Racism, mental health, and mental health practice

In this article, the authors present an interdisciplinary discussion of the multiple dimensions of racism and formulate conceptions of its impact on the formation of healthy personalities. They describe how racism has both ideological and structural components and perpetuates itself recursively at the macro- (e.g., group, institution) and microlevels (e.g., interpersonal). As one consequence of its embedded, cyclical nature, efforts to treat client problems that involve issues of race and racism will necessarily entail piercing distortions in reality, encouraging self-moral development and eliciting risk-taking behaviors. To take part in transforming current structures of racism, counseling psychologists are urged to extend these strategies beyond the therapeutic milieu. Implications for practice, training, and research are presented.