Addressing systemic racism and intergenerational transmission of anxiety using Bowenian family therapy with African American populations: A Discursive paper

Author:

Josiah Nia1ORCID,Shoola Hakeem1ORCID,Rodney Tamar2ORCID,Arscott Joyell3ORCID,Ndzi Maureen2ORCID,Bush Ashley D.4ORCID,Wilson Patty R.2ORCID,Jacques Keilah3ORCID,Baptiste Diana‐Lyn5ORCID,Starks Shaquita6ORCID

Affiliation:

1. Columbia University School of Nursing New York New York USA

2. Johns Hopkins University School of Nursing Baltimore Maryland USA

3. Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

4. Department of Defense, Department of Human Resources Fort Detrick Maryland USA

5. Johns Hopkins School of Nursing Baltimore Maryland USA

6. Emory Nell Hodgson Woodruff, School of Nursing Atlanta Georgia USA

Abstract

AbstractAimTo examine the intergenerational impact of systemic racism on mental health, depicting the evolution and patterns of anxiety symptoms and the application of the Bowenian family therapy to understand the interrelatedness and long‐standing impact of intergenerational trauma in African American families. This article highlights interventions that increase awareness of and promotes physical and mental health for African American populations.DesignDiscursive Paper.MethodSearching literature published between 2012 and 2022 in PubMed, SCOPUS, EBSCO Host and Google Scholar, we explored factors associated with systemic racism and generational anxiety.DiscussionEvidence‐based literature supports the application of the Bowenian family therapy theoretical framework to understand the intergenerational impact of systemic racism and to address the transmission of anxiety symptoms in African American  populations.ConclusionCulturally appropriate interventions are needed to decrease anxiety symptoms in an attempt to heal intergenerational trauma and to improve family dynamics in African American populations.Impact to Nursing PracticeNurses play an integral role in providing holistic quality patient‐centred care for African American populations who have experienced racial trauma. It is critical for nurses to implement culturally responsive and racially informed care with patients that focuses on self‐awareness, health promotion, prevention and healing in efforts to address racial trauma. Application of Bowenian family therapy can aid in the reduction of both intergenerational transmission of racial trauma and generational anxiety.No Patient or Public ContributionThere was no patient or public involvement in the design or drafting of this discursive paper. The authors reviewed the literature to develop a discussion.

Publisher

Wiley

Subject

General Nursing

Reference51 articles.

1. Mental health care among blacks in America: Confronting racism and constructing solutions

2. American Nurses Association (ANA). (2022).Nursing Bill of Rights.https://www.nursingworld.org/practice‐policy/work‐environment/health‐safety/bill‐of‐rights/

3. Implications Of The Rapid Growth Of The Nurse Practitioner Workforce In The US

4. The Legacy of Inherited Trauma: Case Studies

5. Intergenerational Transmission of Stress in Humans

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