特刊导言:引领健康走向社会正义

Michael D. Brubaker, Cassandra A. Storlie
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引用次数: 0

摘要

随着美国COVID-19死亡人数接近100万,全球死亡人数超过550万(约翰霍普金斯大学和医学院,2022年),冠状病毒大流行摧毁了脆弱和社会边缘化社区,因其年龄、既往健康状况或社会地位而易受影响(疾病控制和预防中心,2020年;Litam & hipoli - delgado, 2021)。新冠肺炎疫情进一步加剧了社会和体制上的不公正,包括警察对黑人的暴行、对亚洲人和亚裔美国人的暴力、不人道的移民政策以及持续存在的经济和健康差距(Cary等人,2021年;South et al., 2020)。预计这些危机造成的身体和精神损失将持续很长一段时间。由于健康和教育差距持续存在,往往基于长期存在的社会不公正,对辅导员领导和宣传的需求从未如此强烈。作为社会正义变革的推动者(Ratts & Pedersen, 2014),心理咨询师在为个人和社区寻求健康方面具有独特的定位(Myers & Sweeney, 2008)。在本期特刊《引领健康走向社会正义》中,读者将会看到一系列文章,这些文章的作者阐明了社会和咨询行业本身最持久的一些问题。作者深入探讨了黑人出生健康差异、枪支暴力、气候变化、单一的种族观以及在咨询教育中对文化少数群体缺乏支持。每个人都提供了新颖的方法来展示辅导员如何作为倡导者和仆人式领导者引领职业前进。在他们的批判性审查中,Yehudah和Tadros确定了黑人妇女和婴儿所经历的毁灭性健康差异,她们面临的死亡风险比白人和拉丁裔人口高得多。身体保健方面的种族差异可能会阻止黑人妇女寻求对其健康至关重要的咨询服务。鉴于围产期情绪和焦虑障碍的相应较高风险以及治疗的系统性障碍,作者详细介绍了代表黑人妇女寻求分娩正义的策略。多种族人群有着独特的经历、挑战和优势,这些往往被咨询行业所忽视。McDonald和Chang回顾了多种族身份模型,强调了个人多种族身份认同的复杂性。多元文化与社会公正心理咨询能力的运用Ratts et al., 2015)和多种族人口咨询能力(CCMP;Kenney等人,2015),作者为咨询师提供了实用的策略,以倡导这一人群,并变得更具文化响应性。边缘化也存在于辅导员教育项目中。代表性不足的申请人可能面临狭窄的录取标准,学生往往缺乏必要的支持,以实现他们的目标,通过毕业和以后。Spellman及其同事强调了这些障碍,并指出招聘、留用和指导策略项目可以用来更好地支持边缘化的咨询学生。在2019冠状病毒病大流行期间,枪支暴力在许多社区加剧。作为回应,Bruns和Brubaker提出了美国咨询协会(ACA)倡导能力(Toporek & Daniels, 2018)和Chi Sigma Iota辅导员健康能力(Gibson等人,2021)的补充框架,作为倡导反对枪支暴力以及客户和辅导员健康的指南,特别是那些处于社会正义努力前沿的人。社会公正的价值观和健康仍然是咨询行业开始和持续发展的基石(Myers & Sweeney, 2008;Ratts & Pedersen, 2014)。
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Introduction to special issue: leading in wellness toward social justice
With COVID-19 deaths in the U.S. approaching one million and over 5.5 million worldwide (Johns Hopkins University & Medicine, 2022), the coronavirus pandemic has devasted vulnerable and socially marginalized communities, predisposed by their age, preexisting health conditions, or social position (Centers for Disease Control and Prevention, 2020; Litam & Hipolito-Delgado, 2021). The pandemic has further amplified social and systemic injustices, including police brutality against Black Americans, violence against Asians and Asian Americans, inhumane immigration policies, and persistent economic and health disparities (Cary et al., 2021; South et al., 2020). The physical and mental toll of these crises are expected to continue well into the future. The need for counselor leadership and advocacy has never been greater as health and education disparities persist, often grounded in long-standing social injustices. Counselors are uniquely positioned to lean into their orientation as social justice change agents (Ratts & Pedersen, 2014), seeking wellness for individuals and communities alike (Myers & Sweeney, 2008). In this special issue, Leading in Wellness toward Social Justice, readers will find a collection of articles whose authors illuminate some of the most persistent concerns in society and the counseling profession itself. Authors deeply explore Black birth health disparities, gun violence, climate change, a monolithic view of race, and the lack of support for cultural minorities in counselor education. Each offer novel approaches to show how counselors may lead the profession forward as advocates and servant leaders. In their critical review, Yehudah and Tadros identified the devastating health disparities experience by Black women and infants who face substantially higher risks for mortality than White and Latinx populations. Racial disparities in physical healthcare may prevent Black women from seeking counseling services essential to their wellness. The authors detail strategies to advocate on behalf of and with Black women seeking birthing justice given the corresponding higher risks for perinatal mood and anxiety disorders and systemic barriers to treatment. Multiracial populations have unique experiences, challenges, and strengths often ignored by the counseling profession. McDonald and Chang review the multiracial identity models highlighting the complexity of individuals identifying as multiracial. Using the Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts et al., 2015) and Competencies for Counseling the Multiracial Population (CCMP; Kenney et al., 2015), authors offer counselors practical strategies to advocate for this population and become more culturally responsive. Marginalization also persists in counselor education programs. Underrepresented applicants may face narrow acceptance criteria and students often lack the needed supports to attain their goals through graduation and beyond. Spellman and colleagues underscore these barriers and note recruitment, retention, and mentorship strategies programs can utlize to better support marginalized counseling students. Gun violence has been exacerbated in many communities throughout the COVID-19 pandemic. In response, Bruns and Brubaker offer the complementary frameworks of the American Counseling Association (ACA) Advocacy Competencies (Toporek & Daniels, 2018) and Chi Sigma Iota Counselor Wellness Competencies (Gibson et al., 2021) as a guide to advocate against gun violence and for client and counselor wellness, especially those at the forefront of social justice efforts. Socially just values and wellness remain cornerstones to the inception and continued advancement of the counseling profession (Myers & Sweeney, 2008; Ratts & Pedersen, 2014).
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