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Presentation Title to Go Here Racial Battle Fatigue: Explorations and Challenges
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Racial Battle Fatigue: Explorations and Challenges Dr. Tapo Chimbganda Clinical Counsellor
Racial Battle Fatigue
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Racial Battle Fatigue (RBF) — coined by William Smith in the Encyclopedia of Race, Ethnicity, and Society (2008) — …symptomizes the abrasive psychological factors that racialized people experience from the daily battle of deflecting racialized insults, stereotypes, and discrimination. …RBF is the cumulative effect of being “on guard” and having to formulate “socially acceptable” responses to insults, both subtle and covert.
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Racial Battle Fatigue
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Numerous studies indicate the psychological effects of racialization include post-traumatic stress disorder and other forms of stress related disorders, perceptions of race-related threats and failure to use available community resources. (www.apa.org)
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RBT: Explorations & Challenges
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• • • • • • • • • • • • • • • • •
Ethical Regulatory Disciplinary Informing Helping Compliance Responsible Correctional Instructive Educational Preventative Advocacy Monitor Diagnose Protection Prescriptive Treat
Which words best describe the work you do with clients?
Write the words that you think contribute towards social justice in healthcare in this box.
Critical questions
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How do I participate in power? What are the connections between my personal experience and my social context? And how can I change my practice with this awareness? E.g. What self-defeating beliefs do I hold? Do I see myself as powerless? How do I see other people’s power? How do I understand responsibility? What do I believe about how organizational and personal power is connected? (Janis Fook)
Privilege is…
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• receiving an act, service, or material good based upon perceived differences among possible recipients. • a biased human thought process even if it occurs below the level of consciousness • habitual, learned, perfunctory, calloused, routine, involuntary, and/or automatic • accompanied by a positive, or favoured, result for its recipients (Barnett 2010). • by virtue of democratic principle honours the private interests of the client (Levin 2001).
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What if your CHC was a Privileged Space?
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What
is the correlation between privilege and: • • • • • •
Social justice Confidentiality Subjectivity Containment Anti-oppression Paradoxes
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How does an awareness of privilege influence your practice? • Enhanced sense of professionalism • Better connected with colleagues • Practice not entirely solution-focused leads to better sense of having skills • Better integration of personal/professional • Better ability to learn from practice
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The principles of Privileged Space include but are not limited to:
Privileged Space…
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Validates all knowledge (epistemic) – race, gender, ability, ethnicity, religion, education, socioeconomic – as relevant to social justice. Meaning…
The client is an expert and valuable part of the healthcare system and as such should be empowered, consulted, and engaged in all aspects of the healthcare system.
Privileged Space…
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Both, depends on; and enhances critical ability. (Critical ability “Connects awareness; and action; and envisages new possibilities for action” (Janis Fook). Meaning…
It is an adaptable space that fosters equity, inclusion, and diversity through concrete and reflective work.
Privileged Space‌
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Challenges the provision of meaning based on institutional authority. Meaning‌
Clients should be able to understand and work through their OWN health issues without directive and often authoritative institutionalised connotations.
Privileged Space…
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Offers an understanding of the subjective experience as relevant to treatment and to the enactment of social justice, even where it might present as “non-compliance,” “resistance,” or “malingering.” Meaning…
The experiences and the knowledge that the client possesses are relevant and important to the process of treatment planning – co-designing.
Privileged Space…
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Provides containment of difference where historically difference was viewed as abnormal, problematic, unnatural. Meaning…
Clients see that their unique and/or individual needs are not “managed” as problematic to the healthcare system.
Value-based practice
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• Equity • Inclusion • Diversity More awareness of personal agency i.e. empowerment
References
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Barnett, D. (2010). Privileged thinking in today's schools: The implications for social justice. Lanham, Md.: Rowman & Littlefield Education. Fook, J. & Gardner, F. (2007) Practising Critical Reflection. Open University Press, Maidenhead Fook, J. & Gardner, F. (eds) (2013) Critical Reflection in Context. Routledge, London Levin, C. (2001). The siege of psychotherapeutic space: Psychoanalysis in the age of Transparency. Canadian Journal of Psychoanalysis, 9(2), 187-215. Retrieved from http://search.proquest.com.ezproxy.library.yorku.ca/docview/222816388?accountid=1 5182
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