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Intersecting and Multiple Identities in Behavioral Health

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Prejudice, Stigma, Privilege, and Oppression

Abstract

This chapter explores the complexities that exist beyond the basic categories of single-identity status (i.e., “race,” “sex,” “religion” independently) and dwells upon the ways in which interconnectedness influences experiences and outcomes of oppression relevant to applied and research-oriented behavioral healthcare settings. Implications of neglecting intersectional theory are discussed with personal, clinical, and empirical consideration. As this chapter explores issues surrounding multiple identities, particularly multiple minority or marginalized identities, an examination of the history of the concept of intersectionality and its eventual application in behavioral healthcare is presented. It also describes prominent theories and research. Because identity-based distinctions are the basis of prejudicial discrimination, this chapter evaluates intersectionality in terms of the cultural, societal, political, and institutional forces that mold our conceptions of difference. Finally, the chapter will conclude with a discussion of intersectionality and multiple minority status within behavioral sciences with a focus on the application of an intersectional framework holistically throughout one’s life rather than as a “technique” or “statistical consideration” solely within one’s work.

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References

  • Alexander-Floyd, N. G. (2012). Disappearing acts: Reclaiming intersectionality in the social sciences in a post-Black feminist era. Feminist Formations, 24, 1–25.

    Article  Google Scholar 

  • Babbitt, L. G. (2013). An intersectional approach to Black/White interracial interactions: The roles of gender and sexual orientation. Sex Roles, 38, 791–802.

    Article  Google Scholar 

  • Bilge, S. (2013). Intersectionality undone: Saving intersectionality from feminist intersectionality studies. Du Bois Review: Social Science Research on Race, 10, 405–424.

    Article  Google Scholar 

  • Benner, A. D., & Graham, S. (2011). Latino adolescents’ experiences of discrimination across the first 2 years of high school: Correlates and influences on educational outcomes. Child Development, 82, 508–519.

    Article  PubMed  Google Scholar 

  • Bograd, M. (1999). Strengthening domestic violence theories: Intersections of race, class, sexual orientation, and gender. Journal of Marital and Family Therapy, 25, 275–289.

    Article  PubMed  Google Scholar 

  • Bowleg, L. (2012). Once you’ve blended the cake, you can’t take the parts back to the main ingredients: Black gay and bisexual men’s descriptions and experiences of intersectionality. Sex Roles, 68, 754–767.

    Article  Google Scholar 

  • Brenick, A., Romano, K., Kegler, C., & Eaton, L. A. (2017). Understanding the influence of stigma and medical mistrust on engagement in routine healthcare among black women who have sex with women. LGBT Health, 4(1).

    Google Scholar 

  • Burman, E. (2005). Engendering culture in psychology. Theory & Psychology, 15, 527–548.

    Article  Google Scholar 

  • Carter, R. T. (2007). Racism and psychological and emotional injury: Recognizing and assessing race-based traumatic stress. The Counseling Psychologist, 35(1), 13–105.

    Article  Google Scholar 

  • Choi, K. H., Bowleg, L., & Neilands, T. B. (2011). The effects of sexism, psychological distress, and difficult sexual situations on U.S. women’s sexual risk behaviors. AIDS Education and Prevention, 23, 397–411.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cole, E. R. (2009). Intersectionality and research in psychology. American Psychologist, 64(3), 170–180.

    Google Scholar 

  • Collier-Thomas, B., & Franklin, V. P. (2001). Sisters in the struggle: African American women in the civil rights-black power movement. New York, NY: New York University Press.

    Google Scholar 

  • Collins, P. H. (1990). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York, NY: Routledge.

    Google Scholar 

  • Collins, P. H. (2015). Intersectionality’s definitional dilemmas. Annual Review of Sociology, 41, 1–20.

    Article  Google Scholar 

  • Combahee River Collective. (1977, April). A Black Feminist Statement. https://americanstudies.yale.edu/sites/default/files/files/Keyword%20Coalition_Readings.pdf

  • Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of anti discrimination doctrine, feminist theory and antiracist politics. The University of Chicago Legal Forum, 140, 139–167.

    Google Scholar 

  • Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241–1299.

    Article  Google Scholar 

  • Davis, A. Y. (1981). Women, race, and class. New York, NY: Random House.

    Google Scholar 

  • Davis, K. (2009). Intersectionality as a buzzword: A sociology of science perspective on what makes a feminist theory successful. Feminist Theory, 9(1), 67–85.

    Article  Google Scholar 

  • Earnshaw, V. A., & Quinn, D. M. (2012). The impact of stigma in healthcare on people living with chronic illnesses. Journal of Health Psychology, 17, 157–168.

    Article  PubMed  Google Scholar 

  • Fine, C. (2011). Delusions of gender: How our minds, society, and neurosexism create difference. New York, NY: W. W. Norton & Company.

    Google Scholar 

  • Hancock, A. (2007). Examining intersectionality as a research paradigm: Multiplication doesn’t equal quick addition. Perspectives on Politics, 5, 63–79.

    Article  Google Scholar 

  • Hancock, A. (2011). Solidarity politics for millennials: A guide to ending the oppression olympics (The politics of intersectionality). New York, NY: Palgrave Macmillan.

    Book  Google Scholar 

  • Harari, Y. N. (2015). Sapiens. New York, NY: HarperCollins.

    Google Scholar 

  • Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103, 813–821.

    Article  PubMed  PubMed Central  Google Scholar 

  • Helms, J. E., Jernigan, M., & Mascher, J. (2005). The meaning of race in psychology and how to change it. The American Psychologist, 60, 27–36.

    Article  PubMed  Google Scholar 

  • Hooks, B. (1989). Talking back: Thinking feminist, thinking black. Boston, MA: Sound End Press.

    Google Scholar 

  • Hull, A. G. T., Bell-Scott, P., & Smith, B. (Eds.). (1982). All the women are white, all the blacks are men, but some of us are brave. Old Westbury, NY: Feminist Press.

    Google Scholar 

  • Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71, 2150–2161.

    Article  PubMed  Google Scholar 

  • Jensen, D., McBay, A., & Keith, K. (2011). Deep green resistance: Strategy to save the planet. New York, NY: Seven Stories Press.

    Google Scholar 

  • Matsuda, M. J. (1991). Beside my sister, facing the enemy: Legal theory out of coalition. Stanford Law Review, 43(6), 1183–1192.

    Article  Google Scholar 

  • McCall, L. (2005). The complexity of intersectionality. Signs, 30, 1771–1800.

    Article  Google Scholar 

  • Masuda, A., Anderson, P. L., & Edmonds, J. (2012). Help-seeking attitudes, mental health stigma, and self-concealment among African-American college students. Journal of Black Studies, 43(7), 773–786.

    Article  Google Scholar 

  • May, V. M. (2015). Pursuing intersectionality, unsettling dominant imaginaries. New York, NY: Routledge.

    Book  Google Scholar 

  • Pager, D., & Shepherd, H. (2008). The sociology of discrimination: Racial discrimination in employment, housing, credit, and consumer markets. Annual Review of Sociology, 34, 181–209.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parent, M., DeBlaere, C., & Moradi, B. (2013). Approaches to research on intersectionality: Perspectives on gender, LGBT, and racial/ethnic identities. Sex Roles, 68, 639–645.

    Article  Google Scholar 

  • Reid, P. T. (2000). Multicultural psychology: Bringing together gender and ethnicity. Cultural Diversity & Ethnic Minority Psychology, 8, 103–114.

    Article  Google Scholar 

  • Richards, G. (2002). The psychology of psychology: A historically grounded sketch. Theory & Psychology, 12, 7–36.

    Article  Google Scholar 

  • Rosenthal, L. (2016). Incorporating intersectionality into psychology: An opportunity to promote social justice and equity. American Psychologist, 71(6), 474–485.

    Article  Google Scholar 

  • Sabik, N. J. (2013). Ageism and body esteem: Associations with psychological well-being among late middle-aged African American and European American women. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 70, 191–201.

    PubMed  PubMed Central  Google Scholar 

  • Sarno, E. L., Mohr, J. J., Jackson, S. D., & Fassinger, R. E. (2015). When identities collide: Conflicts in allegiances among LGB people of color. Cultural Diversity & Ethnic Minority Psychology, 21, 550–559.

    Article  Google Scholar 

  • Settles, I. H., Cortina, L. M., Stewart, A. J., & Malley, J. (2007). Voice matters: Buffering the impact of a negative climate for women in science. Psychology of Women Quarterly, 31, 270–281.

    Article  Google Scholar 

  • Shields, S. A. (2002). Speaking from the heart: Gender and the social meaning of emotion. New York, NY: Cambridge University Press.

    Google Scholar 

  • Shields, S. A. (2008). Gender: An intersectionality perspective. Sex Roles, 59, 301–311.

    Article  Google Scholar 

  • Smith, D. K., Herbst, J. H., Zhang, X., & Rose, C. E. (2015). Condom effectiveness for HIV prevention by consistency of use among men who have sex with men in the United States. Journal of Acquired Immune Deficiency Syndromes, 68(3), 337–344.

    Article  PubMed  Google Scholar 

  • Staunæs, D. (2003). Where have all the subjects gone? Bringing together the concepts of intersectionality and subjectification. Nordic Journal of Feminist and Gender Research, 11(2), 101–110.

    Article  Google Scholar 

  • Stewart, A. J., & McDermott, C. (2004). Gender in psychology. Annual Review of Psychology, 55, 519–544.

    Article  PubMed  Google Scholar 

  • Tashakkori, A., & Teddlie, C. (1998). Introduction to mixed method and mixed model studies in the social and behavioral sciences: Paradigm wars and mixed methodologies. In Mixed methodology: Combining qualitative and quantitative approaches (pp. 3–19). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Toporek, R. L., Gerstein, L., Fouad, N., & Israel, T. (2006). Handbook for social justice in counseling psychology: Leadership, vision, and action. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Walker, A. (2003). Methods, theory and the practice of feminist research: A response to Janet Chafetz. Journal of Family Studies, 25, 990–994.

    Google Scholar 

  • Yuval-Davis, N. (2006). Intersectionality and feminist politics. European Journal of Women’s Studies, 13, 193–209.

    Article  Google Scholar 

  • Yuval-Davis, N. (2012). Dialogical epistemology—An intersectional resistance to the “oppression olympics”. Gender and Society, 26, 46–54.

    Article  Google Scholar 

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Correspondence to Kayla Sargent .

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Sargent, K. (2020). Intersecting and Multiple Identities in Behavioral Health. In: Benuto, L., Duckworth, M., Masuda, A., O'Donohue, W. (eds) Prejudice, Stigma, Privilege, and Oppression. Springer, Cham. https://doi.org/10.1007/978-3-030-35517-3_10

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