The police killing of George Floyd in 2020 in the United States was an appalling act involving a group of officers who did not place much, if any, value on the life of a Black man. In the agonizing nine minutes before he died under the knee of Derek Chauvin, Floyd cried out for air and for his mother.
Those moments, recorded by a passerby and shared widely and repeatedly over the days that followed, shocked the consciences of many Americans and others, triggering protests across the United States and in other countries, many of them led by the Black Lives Matter movement.
Chauvin was convicted of murder, and three other officers were convicted of other serious crimes.
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While there is now greater awareness and scrutiny of racism and violence in policing, there is also a long record of reverting to old ways. Indeed, deeply entrenched racial bias is rooted in the soul and psyche of North American society and globally.
When we think about Black Lives Matter, we typically think of criminal justice, but the movement also started a conversation about the lingering mental health impacts of police brutality on those who experience it directly, as well as those who experience it vicariously.
Black trauma
The traumatizing after-effects of anti-Black racism also result from Black people’s experiences within other social structures, such as employment, education and health care.
The trauma resulting from multiple forms of anti-Black racism has a legacy that took root during the colonial era and has endured, impacting the spiritual, emotional, psychological and mental well-being of Black people in societies harmed by colonialism, such as Canada, the U.S. and the United Kingdom.
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I am a professor and the HOPE Chair in Peace and Health in the Global Peace and Social Justice Program at McMaster University. I have been studying Black trauma for almost 20 years, and recently published a book on the subject, From the Enlightenment to Black Lives Matter: Tracing the Impacts of Racial Trauma in Black Communities from the Colonial Era to the Present.
The book documents that since the colonial era, Black bodies have been receptacles for trauma that carry the weight of the past and the present. Black trauma is deep, complex and continuing, and has harmful impacts on the mental health of Black people. It includes the dehumanizing and lingering consequences of the slave trade, the social and economic subjugation of Black people in Jim Crow America and the racist social structures that persist there and in Canada, the U.K. and elsewhere.
For Black people, trauma results from racist assaults to their spiritual, emotional, mental, psychological and physical well-being. When racism resides in the body in these visceral ways, it manifests as emotional pain and rage, and its lingering after-effects endure over generations.
Public health crisis
Addressing the public health crisis of racial trauma for Black people requires that racism be recognized as a legitimate issue in health education and training, research, clinical practice, mental health services and policy, and in the mental health system more broadly.
It also requires that mental health professionals not only become more culturally competent, but also develop skills in structural competency.
That means being prepared to play a role in dismantling the inequities embedded within our social structures, including addressing the impact of upstream factors (poverty, poor public infrastructure, etc.) on the mental health of Black and other marginalized populations.
Addressing racial trauma experienced by Black people also demands an analysis that appreciates racism’s inter-generational and multifaceted features. This analysis would examine how racism not only manifests itself over generations, but also at different levels, such as through everyday interactions between people (individual racism), within institutions (institutional racism), or through cultural dominance (cultural racism).
Challenging legacies
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For too long, efforts to address disparities between Black and white people in education, labour, employment, health and other social structures have focused on attributing these disparities to pathologies presumed to be inherent to Black culture and Black people. Instead, these efforts must be focused on identifying, dismantling and resolving the pathologies embedded within these social structures and peeling back the systems of power that impact mental health and well-being in Black communities.
Resolving structural pathologies that harm Black people must be accompanied by a willingness to understand and appreciate the complexities of Black life, Black trauma and Black responses to trauma that may appear maladaptive to many, but that are normal and natural responses to racism’s intergenerational, multi-faceted and multilevel manifestations.
Finally, resolving Black trauma must involve challenging the colonial and imperial legacies that reside within psychiatry and other mental health professions.
