Examining Racism in Psychoanalytic Training: Perspectives from a Psychiatry Resident. 2021

Nicole E Pacheco
PGY-4 Psychiatry Resident at Columbia University/New York State Psychiatric Institute.

The author reviews pervasive racial biases in psychoanalysis, spanning from overt instances of racial judgement to the normalized tendencies of internalized racist societal structures on individuals. A personalized account is given addressing how such issues have led to a hesitancy in the author- a Black and Hispanic psychiatry resident-to pursue psychoanalytic training. Institutes can more appropriately acknowledge how racism has affected their patients and the theories of the mind that are commonly promulgated. Academic institutions need to actively engage in creating awareness of racial bias, microaggressions, and uncovering unconscious negative attitudes. This will aid in the development of educational approaches that strive toward racial equality and inclusiveness.

UI MeSH Term Description Entries
D011572 Psychoanalysis The separation or resolution of the psyche into its constituent elements. The term has two separate meanings: 1. a procedure devised by Sigmund Freud, for investigating mental processes by means of free association, dream interpretation and interpretation of resistance and transference manifestations; and 2. a theory of psychology developed by Freud from his clinical experience with hysterical patients. (From Campbell, Psychiatric Dictionary, 1996). Psychodynamic Analysis,Analyses, Psychodynamic,Analysis, Psychodynamic,Psychodynamic Analyses
D011613 Psychotherapy A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication. Psychotherapies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D044469 Racial Groups Groups of individuals with similar physical appearances often reinforced by cultural, social and/or linguistic similarities. Continental Population Groups,Race,Racial Stocks,Continental Population Group,Group, Continental Population,Group, Racial,Groups, Continental Population,Groups, Racial,Population Group, Continental,Population Groups, Continental,Races,Racial Group,Racial Stock,Stock, Racial,Stocks, Racial
D063505 Racism Differential treatment or unequal access to opportunities, based on group membership such as origin or ethnicity. Everyday Racism,Covert Racism,Racial Bias,Racial Discrimination,Racial Prejudice,Bias, Racial,Discrimination, Racial,Discriminations, Racial,Prejudice, Racial,Prejudices, Racial,Racial Discriminations,Racial Prejudices,Racism, Covert,Racism, Everyday

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