The American journal of orthopsychiatry
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Am J Orthopsychiatry · Sep 2014
Dialogue as skill: training a health professions workforce that can talk about race and racism.
Efforts in the field of multicultural education for the health professions have focused on increasing trainees' knowledge base and awareness of other cultures, and on teaching technical communication skills in cross-cultural encounters. Yet to be adequately addressed in training are profound issues of racial bias and the often awkward challenge of cross-racial dialogue, both of which likely play some part in well-documented racial disparities in health care encounters. ⋯ This evidence includes concepts from social psychology that include implicit bias, explicit bias, and aversive racism. Aiming to connect the dots of diverse literatures, we believe health professions educators and institutional leaders can play a pivotal role in reducing racial disparities in health care encounters by actively promoting, nurturing, and participating in this dialogue, modeling its value as an indispensable skill and institutional priority.
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Am J Orthopsychiatry · Sep 2014
ReviewThe psychosocial impact of detention and deportation on U.S. migrant children and families.
Approximately 4.5 million U. S. citizen children live in mixed-status families, in which at least 1 family member is an unauthorized migrant and therefore vulnerable to detention and deportation from the United States (Passel & Cohn, 2011). ⋯ S.-born children. In particular, drawing on social and psychological theory and research, we (a) review the impact of parents' unauthorized status on children; (b) summarize the literature on the impact of detention processes on psychosocial well-being; (c) describe the dilemma faced by a mixed-status family when a parent faces deportation; (d) examine the current social scientific literature on how parental deportation impacts children and their families; and (e) summarize several policy recommendations for protecting children and families.