![]() Trauma informed care in medicine: current knowledge and future research directions. Raja, S., Hasnain, M., Hoersch, M., Gove-Yin, S., & Rajagopalan, C.Challenging the Myths of Black Women-A Short-Term, Structured, Art Experience Group: Exploring the Intersections of Race, Gender, and Intergenerational Trauma, Smith College Studies in Social Work, 87:2-3, 200-219, DOI: 10.1080/00377317.2017.1324091 Intergenerational trauma from a mental health perspective. Racism and psychological and emotional injury: Recognizing and assessing race-based traumatic stress. Examining the Legacy of Transgenerational Trauma and its Effects on Contemporary African American Adults in Parenting and Caregiver Roles to African American Adolescents (Doctoral dissertation, Duquesne University). Intergenerational trauma: Legacies of loss. Journal of Loss and Trauma, 9 (1), 89-111. Considering a theory of cultural trauma and loss. Thus, providers should also work with the community to rebuild trust and rapport, in order to allow for a more culturally specific TIC approach to further support the health of Black women with experiences of intergenerational trauma. This perception of the healthcare system might lead Black women to avoid seeking care for medical issues due to mistrust, thus preventing a more targeted trauma-focused approach. Adopting such an approach may be beneficial in targeting the prevalent perception of the healthcare system as a “white, racist institution” 20, stemming from personal experiences, family memories, or learning about the history of racism within healthcare. ![]() Thus, the adoption of a universal trauma precaution may be best suited when working with this population. This leads to a diversity in the levels and experiences of trauma across the population and journeys when it comes to dealing with such trauma. While Black women in Canada throughout this discussion have been discussed as a single population, it is important to note that this is a culturally heterogeneous group within which exists a multitude of experiences. Additionally, a holistic model that accounts for social and cultural factors is needed to improve interactions of trauma survivors in healthcare settings. These strategies require healthcare providers to collaborate across disciplines and be cognizant of their own trauma history and stress level. Trauma-specific care techniques are employed when healthcare providers are aware of an individual’s trauma. Such techniques are helpful for building trust and rapport with trauma survivors and involve strong patient-centered communication and care and an understanding of the health effects of trauma. 7 Universal trauma precautions involve small changes that can be implemented for all patients, regardless of past trauma history. 19 TIC primarily comprises two major domains within healthcare: universal trauma precautions and trauma-specific care. 19 This is done by adopting a care approach that centers principles related to empowerment, choice, collaboration, trustworthiness, safety, and a person-centered care approach, all with the goal of reducing long-lasting burdens of trauma. ![]() TIC is a care provider strategy that seeks to not only understand the impact of traumatic events on an individual’s life, but also modify different parts of the service to better serve these individuals. Thus, incorporating skills related to Trauma-informed care (TIC) when working with this population may be a worthwhile avenue to explore. 8,9,10 For some Canadian Black women, these everyday experiences of racial trauma may be coupled with historical trauma related to Canada’s past colonial history with their involvement in the exploitation of African slaves if descendents from slavery 11, or histories related to experiences as refugees.Īs engaging in culturally competent therapy is an important responsibility for medical professionals when working with Black patients, medical professionals must further understand the role intergenerational trauma may play on the physiological and psychosocial health of Black women in Canada. 7,8,9,10 The intersection between race and gender for Black women also contributes to their increased susceptibility to further traumatic experiences related to childhood sexual abuse, dating violence, intimate partner violence, sexual assault, and sexual harassment. 6 One large source of intergenerational trauma for Black women may stem from a combination of their current systematic disenfranchisement in society, which subjects them to experiences of gendered racial micro- and macro aggressions and racial battle fatigue, whether they occur within the healthcare system or outside of it. For Black women, intergenerational trauma is especially intense due to its convergence of “racialized, gendered, and classed dis-privilege”. ![]()
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