Black women experience unique stressors and mental health challenges that intensified during the COVID-19 pandemic, raising critical questions such as who acts as a trustworthy therapist for Black women and what messaging is most effective for encouraging self-care and therapy. Four experiments with Black U.S. women (N = 1,961) aimed to answer these questions. Receiving messages from Black (vs. White) sources/therapists led to consistently positive outcomes (e.g., trust, positive attitudes toward mental treatment; Studies 1a–2), particularly among participants high in suspicion of White individuals’ motives. However, a matched gendered source/therapist (i.e., a White woman) produced inconsistently small effects. Although culturally targeted (vs. non-targeted) messages enhanced beliefs that the therapists conveyed allyship, they did not improve trust (Studies 1a–2). Importantly, a message emphasizing the need for policy-level changes sparked trust (Studies 2–3). This work has implications for developing effective ally and health messaging and fostering trust between therapists and Black women.
AldenD. L.FriendJ.SchapiraM.StiggelboutA. (2014). Cultural targeting and tailoring of shared decision making technology: A theoretical framework for improving the effectiveness of patient decision aids in culturally diverse groups. Social Science & Medicine, 105, 1–8. https://doi.org/10.1016/j.socscimed.2014.01.002
3.
Ashburn-NardoL. (2018). What can allies do? In ColellaA. J.KingE. B. (Eds.), The Oxford handbook of workplace discrimination (pp. 373–386). Oxford University Press.
4.
BranscombeN. R.SchmittM. T.HarveyR. D. (1999). Perceiving pervasive discrimination among African Americans: Implications for group identification and well-being. Journal of Personality and Social Psychology, 77(1), 135. https://doi.org/10.1037/0022-3514.77.1.135
5.
BurnsM. D.GranzE. L. (2022). “Sincere white people, work in conjunction with us”: Racial minorities’ perceptions of White ally sincerity and perceptions of ally efforts. Group Processes & Intergroup Relations, 26(2), 453–475. https://doi.org/10.1177/13684302211059699
6.
ChaikenS. (1980). Heuristic versus systematic information processing and the use of source versus message cues in persuasion. Journal of Personality and Social Psychology, 39(5), 752–766. http://doi.org/10.1037/0022-3514.39.5.752
7.
ChangD. F.YoonP. (2011). Ethnic minority clients’ perceptions of the significance of race in cross-racial therapy relationships. Psychotherapy Research, 21(5), 567–582. https://doi.org/10.1080/10503307.2011.592549
8.
ChaneyK. E.CipollinaR.SanchezD. T. (2024). Perceptions of White women’s stigma-based solidarity claims and disingenuous allyship. Social Psychological and Personality Science, 15(5), 509–518. https://doi.org/10.1177/19485506231188757
9.
ChenJ. M.JoelS.Castro LinglD. (2023). Antecedents and consequences of LGBT individuals’ perceptions of straight allyship. Journal of Personality and Social Psychology, 125(4), 827–851. https://doi.org/10.1037/pspi0000422
10.
CipollinaR.SanchezD. T. (2022). Identity cues influence sexual minorities’ anticipated treatment and disclosure intentions in healthcare settings: Exploring a multiple pathway model. Journal of Health Psychology, 27(7), 1569–1582. https://doi.org/10.1177/1359105321995984
11.
CraigM. A.BadaanV.BrownR. M. (2020). Acting for whom, against what? Group membership and multiple paths to engagement in social change. Current Opinion in Psychology, 35, 41–48. https://doi.org/10.1016/j.copsyc.2020.03.002
12.
CraigM. A.RichesonJ. A. (2016). Stigma-based solidarity: Understanding the psychological foundations of conflict and coalition among members of different stigmatized groups. Current Directions in Psychological Science, 25(1), 21–27. https://doi.org/10.2307/44318910
13.
CrockerJ.VoelklK.TestaM.MajorB. (1991). Social stigma: The affective consequences of attributional ambiguity. Journal of Personality and Social Psychology, 60, 218. https://doi.org./10.1037/0022-3514.60.2.218
14.
DerricksV.EarlA. (2019). Information targeting increases the weight of stigma: Leveraging relevance backfires when people feel judged. Journal of Experimental Social Psychology, 82, 277–293. https://doi.org/10.1016/j.jesp.2018.12.003
15.
DerricksV.EarlA. (2023). Too close for comfort: Leveraging identity-based relevance through targeted health information backfires for Black Americans. Journal of Communication, 73, 511–526. https://doi.org/10.1093/joc/jqad022
16.
DerricksV.JohnsonI. R.PietriE. S. (2023). Black (patients’) lives matter: Exploring the role of identity-safety cues in healthcare settings among Black Americans. Journal of Health Psychology, 28(1), 30–47. https://doi.org/10.1177/13591053221090850
17.
DerricksV.PietriE. S.DinhT.JohnsonI. R. (2023). Examining the context and content of organizational solidarity statements on Black Americans’ expectations of identity safety. Personality and Social Psychology Bulletin, 0(0). https://doi.org/10.1177/01461672231208508.
18.
De SouzaL.SchmaderT. (2024). When people do allyship: A typology of allyship action. Personality and Social Psychology Review, 29, 3–31. https://doi.org/10.1177/10888683241232732
19.
DuncanL. E. (2003). Black male college students’ attitudes toward seeking psychological help. Journal of Black Psychology, 29(1), 68–86. https://doi.org./10.1177/0095798402239229
20.
FaulF.ErdfelderE.LangA.-G.BuchnerA. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
21.
FuertesJ. N.MuellerL. N.ChauhanR. V. (2002). An investigation of european american therapists’ approach to counseling African American Clients. Counseling Psychologist, 30(5), 763–788. https://doi.org/10.1177/0011000002305007
22.
FischerE. H.FarinaA. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36(4), 368–373.
23.
JohnsonI. R.PietriE. S.FulliloveF.MowrerS. (2019). Exploring identity-safety cues and allyship among black women students in STEM Environments. Psychology of Women Quarterly, 43(2), 131–150. https://doi.org/10.1177/0361684319830926
24.
KivlighanD. M.HooleyI. W.BrunoM. G.EthingtonL. L.KeetonP. M.SchreierB. A. (2019). Examining therapist effects in relation to clients’ race-ethnicity and gender: An intersectionality approach. Journal of Counseling Psychology, 66(1), 122–129. http://doi.org/10.1037/cou0000316
25.
KreuterM. W.WrayR. J. (2003). Tailored and targeted health communication: Strategies for enhancing information relevance. American Journal of Health Behavior, 27, S227–S232. https://doi.org/10.5993/AJHB.27.1.s3.6
26.
KutlacaM.RadkeH. R. M. (2023). Towards an understanding of performative allyship: Definition, antecedents and consequences. Social and Personality Psychology Compass, 17(2), e12724. https://doi.org/10.1111/spc3.12724
27.
LandrineH.CorralI. (2015). Targeting cancer information to African Americans: The Trouble with talking about disparities. Journal of Health Communication, 20(2), 196–203. https://doi.org/10.1080/10810730.2014.920061
28.
LagisettyP. A.PriyadarshiniS.TerrellS.HamatiM.LandgrafJ.ChopraV.HeislerM. (2017). Culturally targeted strategies for diabetes prevention in minority population: A systematic review and framework. The Diabetes Educator, 43(1), 54–77. https://doi.org/10.1177/0145721716683811
29.
LevinS.SinclairS.VeniegasR. C.TaylorP. L. (2002). Perceived Discrimination in the Context of Multiple Group Memberships. Psychological Science, 13(6), 557–560. https://doi.org/10.1111/1467-9280.00498
30.
LloydE. P.KunstmanJ. W.TuschererT.BernsteinM. J. (2017). The face of suspicion: Suspicion of Whites’ motives moderates mental representations of Whites. Social Psychological and Personality Science, 8(8), 953–960. https://doi.org/10.1177/1948550617699251
31.
MackieD. M.WorthL. T.AsuncionA. G. (1990). Processing of persuasive in-group messages. Journal of Personality and Social Psychology, 58(5), 812–822. https://doi.org/10.1037/0022-3514.58.5.812
32.
MajorB.KunstmanJ. W.MaltaB. D.SawyerP. J.TownsendS. S. M.MendesW. B. (2016). Suspicion of motives predicts minorities’ responses to positive feedback in interracial interactions. Journal of Experimental Social Psychology, 62, 75–88. https://doi.org/10.1016/j.jesp.2015.10.007
MoserC. E.BranscombeN. R. (2021). Male allies at work: Gender-equality supportive men reduce negative underrepresentation effects among women. Social Psychological and Personality Science, 13(2), 372–381. https://doi.org/10.1177/19485506211033748
35.
MoserC. E.WileyS. (2024). “My aim is true”: An attribution-identity model of ally sincerity. Personality and Social Psychology Review, 0(0). https://doi.org/10.1177/10888683241273354
36.
MosierA. E.PietriE. S.JohnsonI. R. (2022). Inspiring visibility: exploring the roles of identification and solidarity for alleviating black women’s invisibility in politics. Group Processes & Intergroup Relations, 26, 1351–1367. https://doi.org/10.1177/13684302221105426
37.
NelsonT.ShahidN. N.CardemilE. V. (2020). Do I really need to go and see somebody? Black women’s perceptions of help-seeking for depression. Journal of Black Psychology, 46(4), 263–286. https://doi.org/10.1177/0095798420931644
38.
ObinnaD. N. (2021). ‘Essential and undervalued: Health disparities of African American women in the COVID-19 era.’Ethnicity & Health, 26(1), 68–79. https://doi.org/10.1080/13557858.2020.1843604
39.
PettyR. E.CacioppoJ. T. (1984). The effects of involvement on responses to argument quantity and quality: Central and peripheral routes to persuasion. Journal of Personality and Social Psychology, 46(1), 69–81. https://doi.org/10.1037/0022-3514.46.1.69
40.
PietriE. S.DrawbaughM. L.LewisA. N.JohnsonI. R. (2019). Who encourages Latina women to feel a sense of identity-safety in STEM environments?. Journal of Experimental Social Psychology, 84, 103827. https://doi.org/10.1016/j.jesp.2019.103827
41.
PietriE. S.JohnsonI. R.OzgumusE. (2018). One size may not fit all: Exploring how the intersection of race and gender and stigma consciousness predict effective identity-safe cues for Black women. Journal of Experimental Social Psychology, 74, 291–306. https://doi.org/10.1016/j.jesp.2017.06.021
42.
PietriE. S.MoserC. E.DerricksV.JohnsonI. R. (2024). A framework for understanding effective allyship. Nature Reviews Psychology, 3, 686–700. https://doi.org/10.1038/s44159-024-00359-0
43.
PrestonM. C.BoydT. L.LeighA.BurgessR.MarshV. (2024). An ally by any other name: Examining the effects of racial minority leaders as allies for advancing racial justice. Organizational Behavior and Human Decision Processes, 181, 104321. https://doi.org/10.1016/j.obhdp.2024.104321
44.
RemediosJ. D.ChastenA. L.PaekJ. D. (2012). Not all prejudices are experienced equally: Comparing experiences of racism and sexism in female minorities. Group Processes & Intergroup Relations, 15(2), 273–287. https://doi.org/10.1177/1368430211411594
45.
RyanD.Tornberg-BelangerS. N.PerezG.MaurerS.PriceC.RaoD.ChanK. C. G.OrnelasI. J. (2021). Stress, social support and their relationship to depression and anxiety among Latina immigrant women. Journal of Psychosomatic Research, 149, 110588. https://doi.org/10.1016/j.jpsychores.2021.110588
46.
ShermanD. A. K.NelsonL. D.SteeleC. M. (2000). Do messages about health risks threaten the self? Increasing the acceptance of threatening health messages via self-affirmation. Personality and Social Psychology Bulletin, 26(9), 1046–1058. https://doi.org/10.1177/01461672002611003
47.
StacciariniJ. M. R.O’KeeffeM.MathewsM. (2007). Group therapy as treatment for depressed Latino women: A review of the literature. Issues in Mental Health Nursing, 28(5), 473–488.
48.
SteeleC. M.SpencerS. J.AronsonJ. (2002). Contending with group image: The psychology of stereotype and social identity threat. In M.P. Zanna (Ed.), Advances in Experimental Social Psychology (Vol. 34, pp. 379–440). Academic Press. https://doi.org/10.1016/S0065-2601(02)80009-0
49.
SusmannM. W.XuM.ClarkJ. K.WallaceL. E.BlankenshipK. L.Philipp-MullerA. Z.LuttrellA.WegenerD. T.PettyR. E. (2022). Persuasion amidst a pandemic: Insights from the elaboration likelihood model. European Review of Social Psychology, 33(2), 323–359. https://doi.org/10.1080/10463283.2021.1964744
50.
TeenyJ. D.SievJ. J.BriñolP.PettyR. E. (2021). A review and conceptual framework for understanding personalized matching effects in persuasion. Journal of Consumer Psychology, 31(2), 382–414. https://doi.org/10.1002/jcpy.1198
51.
ThompsonV. L. S.AlexanderH. (2006). Therapists’ race and African American clients’ reactions to therapy. Psychotherapy, 43(1), 99–110. https://doi.org/10.1037/0033-3204.43.1.99
52.
WallaceL. E.WegenerD. T.PettyR. E. (2020). When sources honestly provide their biased opinion: bias as a distinct source perception with independent effects on credibility and persuasion. Personality and Social Psychology Bulletin, 46(3), 439–453. https://doi.org/10.1177/0146167219858654
53.
WaltonQ. L.CampbellR. D.BlakeyJ. M. (2021). Black women and COVID-19: The need for targeted mental health research and practice. Qualitative Social Work, 20(1–2), 247–255. https://doi.org/10.1177/1473325020973349
54.
WashingtonJ.EvansN. J. (1991). Becoming an ally. In EvansN. J.WallV. A. (Eds.), Beyond tolerance: Gays, lesbians, and bisexuals on campus (pp. 195–204). American Association for Counseling and Development.
55.
WiltonL. S.BellA. N.VahradyanM.KaiserC. R. (2020). Show don’t tell: Diversity dishonesty harms racial/ethnic minorities at work. Personality and Social Psychology Bulletin, 46(8), 1171–1185. https://doi.org/10.1177/0146167219897149
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