Group dynamics as a predictor of dissociation for Black victims of violence: An exploratory study of cultural betrayal trauma theory

Abstract

Violence victimization is prevalent in the US and is linked to costly mental health outcomes, including dissociation and posttraumatic stress disorder (PTSD). Black Americans are at increased risk for violence victimization, while additionally enduring racism that impacts mental health. Moreover, discrimination affects outcomes of violence. Cultural betrayal trauma theory (CBTT) is a new framework for examining the impact of within-group violence victimization (termed cultural betrayal trauma) and minority status on outcomes. Furthermore, CBTT examines posttraumatic group dynamics, such as (intra)cultural pressure. As pressure to protect the minority in-group by not disclosing cultural betrayal trauma, (intra)cultural pressure may impact outcomes. The purpose of the exploratory study was to examine the impact of cultural betrayal trauma and (intra)cultural pressure on dissociation and posttraumatic stress symptoms (PTSS). Participants (N = 43) were Black/African American university students who completed online measures assessing violence victimization and outcomes. Linear regression analyses revealed that cultural betrayal trauma predicted PTSS, whereas (intra)cultural pressure predicted dissociation. The current study has implications for examining the impact of group dynamics, such as (intra)cultural pressure, in clinical interventions for Black victims of cultural betrayal trauma. Such cultural competency in mental health care treatment may help reduce mental health disparities.

Keywords

abuse African Americans cultural competency (intra)cultural pressure PTSD

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References

Alexander

(2012) The new Jim Crow: Mass incarceration in the age of colorblindness, The New Press: New York, NY.

Alvidrez

Shumway

Morazes

Boccellari

(2011) Ethnic disparities in mental health treatment engagement among female sexual assault victims. Journal of Aggression, Maltreatment & Trauma 20(4): 415–425.

Balko, R. (2010, October 18). American’s most successful stop snitchin’ campaign: The failure to protect whistle-blowing cops is inexcusable. Reason: Free Minds & Free Markets. Retrieved from http://reason.com/archives/2010/10/18/americas-most-successful-stop.

Bent-Goodley

T. B.

(2004) Perceptions of domestic violence: A dialogue with African American women. Health & Social Work 29(4): 307–316.

Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

Brown

(2008) Cultural competence in trauma therapy: Beyond the flashback, Washington, DC: American Psychological Association.

Bryant-Davis

(2005) Thriving in the wake of trauma: A multicultural guide, Westport, CT: Praeger Publishers.

Bryant-Davis

(2010) Cultural considerations of trauma: Physical, mental and social correlates of intimate partner violence exposure. Psychological Trauma: Theory, Research, Practice, and Policy 2(4): 263–265. doi:10.1037/a0022040.

Bryant-Davis

Chung

Tillman

Belcourt

(2009) From the margins to the center: Ethnic minority women and the mental health effects of sexual assault. Trauma, Violence, & Abuse 10: 330–357.

10.

Campbell

Dworkin

Cabral

(2009) An ecological model of the impact of sexual assault on women's mental health. Trauma, Violence, & Abuse 10(3): 225–246.

11.

Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation: Progress in the Dissociative Disorders, 6(1), 16–27.

12.

Chronister

Aldarondo

(2012) Partner violence victimization and perpetration: Developmental and contextual implications for effective practice. APA Handbook of Counseling Psychology 2: 125–151. doi:10.103/13755-006.

13.

Crenshaw, K. (1991). Mapping the margins: intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299.

14.

DePrince

A.P.

Brown

L.S.

Cheit

R.E.

Freyd

J.J.

Gold

S.N.

Pezdek

Quina

(2012) Motivated forgetting and misremembering: Perspectives from Betrayal Trauma Theory. In: Belli

R. F.

(ed) True and false recovered memories: Toward a reconciliation of the debate (Nebraska Symposium on Motivation 58), New York: Springer, pp. 193–243.

15.

Freyd, J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press.

16.

Goldberg

L. R.

Freyd

J. J.

(2006) Self-reports of potentially traumatic experiences in an adult community sample: Gender differences and test-retest stabilities of the items in a Brief Betrayal-Trauma Survey. Journal of Trauma & Dissociation 7: 39–63.

17.

Gómez

J. M.

(2012) Cultural betrayal trauma theory: The impact of culture on the effects of trauma. In: Freyd

Birrell

(eds) Blind to Betrayal, Wiley: Hoboken, NJ Retrieved from https://sites.google.com/site/betrayalbook/betrayal-research-news/cultural-betrayal.

18.

Gómez

J. M.

(2014) Ebony in the ivory tower: Dismantling the stronghold of racial inequality from the inside out. In: Fasching-Varner

K. J.

Reynolds

Albert

Martin

(eds) Trayvon Martin, Race, and American Justice: Writing Wrong, (Eds.), Rotterdam, The Netherlands: Sense Publishers, pp. 113–117.

19.

Gómez

J. M.

(2015a) Conceptualizing trauma: In pursuit of culturally relevant research. Trauma Psychology Newsletter (American Psychological Association Division 56) 10: 40–44.

20.

Gómez

J. M.

(2015b) Microaggressions and the enduring mental health disparity: Black Americans at risk for institutional betrayal. Journal of Black Psychology 41: 121–143. doi: 10.1177/00957798413514608.

21.

Gómez

(2015c) Rape, Black men, and the degraded Black woman: Feminist psychologists’ role in addressing within-group sexual violence. The Feminist Psychologist: Newsletter for the Society of the Psychology of Women (American Psychological Association Division 35) 42(2): 12–13.

22.

Gómez, J. M. (2016a). Black, raped, shamed, and supported: Our responses to rape can build or destroy our community. The Black Commentator, 659. Retrieved from http://www.blackcommentator.com/659/659_campus_rape_gomez_guest.html.

23.

Gómez, J. M. (2016b). Cultural betrayal trauma theory [Dissertation]. Retrieved from http://dynamic.uoregon.edu/jjf/theses/gomez16.pdf.

24.

Gómez

J. M.

(2017a) Does ethno-cultural betrayal in trauma affect Asian American/Pacific Islander college students’ mental health outcomes? An exploratory study. Journal of American College Health 65(6): 432–436. doi: 10.1080/07448481.2017.1341896.

25.

Gómez, J. M. (2017b). Does gender matter? An exploratory study of cultural betrayal trauma and hallucinations in Latino undergraduates at a predominantly White university. Advanced online publication. Journal of Interpersonal Violence. doi: 10.1177/0886260517746942.

26.

Gómez, J. M. (2018a). Isn't it all about victimization? (Intra)cultural pressure and cultural betrayal trauma in ethnic minority college women. Advanced online publication. Violence Against Women. doi: 10.1177/1077801218811682.

27.

Gómez, J. M. (2018b). What's in a betrayal? Trauma, dissociation, and hallucinations among high-functioning ethnic minority emerging adults. Advanced online publication. Journal of Aggression, Maltreatment, & Trauma. doi: 10.1080/10926771.2018.1494653.

28.

Gómez, J. M. (2019a). High betrayal adolescent sexual abuse and non-suicidal self-injury: The role of depersonalization in emerging adults. Journal of Child Sexual Abuse, 28, 318–332. doi: 10.1080/10538712.2018.1539425.

29.

Gómez, J. M. (2019b). What's the harm? Internalized prejudice and intra-racial trauma as cultural betrayal among ethnic minority college students. American Journal of Orthopsychiatry, 89, 237–247. doi: 10.1037/ort0000367.

30.

Gómez, J. M. (in press). Trainee perspectives on relational cultural therapy and cultural competency in supervision of trauma cases. Journal of Psychotherapy Integration.

31.

Gómez, J. M., & Freyd, J. J. (2014). Institutional betrayal makes violence more toxic. [OpEd] The Register-Guard (Eugene, Oregon), August 22, 2014, p A9.

32.

Gómez

J. M.

Freyd

J. J.

(2017) High betrayal child sexual abuse and hallucinations: A test of an indirect effect of dissociation. Journal of Child Sexual Abuse 26(5): 507–518. doi: 10.1080/10538712.2017.1310776.

33.

Gómez, J. M., & Gobin, R. L. (in press). Black women and girls & #MeToo: Rape, cultural betrayal, & healing. Sex Roles: A Journal of Research. doi: 10.1007/s11199-019-01040-0.

34.

Gómez, J. M., & Johnson, L. (in preparation). Development and validation of the Cultural Betrayal Multidimensional Inventory for African American young adults. Manuscript in preparation.

35.

Gómez

J. M.

Kaehler

L. A.

Freyd

J. J.

(2014) Are hallucinations related to betrayal trauma exposure? A three-study exploration. Psychological Trauma: Theory, Research, Practice, & Policy 6: 675–682. doi: 10.1037/a0037084.

36.

Gómez

J. M.

Lewis

J. K.

Noll

L. K.

Smidt

A. M.

Birrell

P. J.

(2016) Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. Journal of Trauma & Dissociation [Special Section] 17: 165–185. doi: 10.1080/15299732.2016.1103104.

37.

Gómez

J. M.

Rosenthal

M. N.

Smith

C.S.

Freyd

J. J.

(2015) Participant reactions to questions about gender-based sexual violence: Implications for campus climate surveys. eJournal of Public Affairs 4: 39–71.

38.

Grills

(2013) The context, perspective, and mission of ABPsi past and present. Journal of Black Psychology 39(3): 276–283.

39.

Hames-García

(2011) Identity complex: Making the case for multiplicity, Minneapolis, MN: University of Minnesota Press.

40.

Hampton

R. L.

Gullotta

T. P.

(2006) Interpersonal violence in the African American community: An analysis of social and structural factors. Violence Against Women 9: 533–557. doi: 10.1177/1077801202250450.

41.

Hardy

K. V.

(2013) Healing the hidden wounds of racial trauma. Reclaiming Children and Youth 22(1): 24–28.

42.

Harvey

M. R.

(2007) Towards an ecological understanding of resilience in trauma survivors: Implications for theory, research, and practice. Journal of Aggression, Maltreatment & Trauma 14(1-2): 9–32.

43.

Harvey

M. R.

Tummalanarra

(2007) Sources and expression of resilience in trauma survivors: Ecological theory, multicultural perspectives. Journal of Aggression, Maltreatment & Trauma 14(1–2): 1–7.

44.

Jordan, J. V. (2010). Relational-cultural therapy (pp. 63–73). Thousand Oaks, CA: SAGE.

45.

Kelley

L. P.

Weathers

F. W.

Mason

E. A.

Pruneau

G. M.

(2012) Association of life threat and betrayal with posttraumatic stress disorder symptom severity. Journal of Traumatic Stress 25: 408–415. doi: 10.1002/jts.21727.

46.

Kennedy

Clarke

Stopa

Bell

Rouse

Ainsworth

Waller

(2004) Towards a cognitive model and measure of dissociation. Journal of Behavior Therapy and Experimental Psychiatry 35(1): 25–48.

47.

Kessler

R. C.

Mickelson

K. D.

Williams

D. R.

(1999) The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health & Social Behavior 40: 208–230. doi:10.2307/2676349.

48.

Kilpatrick

D. G.

Acierno

(2003) Mental health needs of crime victims: Epidemiology and outcomes. Journal of traumatic stress 16(2): 119–132.

49.

Kilpatrick

D. G.

Ruggiero

K. J.

Acierno

Saunders

B. E.

Resnick

H. S.

Best

C. L.

(2003) Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents. Journal of consulting and clinical psychology 71(4): 692.

50.

Koss

M. P.

Gidycz

C. A.

(1985) Sexual Experiences Survey: Reliability and validity. Journal of Consulting and Clinical Psychology 53(3): 422–423.

51.

Koss

M. P.

Oros

C. J.

(1982) Sexual Experiences Survey: A research instrument investigating sexual aggression and victimization. Journal of Consulting & Clinical Psychology 50: 455–457.

52.

McClain, D. (2015, December 11). A former Oklahoma City officer found guilty in a sexual assault case. The Nation: Instigating Progress Daily. Retrieved from http://www.thenation.com/article/former-oklahoma-city-officer-found-guilty-in-sexual-assault-case/.

53.

Miller, J. B., & Stiver, I. P. (1997). The healing connection: How women form relationships in therapy and in life. Boston, MA: Beacon Press.

54.

Mbilishaka, A. (2018). PsychoHairapy: Using Hair as an Entry Point into Black Women's Spiritual and Mental Health. Meridians, 16(2), 382–392.

55.

National Center for Education Statistics (n.d.). IES: NCES fast facts: Degrees conferred by race and sex. Retrieved from https://nces.ed.gov/fastfacts/display.asp?id=72.

56.

Pascoe

E. A.

Smart Richman

(2009) Perceived discrimination and health: A meta-analytic review. Psychological Bulletin 135: 531–554. doi:10.1037/ a0016059.

57.

Pieterse

A. L.

Todd

N. R.

Neville

H. A.

Carter

R. T.

(2012) Perceived racism and mental health among Black American adults: A meta-analytic review. Journal of Counseling Psychology 59: 1–9.

58.

Platt

Barton

Freyd

J. J.

(2009) A betrayal trauma perspective on domestic violence. In: Stark

Buzawa

E. S.

(eds) Violence against women in families and relationships, Westport, CT: Greenwood Press, pp. 185–207.

59.

Pole

N. E.

Triffleman

E. E.

(2010) Introduction to the special issue on trauma and ethnoracial diversity. Psychological Trauma: Theory, Research, Practice, and Policy 2(1): 1–3.

60.

Porter

McQuiller Williams

(2011) Intimate violence among underrepresented groups on a college campus. Journal of Interpersonal Violence 26: 3210–3224.

61.

Rennison

Planty

(2003) Nonlethal intimate partner violence: Examining race, gender, and income patterns. Violence and Victims 18: 433–443. doi:10.1891/vivi.2003.18.4.433.

62.

Richie

(1996) Compelled to crime: The gender entrapment of battered Black women, London: Psychology Press.

63.

Savali, K. W. (2014). HBCU President slut-shames female students in his convocation speech. DAME Magazine. Updated story retrieved from https://www.damemagazine.com/2014/11/10/hbcu-president-slut-shames-female-students-his-convocation-speech/.

64.

Smith, C. P. (2014, April). Unawareness and expression of interpersonal and institutional betrayal. Paper presented at The Western Psychological Association Annual Conference, Portland, OR.

65.

Smith, C. P., & Freyd, J. J. (2014). Institutional betrayal. American Psychologist, 69, 575–587.

66.

Smith, C. P, Gómez, J. M., & Freyd, J. J. (2014). The psychology of judicial betrayal. Roger Williams University Law Review, 19, 451–475.

67.

Snowden

L. R.

Yamada

(2005) Cultural differences in access to care. Annual Review of Clinical Psychology 1: 143–166. doi: 10.1146/annurev.clinpsy.1.102803.143846.

68.

Sona System, Ltd. (2018). Sona Systems. Retrieved from https://www.sona-systems.com/default.aspx.

69.

Tillman

Bryant-Davis

Smith

Marks

(2010) Shattering silence: Exploring barriers to disclosure for African American sexual assault survivors. Trauma, Violence, & Abuse 11(2): 59–70.

70.

Tyagi

S. V.

(2002) Incest and women of color: A study of experiences and disclosure. Journal of Child Sexual Abuse 10(2): 17–39.

71.

Ullman, S. E. (2007). Relationship to perpetrator, disclosure, social reactions, and PTSD symptoms in child sexual abuse survivors. Journal of child sexual abuse, 16(1), 19-36.

72.

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.

73.

Weist

M. D.

Kinney

Taylor

L. K.

Pollitt-Hill

Bryant

Anthony

Wilkerson

(2014) African American and White women’s experience of sexual assault and services for sexual assault. Journal of Aggression, Maltreatment & Trauma 23(9): 901–916.

74.

West

(2012) Partner abuse in ethnic minority and gay, lesbian, bisexual, and transgender populations. Partner Abuse 3(3): 336–357. doi:10.1891/1946-6560.3.3.336.

75.

West

T. C.

(1999) Wounds of the spirit: Black women, violence, and resistance ethics, New York: NYU Press.

76.

White

E. C.

(1995) Chain chain change: For Black women in abusive relationships, Seattle, WA: Seal Press.

77.

Wyatt

G. E.

(1992) The sociocultural context of African American and White American women's rape. Journal of Social Issues 48(1): 77–91.