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Full-Text Articles in Multicultural Psychology

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun Aug 2024

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …


Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale Jun 2024

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …


Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes May 2024

Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes

Doctoral Dissertations

This qualitative study explored the processes of finding community and developing one’s own intersectional racial and gender identity through the social media (SM) experiences of 8 Black gender expansive (GE) adults located around the United States. Using Interpretative Phenomenological Analysis (IPA) methodology and an intersectional theoretical framework, the research questions guiding the study were: “What is the relationship between Black gender expansive people, social media, and community?” and “What is the relationship between Black gender expansive people, social media, and identity development?” The researcher’s findings from in-depth interviews with participants included three major themes: A) Positive Resilience-Supporting Experiences on SM, …


The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore Apr 2024

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …


Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby Jan 2024

Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby

Electronic Theses and Dissertations

Black individuals possess numerous strengths and positive contributions that build strong communities and cultivate psychological well-being (Biglan et al., 2012). However, much of the current literature focuses on hardships Black individuals face, skewing the larger discourse of their lived experience. This exclusive focus on adversity often neglects pathways by which Black people thrive and flourish. It is important to consider how Black experiences relate to a sense of well-being. Resilience, or the ability to “bounce back” from adverse experiences is linked well-being outcomes (APA, 2012). However, it is unknown whether the promotive effects of resilience directly contribute to well-being outcomes …


An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero Jan 2024

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …


The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Full-Text Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez Dec 2023

Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez

Dissertations

Bisexuality is a sexual orientation, sometimes known as “bi,” that includes sexuality in which certain people are attracted to more than one sex and gender. Bisexuality differs from other sexual- and gender-nonconforming experiences (McInnis et al., 2022). According to Ross et al. (2018), bisexuality is frequently described as an invisible sexual orientation, and only in the last 20 years has research on biphobia and bisexuality increased (McInnis et al., 2022). Experiences unique to bisexuality include bisexual invisibility from a societal level (Dyar et al., 2015), bisexuals are more prone to experience sexual orientation instability (Bostwick et al., 2014), and bisexual …


Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed Oct 2023

Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed

Journal of Mind and Medical Sciences

This study explored the relationship between Perceived Stress and Religious Coping levels among Muslim emerging adults of Pakistani origin living in Pakistan and Muslim emerging adults of Pakistani origin living in the United States (US). Participants (Pakistani Origin Muslims Living in Pakistan, n= 103; and Pakistani Origin Muslims Living in the US, n=50) were between 18-25 years old. The Perceived Stress Scale (PSS-10) and Brief R-Cope scale were administered using an online format. Results indicated that negative religious coping strategies were associated with higher perceived stress in both groups while positive religious coping strategies showed a weaker association with lower …


Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd Oct 2023

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …


Artists, Activists, And Therapists Making Meaning Of Collective Violence In Lebanon: A Community-Engaged Participatory Research Study, Nawal Muradwij Sep 2023

Artists, Activists, And Therapists Making Meaning Of Collective Violence In Lebanon: A Community-Engaged Participatory Research Study, Nawal Muradwij

Dissertations, Theses, and Capstone Projects

This study collaborated with community-engaged artists, activists, and mental health workers living in Lebanon to explore the community narratives that exist around collective violence in Lebanon. With the support of a community advisory board, in-depth interviews, and focus groups were utilized to understand the associations that participants had with the construct of collective violence as it pertains to communities in Lebanon and their understanding of its impact on collective mental health. The sample of artists, activists, and mental health workers framed collective violence in Lebanon as intergenerational, perpetual, and institutionally and politically entrenched. Cultural concepts that described the impact of …


The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia Aug 2023

The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia

Doctoral Dissertations

Given the social history surrounding the issue of HIV/AIDS in the LGBTQ+ community and the unique and intersectional experiences that Latinx Men who have Sex Men (MSM) have in their community, this dissertation’s research will contribute to the growing work on sexual racism and how it correlates with various elements of behavioral health. The study investigated the moderation impact of Latinx cultural values of caballerismo and familismo on the relationship between experiences sexual racism to mental health symptoms. The study also examined the moderation of caballerismo and familismo and psychological flexibility on the relationship between experiences of sexual racism to …


The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller Aug 2023

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …


Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena Aug 2023

Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena

Psychology ETDs

Within the next decade, Latino immigrants will constitute the largest middle-aged and older immigrant group living in the U.S. This cross-sectional study investigated traumatic stressors, acculturative stress and perceived structural injustices and their associations with mental health symptoms. This study also examined the linkages between cultural factors, social support, and coping strategies and mental health outcomes. Eighty Latino/Hispanic immigrants who were 45 years of age or older completed a series of questionnaires and optional open-ended questions. A greater exposure to traumatic events, higher acculturative stress, and perceived injustices were associated with greater psychological distress and symptoms of anxiety, depression, and …


Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D. Aug 2023

Mediumship And Mental Health: Investigating Spirit Communication And The Importance Of Integration, Daniel A. Seda Ph.D.

Journal of Conscious Evolution

Sensitivity to paranormal phenomena can be a source of emotional, mental and psychospiritual stress for individuals demonstrating verified mediumistic abilities, yet integrating these anomalous experiences in a healthy, affirming manner can reduce distress and potentially deflect egodystonic diagnoses of pathology. Because mediums can relay information which appear to be otherworldly from meditation, during trance, or by automatic writing and painting, health professionals have diagnosed mediums with mental disorders such as dissociative identity disorder and schizophrenia. This overreliance on pathology to explain anomalous experiences is troublesome and can cause severe distress to individuals demonstrating extrasensory capabilities. This paper was written to …


Voiding The Unwanted Self: An Examination Of Racialized Violence In The United States, Benjamin Stark Jun 2023

Voiding The Unwanted Self: An Examination Of Racialized Violence In The United States, Benjamin Stark

Dissertations, Theses, and Capstone Projects

This dissertation is concerned with the role of the psychic defenses projection and projective identification in the processes which lead to racialized violence in the United States. The dissertation posits that projection has been less considered as a primary driver of racialized violence than other psychic processes and should be better integrated into psychological research and literature on racialized violence. The thesis begins with a detailed examination of two instances of racialized violence, the first a macro example of nation vs. nation: the United States’ invasion of Iraq in 2003, before which the United States fantasized Iraq was developing weapons …


The Role Of Cultural And Expressive Arts Therapies In The Puerto Rican Diasporic Identity: A Literature Review, Melissa Clay May 2023

The Role Of Cultural And Expressive Arts Therapies In The Puerto Rican Diasporic Identity: A Literature Review, Melissa Clay

Expressive Therapies Capstone Theses

Identity for Puerto Rican immigrants is a growing concern with the influx of migration due to numerous natural and human based disasters. This literature review will review Puerto Rico’s tumultuous history and the development of identity through history. Including the Taino, the influence of African slaves, The Three Root Model and colonization by Spain and the United States. Accordingly, this review explores culturally specific beliefs and culturally creative arts and how those can be used in healing practices through Expressive Arts Therapies. We will also consider the culturally sensitivities needed in further research on this topic and within current day …


Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee May 2023

Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee

Student Theses

In the United States, reported anti-Asian hate crimes increased by 164% from 2020 to 2021, with New York demonstrating a difference of 223% (Center for the Study of Hate & Extremism, 2021). Ample evidence suggested its deleterious emotional impact; COVID-19-associated racial discrimination was found to be significantly associated with increased levels of mental distress, such as anxiety, depression, and PTSD symptoms (e.g., Hahm et al. 2021). With an aim of addressing the significant dearth of research on Asian Americans’ help-seeking behaviors in response to COVID-19-associated racism and distress, this study employed grounded theory to explore the experiences of 10 self-identified …


Cultural Concepts Of Distress And Clinical Intake Processes For Chinese And Chinese American Populations In The United States, Jasmina Harambasic Apr 2023

Cultural Concepts Of Distress And Clinical Intake Processes For Chinese And Chinese American Populations In The United States, Jasmina Harambasic

Undergraduate Theses

Research shows that Chinese Americans underutilize mental health services more than any other ethnic group in the U.S. This project aims to explore the mental health experiences of Chinese American and immigrant communities, with a specific focus on clinical intake processes, including interviews and screening assessments. Cultural concepts of distress refer to ways that cultural groups experience and communicate mental distress, and an exploration of these illness experiences within Chinese American populations can inform how to adapt or develop screening and interview tools to fully capture personal narrations of illness during intake processes in preparation for treatment. Challenges that may …


Clinician Heal Thyself: Turning The Mirror Inward To Dismantle The Barriers Of Psychotherapy, Lynne-Marie Shea Apr 2023

Clinician Heal Thyself: Turning The Mirror Inward To Dismantle The Barriers Of Psychotherapy, Lynne-Marie Shea

Graduate Theses and Dissertations

The practice of psychotherapy developed in the United States within and in response to its sociopolitical context. As such it has always been unable to live up to its stated value of being accessible and effective for all people who are willing to seek and accept help. We explore the practice of psychotherapy within the larger field of Psychology and its ongoing commitment to capitalism and the social hierarchy at its center. We consider how Psychology’s intentional avoidance of class identity in the therapy space has allowed the field to justify and maintain this hierarchy while simultaneously ignoring its existence. …


Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb Apr 2023

Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb

Senior Theses

Most research into trauma-related mental health concerns has focused predominantly on European American participants, leading to many African American individuals receiving inaccurate diagnoses, if they are able to receive diagnoses at all. This project sought to help fill that gap by identifying clear definitions and examples of “racial trauma” and “race-based stress” - as defined during participation in a focus group interview by the collective experience-based responses of two undergraduate African American students at a predominantly White institution - and identifying symptoms of posttraumatic stress and dissociation - measured by an online survey distributed to the participants that included questions …


Sociocultural Orientations And Mental Illness Stigma: A Novel Mediational Model, Karis Treadwell Jan 2023

Sociocultural Orientations And Mental Illness Stigma: A Novel Mediational Model, Karis Treadwell

Honors Projects

This study proposes a novel mediational model to investigate the relationship between sociocultural orientations and mental illness stigma by exploring empathy and controllability attributions as mediators. Past literature suggests that understanding these variables may contain important implications for guiding stigma-reducing efforts. Questionnaires assessing sociocultural orientations, empathy, blaming attributions, and general mental illness stigma were administered to 109 students at a small liberal-arts college in the northeast United States. The sample consisted of 80 female-identifying participants, 28 male-identifying participants, and 1 non-binary participant. Questionnaires administered included the Individualism and Collectivism scale (Triandis & Gelfand, 1998), the Questionnaire of Cognitive and Affective …


Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro Jan 2023

Cognitive Assessment Of Latinx/E Bilinguals In The United States: A Fictitious Case Study, Vanessa Magro

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Despite a growing body of literature and best-practice guidelines and considerations, assessment providers working with Latinx/e populations are left with numerous questions about how to translate these ideas into practice. This paper is meant to begin to answer some of these questions for Spanish-speaking providers administering cognitive tests to bilingual Latinx/e clients in the United States. The basis for these answers is a comprehensive literature review and my experience providing culturally-responsive assessment services to a bilingual Latinx/e population in the United States. A fictitious case study is included so that providers can get a concrete idea of how to bring …


Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang Jan 2023

Adapting Grief And Bereavement-Focused Cognitive Behavioral Therapy For Chinese-Identifying Individuals In America: A Cultural Analysis, Ian Tsang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Anti-Asian hate as well as shifting circumstances brought on by current events all around the world highlight the increased need for mental health support and services in an ever-growing Chinese population in the United States, particularly in regard to grief work. Additionally, Chinese Americans demonstrate a disproportionate and lower utilization of mental health services, especially in comparison to the general population in the country. This paper discusses the various factors contributing to this phenomenon before presenting recommendations for culturally adapting evidence-based approaches to grieving individuals in the target population. More specifically, a cultural analysis consisting of topics such as Chinese …


Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo Jan 2023

Psychedelic Assisted Psychotherapy: Equity Through Contextual Frameworks, Emanuel Hermosillo

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Psychedelic assisted psychotherapy (PAP) is a psychotherapeutic modality in which the non-ordinary states of consciousness that result from the consumption of psychedelic medicines are utilized to facilitate therapeutic healing. A wide range of cultures have used a variety of these psychotropic substances as medicines since ancient times, and there has been a resurgence of interest in their beneficial properties across many disciplines including psychology. Given that there are extra dimensions of vulnerability in using these medicines therapeutically, increased attention needs to be given to diversity, equity, and inclusion across psychedelic research and clinical practices. This paper focuses on how internal …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon Jan 2023

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Full-Text Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May Dec 2022

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …


Faith-Based Counseling Versus Traditional Psychotherapy: A Phenomenological Evaluation Of African American Protestant Experiences, Shannon Gray Dec 2022

Faith-Based Counseling Versus Traditional Psychotherapy: A Phenomenological Evaluation Of African American Protestant Experiences, Shannon Gray

Dissertations

This phenomenological study was designed to evaluate the experiences of African American Christian adult clients within traditional psychotherapy and faith-based counseling settings. Research has shown various therapist/counselor identities affect Christian African American clients, and that Christians as well as African Americans have historically been less likely to pursue traditional psychotherapy for a variety of reasons. Participants were six African American Christian adult participants (three traditional psychotherapy participants and three faith-based counseling participants). All participants were asked open-ended questions about their experiences in traditional psychotherapy or faith-based counseling. In addition, they were asked to evaluate several aspects of their therapy/counseling experience …


Acculturative Parenting Cognitions: Bicultural Socialization Beliefs Among Chinese American Parents, Albert Lo Oct 2022

Acculturative Parenting Cognitions: Bicultural Socialization Beliefs Among Chinese American Parents, Albert Lo

Doctoral Dissertations

Chinese American and Chinese immigrant parents within the United States possess parenting cognitions that reflect their multidimensional cultural experiences. One such parenting cognition is parents’ bicultural socialization beliefs, defined as their desire for their children to adopt both heritage Chinese values as well as destination American values in order to be successful in the United States. The aim of the current dissertation was to quantitatively examine bicultural socialization beliefs among Chinese American parents of adolescents and young adults. Four studies were conducted to model a pathway from parents’ social and cultural experiences to outcomes in their children. Study 1 examined …


Moderating Roles Of Racial Identity In The Effects Of Racial Discrimination On Distress, Sarah Gobrial Oct 2022

Moderating Roles Of Racial Identity In The Effects Of Racial Discrimination On Distress, Sarah Gobrial

Psychology Theses and Dissertations

Racial discrimination has been linked to psychological distress among people of color. The degree to which psychological distress is associated with racial discrimination experiences varies across individuals. Racial identity may be one key set of individual difference factors that can influence how discrimination impacts psychological distress, but existing empirical findings remain mixed on the moderating role of racial identity in the links between discrimination and distress. The present study leveraged virtual reality technology to experimentally invoke experiences of discrimination. The study was aimed to (1) determine the causal effects of racial discrimination on psychological distress (i.e., stress and negative affect), …