A core issue in reproductive justice concerns how racism impacts reproductive health outcomes for Black women. However, the intersectional experiences of middle-class Black women navigating racism in reproductive health systems have not been fully captured in psychological literature. By utilizing a Black feminist approach to qualitative inquiry, this study situates the psychological dynamics behind middle-class Black women's interpretations of and reactions to gendered racism in reproductive settings within the historical context of slavery and its aftermath. The data analysis of 12 interviews captures how middle-class Black women reflect on their interactions with gynecologists, narrate their anticipation of gendered racism, and interpret and respond to experiencing gendered racism. Findings from this study suggest that gendered racism is a haunting of embodied gynecological trauma that maps onto the historical legacy of slavery. This study offers psychology an empirical and analytical framework for moving forward with its conceptualizations of how race, gender, and class intersect in service of reproductive justice. Results from this study can be used by clinicians to guide their clients towards healing gendered-racist-related stress, as well as medical schools to educate obstetricians and gynecologists on how to provide anti-racist care to their Black patients. Online slides for instructors who want to use this article for teaching are available on PWQ's website athttp://journals.sagepub.com/doi/suppl/10.1177/03616843231168113.
AhmedS. (2002). Racialized bodies. In EvansM.LeeE. (Eds.), Real bodies: A sociological introduction (pp. 46–63). Bloomsbury Publishing.
2.
AndersenM. L.CollinsP. H. (2004). Race, class, and gender: An anthology. Wadsworth.
3.
AssariS. (2018). Health disparities due to diminished return among black Americans: Public policy solutions. Social Issues and Policy Review, 12(1), 112–145. https://doi.org/10.1111/sipr.12042
4.
BellE. L.EdmondsonJ.NkomoS. M. (1998). Armoring: Leaming to withstand racial oppression. Journal of Comparative Family Studies, 29(2), 285–295. https://doi.org/10.3138/jcfs.29.2.285
5.
BowlegL. (2008). When Black + lesbian + woman ≠ Black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59(5), 312–325. https://doi.org/10.1007/s11199-008-9400-z
6.
BowlegL. (2012). The problem with the phrase women and minorities: intersectionality—an important theoretical framework for public health. American Journal of Public Health, 102(7), 1267–1273. https://doi.org/10.2105/AJPH.2012.300750
7.
BowlegL. (2017). Intersectionality: An underutilized but essential theoretical framework for social psychology. In GoughB. (Ed.), The Palgrave handbook of critical social psychology (pp. 507–529). Palgrave Macmillan.
8.
BowlegL. (2021). “The master’s tools will never dismantle the master’s house”: Ten critical lessons for Black and other health equity researchers of color. Health Education & Behavior, 48(3), 237–249. https://doi.org/10.1177/10901981211007402
9.
BoydR. W.LindoE. G.WeeksL. D.McLemoreM. R. (2020). On racism: A new standard for publishing on racial health inequities. Health Affairs Blog, 10(10.1377), 1. https://doi.org/10.1377/forefront.20200630.939347
10.
BridgesK. M. (2020). Racial disparities in maternal mortality. New York University Law Review, 95(5), 1229.
CharmazK.ThornbergR. (2021). The pursuit of quality in grounded theory. Qualitative Research in Psychology, 18(3), 305–327. https://doi.org/https://dio.org/10.1080/14780887.2020.1780357
CollinsP. H. (2000). Black feminist thought: Knowledge, consciousness, and the politics of empowerment (2nd ed.). Routledge.
17.
Crear-PerryJ.Correa-de-AraujoR.JohnsonT. L.McLemoreM. R.NielsonE.WallaceM. (2021). Social and structural determinants of health inequities in maternal health. Journal of Women’s Health, 30(2), 230–235. https://doi.org/ 10.1089/jwh.2020.8882
18.
CrenshawK. (1991). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. In BartlettK. T.KennedyR. (Eds.), Feminist legal theory. (pp. 139–167) Routledge.
DavisD. A. (2019b). Reproductive injustice: Racism, pregnancy, and premature birth. New York University Press.
21.
DavisD. A.CravenC. (2022). Feminist ethnography: Thinking through methodologies, challenges, and possibilities (2nd ed.). Rowman & Littlefield.
22.
DeLappR. C. T.WilliamsM. T. (2021). Preparing for racial microaggressions: The role of cognition and emotion in the proactive coping process of African American college students. New Ideas in Psychology, 63, 100897. https://doi.org/10.1016/j.newideapsych.2021.100897
EspositoJ.Evans-WintersV. (2021). Introduction to intersectional qualitative research. Sage.
25.
EssedP. (1991). Understanding everyday racism: An interdisciplinary theory (Vol. 2). Sage.
26.
Evans-WintersV. E. (2019). Black feminism in qualitative inquiry: A mosaic for writing our daughter’s body—Futures of data analysis in qualitative research. Routledge.
27.
EverettJ. E.Camille HallJ.Hamilton-MasonJ. (2010). Everyday conflict and daily stressors: Coping responses of Black women. Affilia, 25(1), 30–42. https://doi.org/10.1177/0886109909354983
28.
HammondsE. (1994). Black (W) holes and the geometry of Black female sexuality. Differences: A Journal of Feminist Cultural Studies, 6(3), 126–145. https://doi.org/10.1215/10407391-6-2-3-126
29.
HartmanS. (1997). Scenes of subjection: Terror, slavery, and self-making in nineteenth-century America. WW Norton & Company.
30.
HowellE. A. (2018). Reducing disparities in severe maternal morbidity and mortality. Clinical Obstetrics and Gynecology, 61(2), 387–399. https://doi.org/10.1097/GRF.0000000000000349
31.
HowellF. M. (2018, March 8-11). Black ciswomen’s views on cultural competency in reproductive health care [Conference presentation]. Forty-third annual conference of the Association for Women in Psychology, Philadelphia, PA, United States.
32.
JonesM. K.LeathS.SettlesI. H.DotyD.ConnerK. (2022). Gendered racism and depression among Black women: Examining the roles of social support and identity. Cultural Diversity and Ethnic Minority Psychology, 28(1), 39–48. https://doi.org/10.1037/cdp0000486
33.
Kawachi, I., Daniels, N., & Robinson, D. E. (2005). Health disparities by race and class: why both matter. Health Affairs, 24(2), 343–352. https://doi.org/10.1377/hlthaff.24.2.343
34.
KochA.KozhumamA. (2022). Adultification of Black children negatively impacts their health: Recommendations for health care providers. Nursing Forum, 57(5), 963–967. https://doi.org/10.1111/nuf.12736
35.
LewisJ. A.MendenhallR.HarwoodS. A.Browne HunttM. (2016). “Ain’t I a woman?” Perceived gendered racial microaggressions experienced by Black women. The Counseling Psychologist, 44(5), 758–780. https://doi.org/10.1177/0011000016641193
36.
LewisJ. A.WilliamsM. G.PeppersE. J.GadsonC. A. (2017). Applying intersectionality to explore the relations between gendered racism and health among black women. Journal of Counseling Psychology, 64(5), 475–486. https://doi.org/10.1037/cou0000231
37.
McCormick-HuhnK.WarnerL. R.SettlesI. H.ShieldsS. A. (2019). What if psychology took intersectionality seriously? Changing how psychologists think about participants. Psychology of Women Quarterly, 43(4), 445–456. https://doi.org/10.1177/0361684319866430
38.
MehraR.BoydL. M.MagriplesU.KershawT. S.IckovicsJ. R.KeeneD. E. (2020). Black pregnant women “Get the Most Judgment”: A qualitative study of the experiences of Black women at the intersection of race, gender, and pregnancy. Women's Health Issues, 30(6), 484–492. https://doi.org/10.1016/j.whi.2020.08.001
39.
MoodyA. T.LewisJ. A. (2019). Gendered racial microaggressions and traumatic stress symptoms among Black women. Psychology of Women Quarterly, 43(2), 201–214. https://doi.org/10.1177/0361684319828288
40.
MorrowS. L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52(2), 250–260. https://doi.org/10.1037/0022-0167.52.2.250
41.
MorseJ. M. (2007). Sampling in grounded theory. In BryantA.CharmazK. (Eds.), The SAGE handbook of grounded theory (pp. 229–244). Sage.
42.
MosleyD. V.HargonsC. N.MeillerC.AngyalB.WheelerP.DavisC.Stevens-WatkinsD. (2021). Critical consciousness of anti-Black racism: A practical model to prevent and resist racial trauma. Journal of Counseling Psychology, 68(1), 1–16. https://doi.org/10.1037/cou0000430
43.
MullingsL. (2005). Resistance and resilience: The Sojourner Syndrome and the social context of reproduction in Central Harlem. Transforming Anthropology, 13(2), 79–91. https://doi.org/10.1525/tran.2005.13.2.79
44.
MullingsL.WaliA. (2001). Stress and resilience: The social context of reproduction in central Harlem. Springer Science & Business Media.
45.
OwensD. C. (2017). Medical bondage: Race, gender, and the origins of American gynecology. University of Georgia Press.
46.
OwensD. C.FettS. M. (2019). Black maternal and infant health: Historical legacies of slavery. American Journal of Public Health, 109(10), 1342–1345. https://doi.org/10.2105/AJPH.2019.305243
47.
PattersonE. J.BeckerA.BaluranD. A. (2022). Gendered racism on the body: An intersectional approach to maternal mortality in the United States. Population Research and Policy Review, 41(3), 1261–1294. https://doi.org/10.1007/s11113-021-09691-2
48.
PeresJ. F.MercanteJ.NaselloA. G. (2005). Psychological dynamics affecting traumatic memories: Implications in psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, 78(4), 431–447. https://doi.org/10.1348/147608305X2669
49.
PratherC.FullerT. R.JeffriesW. L.IVMarshallK. J.HowellA. V.Belyue-UmoleA.KingW. (2018). Racism, African American women, and their sexual and reproductive health: A review of historical and contemporary evidence and implications for health equity. Health Equity, 2(1), 249–259. https://doi.org/10.1089/heq.2017.0045
RobertsD. E. (1999). Killing the Black body: Race, reproduction, and the meaning of liberty. Vintage Books.
52.
RosenthalL.LobelM. (2020). Gendered racism and the sexual and reproductive health of Black and Latina women. Ethnicity & Health, 25(3), 367–392. https://doi.org/10.1080/13557858.2018.1439896
53.
SabikN. J.MatsickJ. L.McCormick-HuhnK.ColeE. R. (2021). Bringing an intersectional lens to “open” science: An analysis of representation in the reproducibility project. Psychology of Women Quarterly, 45(4), 475–492. https://doi.org/10.1177/03616843211035678
54.
SacksT. K. (2018). Performing Black womanhood: A qualitative study of stereotypes and the healthcare encounter. Critical Public Health, 28(1), 59–69. https://doi.org/10.1080/09581596.2017.1307323
55.
ScottK. A.DavisD. A. (2021). Obstetric racism: Naming and identifying a way out of black women’s adverse medical experiences. American Anthropologist, 123(3), 681–684. https://doi.org/10.1111/aman.13559
Shorter-GoodenK. (2004). Multiple resistance strategies: How African American women cope with racism and sexism. Journal of Black Psychology, 30(3), 406–425. https://doi.org/10.1177/0095798404266050
58.
SpatesK.EvansN. T.JamesT. A.MartinezK. (2020). Gendered racism in the lives of Black women: A qualitative exploration. Journal of Black Psychology, 46(8), 583–606. https://doi.org/10.1007/s11199-019-01077-1
59.
TaylorJ. K. (2020). Structural racism and maternal health among Black women. Journal of Law, Medicine & Ethics, 48(3), 506–517. https://doi.org/10.1177/1073110520958875
60.
ThomasA. J.WitherspoonK. M.SpeightS. L. (2008). Gendered racism, psychological distress, and coping styles of African American women. Cultural Diversity and Ethnic Minority Psychology, 14(4), 307–314. https://doi.org/10.1037/1099-9809.14.4.307
61.
TrederK.WhiteK. O.WoodhamsE.PancholiR.Yinusa-NyahkoonL. (2022). Racism and the reproductive health experiences of US-born Black women. Obstetrics & Gynecology, 139(3), 407–416. https://doi.org/10.1097/AOG.0000000000004675
WashingtonH. A. (2008). Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. Knopf Doubleday Publishing Group.
64.
WeinbaumA. E. (2019). The afterlife of reproductive slavery: Biocapitalism and Black feminism’s philosophy of history. Duke University Press. https://doi.org/10.1515/9781478003281
65.
WeisL.FineM. (2012). Critical bifocality and circuits of privilege: Expanding critical ethnographic theory and design. Harvard Educational Review, 82(2), 173–201. https://doi.org/10.17763/haer.82.2.v1jx34n441532242
WilliamsE. N.MorrowS. L. (2009). Achieving trustworthiness in qualitative research: A pan-paradigmatic perspective. Psychotherapy Research, 19(4-5), 576–582. https://doi.org0.1080/10503300802702113 https://doi.org/10.1080/10503300802702113
68.
WilloughbyC. D. E. (2018). Running away from drapetomania: Samuel A. Cartwright, medicine, and race in the antebellum south. Journal of Southern History, 84(3), 579–614. https://doi.org/ 10.1353/soh.2018.0164
69.
WoodleyX. M.LockardM. (2016). Womanism and snowball sampling: Engaging marginalized populations in holistic research. The Qualitative Report, 21(2), 321–329. https://doi.org/10.46743/2160-3715/2016.2198
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