References

Brown D, Del Rosso T. Called, committed and inspiring activism: how black PR guest speakers experienced the PR classroom during the COVID-19 and racial reckoning academic year of 2020/2021. J Public Relat Educ.. 2022; 8:(2)42-77

Crenshaw K. Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. In: Bartlett KT, Kennedy R (eds). Abingdon: Routledge; 2013

Dada T, Laughey W. Simulation for teaching on racial microaggressions and bystander intervention — A theory-based guide for health profession education. Med Sci Educ.. 2023; 33:991-997 https://doi.org/10.1007/s40670-023-01820-0

Droogendyk L, Wright SC, Lubensky M Acting in solidarity: cross-group contact between disadvantaged group members and advantaged group allies. J Soc Issues. 2016; 72:(2)315-334 https://doi.org/10.1111/josi.12168

Gatwiri K. Racial microaggressions at work: reflections from Black African professionals in Australia.

Br J Soc Work. 2021; 51:(2)655-672 https://doi.org/10.1093/bjsw/bcaa145

General Medical Council. Tackling disadvantage in medical education. 2023. https://www.gmc-uk.org/-/media/documents/96887270_tackling-disadvantage-in-medical-education-020323.pdf (accessed 4 August 2023)

Houshmand S, Spanierman LB, De Stefano J. ‘I have strong medicine, you see’: strategic responses to racial microaggressions. J Couns Psychol.. 2019; 66:(6)651-664 https://doi.org/10.1037/cou0000372

Ethnic inequalities in healthcare: a rapid evidence review. 2022. https://www.nhsrho.org/wp-content/uploads/2022/02/RHO-Rapid-Review-Final-Report_v.7.pdf (accessed 4 August 2023)

Kim JYJ, Block CJ, Nguyen D. What's visible is my race, what's invisible is my contribution: understanding the effects of race and color-blind racial attitudes on the perceived impact of microaggressions toward Asians in the workplace. J Vocat Behav.. 2019; 113:75-87 https://doi.org/10.1016/j.jvb.2018.08.011

Kim JY, Block CJ, Yu H. Debunking the ‘model minority’ myth: how positive attitudes toward Asian Americans influence perceptions of racial microaggressions. J Vocat Behav.. 2021; 131 https://doi.org/10.1016/j.jvb.2021.103648

Lo C-H, Nguyen LH, Drew DA Race, ethnicity, community-level socioeconomic factors, and risk of COVID-19 in the United States and the United Kingdom. eClinicalMedicine. 2021; 38 https://doi.org/10.1016/j.eclinm.2021.101029

Marmot review 10 years on. 2020. https://www.instituteofhealthequity.org/resources-reports/marmot-review-10-years-on (accessed 4 August 2023)

Nguyen LH, Joshi AD, Drew DA Self-reported COVID-19 vaccine hesitancy and uptake among participants from different racial and ethnic groups in the United States and United Kingdom. Nat Commun. 2022; 13:(1)1-9 https://doi.org/10.1038/s41467-022-28200-3

Medical workforce race equality standard (MWRES) WRES indicators for the medical workforce 2020. 2021. https://www.england.nhs.uk/wp-content/uploads/2021/07/MWRES-DIGITAL-2020_FINAL.pdf (accessed 4 August 2023)

Medical workforce race equality standard (MWRES). A commitment to collaborate: the first five. 2023a. https://www.england.nhs.uk/long-read/medical-workforce-race-equality-standard-2022/ (accessed 4 August 2023)

NHS equality, diversity, and inclusion improvement plan. 2023b. https://www.england.nhs.uk/long-read/nhs-equality-diversity-and-inclusion-improvement-plan/ (accessed 4 August 2023)

Obasi C. Black social workers: identity, racism, invisibility/hypervisibility at work. J Soc Work. 2022; 22:(2)479-497 https://doi.org/10.1177/14680173211008110

Ohrnberger J, Fichera E, Sutton M. The relationship between physical and mental health: a mediation analysis. Soc Sci Med. 2017; 195:42-49 https://doi.org/10.1016/j.socscimed.2017.11.008

Osama T, Razai MS, Majeed A. COVID-19 vaccine allocation: addressing the United Kingdom's colour-blind strategy. J R Soc Med. 2021; 114:(5)240-243 https://doi.org/10.1177/01410768211001581

Paradies Y, Ben J, Denson N Racism as a determinant of health: a systematic review and meta-analysis. PLoS One. 2015; 10:(9) https://doi.org/10.1371/journal.pone.0138511

Pascoe EA, Richman LS. Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009; 135:(4)531-554 https://doi.org/10.1037/a0016059

Pearce S. ‘It was the small things’: using the concept of racial microaggressions as a tool for talking to new teachers about racism. Teach Teach Educ.. 2019; 79:83-92 https://doi.org/10.1016/j.tate.2018.12.009

Selvanathan HP, Ulu ÖM, Burrows B. What should allies do? Identifying activist perspectives on the role of white allies in the struggle for racial justice in the United States. Eur J Soc Psychol.. 2023; 53:(1)43-60 https://doi.org/10.1002/ejsp.2882

Smith IA, Griffiths A. Microaggressions, everyday discrimination, workplace incivilities, and other subtle slights at work: a meta-synthesis. Hum Resour Dev Rev.. 2022; 21:(3)275-299 https://doi.org/10.1177/15344843221098756

Song M. Why we still need to talk about race. In: Bulmer M, Solomos J (eds). Abingdon: Routledge; 2020

Spanierman LB, Clark DA, Kim Y. Reviewing racial microaggressions research: documenting targets' experiences, harmful sequelae, and resistance strategies. Perspect Psychol Sci.. 2021; 16:(5)1037-1059 https://doi.org/10.1177/17456916211019944

Sudol NT, Guaderrama NM, Honsberger P Prevalence and nature of sexist and racial/ethnic microaggressions against surgeons and anesthesiologists. JAMA Surg. 2021; 156:(5) https://doi.org/10.1001/jamasurg.2021.0265

Sue DW. Microaggressions, marginality, and oppression: an introduction.Hoboken: John Wiley and Sons Inc.; 2010

Sue DW, Capodilupo CM, Torino GC Racial microaggressions in everyday life: implications for clinical practice. Am Psychol.. 2007; 62:(4)271-286 https://doi.org/10.1037/0003-066X.62.4.271

Sue DW, Alsaidi S, Awad MN Disarming racial microaggressions: microintervention strategies for targets, white allies, and bystanders. Am Psychol.. 2019; 74:(1)128-142 https://doi.org/10.1037/amp0000296

Williams MT, Skinta MD, Martin-Willett R. After Pierce and Sue: a revised racial microaggressions taxonomy. Perspect Psychol Sci.. 2021; 16:(5)991-1007 https://doi.org/10.1177/1745691621994247

Wong G, Derthick AO, David EJR The what, the why, and the how: a review of racial microaggressions research in psychology. Race Soc Probl.. 2014; 6:(2)181-200 https://doi.org/10.1007/s12552-013-9107-9

Where are you really from? Racial microaggressions and how to be an ally or active bystander

02 October 2023
Volume 31 · Issue 10

Abstract

Racial microaggressions are often subtle and frequent occurences in the lives of people from marginalised racial groups. There is a broad lack of acknowledgement that they exist and when perpetrators are confronted, victims are often met with defensiveness or dismissal. However, the impacts on the physical and mental health of the victims make it essential that clinicians understand not only the concept of racial microaggressions but also how they may be challenged and addressed. There is no single way to address microaggressions, but the authors propose some ways to identify and tackle them in the medical setting and beyond. It is hoped that this will encourage allyship and empower those who are bystanders to become more actively involved.

Where are you from? At first glance, this question seems innocuous, emanating from the curiosity of a patient or colleague. However, when the answer to this question is followed by ‘where are you really from?’ or a variation on that query, it can act as a rejection of a person's sense of self-identity. Regardless of intent, this is a microaggression, specifically a racial one. The term ‘racial microaggression’ was first coined by Chester Pierce in 1970 and reintroduced by Derald Sue Wing in 2007 (Sue et al, 2007). Racial microaggressions can be thought of as frequent, subtle and often unintentional insults towards a marginalised racial group (Williams et al, 2021). The impact of racial microaggressions cannot be overstated and the cumulative effects have been shown to lead to poorer physical and mental health outcomes for those on the receiving end (Wong et al, 2014; Spanierman et al, 2021). This article explores the types of racial microaggressions that may be encountered in the workplace, considers how these could be addressed and empowers people to become allies or active bystanders.

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