Page 123 - Microaggressions in Everyday Live Race, Gender, and Sexual Orientation
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The Effects of Microaggressive Stress  97

                     depend very much on the nature of the challenge posed by the threat and the
                     perceived available resources of the person. When a marginalized group mem-
                     ber encounters microaggressive stressors, four pathways may show their neg-
                     ative impact: (1) biological: there may be direct physiological reactions (blood
                     pressure, heart rate, etc.) or changes in the immune system; (2) cognitive: it
                     may place in motion a cognitive appraisal involving thoughts and beliefs
                     about the meaning of the stressor; (3) emotional: anger, rage, anxiety, depres-
                     sion, or hopelessness may dominate the person ’ s immediate life circumstance;
                     and (4) behavioral: the coping strategies or behavioral reactions utilized by the
                     individual may either enhance adjustment or make the situation worse.

                         Biological Health Effects of Microaggressive Stressors

                       Chronic microaggressive stress is the reality of women, LGBTs, and people of
                     color (Barrett  &  Logan, 2002; Feagin, 2006; Fiske, 1993; Glick  &  Fiske, 1996;
                     Greene, 2000; Hamilton  &  Mahalik, 2009; Harrell, 2000; Harrell, Hall,  &
                     Taliaferro, 2003; Stambor, 2006). Marginalized groups must deal with monoc-
                     ultural standards that equate differences with deficiency or deviance; forced

                     compliance to contradictory cultural role expectations; and pervasive and

                     chronic prejudice and discrimination have a significant impact upon health
                     (Brondolo et al., 2009; Clark,  Anderson, Clark,  &  Williams, 1999; Fang  &
                     Myers, 2001; Worthington  &  Reynolds, 2009). Women who perceived greater

                     job stress or reported conflicting and contradictory role relationships with
                     their bosses have been found to have higher fibrinogen levels. Fibrinogen, a

                     blood - clotting compound, is believed to contribute to coronary heart disease
                     (Davis, Mathews, Meilahn,  &  Kiss, 1995). LGBTs who reported experiencing
                     greater levels of indirect microaggressions (assumption of heterosexuality)
                     reported more health - related problems (Smith  &  Ingram, 2004). Studies on
                     African Americans, Asian Americans,  and  Latino/Hispanic Americans  all
                     report that race - related stress negatively impacts the biological health of these
                     groups (Brondolo et al., 2008; Brondolo et al., 2005; Clark et al., 1999; Liang  &
                     Fassinger, 2008; Moradi  &  Risco, 2006).
                        These findings are not surprising in light of what we know about social and

                     psychological stress as it relates to physiological reactivity and detrimental
                     consequences to the immune system. In a series of studies on subtle racism,
                     African American men showed increases in heart rate, blood pressure, and
                     other cardiovascular responding associated with hypertension (Clark, 2006;
                     Merritt, Bennett, Williams, Edwards,  &  Sollers, 2006; Utsey  &  Hook, 2007).










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