therapist

Shame and Anti-Racism Work

Seattle-Therapist-Shame-Anti-Racism-Work

Seattle Therapist Discusses Shame and Anti-Racism Work

A guest post by Tina Alvarado, LMFT

ABSTRACT

We, as White people, need to work on building up our shame resilience as a way to continue to engage in dismantling White Supremacy. The lives of Black, Indigenous, and People of Color (BIPOC) depend on it. It is normal and okay to have hard feelings come up as you confront the White Supremacy you have internalized. Follow the steps explained below to increase your tolerance of these uncomfortable feelings so that you can remain steadfast in your anti-racism work.

INTRODUCTION

As a White Latina and a psychotherapist, I see one of my roles in anti-racism work as supporting other White and White-passing people in exploring their racial identity, privilege, and the role they play in systems of oppression. 

I have noticed a lot of the same themes come up in therapy sessions over the past two weeks as my White clients are responding to a new-found urgency to explore their Whiteness. The purpose of this post is to gather them in one place and share them here in the hopes that it will help other White and White-passing people in their process. 

Below, you will find seven steps that White people can take to help them prevent shame from getting in the way of their anti-racism work. Let this be a starting-off point for conversation and action. I, myself, am excited to engage with others around it as I continue to do my own work.

Dear White People

I want to address something that often gets in the way of our work when it comes to confronting and addressing the ways that we have internalized, participated in, and contributed to White Supremacy: SHAME. Specifically, to use a term coined by Dr. Brene Brown, low shame resilience. 

It is common to experience shame when we are confronting something we have done that contradicts our values or calls attention to a blind spot that we have had. Having a low shame resilience means having a hard time moving through experiences of shame. You are likely get stuck or immobilized by it. Sometimes we approach shame like it's the boogey monster: don’t talk about it, don't think about it, avoid it at all costs and maybe it'll go away. Sometimes we get stuck in a shame spiral and can't seem to find our way out.

Shame does not have to be so scary

In fact, it is partly this response to shame that makes it feel so bad. The action urge associated with shame is hiding, it causes us to isolate and move away. Shame, just like any other emotional state, exists for a reason. It has been evolutionarily effective. We are communal people and as such want to avoid anything that disconnects us from our community. Historically, to be disconnected from our people meant that we would not survive (think about the animal that gets separated from the pack and is vulnerable to prey). 

Present-day, that is not our reality. For the most part, especially if you are white/cis/able-bodied/straight, to be separated from your group is not a threat to survival. The emotional toll of being separated from relationship and connection does have a detrimental effect on our mental and emotional well-being, but that is a topic for another time. The need to be connected is still biologically hard-wired into us. We still feel shame. 

The function of shame is to tell us when we have done something that violates our own values or our community's values. However, shame becomes a problem when it starts to control us. We can easily get fixated on how to avoid it. This fixation can send us into a shame spiral or keep us stuck. 

Shame is also a problem when we get repeated "false positives.” This is when we feel shameful about something that we do not actually need to feel shameful about. False positives can happen with respect to our sexuality, our sexual orientation, the moments in which we confront racism, and so on. When this happens, we need to ask ourselves what forces are conspiring to generate the false positive. In the previous examples it would be: a sex-negative culture, a hetero-normative culture, a culture of White Supremacy. When we are able to successfully reflect on and identify the sources of these false positives, the shame no longer has to be personal. We can overcome, in certain respects, this experience of ourselves as bad or wrong. We can come to see that our shame is just another emotional state that indicates to us that there is something for us to learn.

When we say that there is no room to center white peoples' feelings in anti-racism work, we do not mean "don't have feelings." Of course, you are going to have feelings. You are coming up against blind spots and re-orienting to all the things that White Supremacy has hidden or distorted in order to maintain power (e.g., most of the history coursework in this country centers White people and White experiences almost exclusively). What we mean is that your feelings should not be taking center stage. Your White experience(s) should not be distracting from the experiences of People of Color. This is about how you impact People of Color, not about how they impact you. 

However, you do need to process your feelings. If you get stuck in your feelings or are unable to let yourself become emotionally transformed by this work, you will be ineffective in creating real change for People of Color. Keep in mind that while we White people are experiencing emotional discomfort when we choose (note: this is privilege) to engage in anti-racism work — BIPOC are losing their lives when we do not.

What do you do if you are struggling with hard feelings as you learn about your role in White Supremacy? You increase your shame resilience.

How to increase shame resilience in anti-racism work:

1. Acknowledge that a hard feeling is coming up.

2. Get curious about this hard feeling. Do you have a name for it? Sometimes it helps to give it a label. Other times naming it is more trouble than it's worth, but you can still describe it.

3. Notice what it feels like in your body when you have this hard feeling or what urges come up for you. For example, do you have the urge to hide or to justify and defend yourself? Noticing this is important because it will help you recognize this hard feeling more quickly in the future. It will also help you practice mindfully responding to your feelings so that you can choose what is the most effective course of action.

4. Ask yourself: what is there for me to learn about this hard feeling? What is it that I already know? How can I connect these things?

5. What is the most effective next step that aligns with my goal of dismantling racist systems and the value I recognize in supporting and centering BIPOC lives and experiences?

6. Do that thing.

7. Be kind to yourself and take a deep breath (we will talk more about kindness below).

At any point in these steps, talk to other White people who are doing anti-racism work and continue doing your research about BIPOC lived experiences. After all, one of the ways shame functions is it keeps us silent and shame THRIVES in silence. This silence really serves White Supremacy because it means the system does not have to change.

Example

Reading an article about the importance of contributing funds to anti-racism advocacy work led by Black folks brought a tightness in my stomach. What is there for me to learn about that response? It feels closely tied to the messages about "protecting your hard earned money" or "pull yourself up" or the capitalist idea that there isn't enough to go around. That's uncomfortable to admit. But I know that those messages are actually untrue and rooted in the systems I am trying to dismantle … so I can say “look, there is my internalized White Supremacy showing up again.” 

My urge is to hoard my money. Yet I am aware that this urge is not aligned with the value I recognize in supporting BIPOC lives and in dismantling the systems that falsely say that their lives are less important than mine. How can I, for the sake of living in accordance with my values, act in opposition to this urge? Considering this question in earnest could lead to a flash of insight and to moral clarity. For example: I realize that what I must do is choose to donate to this organization that works for racial justice and is led by a Black Queer person. I will also pay attention to when I have this feeling again so that I can look for more opportunities to un-learn and re-learn.

A note on being kind to yourself

It is important to be kind to yourself. It is a myth that the only way to motivate ourselves is to bully ourselves or be mean to ourselves. This myth is, as you might have guessed, rooted in a number of different interlocking systems of oppression (another topic for another time). 

It is important to be aware that kindness is different from politeness or nice-ness. Politeness or nice-ness values intention over impact and says: "it's ok, I know you were trying and that is enough." True kindness, on the other hand, is not afraid to name a hard truth and call us up into our own potential to do better. It takes ownership over the impact and seeks growth. True kindness says: "I know you were trying and you missed the mark. That's ok because we are all human and we all make mistakes. It makes sense that you're feeling something hard right now. Let's look at what you need to do to repair (if possible), what there is for you to learn, and what you can do differently next time.”

SUMMARY

If you truly want to work for sustainable change to shift the system so that Black folks and POC are no longer bearing the brunt (READ: DYING), you MUST be willing to build the shame resilience necessary to work through your hard feelings and keep them from immobilizing you. The steps enumerated above are just ONE way of doing it. This will take time. It is not a quick fix, but it is necessary for the marathon of work it will take to dismantle the systems that value White lives over BIPOC lives.

Do not let your shame get in the way of learning and doing better.

ABOUT THE AUTHOR

Tina Alvarado, LMFT is an individual and relationship therapist who provides telehealth services to clients in Seattle and throughout Washington state. As a Mexican-American clinician rooted in systems theory, she specializes in identifying and exploring the practical, relational, and psychological impacts of the systems at play in our lives. With expertise in food/body issues, healing attachment wounds, and increasing emotional intimacy she helps millennial clients develop more satisfying connections with themselves and others.

ADDENDUM

As mentioned above, Brene Brown coined the term “shame resilience” and she has authored a number of excellent books that are relevant to developing shame resilience. Here is a list of the books that Brown has written that touch on shame/shame-resilience (as well as a TED Talk):

- I Thought It Was Just Me: Women Reclaiming Power and Courage in a Culture of Shame (2007)

- Connections: A 12-Session Psychoeducational Shame-Resilience Curriculum (2009)

- The Gifts of Imperfection (2010)

- Men, Women and Worthiness: The Experience of Shame and Power of Being Enough (2012)

- The Power of Vulnerability: Teachings of Authenticity, Connections and Courage (2013)

- Braving the Wilderness: The Quest for True Belonging and the Courage to Stand Alone (2017)

- "Listening to Shame" TED Talk (March 2012)

You can order these titles from any number of black-owned bookstores.

Please Donate:  https://therapyforblackgirls.com/ 

Learn + Support: https://blacklivesmatter.com/  https://www.rachelcargle.com/ 

Therapy for COVID-19 Fear & Isolation

Fear_Anxiety_Depression_Isolation_Covid19_Seattle_Anxiety_Specialists.jpg

New Online Therapy Group: Coping with Fear and Isolation During COVID-19

During the COVID19 lockdowns, many people found that it was helpful to remind themselves that this was only temporary, that in a matter of weeks or months they would be able to see friends and family again. Sadly, this is not true for everyone. For example, those with chronic illness face far more uncertainty because they are at higher risk of death or serious complications should they contract COVID19. This in turn, puts them at much higher risk of anxiety and depression.

This is why we’ve designed a therapy group specifically for those at higher risk of death or serious complications due to COVID-19, to provide a supportive environment for them to connect with others and to learn evidence based psychological tools to help them cope with the isolation, anxiety, and depression that they are struggling with (you can email sonya@seattleanxiety.com to learn more about this group).

We've also launched a low-fee therapy program aimed at helping those who've lost their jobs due to COVID19 and others who wouldn't normally be able to afford the costs of therapy (you can email kate@seattleanxiety.com to learn more about this program).

Understanding the Impact

In any given year, nearly 18% of people in the United States experience an anxiety disorder.(1)  Taking a physical toll, anxiety and mental health issues often manifest and present themselves as physical ailments, such as headaches, stomachaches and/or cognitive problems (such as difficulty concentrating) and can impact all facets of life.(2)   Those with chronic illness face far greater stressors because they are at higher risk of morbidity or serious complications, should they contract COVID-19.  Coupled with increased isolation while avoiding potential exposure to the Coronavirus, those with chronic illness are at much higher risk of anxiety and depression during this time.  

Common signs of distress include:

  • Feelings of numbness, disbelief, anxiety or fear

  • Changes in appetite, energy, and activity levels

  • Difficulty concentrating

  • Difficulty sleeping or nightmares and upsetting thoughts and images

  • Physical reactions, such as headaches, body pains, stomach problems, and skin rashes

  • Worsening of chronic health problems

  • Anger or short-temper

  • Increased use of alcohol, tobacco, or other drugs(3)

  • Guilt

  • Sadness and grief

  • Helplessness

  • Surrealness

  • Increased worry and empathy for others(4)

During the ongoing COVID-19 pandemic, participants in Seattle Anxiety Specialists’ recent community survey reported a significant increase in stress, anxiety and worry.  Primary points of concern comprised the health and safety of themselves, followed by that of their family and friends.  Financial concerns were also prominently noted, with 35% reporting their employment situation had been negatively impacted by the pandemic. Overall, 45% reported their quality of life has been significantly impacted during this time.(5)

While anxiety disorders are highly treatable, on average, only one-third of those suffering from anxiety receive treatment.(6)  Of the SAS study participants who indicated their quality of life has been negatively impacted during the pandemic, only 20% reported seeking therapy, with those in high-risk groups less-likely attending therapy.(7)

In the UK, psychiatrists are warning of a potential “tsunami of mental illness” from problems during the pandemic lockdown due to isolation and fears of getting sick and of hospitals.  Professor Wendy Burn, President of the Royal College of Psychiatrists, noted that they are already seeing the devastating impact of the pandemic on mental health, with more people in crisis.  A recent survey of 1,300 mental-health doctors from across the UK found that 43% have seen a rise in urgent cases, with 45% reporting routine appointments have decreased.  With anxiety levels rising and the fear of getting sick hindering patients’ likelihood of seeking therapeutic assistance, many are dealing with increased suffering to the point that they seek help only when they are in absolute crisis and their suffering has reached a point of being unbearable.(8)  By attending therapy sessions while anxiety levels are more manageable, patients can more-easily alleviate their symptoms before peaking at absolute crisis levels.  

Telehealth sessions offer people in isolation the opportunity to connect with others and feel like they’re not alone in their struggles with anxiety, forming supportive bridges with others.  Telepsychology has existed for over 20 years and has been utilized via phone, webcam, email and text messaging platforms.  Smartphones have increased availability of assistance, with people now able to engage in telehealth sessions anywhere they have a phone or Wi-Fi signal.  Lindsay Henderson, PsyD, assistant director of psychological services at a Boston-based telehealth company, has found that online platforms “normalize mental health care, especially among generations who are so accustomed to interacting with people using technology.”  Henderson noted that teletherapy eliminates so many barriers and is a “huge draw for consumers, many of whom are seeking therapy for the first time in their lives.”  Research studies have found videoconferencing telehealth sessions to be equivalent in efficacy as in-person care.  Further, teletherapy can be used as a more-comfortable stepping stone for patients who are new, and perhaps hesitant or nervous, to therapy or counseling.(9)  

Our new group

Seattle Anxiety Specialists’ therapist, Sonya Jendoubi, is well-versed in leading anxiety-based group-therapy sessions.  She will be hosting a new group-therapy option at SAS, starting in June: Coping with Fear and Isolation During COVID-19.  This group offers a supportive environment for individuals, particularly those who are immunocompromised and at higher risk of morbidity or serious complications due to COVID-19, to learn evidence-based psychological tools to help them cope with the isolation, anxiety and depression with which they are struggling.  Sonya intends the group will, “Learn skills of acceptance, resiliency and managing uncertainty during high levels of isolation.  My hope is that participants will learn from and with one another.”

Meeting weekly on Monday mornings, Sonya’s “Coping with Fear and Isolation During COVID-19” group-therapy will be online, welcoming patients with rolling admission.  Since SAS research has found that traditional therapy may be too financially restrictive during the COVID-19 pandemic, group-therapy is particularly beneficial during this time, as sessions cost half of a one-on-one session with most insurance companies offering substantial out-of-network reimbursements – lowering your out-of-pocket expenses, exponentially.  Further, while traditional one-on-one sessions last 60 minutes at SAS (or 45-50 minutes at many other therapy offices), our group therapy sessions will run for 90 minutes each week, ensuring everyone in the group benefits from and gains the most possible during these therapeutic workshops. 

If you are 18 or older and would like to attend Sonya’s group sessions, please register here.  

References

  1. “Understand the Facts” Anxiety and Depression Association of America (2020) https://adaa.org/understanding-anxiety

  2. “Coronavirus Disease 2019 (COVID-19): Stress & Coping” Centers for Disease Control and Prevention (2020)  https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html#risk 

  3. “Emergency Preparedness and Response: Taking Care of Your Emotional Health” Centers for Disease Control and Prevention (2020)  https://emergency.cdc.gov/coping/selfcare.asp 

  4. “Impact of Covid-19 on Stress in the Seattle Community” Seattle Anxiety Specialists (2020) https://seattleanxiety.com/blog

  5. Ibid.

  6. “Understand the Facts”

  7. “Impact of Covid-19 on Stress in the Seattle Community”

  8. “Psychiatrists Fear ‘Tsunami’ of Mental Illness After Lockdown” BBC (2020) https://www.bbc.com/news/health-52676981

  9. “A Growing Wave of Online Therapy” American Psychological Association (2017) https://www.apa.org/monitor/2017/02/online-therapy