Anti-Black racism is often overlooked in predominantly White spaces such as psychotherapy. This pervasive disregard and dehumanization reflects the perpetuation of ongoing racial trauma that can influence the psychological health of Black people seeking psychotherapy. Therapists, therefore, ought to be equipped and comfortable to have conversations about anti-Blackness and anti-Black racism in sessions, though evidence suggests they are often uncomfortable discussing race and racism in practice. To understand therapists' comfort when clients discuss anti-Black racism, we used a multiple case study approach to interview five practicing clinicians (two White, two Black, one biracial Asian and White). Within-case analysis elicited a sense of participants' personal experiences of being comfortable, and at times less so, when clients discussed having endured anti-Black racism. Cross-case analysis led to the identification of four themes: (a) Beyond Acknowledgment, (b) Drawing Personal Awareness into the Moment, (c) Engaging with One's Own Emotional Responses, and (d) I Am versus I Should: Proactive and Reactive Comfort. These findings are discussed within the scope of multicultural competence, multicultural orientation, and the value of cultural comfort when clients' discuss anti-Black racism.
Clinical Impact StatementQuestion: This study was guided by the central question: What is the experience of therapists' cultural comfort when clients express anti-Black racism in session? Findings: Our findings demonstrate therapists' experiences of comfort when discussing clients' experiences of anti-Black racism during sessions include a sense of knowledge about anti-Blackness and anti-Black racism as well as intrapersonal engagement with one's own emotional reactions as a provider and both proactive and reactive comfort responses. Meaning: These qualitative data, collected via multiple case study, offer insight for therapists about clinicians' perceptions of being comfortable and the value of doing so when so often anti-Blackness is disregarded socially and in psychotherapy. Next Steps: As this qualitative data reflects participants' experiences of being comfortable with clients' discussing anti-Black racism, researchers should endeavor to understand the relationship between therapists' cultural comfort and psychotherapy outcome for Black clients who endure anti-Blackness and anti-Black racism and discuss such experiences during treatment. This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.Editor's Note. Rayna D. Markin served as the action editor for this article.-JO