Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics

Heath H. Hightower

doi:10.29333/ajqr/14097

Heath H. Hightower ¹ ^*

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AM J QUALITATIVE RES, Volume 8, Issue 1, pp. 177-197

https://doi.org/10.29333/ajqr/14097

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Abstract

Historically and in the present day, Black women’s positionality in the U.S. has paradoxically situated them in a society where they are both intrinsically essential and treated as expendable. This positionality, known as gendered racism, manifests commonly in professional environments and results in myriad harms. In response, Black women have developed, honed, and practiced a range of coping styles to mitigate the insidious effects of gendered racism. While often effective in the short-term, these techniques frequently complicate Black women’s well-being. For Black female clinicians who experience gendered racism and work on the frontlines of community mental health, myriad bio-psycho-social-spiritual harms compound. This project provided an opportunity for Black female clinicians from across the U.S. to share their experiences during the dual pandemics of COVID-19 and anti-Black violence. I conducted in-depth interviews with clinicians (n=14) between the ages of 30 and 58. Using the Listening Guide voice-centered approach to data generation and analysis, I identified four voices to help answer this project’s central question: How do you experience being a Black female clinician in the U.S.? The voices of self, pride, vigilance, and mediating narrated the complex ways participants experienced their workplaces. This complexity seemed to be context-specific, depending on whether the clinicians worked in predominantly White workplaces (PWW), a mix of PWW and private practice, or private practice exclusively. Participants who worked only in PWW experienced the greatest stress, oppression, and burnout risk, while participants who worked exclusively in private practice reported more joy, more authenticity, and more job satisfaction. These findings have implications for mentoring, supporting, and retaining Black female clinicians.

Keywords: Black female clinicians, professional experiences, gendered racism, Listening Guide voice-centered approach.

References

Abrams, L. S., & Dettlaff, A. J. (2020). Voices from the frontlines: Social workers confront the COVID-19 pandemic. Social Work, 65(3), 302–305. https://doi.org/10.1093/sw/swaa030
Anderson, M. L., & Collins, P. H. (2004). Race, class, and gender: An anthology (5th ed.). Thompson Wadsworth.
Apugo, D. (2019). A hidden culture of coping: Insights on African American women’s existence in predominantly White institutions. Multicultural Perspectives, 21(1), 53-62. https://doi.org/10.1080/15210960.2019.1573067
Beals, F., Kidman, J., & Funaki, H. (2020). Insider and outsider research: Negotiating self at th edge of the emic/etic divide. Qualitative Inquiry, 26(6), 593–601. https://doi.org/10.1177/1077800419843950
Chinn, J. J., Martin, I. K., & Redmond, N. (2021). Health equity among Black women in the United States. Journal of Women's Health, 30(2), 212–219. https://doi.org/10.1089/jwh.2020.8868
Coleman, J. A. (2016). Racial differences in posttraumatic stress disorder in military personnel: Intergenerational transmission of trauma as a theoretical lens. Journal of Aggression, Maltreatment, and Trauma, 25(6), 561–579. https://doi.org/10.1080/10926771.2016.1157842
Collins, P. H. (2009). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. Routledge.
Cooke, C. D., & Hastings, J. F. (2023). Black women social workers: Workplace stress experiences. Qualitative Social Work. Advance online publication. https://doi.org/10.1177/14733250231151954
Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299. https://doi.org/10.2307/1229039
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5^th ed.). SAGE Publications.
Cruz, J. (2021). The listening guide method as an interdisciplinary approach: Accounting for psychological processes in sociological frameworks. Qualitative Psychology, 8(2), 171–182. https://doi.org/10.1037/qup0000209
Cupid, S., & Bogues, K. (2023). "No filters needed . . .": A qualitative study exploring sister and workplace messages for Black women healthcare professionals during the double pandemic. Women's Health, 19. https://doi.org/10.1177/17455057231181017
Essed, P. (1991). Understanding everyday racism: An interdisciplinary theory. SAGE Publications.
Frye, J. (2020). On the frontlines at work and at home: The disproportionate economic effects of the coronavirus pandemic on women of color. Center for American Progress. https://www.americanprogress.org/wp-content/uploads/sites/2/2020/04/WOCcoronareport-1.pdf
Geyton, T. A., Town, M., Hunte, R., & Johnson N. (2023). Magnifying inequality: How Black women found safety in the midst of dual pandemics. Journal of Social Issues, 79(2), 716-734. https://doi.org/10.1111/josi.12565
Gilligan, C., Spencer, R., Weinberg, M. K., & Bertsch, T. (2003). On the listening guide: A voice-centered relational method. In P. M. Camic, J. E. Rhodes, & L. Yardley (Eds.), Qualitative research in psychology: Expanding perspectives in methodology and design (pp. 157–172). https://doi.org/10.1037/10595-009
Godoy, S. M., Dukes, L., Chapman, M., Day, S., & Goode, R. W. (2023). “You have to continue doing the work”: Black women essential workers coping amidst the dual pandemics of COVID-19 and racism. Qualitative Social Work. Advance online publication. https://doi.org/10.1177/14733250231167822
Graham, J., Welfare, L. E., Day-Vines, N. L., & Ghoston, M. (2022). Stress, coping, and the strong Black woman: An empirical analysis. Journal of Multicultural Counseling and Development, 50(3), 162-170. https://doi.org/10.1002/jmcd.12235
Hightower, H. H. (2022). Black deaths matter: Critically understanding Black female clinicians’ perspectives about suicide in Black communities (Publication No. 29170536) [Doctoral dissertation, Lesley University]. ProQuest Dissertations Publishing.
Jones, B. (2020). Counseling while Black: A critical inquiry exploring the experiences of Black master’s level counselors in non-academic, predominantly White, mental health settings (Publication No. 2447008611) [Doctoral dissertation, Lesley University]. ProQuest Dissertations and Theses Global.
Jones, M. S., Womack, V., Jérémie-Brink, G., & Dicken, D. D. (2021). Gendered racism and mental health among young adult U.S. Black women: The moderating roles of gendered racial identity centrality and identity shifting. Sex Roles, 85, 221–231. https://doi.org/10.1007/s11199-020-01214-1
Kelso, G. A., Cohen, M. H., Weber, K. M., Dale, S. K., Cruise, R. C., & Brody, L. R. (2014). Critical consciousness, racial and gender discrimination, and HIV disease markers in African American women with HIV. AIDS and Behavior, 18(7), 1237–1246. https://doi.org/10.1007/s10461-013-0621-y
Kim, J.-H. (2016). Understanding narrative inquiry. SAGE Publications.
Lindsey, M. A., Brown, D. R., & Cunningham, M. (2017). Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry, 87(4), 377–383. https://doi.org/10.1037/ort0000198
McNeil-Young, V. A., Mosley, D. V., Bellamy, P., Lewis, A., & Hernandez, C. (2023). Storying survival: An approach to radical healing for the Black community. Journal of Counseling Psychology, 70(3), 276–292. https://doi.org/10.1037/cou0000635
Mosley, D. V., Hargons, C. N., Meiller, C., Angyal, B., Wheeler, P., Davis, C., & Stevens-Watkins, D. (2021). Critical consciousness of anti-Black racism: A practical model to prevent and resist racial trauma. Journal of Counseling Psychology, 68(1), 1–16. https://doi.org/10.1037/cou0000430
Motulsky, S. L. (2021). Is member-checking the gold standard of quality in qualitative research? Qualitative Psychology, 8(3), 389–406. https://doi.org/10.1037/qup0000215
Neal-Barnett A (2010). Soothe your nerves: The Black woman’s guide to understanding and overcoming anxiety, panic, and fears. Simon & Schuster.
Neal-Barnett, A., Stadulis, R., Murray, M., Payne, M. R., Thomas, A., & Salley, B. B. (2011). Sister circles as a culturally relevant intervention for anxious African American women. Clinical Psychology, 18(3), 266–273. https://doi.org/10.1111/j.1468-2850.2011.01258.x
Nunley, T. Y. (2021). At the threshold of liberty: Women, slavery, and shifting identities in Washington D.C. The University of North Carolina Press.
Parnell, R. N., Lacey, K. K., & Wood, M. (2022). Coping and protective factors of mental health: An examination of African American and U.S. Caribbean Black women exposed to IPV from a nationally representative sample. International Journal of Environmental Research and Public Health, 19(22), Article 15343. https://doi.org/10.3390/ijerph192215343
Perez, A. D., Dufault, S. M., Spears, E. C., Chae, D. H., Woods-Giscombe, C. L., & Allen, A. M. (2023). Superwoman schema and John Henryism among African American women: An intersectional perspective on coping with racism. Social Science & Medicine (1982), 316, Article 115070. https://doi.org/10.1016/j.socscimed.2022.115070
Robinson, M.N. (2022). Pushing past limits: How efficacious is high-effort coping for self-rated health among African American and Caribbean Black women? International Journal of Environmental Research and Public Health, 19, Article 13460. https://doi.org/10.3390/ ijerph192013460
Snyder, T. L. (2015). The power to die: Slavery and suicide in British North America. University of Chicago Press.
Spates, K. (2012). “The missing link”: The exclusion of Black women in psychological research and the implications for Black women’s mental health. SAGE Open, 2(3), 1–8. https://doi.org/10.1177/2158244012455179
Spates, K., Evans, N., James, T. A., & Martinez, K. (2020). Gendered racism in the lives of Black women: A qualitative exploration. Journal of Black Psychology, 46(8), 583–606. https://doi.org/10.1177/0095798420962257
Thomas, A. J., Witherspoon, K. M., & Speight, S. L. (2008). Gendered racism, psychological distress, and coping styles of African American women. Cultural Diversity & Ethnic Minority Psychology, 14(4), 307–314. https://doi.org/10.1037/1099-9809.14.4.307
Tolman, D. L., & Head, J. C. (2021). Opening the black box: A primer for the listening guide method of narrative inquiry. Qualitative Psychology, 8(2), 152–170. https://doi.org/10.1037/qup0000202
Williams-Washington, K. N., & Mills, C. P. (2018). African American historical trauma: Creating an inclusive measure. Journal of Multicultural Counseling and Development, 46(4), 246–263. https://doi.org/10.1002/jmcd.12113
Zhao, P., Ross, K., Li, P., & Dennis, B. (2021). Making sense of social research methodology: A student- and practitioner-centered approach. SAGE Publications.
Zimmerman, M.A., Ramirez-Valles, J., Zapert, K. M., & Maton, K. I. (1999). A longitudinal study of stress-buffering effects for urban African-American male adolescent problem behaviors and mental health. Journal of Community Psychology, 28, 17–33. https://doi.org/10.1002/(SICI)1520-6629(200001)

Citation

Hightower, H. H. (2024). Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics. American Journal of Qualitative Research, 8(1), 177-197. https://doi.org/10.29333/ajqr/14097

Hightower, H. H. (2024). Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics. American Journal of Qualitative Research, 8(1), pp. 177-197. https://doi.org/10.29333/ajqr/14097

Hightower HH. Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics. AM J QUALITATIVE RES. 2024;8(1), 177-197. https://doi.org/10.29333/ajqr/14097

Hightower, Heath H.. "Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics". American Journal of Qualitative Research 2024 8 no. 1 (2024): 177-197. https://doi.org/10.29333/ajqr/14097

Hightower, Heath H. "Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics". American Journal of Qualitative Research, vol. 8, no. 1, 2024, pp. 177-197. https://doi.org/10.29333/ajqr/14097

Hightower HH. Being Essential and Feeling Expendable: Black Female Clinicians’ Narratives About Working in the U.S. During Dual Pandemics. AM J QUALITATIVE RES. 2024;8(1):177-97. https://doi.org/10.29333/ajqr/14097