The negative impacts of racism, including experiences of racial trauma, are well documented (e.g., Bryant-Davis & Ocampo, 2005;Carter, 2007). Due to the deleterious effects of racial trauma on Black people, interventions that facilitate the resistance and prevention of anti-Black racism are needed. Critical consciousness is one such intervention, as it is often seen as a pre-requisite of resistance and liberation (Prilleltensky, 2003;2008). In order to understand how individuals advance from being aware of anti-Black racism to engaging in actions to prevent and resist racial trauma, non-confidential interviews with 12 Black Lives Matter activists were conducted. Using constructivist grounded theory (Charmaz, 2014) under critical-ideological and Black feministwomanist lenses, a model of Critical Consciousness of Anti-Black Racism (CCABR) was coconstructed. The three processes involved in developing CCABR include: witnessing anti-Black racism, processing anti-Black racism, and acting critically against anti-Black racism. This model, including each of the categories and subcategories, are detailed herein and supported with quotations. The findings and discussion provide context-rich and practical approaches to help Black people, and counseling psychologists who serve them, prevent and resist racial trauma.

A sex-positive lens is needed to investigate Black sexuality, which is often depicted through deficit and risk models. Extant sex research leaves an opportunity to understand Black experiences of sexual pleasure untapped. Using narrative inquiry coupled with constructivist grounded theory methods, we examined 18 Black university students’ last sexual encounter narratives. An explication of their disclosure about and meaning making around pleasure is presented. Themes included the following: monitoring mutual pleasure, relegating pleasure to men’s performance, and positioning pleasured possibilities as hope or expectation. Research implications for Black psychology are addressed.

High psychiatric readmission rates continue while evidence suggests that care is not perceived by patients as "patient centered." Research has focused on aftercare strategies with little attention to the inpatient treatment itself as an intervention to reduce readmission rates. Quality improvement strategies based on patient-centered care may offer an alternative. We evaluated outcomes and readmission rates using a benchmarking methodology with a naturalistic data set from an inpatient psychiatric facility (N = 2,247) that used a quality-improvement strategy called systematic patient feedback. Benchmarks were constructed using randomized clinical trials (RCTs) from inpatient treatment for depression, RCTs from patient feedback in outpatient settings, and national data on psychiatric hospital readmission rates. A systematic patient feedback system, the Partners for Change Outcome Management System (PCOMS), was used. Overall pre-post effect sizes were d = 1.33 and d = 1.38 for patients diagnosed with a mood disorder. These effect sizes were statistically equivalent to RCT benchmarks for feedback and depression. Readmission rates were 6.1% (30 days), 9.5% (60 days), and 16.4% (180 days), all lower than national benchmarks. We also found that patients who achieved clinically significant treatment outcomes were less likely to be readmitted. We tentatively suggest that a focus on real-time patient outcomes as well as care that is "patient centered" may provide a path toward lower readmission rates in addition to other evidence-based strategies after discharge. (PsycINFO Database Record (c) 2018 APA, all rights reserved).