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May 5, 2021

Cognitive Behavioral Therapy and the Implementation of Antiracism

Author Affiliations
  • 1Department of Psychiatry, Washington University School of Medicine in St Louis, St Louis, Missouri
  • 2William Greenleaf Eliot Division of Child Psychiatry, Washington University School of Medicine in St Louis, St Louis, Missouri
JAMA Psychiatry. 2021;78(8):819-820. doi:10.1001/jamapsychiatry.2021.0487

Antiracism can be defined as the practice of actively opposing racism and promoting racial equity.1 Despite decades of efforts to promote health equity, minoritized racial and ethnic groups continue to endure health disparities perpetuated by racism, including structural racism.2 Medical education has historically struggled to address this problem adequately.3 In recent years, several medical schools have integrated antiracism and structural competency programming into their curricula.4,5 This promising approach aims to teach trainees to recognize the social structures, including structural racism, that affect patient care. However, we believe that the application of this knowledge is a challenging task because racism functions on multiple levels and the magnitude of the problem in health care may necessitate targeted multilevel interventions.

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