, transformative, and justice-oriented approach to individual, relational, and collective well-being. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Racial trauma profoundly affects mental health. This study quantitatively explored the connection between police harassment and racial trauma, by investigating the prevalence and impact of police harassment among university students of color, exploring variations by race, gender, and location. Participants (N = 403) completed validated scales measuring racial trauma Racial Trauma Scale-9, perceptions of police Perceptions of Police Scale, and experiences of police harassment police and law enforcement. Regression analyses examined police harassment as a predictor of racial trauma while controlling for demographic variables and preexisting attitudes about police. Findings revealed significant differences in harassment frequencies across environments. Students reported higher harassment in metropolitan areas compared with campus (p < .001). Nonbinary and multiracial participants experienced the highest harassment levels, with Black and Middle Eastern/North African participants also reporting elevated rates. Regression analysis indicated that police harassment independently predicted racial trauma (p = .004), even after controlling for covariates. Perceptions of police bias correlated with both police harassment (r = 0.21, p < .01) and racial trauma (r = 0.34, p < .01), highlighting the systemic nature of discriminatory practices. These results demonstrate the compounded vulnerabilities experienced by those with marginalized racial and gender identities, reflecting systemic discrimination in law enforcement practices. The findings emphasize the need for targeted interventions to address racialized policing. Future research should explore the intersections of identity and systemic bias in greater detail, informing policies that promote equity and reduce harm in policing and broader societal contexts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Nonsuicidal self-injury (NSSI; i.e., intentional, self-inflicted destruction of body tissue without suicidal intention) is a growing mental health concern in the United States. In 2013, NSSI was reclassified in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) as a condition for further study, external to its previous classification as a symptom of borderline personality disorder. NSSI is stigmatized due to its self-inflicted nature, which may be exacerbated among individuals holding multiply marginalized identities, like sexual and gender minority (SGM) populations. Often evaluated at the individual level, little is understood about the multilevel social factors that shape SGM individuals' vulnerability to NSSI. We conducted a scoping review of articles across five databases. We included all 2013-2023 U.S. studies published in English that evaluated NSSI as a behavioral outcome among SGM populations. We leveraged a social ecological perspective to evaluate studies for the social and behavioral factors linked to NSSI. Our review yielded NSSI correlates at the individual level (e.g., institutional discrimination). The studies mainly had correlates of NSSI concentrated at the individual and interpersonal level. In contrast, there was extremely limited attention given to communal- and societal-level correlates. Prior studies suggest that minority stressors unique to SGM communities (e.g., heterosexism and transphobia) are robust correlates of NSSI. We advocate for a prioritized focus on interventions that combine destigmatizing SGM identities and NSSI while addressing the underlying and intersecting social forces that impact SGM individuals' decisions to engage in these behaviors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Effective efforts to promote equity require survey measurement that accurately captures youth's experiences of gender. The present study aimed to identify multiple categorization options and examine differences in rates of gender-based bullying and past-year suicidal ideation by those options. Data come from the 2022 Minnesota Student Survey, specifically 8th, 9th, and 11th grade students (N = 98,682). Students (age range: 12-19 years, M = 14.8, SD = 1.3) had nine response options for gender, with 96.1% selecting one, 3.0% selecting two, 0.6% selecting three, and 0.9% selecting four or more. Responses were coded four ways (15-, 9-, or two 4-category options). Important between-group differences were lost when combining responses into larger groups. For example, the prevalence of gender-based bullying was 39.3% for genderfluid+ youth and 52.2% for nonbinary youth (p < .05) in the 15-category option. Using the 9-category variable that combines nonbinary, nonbinary+, genderfluid, and genderfluid+ into one group, the prevalence of gender-based bullying was 49.8%, which masks significant differences seen with the 15-category variable. The findings from this study support further research with expanded, select-all-that-apply gender identity response options in large adolescent epidemiologic surveys and inform survey creation and analytic approaches. (PsycInfo Database Record (c) 2026 APA, all rights reserved).