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This is a chapter excerpt from Guilford Publications. Psychotherapy with Women:Exploring Diverse Contexts and Identities, Marsha Pravder Mirkin, Karen L. Suyemoto, and Barbara F. Okun. Copyright © 2005.
CHAPTER I
Journeys through Diverse Terrains
MULTIPLE IDENTITIES AND SOCIAL
CONTEXTS IN INDIVIDUAL THERAPY
Karen L. Suyemoto Grace S. Kim
Maria was a single, second-generation Mexican American woman in her late 20s from the southwest United States. She was referred by her primary care physician and came to see me (KLS) during the winter with symptoms of severe depression that included dysphoria, loss of appetite, sleep disturbance, fatigue, anhedonia, difficulty concentrating, feelings of worthlessness, and excessive guilt. These symptoms had begun approximately 1 month after she had entered graduate school. As a result, she dropped out of graduate school and returned to her older brother’s family home to live. Maria stated that she thought she was not good enough because she was not doing what she should do: living up to her family’s expectations and ideals.
Maria’s emotional difficulties first occurred in her early teens, when she felt despondent, lethargic, and had difficulty concentrating. During the fall and winter of each of her college years, Maria experienced depressive episodes that were treated primarily with medication and short-term psychotherapy through her college mental health services. Maria experienced no depressive episode in the 2 years after college when she lived with her older brother’s family and worked, prior to returning to graduate school.
Maria’s parents were devout Catholics. Her father was a blue-collar worker and her mother worked part time as a domestic. When Maria first came to therapy, she was involved in a relationship with a Latino man, whom she had been seeing for approximately 1 year; she identified herself as heterosexual.
Jenny was a third grader who was referred to therapy with me (GSK) by her school guidance counselor because of her behavioral problems and hyperactivity. According to the school guidance counselor, Jenny had been “bullying” several other girls at school. Jenny and her mother explained that in the previous year, Jenny had been bullied by the same girls; they had pushed her and called her names. This year she started to retaliate against them. Jenny was involved in a few fights with these girls, which included verbal arguments and kicking (by Jenny). Following a recent argument with one of the girls, Jenny was placed on in-school suspension status, which prompted her mother to seek therapy for her. Jenny also exhibited concentration difficulties, general impulsivity, and hyperactivity.
Jenny was a multiracial child who lived with her white European American mother and her white European American stepfather. She had not had contact with her African American father since very early childhood. Jenny had a close relationship with her mother, obtained average to high-average grades at school, and maintained a few close friendships at school. A high school graduate, Jenny’s mother worked as a bank teller, and Jenny’s family lived in subsidized housing in an affluent suburb. Jenny’s stepfather, who had only recently married Jenny’s mother, worked as a mechanic. Although Jenny had limited contact with her biological father’s and stepfather’s families, she was very close to her maternal grandparents, aunts, and uncles, and frequently visited her cousins.
As is the case with most clients, there are myriad ways to understand Maria and Jenny, multiple areas to explore, and many places from which to begin asking questions. To use a metaphor, there are an infinite number of pathways to the central goal of understanding and helping. Therapeutic orientation as well as general values will have a great impact on which pathway is chosen. Some may be narrow pathways, paved and constrained by walls and relatively disconnected from the environmental contexts through which they pass. Others may travel across uncharted open fields or wind through forests, with guidance only visible to those trained to see. Many of these paths will stay within one terrain at a given time or explore each in sequence (moving from forest to savanna to desert to ocean). We believe that the challenge for multicultural feminist therapists committed to social justice is not only to understand how these environments affect the individual (and vice versa), but also to understand how these environments interact within, and depend upon, each other to create meaning and sustain health. In this chapter we have two primary aims: (1) to provide basic understandings of definitions, contexts, and the complexity of interactions and thereby create a foundation for the later chapters; and (2) to share our attempts to create a map that connects the multiple pathways and assists us as therapists to see their interdependence. In less metaphorical language, we will share our attempts to conceptualize the multiple contributions of individual, group, and systemic contexts and meanings as they are integrated and enacted in individuals, so that we as therapists can provide a therapy that embraces the holistic person within her multiple contexts. We will return to Maria and Jenny repeatedly throughout the chapter.
Multiple Identities: Social and Individual Meanings
Western philosophy and social sciences, including psychology, have conceptualized identity as an endeavor that is primarily individually formed or decided upon, although influenced by social relationships. For instance, various ego identity theories (e.g., Blasi, 1988; Erikson, 1968; Marcia, 1994) suggest that individuals contemplate their identities internally and individually, while referencing different social groups. Social discrepancies create internal conflicts that the individual works through in order to maintain a continuous and authentic self-identity. This individualistic idea of identity works well with an individualistic orientation to therapy, in which the focus is helping the individual change internal affects and understandings to create a sense of self that fits well within his or her social environment. However, this individualistic orientation has been criticized by many feminist and multicultural therapists as overpathologizing, potentially oppressive to minorities and women, and depoliticized (see, e.g., Sue & Sue, 2002): We see this view as the narrow, walled, paved pathway mentioned above.
In contrast, we (and others) conceptualize identity as a more interactive co-constructive process embedded in multiple contexts, systems, and meanings (Huo, 1998; Kim, 2003; Shotter, 1993; Suyemoto, 2002a). “Context” includes all of the social systems (e.g., family, community, larger social systems of gender, race, class, ethnicity) that contribute to and shape one’s multiple identities. “Identity” is an ongoing process in which people consider, co-create, and organize meanings about themselves in interrelation with social meanings from others in their particular sociocultural, political, and historical contexts (Gergen, 1991; Shotter, 1993). As such, “identity” as used here is one way to conceptualize how an individual might internalize and individually organize social meanings related to group experiences and references (e.g., social systemic contexts such as gender, race, culture, class). Exploring identity may also be a way to consider how an individual’s internalizations related to group referencing may change in relation to different life experiences and demands (e.g., situational contexts such as different kinds of relationships, in the experience of work, in relation to play or self-care). Thus, for an individual woman in therapy, exploring identity can be a way to explore the lived social meanings, enabling therapist and client to map the complex terrain as it is negotiated by the client.
Although individuals appear to have choices in how they create identities, these identities are actually claimed in light of how others perceive, understand, and presume them to be and how the individuals understand the others’ perceptions. For instance, individuals’ identities are usually influenced by how their families understand who they are (e.g., as members of certain races, ethnic groups, nationalities, or religious communities) and transmit these perceptions of shared memberships and associations to the individuals (Rigazio-DiGilio, 1997). Individuals’ identities are also influenced by relationships with significant groups of people, such as close friends, colleagues, or members of a particular community or geographical region. These groups of people may actively accept or reject individuals as belonging within their group membership and identity. This influence constitutes the social contexts for considering the meanings of identities in relation to others (Kim, 2003; Suyemoto, 2002b). Thus, the meaning of an identity is created through an interactive process that includes the identity meanings created by other individuals and groups and the shared meanings created by individuals and groups together (Cox & Lyddon, 1997; Gergen, 1991, 1999; Suyemoto, 2002a).
For example, the meanings of our identities as Asian Americans are continually recreated from our unique experiences, our experiences with other individuals (such as our family members and our relationships with each other), and our experiences with different groups. For example, the Asian American group has its own meaning of Asian American identity that is agreed upon and co-constructed by Asian Americans within the group (Sodowsky, Kwan, & Pannu, 1995). This group identity inevitably influences our identity meanings, even if we do not fully agree with the parameters of it. Although the Asian American group’s meaning of Asian American in a given time and location may be monoracial and heterosexual, I (KLS) claim an Asian American identity although I am multiracial and bisexual. Similarly, the Asian American group’s meaning of Asian American may include being American born, but I (GSK) claim an Asian American identity although I am an immigrant. We both create a meaning of Asian American identity that includes multiracial; lesbian, gay, and bisexual (LGB); and immigrant people. However, the process of claiming and meaning creation is different for us than for someone who agrees with the group meaning of Asian American as monoracial, heterosexual, or American born. Simultaneously, an individual’s meaning of a group-referenced identity may affect the groups’ identity meaning, although the extent of these effects will vary according to the power that the individual has or creates within the group (Suyemoto, 2002b). When we speak to Asian American people about including multiracial, GLB, or immigrant people, we are attempting to change the group’s meaning to be more inclusive. The points of agreement and disagreement between groups and individuals can have implications for group interactions, individuals’ identity development, and mental health.
How others impact identity is developmentally related (Rigazio-DiGilio, 1997). The importance of different relationships (parents, peer groups, significant others, children) varies in different personal and family developmental contexts. One’s ability to differentiate what is positive, what is negative, what is personal, and what is social depends upon cognitive abilities that are also developmentally related. One reason to discuss Jenny (as a fourth grader) along with Maria (as an adult woman) is to consider some of these developmental processes and meanings and how different social influences may have different impacts at different developmental ages.
Power issues are crucial to include when thinking about individual identities. Sociohistorical and systemic contexts are embedded in intergroup power dynamics and discourses (see Kliman, Chapter 2; Vasquez & Magraw, Chapter 3), and they affect individuals’ identities in significant ways. Identities are shaped not only by groups with which one actively identifies but also by groups with which one does not identify, particularly groups that are dominant in relation to privilege and power (Suyemoto, 2002b). Racial identity is a good example of how groups and individuals with more power have more influence over inclusion criteria for their own group as well as more power to affect the identity meanings of groups and individuals who have less power.
In relation to racial identity, white Americans influence the socially agreed-upon meanings and the inclusion criteria of racial minority groups more than racial minority groups influence the socially agreed-upon meaning of the white American identity. The dominant white American group has the power to create group-identity criteria for their own group (socially, institutionally, and legally) that makes it more difficult for marginalized racial groups to claim identities associated with that group that would create access to rights or privileges. This process is evident, for example, in historical legal challenges to the denial of rights based on racial categorization, such as the 1922 case of Ozawa v. United States and the 1923 case of United States v. Thind (described in Ancheta, 1998). Ozawa argued that he should be eligible for naturalization because he (and other Japanese people) were white on the basis of skin color. His argument was rejected by the Supreme Court, who said that the intended meaning was Caucasian. A year later, in United States v. Thind, the Supreme Court ruled that Asian Indians were barred as well, in spite of their classification as Caucasian, due to the popular (racial) equality of white and Caucasian (Ancheta, 1998). The rulings, made by white judges, defined and redefined Asian Americans in ways that maintained their exclusion from privilege; the meaning of white was never articulated and was not affected by the attempts of the Asian Americans to influence it.
White European American groups also influence racial minority groups’ own meanings of their group identities. For example, many Asian Americans accept and support the model minority myth, although the creation and maintenance of this stereotype is not primarily located within the Asian American community.1 Although groups and individuals do not have to take on these dominant meanings and may create and claim their own identities, their identity journeys tend to become more complex when those with more power do not accept the identities or meanings they have chosen or created. For example, despite the fact that Japanese Americans identified themselves as loyal Americans during World War II, they were incarcerated as traitors and foreigners and the social and identity development of multiple generations of (Japanese) American citizens was affected (Mass, 1991; Nagata, 1993).
Groups with more power may also actively shape how groups with less power see each other. The dominance of the blackwhite paradigm and the race “hierarchy” are largely due to the historical constructions of race by the dominant white European American group in the United States (Omi & Winant, 1994; Perea, 2000). These dominant understandings of race and race relations affect the ways in which racial minority groups interact and are maintained today by the dominant group because of the benefits to them of the “divide-and-conquer” strategy.
Furthermore, the choice and meanings of identities are interactively enacted and created within a specific sociohistorical and political context. It is not only current relationships that affect identity meanings and interactions but also (1) the social meanings that have arisen and become dominant, given the specific histories within a particular context; and (2) historical and current power relations between different types of individuals and groups. My identity (GSK) as a Korean American has been informed by both historical and current experiences. Historically, I grapple with being perceived by others as a “perpetual foreigner” and through the lens of the legacies of the Korean War (19501953) and the role of the United States in the war. At the same time, my identity as a Korean American is affected by the current administration’s (George W. Bush’s) discourse on North Korea as part of an “Axis of Evil.” As a Korean American immigrant from South Korea, the current discourse makes me ponder the relationship between North and South Korea, and the U.S. relationship with these two countries. The current discourse simultaneously makes me wonder about how Koreans are viewed in the United States (i.e., Is there a differentiation between North and South Koreans? How do Korean Americans fit into this view? What about Korean Americans who are immigrants?). These current experiences remind me of the historical experiences of Korean Americans, in particular, and Asian Americans, in general, and affect the way I think about my own identity as a Korean American. My identity as a Korean American is thus co-constructed in the process of thinking about, reflecting on, and negotiating how I see myself and how I, or people like me, have been perceived historically and currently by others in the United States.
Conceptualizing identity in this co-constructed manner is one way to connect our understanding of the individualwith her or his own internal and interpersonal experiences, reflexive awareness, and agencywith our analysis of the social systemic contexts that influence group formation and reflect the current and historical social system of power and privilege. Conceptualizing therapy as a means of exploring and changing the meanings of these co-constructed identities in order to improve mental health and functioning enables us to bring our critical social justice analysis into the treatment. This conceptualization sees therapy as aiming to change individuals’ understandings of themselves in relation to, and as shaped by, social experiences (Neimeyer, 1995). Therapy is, itself, a co-constructive process in which the therapist and the client reconstruct identities, partially through exploring and explaining the construction process itself. Many identity theorists discuss how identity formation is a process of moving between the experiencing I and the explaining me, whereby we consider our experience and explain it (see, e.g., Ashmore & Jussim, 1997; James, 1890/1989). Therapy, too, is conceptualized as contributing to the creation of a balance between experiencing and explaining (or observing, integrating, actively shaping, etc.; Guidano, 1995), whereby clients move between experiencing (relating their experience, feeling in the moment with the therapist) and explaining (reflecting on their experience, considering its connection to other experiences, exploring alternative meanings, practicing new ways of reacting).
The conceptualization of co-constructed identity provides us, as therapists, with a framework that integrates our social, systemic, and political understandings. The view of identity as an interactive, multilayered, political process can be used by therapists to consider the ways in which individuals interact with, are influenced by, and influence, their social environments. Indeed, this perspective can be used as the foundation from which to develop new knowledge that can increase both the types and the meanings of possible identities. Understanding identity as a complex interactive process can thus build conceptual bridges across contextual “terrains.” By terrains we mean both various group affiliated identities, such as gender, race, or class, and also various life contexts, such as social/intimate relationships, work, and self-care.
Frequently, the social contextual terrains and the associated identities of an individual’s experience are understood as relatively separate. By “contextual terrains” (or, in less metaphorical language, “social contexts”) we mean socially salient categories that are frequently related to dynamics of power and privilege, both currently and historically. Identities are created by the individual to negotiate and personalize these terrains, and are therefore associated with them and created in interaction with them. Within individuals’ lives (in contrast to abstract discussions), the identities are not really separable, although individuals may be able to separate the abstract terrains: For example, a working-class lesbian of color will never be able to completely separate her own lived lesbian identity from her lived identity as a woman of color, although she may be able to discuss how the specific concepts of sexual orientation and race affect her. In conceptualizing client difficulties and strengths and in planning therapeutic interventions, separating the concepts may be necessary initially in order to define each concept (as we do here), create shared meanings, and attempt to understand the environmental demands of each terrain. Such a separation is also important in that it makes explicit what may be implicitly imposed. For example, racial meanings and power relations are frequently hidden behind the language of ethnicity (Omi & Winant, 1994), and class or racial differences between women may be obscured by focusing on their common gender oppression (Williams, McCandies, & Dunlap, 2002). However, defining what something is also inherently describes what it is not. Defining a concept or an identity frequently results in a decontextualization of what is being defined. Thus we found that although we could abstractly define each of these concepts as distinct from the others, when applying them to our understanding of Maria and Jenny, we were compelled to discuss the ways in which multiple identities interacted.
In this section we seek not only to provide basic understandings of definitions and contexts that create a foundation for the later chapters in this book,2 but also, through discussion of Maria and Jenny, to explore (1) how each of these areas of identities are socially as well as individually constructed, and (2) how actively considering the interaction of identities and bridging the terrains contributes to a better understanding of the individual in therapy. We focus on those statuses and identities that the editors of this book have chosen to make their relative focusgender, race, ethnicity, socioeconomic status and class, religion and spirituality, and sexual orien-tationin order to provide definitions and identify complexities, with particular attention to the first four variables, which are especially salient to Maria and Jenny.
Each of the concepts discussed here is socially constructed and socially contested as to its meaning and implications. Therefore, there is no agreement on the meanings and boundaries of gender, race, ethnicity, socioeconomic class, religion, and sexual orientation. This disagreement means that each individual and each group must work out for herself or itself where she or it fits, where she or it does not fit, and what it means to claim that identity given the multiple meanings offered by different individuals and groups in the particular sociohistorical context. Wehrly (1995), citing Das and Littrell, notes the distinction between the modal construct of a culture, which reflects those practices/beliefs/values that are held by most people in the group that are also used to define the group itself, and the individual manifestation of a culture, which reflects how a single individual might choose from, and enact the meanings within, the culture. Each individual manifestation will be slightly different from another. This distinction is important when working with socially interactive identities in therapy, because there may be disagreement between the individual’s understanding of the modal construct and her own individual manifestation or meaning construction.
Each of the concepts we discuss not only reflects individual differences but also social systemic differences in power, which are associated with socially constructed and maintained hierarchies of privilege. Thus the meanings created by individuals, groups, and therapists have implications for social justice and personal empowerment because of the value-laden nature of the constructed identities.
“Gender” is defined as beliefs about what each sex means in the culture. Although frequently confounded with sex, gender is more about the social meanings associated with categorization, whereas sex is the categorization between male and female based on physical and biological determinants such as hormones, gonads, external genitalia, and secondary sex characteristics (e.g., facial hair; Calhoun, 2002b; Colman, 2001).3 The meanings and social norms related to gender vary across culture and certainly across historical context. State licensing boards and the American Psychological Association policies make it clear that therapists are expected to have a minimal understanding of the personal and social implications of gender, the ways in which the system of gender has contributed to inequities between men and women, and the ways in which therapy needs to resist contributing to these inequities. The feminist movement has contributed to our field’s great progress in holding us as therapists accountable for the effects of our own gender socialization on the services we provide to our clients. Nevertheless, not only does gender continue to be an important aspect of identity, it continues to be an area that involves great discrepancy in power and privilege.
As the basic influence of the social meanings of gender differences becomes widely accepted, we also begin to understand the many other statuses and systems with which gender interacts. One of the primary criticisms of the feminist movement continues to be its relative inattention to intersecting identities and statuses, for example, attention to the ways that gender intersects with race, ethnicity, religion, sexual orientation, social class, and other variables at the individual and systemic levels (e.g., Williams et al., 2002). Being a woman of color is not the same as being a white woman; being a working-class woman is different from being an upper-class woman, being a Jewish woman is different from being a Hindu woman, and being a black, lesbian, Muslim, middle-class woman is different from being a Latina, heterosexual, Christian woman living in poverty. Although some experiences may be shared, gender cannot stand alone as the primary source of influence or oppression.
Although Maria never stated an explicit identification as a woman or a feminist, it was clear that the individual and social meanings of her gender were contributing to her presenting difficulties. In many areas, Maria felt trapped by meanings and identities that she simultaneously valued and perceived as conflicting with her own desires. For example, the meaning of “woman” for Maria affected her experiences in relationships, at school/work, and in relation to herself and her self-care. Maria felt that “woman” essentially meant being subservient to men and sacrificing herself to the needs and desires of others. This meaning was created in interaction with her family’s meanings, as well as those of her peers and her cultural communities. Maria’s first model of woman was her mother, whom Maria described as “like a slave” to her husband and family. Maria’s mother created her identity primarily in relation to her family relationships; even at work, she was particularly polite to the male members of the families for whom she worked. She taught Maria to be deferential to her father and brothers. She tolerated her husband’s alcoholism and gave Maria the message that husbands and fathers should be indulged and accommodated, even if abusive or intoxicated, and even if it meant denying or suppressing one’s own emotions. When Maria was a child and her father was intoxicated, he wanted most to be with her and hear her say how much she loved him. Although Maria made it clear to her mother that these moments were hurtful to her, and she frequently hid to avoid them, her mother would bring Maria to her father and encourage her to tell him that she loved him, regardless of what she was feeling at the moment (fear, anger, hatred) in order to avoid angering her father. As an adult, Maria resisted expressing her love to her partners, because she felt that to say “I love you” would be to lose herself.
Maria’s friends were similarly deferential to their boyfriends. Furthermore, the majority of role models in Maria’s cultural and religious communities supported the subservient meaning of “woman.” Maria’s understanding of herself as a woman affected her perception of herself in school and at work. She was the only woman in her social group to continue on to graduate school and one of only a few who had graduated from college.
In therapy, Maria came to realize that, as a woman, she did not expect her needs to be met and attempted to suppress her own recognition of the existence of her needs and feelings in order to avoid being disappointed. As we explored the pattern of her depressive episodes (occurring in the fall of years she attended college or graduate school), Maria expressed a strong feeling of being an imposter, as if she did not really belong in school and as if her achievements were somehow a mistake or a fraud that would soon be discovered by others.
Clearly, Maria’s identity as a woman had been, and continued to be, shaped by her family and by the social groups with which she identified. If we were to understand Maria’s struggles using gender as an individualistic and relatively isolated aspect in relation to her other identities, we might approach treatment of Maria by (1) helping her understand the relational orientation associated with the gender socialization of women, (2) creating insight about the effects of her childhood experiences on her current relationship attitudes, and (3) recommending assertiveness training or a woman’s group that would help Maria feel empowered to reclaim her own experience and redefine the meaning of woman. However, although Maria’s understanding of the meaning of “woman” may be similar to women from different racial and ethnic groups, for Maria it was strongly associated with her particular ethnicity. Maria rarely spoke about the meaning of being a woman but frequently discussed what it meant to her to be a Mexican American woman. Thus, for Maria, to change the meaning of being a woman had implications for her identities and feelings of belonging in relation to her ethnicity and her religion (among other aspects). Because some of these identities, social meanings, and group criteria were cherished by Maria, it was important to explore with her how these groups defined their own identities (e.g., Mexican American) and how they defined these identities in interaction with the meaning of “woman.” In essence, as a therapist, it was necessary for me to help Maria see how her identity as a woman was embedded in a network of social and individual meanings connected to her ethnicity, her race (Maria’s complexion was quite dark), her sexual orientation, and her religion, and to find a path to alternative meanings that respected the social meanings that maintained the social connections that supported her.
“Race” is a categorization system that creates groups of people who are distinguished (by themselves or others) in social relationships and interactions by their physical characteristics (Pinderhughes, 1989; Root, 1998; Spickard, 1992; Suyemoto, 2002b). Although frequently assumed to be biological, race is actually a social construction rather than a biological “reality” (American Psychological Association, 2003; Helms & Cook, 1999). Race is frequently confounded with ethnicity. However, whereas certain ethnic cultures may be related to certain racial categorizations, there are clear distinctions between the two concepts in multiple areas, including compass (e.g., there are many ethnic groups within a single race and potentially many races within an ethnic group), criteria (physical characteristics vs. cultural knowledge), and sociohistorical intent (e.g., the purpose of race is to create social categorizations and power hierarchies [Omi & Winant, 1994], whereas the purpose of ethnicity is to create and maintain shared cultural experiences).
The boundaries of racial groups are unclear and highly contextual, depending on historical period, geographical region (e.g., in the United States vs. in Cuba), and politics. Different people have developed between 3 and 200 categories of race (Schaefer, 1988, as cited in Atkinson, Morton, & Sue, 1998). Criteria for membership in different racial groups also vary according to the person or group judging. As described above, the ways in which various groups define a particular racial identity affects an individual’s identity meaning and choices. However, because the meanings of race are so uncertain, discrepancies between individuals’ and groups’ identities are even more frequent and magnified. For example, multiracial individuals judged as Asian by white people may not be judged as Asian by Asian people, which may create challenges in the construction of racial identity for these individuals. Another example is that the criteria for Native American identity or tribal affiliation varies among nations, between the criteria set by the nation and that set by the
U.S. government, and/or among different groups or individuals about the same person (Garroutte, 2001; Nagel, 1997), again creating problems for those individuals who claim the identity but are not accepted by the group. Although we colloquially discuss race as if anyone with certain racial or ethnic heritages were clearly within a given racial group, the boundaries and lived meanings are much less clear in actuality. A multiracial individual who “looks white” will have a significantly different daily experience from one who is easily categorized as black, Asian, Latino, or Native American, based on unchangeable physical characteristics such as skin color or shape of features (rather than changeable cultural or ethnic displays such as clothes). The ambiguity of the meaning of race is strongly evident within the Latino population. Although the census distinguishes white Hispanics from nonwhite Hispanics, it is unclear what the “nonwhite Hispanics” are if they are not black, Native American, or Asian.
Groups and individuals with less power due to historical or current social systems may also have less access to knowledge or experiences that would increase the number of identity options open to them. It may therefore be significantly more difficult for them to create and claim adaptive empowering identities. For example, the social “scripts” associated with being a black woman may cover a narrower range than those possibilities open to white women (see Stephens & Phillips, 2003) as reflected in the types and number of media images of white women and black women. The “procedural knowledge” (i.e., the information and resources) needed to create an identity may also be limited by a group’s access to a systemic power (see, e.g., Yowell, 2002): If one has never seen a black intellectual, for example, then the ability to imagine oneself with that identity is significantly constrained.5
Given that identities are socially constructed, it is imperative to understand social meanings and uncertainties of race when treating girls and women of color.
For Jenny, what it meant to be a multiracial white and black girl became salient in her relationships with others, at school, and in her self-attitude. Jenny had a very close relationship with her immediate family, feeling close to her white European American mother and building a positive relationship with her stepfather. She spent a lot of time with her maternal white European American cousins and extended family. Although her white maternal family accepted her and loved her dearly, the family members did not speak much about the effects that race might have had in her relationships with others. Initially, Jenny seemed not to have contemplated her own multiracial identity much but accepted the identity offered by her family (e.g., that she was just a girl who was loved by her family, and that racial differences did not matter), which seemed developmentally appropriate for a latency-age child.
At school, however, issues related to race and racial differences had become extremely salient. The girls who had bullied Jenny the previous year and whom Jenny was currently bullying were all African American girls who were bused from the inner city to Jenny’s suburban school. Other than these girls, there were few African American girls in Jenny’s grade. It became apparent that the teasing and name calling from these girls toward Jenny was race related. Jenny thought of herself as an African American and, prior to her interaction with these girls, seemed to have made little distinction between African American and black. But Jenny had quickly been told by these girls that she was different; she was not really black because she had only one African American parent. Jenny reacted to the other girls’ labeling by trying out various behavioral options, which included ignoring, walking away, arguing, and/or kicking and fighting (“bullying them back”).
The distinction at the core of this conflict involved not only the individually chosen identities and meanings of the girls, who considered themselves “monoracial” or true “blacks,” but was also heavily embedded in social meanings about what it meant to be black. The girls’ understanding of black identity reflected an internalization of the inconsistencies that exist in our society about the meanings of race, and how the boundaries around who gets to claim being black depend heavily on the social contexts and politics at a given time, ignoring the “reality” that most blacks are actually multiracial (Atkinson et al., 1998).
The urban girls’ black identity also reflected the intersections of their racial identities with ethnic and class identities. The urban African American girls told Jenny that she was not tough (and black) like them because she had a white mother. In this case, black racial identity seems to have been connected with being tough and may have also been related to the way some girls linked being urban with being black. Being tough and knowing how to be assertive may be adaptive for some girls of minority backgrounds, helping them to navigate social systems that historically have been racist and classist. Constructing collective identities around the racial identity and the attribute of assertiveness can serve as a strong, inner holding space in which young girls develop positive identities and a sense of community. However, in Jenny’s context, the preadolescent girls connected toughness, black racial identity, and class differences in a way that differentiated Jenny from them and from a black racial identity. By framing black as being tough, the girls not only restricted the black identity to their own immediate experiences, but also demonstrated their internalization of the limited “scripts” available for African American girls. They may also have judged Jenny as less black because they perceived her as less ethnically/culturally African American, based on Jenny’s primary ethnic socialization in her European American family. Furthermore, the preadolescent girls seemed to have related the perceived differences in class between Jenny and others, based on where they lived (in a surburb vs. city), even though Jenny’s family lived in a subsidized housing in a suburb.
Jenny’s responses toward these girls were complicated by her ADHD, particularly impulsivity, which often led her to spring into action when provoked (she would often respond to others by arguing or kicking) and to get involved in disruptive behaviors in the classroom (e.g., participating in side conversations during class time). It is possible that having ADHD and being perceived as one of the girls who bullies others or gets into fights might have led to a quicker referral for therapy than if Jenny had presented with more internalizing problems. Given social perceptions of black children, it is also possible that Jenny’s behavioral problems might have seen as being related to the “script” of being a tough black girl at schoolwhich is ironic, given the other girls’ accusations about Jenny not being tough or black enough.
In therapy, Jenny did not want to discuss her racial identity in depth, but she made a point of saying that she considered herself African American but not black. She explained her logic by saying that if one had two black parents, then one was black, but if one had one black parent and one white parent, then one was African American. Jenny’s logic might have described her understanding of the intersection between race and ethnicity and reflected her attempts to negotiate the multiple meanings of being a black girl from multiple sources (e.g., from her own thinking about her experiences, from her family, from her white peers, and from these African American peers). Jenny’s attempts to grapple with the multiple meanings of race were also subtly played out in her relationship with her family. When her African American paternal grandparents wanted to spend more time with her, Jenny responded by telling her mother that she would be willing but that she was not thrilled by the prospect. Jenny also said that she did not care much about seeing her father, who had been absent in her life, but later expressed curiosity about him and her grandparents, at one point even writing a letter to her father.
Developmental aspects are clearly relevant to understanding Jenny. As a preadolescent, she was trying to struggle with the pull toward trying to be the same with everyone else while simultaneously exploring the similarities and differences between herself and othersand noticing her uniqueness. She did not talk in depth about her identity, because it was not her primary concern at this developmental phase, but instead focused on social interactions at school. At the same time, she was willing to explore how issues related to race, as illustrated by her social relationships with the other girls, affected her peer relationships and the behavioral choices she made. Jenny experienced some tension between her identities formed within her family and her identities that were being challenged by her peers. Balancing these identity tensions might be a general developmental task for any latent-age child (i.e., noticing differences between what one has learned/been taught at home vs. what one notices/hears at school). Jenny’s situation, however, was complicated by a very challenging set of factors: how racial identities and their meanings are socially constructed and embedded in sociopolitical history, the intergroup dynamics between black and white groups, and associated issues of power and privilege.
“Culture” refers to meanings that are shared by an identifiable group of people and passed on to others within that group (Tomlinson-Clarke, 1999; Triandis, 1995, 2001). “Meanings” are broadly defined to include cognitive, affective, and behavioral aspects of individual and group functioning, such as values, beliefs, customs, norms, gender roles, affective styles, social behavior, language, and ways of self-understanding. Although we most frequently discuss ethnic culture (and, specifically, ethnic-minority culture), there are many types of culture associated with many types of identifiable groups. Most of the other identities and statuses discussed here have cultures associated with them, such as women’s culture, ethnic cultures, lesbian culture, cultures associated with religion or spirituality (e.g., Jewish culture,6 Muslim culture, Wiccan culture). There are cultures associated with other oppressed or marginalized groups, such as with differentially abled groups (e.g., deaf culture or a more general culture of disability); with privileged groups, such as American culture; or with other identities such as Democrats or Republicans. Culture is also constantly changing, both in the modal construct and in the individual manifestation (American Psychological Association, 2003).
Ethnicity” refers to cultural patterns usually related to a shared national or geographical origin (Pinderhughes, 1989; Suyemoto, 2002b). Ethnicity is not determined by physical characteristics and is much less frequently an imposed identity compared to race. Within the five major racial groups in the United States (white, black, Latino, Asian, Native American), there are hundreds of ethnicities. The ways in which race and ethnicity are confounded are affected by the differential salience of ethnicity and ethnic differences and the presence or absence of a dominant ethnicity within a given racial group. Both the white and black racial groups have a largely dominant ethnic ide“ntity and culture within them (European American for the white group and African Ameri-canmeaning, descended from the legacy of slavery in the United Statesfor the black group). For these groups, the confounding of ethnicity with race, such that ethnic differences are discussed in relation to race (e.g., black culture), is extremely common, as demonstrated by the discussion of Jenny. Within these groups the confounding of race and ethnicity may be less problematic for those within the dominant in-group space (i.e., black African Americans who are the children of two black African American parents descended from slaves; white European Americans descended from early colonists). However, for those within these racial groups who do not belong to the dominant in-group space (e.g., Caribbean or African immigrants, Bosnian refugees), the erasing of distinct ethnicity in the service of “racialization” may be significantly more problematic (see, e.g., Bailey, 2000; Thompson & Bauer, 2003).
The confounding of race and ethnicity is similarly problematic for Latinos, Asian Americans, and Native Americans who do not have a dominant ethnic identity within the racial group that the majority of members would reference and could therefore be used interchangeably with a racial label (see, e.g., Ancheta, 1998; Espiritu, 1992). For example, there is such great heterogeneity within Asian American ethnic groups that to speak of an “Asian American” culture may be a disservice to many individuals’ identity meanings (e.g., compare Pakistanis with Thais, Hmong with Japanese, Indonesians with Filipinos). Individuals within these racial groups may identify primarily with their specific ethnic or sociolinguistic group rather than a pan-ethnic or racial grouping or identity; for example, a Mexican American woman such as Maria may identify primarily as Mexican American rather than Latina and may not feel racial or cultural affinity with a Cuban American woman, even though both are labeled Latina. Or a Vietnamese American may make strong distinctions between Vietnamese Americans and Chinese Americans (perhaps influenced by histories of discrimination in Asian home countries) and may therefore struggle with imposed racialization (Bailey, 2000; Suyemoto, 2002b).
The modal construct of any given ethnic culture is constantly changing in relation to the composition of the group and the groups’ interactions with other groups, cultures, and subcultures. Ethnic minority groups in the United States that are characterized by ongoing immigration (such as most Latino groups, most Asian American groups, and some black groups such as Haitians and Cape Verdeans) are constantly renegotiating the meanings of their ethnic identities in response to the infusion of cultural patterns brought from the homelands. Thus there can be widely discrepant meanings of ethnic identity within a particular group, and especially across immigration generational status (e.g., immigrant generation, first U.S.-born generation) and across family generational status as it intersects with immigrant generational status (e.g., between immigrant parents and their U.S. born children).
Maria strongly identified as Mexican American and saw this identity as created by and reflected in her daily life, including her bilingual ability, her values, her family structure and expectations, and her traditions (holidays, foods, etc.). Maria’s parents had met and married in Mexico and immigrated to the United States for better economic opportunities for themselves and their children. Throughout Maria’s life her family had lived with many members of the extended family, including many recent immigrants. Maria’s parents and her married older brother’s family lived in largely Mexican American communities, and her parents’ friends were of similar backgrounds. Maria and her three siblings (her older and younger brothers and her younger sister) were all born in the United States, although her oldest brother had been raised by his grandparents in Mexico for many years. Like her siblings, Maria attended Catholic school prior to college, with many other Mexican American children from her neighborhood. Her closest friends were Mexican American girls who were also U.S. born children of immigrants. Maria lived with her older brother and his family while attending a large state college with a diverse student body. Maria’s first language was Spanish, and she spoke Spanish exclusively with her parents at home. However, in contrast to her parents, Maria spoke English fluently and at college she found that she felt comfortable in social situations with individuals and groups from varied backgrounds.
Maria’s identity as a Mexican American woman affected her relationships, her school and work experiences, and her ability to enjoy her experiences and feel entitled to self-care. Her understanding of women (and daughters) as subservient was shaped not only by the dominant social meanings but particularly by the meaning of women within the Mexican American community with which she identified and by the experiences and meanings of her parents’ immigrant generation. In therapy, Maria discussed her perceptions of her mother’s attitudes toward her father, her sister-in-law’s attitudes toward her brother, and their relationships as related to her Mexican American heritage and the gender mores with which her parents had grown up in Mexico. Maria struggled with feeling that if she expected more egalitarian and intimate relationships, she would somehow be less traditional or less Mexican American. Although she initially framed this fear in relation to disappointing her parents, it soon became clear that maintaining a strong Mexican American identity was inherently important to Maria herself as well.
In some ways, Maria’s parents were less traditional in their gender expectations than the stereotypical first-generation Mexican American parents that Maria expected them to be. Specifically, Maria’s parents had always supported and encouraged her pursuit of education and a career. Similarly, they had encouraged her brother to marry an educated woman who had a career. Although this was a rather untraditional attitude toward Mexican American daughters, Maria did not see this divergence as a challenge to the stereotype and a means to consider multiple possible meanings of being a Mexican American woman. Instead, Maria framed her parents’ acceptance of her educational and career goals in a way that reflected her identity meaning: Mexican American woman as subservient and trapped. Maria felt that her parents’ support of her own educational and career goals was actually a burdensome obligation and that she must do well in school to please them (particularly her father), fulfill expectations, and be obedient. Furthermore, Maria associated her need for academic success with her ethnic identity: She believed that because so few Mexican Americans had the opportunity to get a doctorate, she must therefore fulfill her obligation to her community by doing so, even if she did not personally want to do so. Maria’s feeling that her success was an indication of her subservience and her experience of obligation as burdensome and dystonic contributed to her feeling like an imposter and made it difficult for her to feel connected to her own achievements and to her ethnicity. Although her Mexican American identity engendered a genuine desire to contribute to the Mexican American community (a more positive view of “obligation”), she could not conceive of genuine and positive ways to make this contribution because being a Mexican American woman meant being a woman who was subservient and who erased her own needs. Thus Maria’s achievements and relationships gave her little joy.
Maria set an initial goal in therapy of increasing her self-esteem. To meet this goal, it was important to “map the terrain” together. We needed to explore the individual and social meanings that were contributing to her beliefs and emotions and try to create alternative meanings of her chosen and cherished identities that felt positive and enabling, rather than being constrained by social meanings that felt foreign or imposed upon her. For example, although Maria acknowledged that her father’s views toward education were less than traditional, this acknowledgment had never been connected to a possibility that perhaps her father’s views about being a good Mexican American daughter were not limited to simple obedience and subservience. In therapy, we explored the multiple possible meanings of being a good daughter, being a woman, being an intimate partner, being Mexican American, and the multiple ways these identities could interact.
Therapy also enabled Maria to differentiate these social meanings of her identities from her own meanings, noting when meanings were positive and when she would like to change some to be more flexible or growth promoting. For example, exploring how “obligation” and “desire to serve her community” were related areas helped Maria feel positively about achieving both for herself and for others. Therapy also helped Maria understand how these meanings had developed and how they may need to change in response to new contexts and demands. This understanding applied to the social meanings (e.g., the ways in which her parents’ meanings developed within their Mexican context and how some flexibility within these in response to the new context of the United States might be helpful) and her own meanings (e.g., the ways in which her own understandings had developed in response to childhood views and developmental experiences that were no longer seen or experienced in the same way).
As Maria began to see new possible meanings and identities, she sought out different experiences and considered behaving in ways with her family that affirmed her connection to them and to her role as a Mexican American daughter, but did not feel subservient or self-sacrificing to her. Maria began to more actively explore relationships that supported her new identities. For example, she sought out discussions with her sister-in-law regarding her immigrant experiences, her view of being Mexican American, and her seeming subservience to Maria’s brother. Through these conversations, Maria learned more about how her brother actively supported his wife and her career and how her sister-in-law made active choices about balancing caretaking of others with her own needs and desires to achieve and be connected to the Mexican American community. Maria’s view changed from seeing this relationship as forcing her sister-in-law into submission to seeing how her sister-in-law was a strongly identified Mexican American woman in a mutually supportive heterosexual relationship, who was doing work that she loved and that also contributed to the Mexican American community. Although Maria had known her for years, she had never perceived her sister-in-law in this way or identified with her so strongly.
We also explored the pattern of her depression in relation to her feelings about her field and discipline. Although it took some time to work through her feelings that to not get a doctorate was to renege on her obligation to the Mexican American community, Maria eventually decided to return to school to pursue a master’s degree in a human-service-related field, where she would be working directly with Latino/a children and families. She returned to school and completed the academic year without any depressive episode.
Although social class in psychological studies is frequently operationalized as income and education, authors writing about the effects of social class make it clear that there are multiple meanings potentially unrelated to current income or individual educational achievement. “Class” is a complex social system that groups families and individuals in relation to power, privilege, and resources, including economic capital (assets of all sorts), symbolic capital (resources from fame or recognition; Calhoun, 2002c), cultural capital (resources from education, knowledge, or cultural learning; Calhoun, 2002a), and social capital (resources from relationships and social networks; Burchardt, 2003). The inclusion of symbolic, cultural, and social capital recognizes that class position is affected not only by one’s current economic assets, but also by one’s family’s historical position and the ongoing ramifications of that position. Furthermore, these types of capital emphasize the cultural aspects of class; class background is associated with cultural experiences, including values, behavioral knowledge, and norms. One may or may not be aware of one’s class culture, but changing contexts that involves crossing class boundaries can frequently make class culture salient and recognizable.
Given the current and historical racial discrimination, class is strongly associated with race and, in some racial groups, with specific ethnicities. Blacks, Latinos, Native Americans, and some Asian Americans (such as Cambodian and Vietnamese refugees) are overrepresented within the lower class (Sue & Sue, 2002; U.S. Department of Health and Human Services, 2001). For these groups, class and ethnic cultures may become linked, so that to be accepted by some groups as Vietnamese or African American may mean enacting cultures associated with class-specific experiences of race or culture.
In Jenny’s case, issues related to class intersected with gender and race issues.
Jenny was one of the few black children at her school who lived in an affluent suburb; the other black girls were being bused in from economically challenged areas of the inner city. Jenny’s family lived in subsidized housing in the suburb, and they received some support from her maternal extended family, particularly around child care. To me (GSK) it was unclear how Jenny was seen in the socioeconomic status hierarchy at school, in relation to the girls from the inner city as well as the other children who were residents of the suburb. To these girls, living in a suburb related to being white and affluentand therefore not black. The range of choices relating to race, culture, and class was limited; they could not conceive of a rich, suburban black girl, or even a poor, suburban black girl. Jenny did not fit into the group of black girls who strongly identified with being black, urban, and from a lower socioeconomic class. Although most of the categorizations the girls were making were dualistic and based on their perception of class differences (especially given Jenny’s actual socioeconomic status), they were no less real in the girls’ lives.
Before her social interactions with the group of black girls, Jenny’s racial identity seemed to be relatively unrelated to her class identity or status. But for the urban black girls, race seemed to be linked to class culture, and class culture was linked to ethnic culture. The city girls linked the idea of being less black with living in the affluent white suburb. Thus class, race, and ethnic culture criteria all needed to be met in these girls’ meaning of black. For the urban girls, being tough in this school situation was important, if not necessary, for survival. As black girls from the inner city, they may not have been readily accepted by other children at the affluent, predominantly white and Asian school; they may have found a way to support each other by forming an exclusive group that linked their racial minority status with being tough and acting in ways that associated urban class culture with race. To maintain the group identity, it was necessary to define race in particular ways and to draw a very specific boundary that excluded Jenny. Yet on another level, Jenny and these girls might have encountered differences because of living in different geographical regionswhich often involves being familiar with, and socializing in, different racial and ethnic communities as well as different cultures. Thus Jenny might have had different cultural associations with being black as compared to the urban black girls whose “color” may be similar but whose ethnic cultural and class cultural experiences may be very different. This is particularly possible given that Jenny was being raised by a white mother without much contact with her black extended family, in a suburban context primarily dominated by European American culture.
Jenny’s experiences provide a glimpse into how a preadolescent girl is beginning to consider her identity in complex ways. Whereas her initial problems seemed to be confined to ADHD and behavioral issues, identity emerged as a major underlying theme in therapy. The way Jenny understood herself was very much in the light of, and was influenced by, her relations with other people and the meanings of race, class, and ethnicity that they communicated to her. Looking ahead to Jenny’s development into the teenage years and adulthood, we could imagine that she might continue to encounter some of the issues she has faced in the fourth grade, and that her journey might be complicated if her identity as an African American continued to be rejected by others. Therapy served not only as a setting in which to engage problem-solving skills regarding her current relational problems, but also as a space in which she could play out various ways of seeing herself and her situations. It created and modeled multiple possibilities and meanings for Jenny’s identities (e.g., expanding the meanings of what it meant to be “African American” and a suburban girl), and may have contributed to preventing difficulties that could have emerged, given continuous social rejections based on the current social meanings.
Religion and Spirituality
Therapists have been interested in religion from very early on, whether to vilify it (e.g., Freud 1953/1964) or to laud it (e.g., Fromm, 1950; Jung, 1938). Like all of the issues discussed here, religion is a complicated concept with multiple meanings. Meanings of “religion” include personal beliefs about, relationship with, and actions in relation to a spiritual being (God/god/Goddess/goddess/higher power) or spirituality more generally, as well as acceptance of, or adherence to, shared doctrine or institutions (Brown & Forgas, 1980; Fromm, 1950; Jung, 1938). Religious and spiritual frameworks/groups/communities seem to actively support the mental health of many women, especially those who are part of ethnic minorities, and to function as primary models/arenas for self-care and social support (see, e.g., Dudley-Grant, 2003).
Most of the major religious institutions also have, to a greater or lesser extent, associated cultures that not only organize or prescribe one’s relationship with a higher power or spiritual understanding but also organize one’s relationships with other people, oneself, and one’s values, beliefs, behaviors, etc. These cultures can, and frequently do, provide important and positive sources of identity (contributing to feelings of positive self-care and nurturance). Furthermore, many religions interact strongly with ethnic cultures in the meanings they carry, the ways they are enacted, and the identities that are constructed in relation to them (e.g., a Mexican American Catholic identity may be quite different from an Irish American Catholic identity). Religious or spiritual identities also interact strongly with meanings of gender, race, sexual orientation, class, etc.
Like all of the concepts discussed here, those of religions and spiritual systems have sociohistorical meanings and hierarchies that reflect a continuum from privilege to oppression. For example, Jews have a long history of oppression, and Chesler (2003) argues that there is a new and intensifying rise in anti-Semitism in current times. Religious beliefs have also been used to oppress others, particularly those who are different in relation to other variables discussed here, such as gender (e.g., the oppression of strong women through witch hunts), race (e.g., the justification of slavery on the basis of paganism), or sexual orientation (e.g., the vilification of gay and lesbian marriages by some current religious leaders). The identities created in relation to, or in interaction with, religion reflect these complicated and dynamic aspects of power and privilege. For example, Maria’s Catholicism supported her through a belief in a positive God and by contributing to the positive meaning of her Mexican American identity; but her Catholicism was also problematic for her as she tried to make sense of the church’s dictates about sex and birth control, and the ways in which Mexican American women are framed within Catholicism (e.g., the meaning of the Virgin Mary as a role model of self-sacrifice). For many women, religious and spiritual identities are both salient and central, and the socially co-con-structed nature of them, in interaction with other identities described here, will be important aspects of therapy.
Identity in relation to sexual orientation(s) includes one’s gender in relation to the gender of people (1) for whom one feels intimate affection or sexual desire, (2) with whom one has had sexual or intimate affectional relationships, and (3) about whom one fantasizes or dreams in sexual, intimate, or affectionate terms. These various referents may or may not be congruent with each other or with one’s claimed identity (Garnets, 2002). For example, a woman may identify as a heterosexual but have sexual fantasies about other women, or a woman may feel most comfortable in intimate, long-term relationships with other women but also feel sexual desire toward men. Identity in relation to sexual orientation may also relate to one’s politics or ideologies; for example, a radical separatist feminist may identify as lesbian first as a political identity, rather than because of strong feelings of desire for women. Because gender is itself a contested concept, so is sexual orientation, which is strongly confounded with gender meanings within dominant social understandings (e.g., lesbian women are expected to be masculine in their gender roles and behaviors). Furthermore, just as gender norms and meanings vary with ethnic culture, meanings of sexual orientation and the intersections between sexual orientation and gender also vary with culture (Garnets, 2002); for example, Asian lesbians may experience less flexibility in gender roles and less access to a “butch” experience (Lee, 1996) than European American lesbians.
Like religion or class, different sexual orientations as social systems and meanings have associated cultures (e.g., lesbian culture, gay culture; Pope, 1995) with cultural language, traditions/holidays (e.g., gay pride day), mannerisms, gender/social norms, etc. And like all of the variables discussed here, there is a history and current context of sociocultural power that privileges some (heterosexuals) while oppressing others (Garnets, 2002; Weber, 1998). However, unlike all of the other major social systems discussed here, discrimination on the basis of sexual orientation is not illegal. In fact, it is legally endorsed in the arena of relationships (e.g., anti-sodomy laws, laws prohibiting lesbian and gay marriage, laws related to lesbian and gay parenting), work/career (e.g., “don’t ask/don’t tell” in the military), and in areas and organizations related to self-care (e.g., some religions’ rejection of gays, lesbians, and bisexuals). Even when a person, group, organization, or social environment is not actively homophobic, it is very frequently heterosexist, meaning that it assumes heterosexuality and imposes this assumption on all people within the context.
Similar to the other identities discussed, sexual orientation and its meanings affect one’s overall identity and the process of therapy, whether or not they are explicitly stated and discussed. For instance, Maria identified as heterosexual. I (KLS) know this because I asked her as a standard part of the initial interview, not because it was a particularly salient identity for her that she specifically discussed. Because sexual orientation is not visible, like race, we frequently see it as less salient (unless one belongs to the minority space) and may assume heterosexual identity (particularly if the client is in a heterosexual relationship). Although Maria’s sexual identity was not explicitly (for her) connected to her presenting difficulties, it certainly affected her identities and the ways in which she constructed meanings. Imagining Maria as a Mexican-American Catholic lesbian would lead to a different expectation and conceptualization of the issues with which she was struggling. This possibility points to the need to attend not only to explicitly claimed identities but also to social meanings of identities that are implicit because they are more privileged. These identities and meanings may also interact in important ways with actively claimed identities and may have positive or negative effects, even if they are not currently in clients’ awareness.
We’d like to comment briefly here on the impact of the therapist’s identities and self-awareness on the journey (explored more fully in Vasquez & Magraw, Chapter 3). Because therapy is a co-constructed process, the ther-apist’s own identities actively affect the conduct of therapy and the identities that are co-constructed for the client within therapy. If the therapist is a guide through the terrain of multiple socially co-constructed statuses and identities, then the therapist’s own knowledge of that terrain (including the terrain that has not been personally salient in the therapist’s own life) becomes of great importance. The identities of the therapist will have an impact on the therapy regardless of whether they are actively brought into the therapy or whether the client (or the therapist) is consciously aware of the impact. The conceptualizations of Maria and Jenny and the therapeutic decisions arising out of those conceptualizations may (or may not) have been very different if we had had other primary identities, but they were certainly affected by our own identities and our understandings of the identities of our clients. Our therapies with Maria and Jenny were affected by all of our identities because those identities have shaped who we are and, therefore, how we see and understand our clients. The effects of our identities occurred not only in how they shaped our understandings of Maria and Jenny, but also in relation to what they meant to Maria and Jenny and how these clients experienced us. Some of these effects are illustrated in the discussion and interpretations above. But here we would like to explicitly discuss our ethnicity, language, immigrant status, and race as examples of interacting clienttherapist identities.
In therapy, Maria and I (KLS) explicitly discussed the importance to her of my being an ethnic-minority woman, an identity that we shared and that was important to both of us. This shared identity affected what she was willing to share with me, the affective tone of our interactions, and the ways that she saw me as a role model that was an alternative to her mother.
But those identities (and aspects of identities) of the therapist that are not personally salient or well explored may also have strong impacts on therapy, such as my monolingualism. Not only did I not speak Spanish, I had no experience with being bilingual in any language, and my ethnic identity was not connected to a bilingual language experience. I had not fully considered the meaning to me or to Maria of my being monolingual, because it was not personally salient to me. This lack of salience was partly because I was privileged in relation to language; if I were monolingual in a minority language, I might have had very different feelings, and I could not have been comfortable in my unexamined assumption that it was fine to be monolingual. My monolingualism constrained our therapy in several ways. There were times when Maria wanted/needed to speak in Spanish to express herself, and not only could I not understand her language, but also I could not fully sympathize with the cultural and personal meanings of the dilemma itself. My awareness of the impact of her bilingualism and my monolingualism led me to invite Maria to speak Spanish, even if I could not understand, so that she could access the emotional impact and experience embedded in the language. And we struggled together with this area of differential privilege between us, where it was imperative that I recognize my privilege and Maria’s different experience.
My (GSK) therapy with Jenny was also shaped and influenced by my own identities, the way I thought about race, culture, and their meanings, and the way I understood Jenny. Working with Jenny was remarkable in relation to my own identity journey, as my identities intersected with her identities. While I focused on helping Jenny find creative ways to face her peers, I was very conscious of my identity as an Asian American and a woman of color. As a first-generation immigrant from Korea who is aware of the intergroup dynamics between various generations (e.g., immigrants as compared to second-or third-generation Asian Americans) within Asian American groups, and as someone who experienced discrimination based on my race, I could empathize with Jenny’s situation in personal ways, and was conscious that my role was not only to be a therapist but also a role model to Jenny as a woman of color. My own awareness of, and attention to, the racial and cultural similarities and differences affected the intervention choices, such as choosing to invite Jenny to talk explicitly about the racial and cultural dimensions within her peer relationships, which had not been done before either at school or at home.
At the same time, I was quickly made aware of my lack of knowledge about black and African American identities (e.g., the group dynamics of the collective identities within African American groups, and how different they were from Asian American identity). In acknowledging my own ignorance, I was also faced with considering how emphasizing the shared similarities between myself as an Asian American woman and Jenny as an African American child, as people of color, did not always capture our lived experiences. Because the two groups have been pitted against each other by the dominant society (i.e., particularly between Korean Americans and African Americans), at times differences between Jenny and myself were highlighted more than our similarities. I also realized some of the privileges I had as a monoracial person whose identity is less contested within my own racial group, and as an Asian American who is often considered a member of the “model minority” and therefore not expected to get into fights or to have behavioral problems. As was developmentally appropriate for a latent-age girl, Jenny did not explicitly discuss race and culture and how they affected her identities; however, my perception of Jenny and the many possibilities for her future identity development interacted in my thinking about how to help her consider multiple possible meanings of being a black girl. These included thinking about the possibility that Jenny’s identities as a black girl did not have to consist of being aggressive, having two black parents, getting involved in fights, and living in the city. Also, thinking about the multiple meanings of being black influenced, and was influenced by, some of my own thinking about multiple meanings of being a woman of color and Asian American.
Therapists also need to be aware that the effects of their identities are not only determined individually, but are influenced by the social systemic issues described above. Clients may project certain understandings on therapists, and therapists may project certain understandings on clientseven if they actively desire not to do sobecause of social meanings that are internalized. Conscious and continuous attention is necessary to address these potential factors. The framework of constructed identities that we describe here is one way to focus that attention.
In this chapter we have argued that identities are socially co-constructed and internalized negotiations of social contexts and categorizations (e.g., race, gender). Identity is not simply an “individual” claiming that resists imposition by others. Rather, one’s identityand all the social meanings that are embedded within that identityare socially constructed in interaction with groups that have their own meanings that may change in different situational contexts. We also delineated the ways in which social contexts interact to produce a constant re-creation process among and within individuals and groups in a given sociohistorical context. This interaction includes, and is affected by, economics, politics, history, and issues of power and privilege. Not only are identities interactively created, but multiple identities are interactively created, and the social meanings of their interactions may be more than the sum of the parts. Multiple identities (e.g., as a woman, a member of a certain race, ethnicity/cultural background, sexual orientation, spiritual/religious community, and socioeconomic status) intersect and influence women’s mental health in such a way that highlighting only one aspect of their identities could run the danger of pathologizing through overgeneralizing and ignoring the vast diversity within various groups of women. In particular, the separation of identities, statuses, or “terrains” can be particularly challenging for people who occupy what Anzaldúa (1999) has called “the borderlands”: those of us who exist in multiple contexts of oppression within interacting social meanings.
Although therapy is not often considered as a space in which identities are co-constructed, we believe that an emphasis on social co-construction of identities can be a useful way to conceptualize therapy with individuals. To begin with, therapy provides a space in which clients can explore, examine, understand, and “imagine about” their lived experiences. These explorations take place not only in regard to a presenting problem, but also in relation to how the client understands her situations in light of the way she organizes her self-understanding, the various social relationships she maintains, and the social meanings to which she was exposed and has internalized. Using the relationship between the therapist and the client, therapy becomes a space in which the client’s views of herself, her possibilities, and her relationships with others are revamped and expanded. It is a space that can facilitate identity shift, which is also a socially co-constructed process in therapy, because the therapist brings to the sessions her own perspectives, lived experiences, and identities.
Although we are clearly rooted in an ecological perspective (even our metaphors!), we have focused this chapter on conceptualizing and treating individuals. In the next chapter Kliman considers the intersections of multiple contexts and social meanings for understanding family systems and treating families. In the final chapter of this foundational section, Vasquez and Magraw focus expansively on the role of the therapist as ally. The remaining sections of the book build on these foundations and offer “maps” with which to consider more fully the particular terrains and journeys of diverse women within the life contexts of relationships, work, and self-care.
- An additional example of this is the legacy of the one-drop rule. Legal definitions aimed at excluding blacks from accessing privileges and civil rights defined blacks as any person with “one drop” of black heritage, regardless of
- appearance; thus the meaning of the black identity is less related to racial purity than for some other racial minority groups, such as Asians, although still relevant (as evident in Jenny’s experience). Another example is the use of “blood quantum” in Native American nations. Although a given nation may not have originally used blood quantum to define membership, many nations now use blood quantum to determine tribal membership and identity (although many reject blood quantum requirements [Garroutte, 2001]), because of the imposition of race theories and ideology by European colonists and the U.S. government.
- We want to note that there are multiple ways to define these concepts, and not all the authors will use the exact definitions presented here.
- Although sex is not the focus for us here, we want to briefly note that sex itself is not unproblematic from a more constructivist, interactive view. Although it is usually assumed that there are two sexes and that all biological determinants are “in accordance,” the seemingly clear binary categorization between male and female becomes problematized by individuals whose physical determinants are not all in “agreement” and by transsexuals who actively change some of those determinants (see, e.g., review in Crawford & Unger, 2003). The binary distinction itself is a social construction, and sex and gender activists are questioning why sex and sex identity must be categorical rather than continuous or fluid with multiple meanings and experiences (e.g., Kate Bornstein; see Bornstein, 1995).
- The language for race and ethnicity are also confounded, although have at times been less so. White and black are commonly used and accepted as race terms, in contrast to European American and African American. However, there are no polite and nonoffensive race terms for Asian American, Native American, or Latino, although “yellow,” “red,” and “brown” have been used at different times and in different contexts. In this section on race (and throughout the chapter), we consciously use “black” rather than “African American” and “white” rather than “European American” in order to call attention to the differentiation.
- We are indebted to Celeste Gutierriez and Jesse Tauriac and to the other members of the spring 2004 Social Construction of Self and Identities class (Sue Adams, Stephanie Day, Gillian Green, Jennifer Hamilton, Jennifer Kuhn, Nancy Lin, Liz Mongillo, Phuong Nguyen, and Michael Rollock) for these last two points.
- And some cultures may have multiple boundaries and determinants: For example, Judaism is both a religion with a religious culture (Reform, Orthodox, Conservative, Reconstructionist, etc.) and an ethnic culture associated with ethnic designations (Sephardic, Ashkenazi, Yemenite, etc.).
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