This study provides a content analysis of peer-reviewed journal articles about consensual nonmonogamy (CNM) from a social scientific lens published from 1926 through 2016, excluding articles specific to polygamy or other faith-based relational practices. The content analysis yielded 116 articles, with most of the articles being nonempirical research (n ϭ 74) rather than empirical studies (n ϭ 42). Although the number of published articles about CNM has increased significantly in recent decades (n ϭ 26 from 1926 to 2000 compared with n ϭ 90 from 2001 to 2016), the topics discussed in CNM literature were narrow in scope and focused on (a) relationship styles, (b) CNM stigma, and/or (c) LGBTQ issues. Content analysis data showed that the vast majority of articles were published in journals about sexuality, suggesting that CNM remains an underexamined topic in psychological science. Additionally, only a handful of the total articles centered on topics related to family concerns (n ϭ 5) or training and counseling (n ϭ 2). Findings from this content analysis suggest that individuals and families who practice CNM are an underserved and understudied group that would benefit from advancements in psychological scholarship specific to their experiences.
Objective: The coronavirus disease 2019 (COVID-19) pandemic has instigated a paradigm shift in psychology graduate training and education. As these system-wide changes are being implemented, Black, Indigenous and People of Color (BIPOC) continue to be disproportionately impacted as they simultaneously experience, witness, and relive the deleterious consequences of systemic and institutional racism as trainees and members of minoritized communities. The field requires a radical culture shift to counteract the effects of ongoing psychological harm on trainees of color. Method: Our analyses are grounded in two decolonizing frameworks, Critical Race Theory and Liberation Psychology. We also provide a systems-based analysis of how BIPOC trainees are impacted by systemic racism and examine how these -isms are perpetuated in psychology training. Testimonios are used as examples on how to center trainee's experiential knowledge. Conclusions: Psychology is uniquely positioned to transform how science and practice informs, builds, and sustains equitable systems for trainees and the public. The profession must question and disrupt the status quo and system inequities to build capacity and foster resistance.
Clinical Impact StatementBlack, Indigenous and People of Color (BIPOC) hold multiple intersectional identities that are exacerbated by the injustices they encounter in their professional paths. Despite diversity and inclusion efforts, psychology training programs often fail to mitigate race-based traumatic stressors, adversely impacting the educational experiences and mental health of trainees. Therefore, we argue that Critical Race Theory and Liberation Psychology are frameworks that unearth these disparities by (a) providing historical context to distributions of power shaped by colonialism, (b) challenging ingrained systems of privilege and oppression, and (c) legitimizing experiences of BIPOC trainees.
Background
Underrepresented in medicine (UIM) interns have unique lived experiences that affect their paths to medicine, and more information is needed for medical residency and fellowship programs to better support them.
Objective
We describe self-reported differences between UIM and White physician interns in key demographic areas, including household income growing up, physician mentorship, and adverse childhood experiences (ACEs).
Methods
Between 2019 and 2021, we administered a diversity survey to incoming medical interns at the University of Minnesota-Twin Cities. Response rates across the 3 years were 51.2% (167 of 326), 93.9% (310 of 330), and 98.9% (354 of 358), respectively. We conducted analyses to compare UIM and White groups across demographic variables of interest.
Results
A total of 831 of 1014 interns (81.9%) completed the survey. Relative to White interns, UIM interns had lower household incomes growing up, lower rates of mentorship, and higher rates of experiencing 4 or more ACEs. The odds of experiencing the cumulative burden of having a childhood household income of $29,999 or less, no physician mentor, and 4 or more ACEs was approximately 10 times higher among UIM (6.41%) than White (0.66%) interns (OR=10.38, 95% CI 1.97-54.55).
Conclusions
Childhood household income, prior mentorship experiences, and number of ACEs differed between UIM and White interns.
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