The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Psychotherapy, Enactments, and Race

Jul 15, 2024
Beverly Stoute, MD, a physician dedicated to exploring unconscious racial biases in therapy, shares profound insights. She delves into how these biases can disrupt the therapist-patient relationship and hinder effective treatment. The discussion highlights the necessity of recognizing racial dynamics in psychoanalysis and the influence of societal narratives on personal experiences. Real-world examples, such as microaggressions in therapeutic settings, illustrate how language and awareness can foster a more inclusive environment for patients of color.
16:40

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Quick takeaways

  • Unconscious racial biases in therapy can hinder dialogue and acknowledgment of crucial issues, impacting patients' healthcare outcomes significantly.
  • Therapists must recognize and address racial enactments and microaggressions to foster healthier therapeutic relationships and promote effective healing.

Deep dives

Impact of Unconscious Racial Biases on Therapy

Unconscious racial biases can significantly affect healthcare outcomes, particularly in therapeutic settings. When therapists and patients enact their unconscious biases without awareness, it can hinder open dialogue about race, leading to silence and avoidance of crucial issues. For instance, a patient with a history of discrimination struggled to address her experiences in therapy, believing it was her fault when in reality, it stemmed from her treatment's lack of acknowledgment of racial dynamics. This dynamic emphasizes the necessity for therapists to be conscious of their biases to foster a more effective and inclusive therapeutic environment.

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