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Racial Microaggressions and African Americans  149

                     Anderson, Clark & Williams, 1999; Utsey  &  Hook, 2007; Williams et al., 2003).
                     The reactions described in the  microaggression process model of stress  include
                     constant vigilance, bodily arousal, and depletion of resources leading to
                     medical conditions such as cardiovascular disease, hypertension, respira-
                     tory problems, cirrhosis of the liver, obesity, and diabetes (Brondolo et al.,
                     2008; Karlsen  &  Nazroo, 2002; Kumanyika, 1993; McCord  &  Freeman, 1990;
                     USDHHS, 2001; Utsey  &  Hook, 2007). Rates of hypertension are higher than
                     that of the White population (National Center for Health Statistics, 1996).
                     While hypertension is believed to have a strong biological component among
                     African Americans, psychological stress has also been strongly implicated
                     in  the high rates.  African  Americans exposed to videotaped or imaginal
                     depictions of racism showed increases in heart rate and digital blood fl ow
                     (Jones,  Harrell, Morris - Prather, Thomas,  &  Omowale, 1996). Other studies
                     support these findings; encounters with race - related stress cause elevated

                     heart rates and blood pressure in both Black men and women (Armstead,
                     Lawler, Gordon, Cross,  &  Gibbons, 1989; Clark, 2000; National Center for
                     Health Statistics, 1996).

                       Psychological Health Consequences

                       The experience of discrimination has been found to be related to lower levels
                     of mastery and control, and to high levels of psychological distress (Broman,
                     Mavaddat,  &  Hsu, 2000). Perceived racism is associated with depression, lowered
                     life satisfaction, low self - esteem, and intense feelings of racial rage, anxiety,
                     paranoia, and helplessness (Carter, 2007; Clark et al., 1999; Feagin  &  Sykes, 1994;
                     Ridley, 2005; Sol ó rzano, Ceja,  &  Yosso, 2000). In summarizing the scholarly
                     works of Black psychologists on prolonged exposure to racism, Ponterotto,
                     Utsey,  and  Pedersen (2006) outline several psychological consequences.



                       •      Alienation — Adoption of the cultural and racial reality of White America
                         can result in a profound sense of alienation. The alienation can be wide-
                         spread, such as being (1) detached from one ’ s personal identity (not know-
                         ing who one is as a racial/cultural being) and taking on the defi nition of
                         yourself from the oppressor; (2) estranged from your own family, friends,
                         and group; (3) isolated from other groups; (4) disaffected by one ’ s own
                         language, history, and culture; and (5) separated from one ’ s humanity.
                       •      Internalized racism — This process involves accepting the racial reality of

                         the oppressor, accepting the standards, values, and beliefs of the larger
                         system, and developing an aversion to one ’ s own racial/ethnic heritage








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