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Racist discourses embedded in our social structures can have a profoundly negative impact on people's emotional well‐being. This paper calls for a re‐focusing within systemic therapy on anti‐colonial and social justice approaches specifically on addressing racism. We propose that if we are to make this shift in our practice, we need to first engage in processes of self‐reflexivity about the impact of racism on ourselves and our personal relationships. We draw on Paolo Freire's idea of ‘conscientisation’, or consciousness raising – a form of self‐reflexivity through the lens of power, and on the work of McKenzie‐Mavinga, who highlights the importance of therapists developing their awareness and understanding of how racism operates in their lives. We illustrate these ideas through an exploration of how we have approached this work within a long‐standing peer supervision group.

Introduction: The aim of this work is to perform a systematic review and meta-analysis of anti-tumor necrosis factor (anti-TNF) and antiinterleukin-17 (anti-IL-17) trials for spondyloarthritis, psoriatic arthritis, and psoriasis comparing rates of inflammatory bowel disease (IBD) events compared to placebo.Methods: MEDLINE, EMBASE, and The Cochrane Library were searched for doubleblind, randomized placebo-controlled anti-TNF and anti-IL-17 trials of included diseases. Inflammatory bowel disease events from the RCT period were pooled and meta-analyzed using statistical methods suitable for low-eventrate meta-analysis (Peto's, Mantel-Haenszel, hypergeometric-normal model, and Shuster-Guo-Skyler). When observed data were insufficient, we performed an exploratory sensitivity analysis to compare methods.

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