White parents' racial socialization during a guided discussion predicts declines in white children's pro-white biases.

Although parent-child conversations about race are recommended to curb White U.S. children's racial biases, little work has tested their influence. We designed a guided racism discussion task for U.S. White parents and their 8-12-year-old White children. We explored whether children's and parents' (a) pro-White implicit biases changed pre to postconversation, (b) racial socialization messages (color conscious, external attributions for prejudiced behavior and colorblind racial ideology [CBRI]) predicted changes in each other's implicit biases, and (c) associations varied by the type of racism (subtle vs. blatant) discussed. Children's and parents' biases significantly declined, pre to postdiscussion. Parents' color conscious messages predicted greater declines and messages reflecting CBRI and external attributions predicted smaller declines in children's bias. These patterns were observed during discussions of subtle, but not blatant bias. Effects of children's messages on parents' bias were mixed. Our findings suggest that color conscious parent-child discussions may effectively reduce implicit pro-White bias in White children. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The impact of neighborhoods and friendships on interracial anxiety among medical students and residents: A report from the medical student CHANGES study.

OBJECTIVE: To examine the experience of interracial anxiety among health professionals and how it may affect the quality of their interactions with patients from racially marginalized populations. We explored the influence of prior interracial exposure-specifically through childhood neighborhoods, college student bodies, and friend groups-on interracial anxiety among medical students and residents. We also examined whether levels of interracial anxiety change from medical school through residency. DATA SOURCE: Web-based longitudinal survey data from the Medical Student Cognitive Habits and Growth Evaluation Study. STUDY DESIGN: We used a retrospective longitudinal design with four observations for each trainee. The study population consisted of non-Black US medical trainees surveyed in their 1st and 4th years of medical school and 2nd and 3rd years of residency. Mixed effects longitudinal models were used to assess predictors of interracial anxiety and assess changes in interracial anxiety scores over time. PRINCIPAL FINDINGS: In total, 3155 non-Black medical trainees were followed for 7 years. Seventy-eight percent grew up in predominantly White neighborhoods. Living in predominantly White neighborhoods and having less racially diverse friends were associated with higher levels of interracial anxiety among medical trainees. Trainees' interracial anxiety scores did not substantially change over time; interracial anxiety was highest in the 1st year of medical school, lowest in the 4th year, and increased slightly during residency. CONCLUSIONS: Neighborhood and friend group composition had independent effects on interracial anxiety, indicating that premedical racial socialization may affect medical trainees' preparedness to interact effectively with diverse patient populations. Additionally, the lack of substantial change in interracial anxiety throughout medical training suggests the importance of providing curricular tools and structure (e.g., instituting interracial cooperative learning activities) to foster the development of healthy interracial relationships.

A systemic approach to the psychology of racial bias within individuals and society.

Historically, the field of psychology has focused on racial biases at an individual level, considering the effects of various stimuli on individual racial attitudes and biases. This approach has provided valuable information, but not enough focus has been placed on the systemic nature of racial biases. In this Review, we examine the bidirectional relation between individual-level racial biases and broader societal systems through a systemic lens. We argue that systemic factors operating across levels - from the interpersonal to the cultural - contribute to the production and reinforcement of racial biases in children and adults. We consider the effects of five systemic factors on racial biases in the USA: power and privilege disparities, cultural narratives and values, segregated communities, shared stereotypes and nonverbal messages. We discuss evidence that these factors shape individual-level racial biases, and that individual-level biases shape systems and institutions to reproduce systemic racial biases and inequalities. We conclude with suggestions for interventions that could limit the effects of these influences and discuss future directions for the field.

Assessing Advanced Practice Provider Well-Being in an Academic Medical Center.

In recent years, there has been a growing appreciation for the threat burnout has on clinician and patient safety, and in response, many stakeholders are advocating for solutions at the systems level. As a health-care organization, surveying clinicians is central to understanding burnout's prevalence and impact. This quality improvement project assessed well-being metrics among advanced practice providers (APPs) in a large academic medical center and found statistically significant relationships between burnout, professional fulfillment, and turnover. In collaboration with organizational leadership, the survey results were used in the development of system-wide initiatives to mitigate burnout and support professional fulfillment among APPs.

"Will talking about race make my child racist?" dispelling myths to encourage honest white U.S. parent-child conversations about race and racism.

Racism continues to permeate the United States' society, today. Though many White parents in the U.S. believe that racism continues to exist, it can be difficult for them to talk about race honestly with their White children. In this review, we identify three myths that egalitarian-minded White American parents use as reasons to avoid honest parent-child discussions of race and racism: 1) talking about race will make their White children racist, 2) White children are too young to talk about racism, and 3) race and racism are irrelevant to White children's lives. In this review, we discuss why these myths are false and present suggestions for how White parents can honestly discuss race and racism with their children.

Racial Socialization Messages in White Parents' Discussions of Current Events Involving Racism With Their Adolescents.

This study presents a thematic analysis of socialization messages about race and racism in White parents' reports of their discussions with adolescents about current events involving racism (e.g., police brutality toward Black Americans). Two samples of White parents of primarily White adolescents ages 14-17 were recruited online in September 2019 (Study 1, N = 123) and June 2020 (Study 2, N = 104). Key themes included color-conscious messages, color-blind messages, endorsing equal treatment, and references to Whiteness. Rates of discussion in 2020 (79-81%) were double that of 2019 (40.2-43.4%). However, color-conscious messages were less common in 2020 compared to 2019, and references to Whiteness were rare in 2020. Color-blind messages were similarly prevalent across both studies.

Applying the Evidence We Have: Support for Having Race Conversations in White U.S. Families.

Popular press articles have advocated for parent-child conversations about race and racism to prevent children from developing racial biases, yet empirical investigations of the impact of racial socialization in White U.S. families are scarce. In an article published in Perspectives on Psychological Science in 2020, Scott et al. warned that, given the lack of empirical evidence, parents might actually do more harm than good by talking to their children about race. In this comment, we draw upon the literature on (a) racial socialization, (b) parenting and parent-child discourse, and (c) the role of nonverbal communication in parental socialization to inform our understanding of parents' ability to engage in race-related conversations in the absence of empirical guidance. We also highlight emerging evidence of the potential benefits of these conversations (even if parents are uncomfortable). In sum, the wealth of existing literature suggests that parents can successfully navigate challenging conversations with their children-which tends to result in better outcomes for children than avoiding those conversations. Thus, although we support Scott et al.'s call for researchers to develop more empirical research, we part with the authors' assertion that researchers need to wait for more sufficient evidence before providing recommendations to White parents-we believe that the time for White families to begin talking about race and racism is now.

Reckless gambles and responsible ventures: Racialized prototypes of risk-taking.

Risk-taking is sometimes admired and sometimes disparaged. In this research, we examine previously unexplored questions concerning how membership in social groups is related to expectations and perceptions of risk-taking. We propose that prototypes of risk-takers incorporate racial associations. We conducted five studies (NTotal = 1,603, predominantly White residents of the United States) examining whether prototypes of risk-takers-primarily reckless and responsible ones-activate racial stereotypes and discrimination. We first focused on whether participants perceive Black (vs. White) men as more likely to engage in risk-taking, broadly construed (Study 1). Next, we tested whether the trait attributions (Studies 2 and 3) and mental images constructed with the reverse correlation task (Study 3) of reckless risk-takers are more stereotypically Black (and less White) than responsible risk-takers. In Study 4, we employed an investment game to investigate participants' willingness to trust targets we depicted using the racialized mental images of reckless and responsible risk-takers derived from Study 3. A final study examined whether thinking about reckless risk-takers evokes Black stereotypes broadly, including even positive stereotype content. Findings confirmed that reckless risk-takers were imagined as more phenotypically Black and as having more stereotypically Black traits (both positive and negative), compared with responsible risk-takers. Theoretical and practical implications for this novel stereotype content in the domain of risk are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Testing a Self-Affirmation Intervention for Improving the Psychosocial Health of Black and White Medical Students in the US.

Self-affirmation interventions have been shown to mitigate the negative psychological effects of stereotype threat on Black students in secondary and undergraduate education. However, there is currently limited research testing whether Black students in medical schools may also experience the negative influences of stereotype threat. Until now, it has been unclear whether Black (vs. White) students experience a lower sense of belonging in medical school and whether they can benefit from self-affirmation interventions during medical training. With a longitudinal field experiment, we tested (a) whether Black (vs. White) medical students in the US experience decrements in psychological well-being (i.e., fatigue, depression, anxiety), sense of belonging, perceived residency competitiveness, and residency goal stability; and (b) the extent to which a self-affirmation intervention would ameliorate any observed disparities in these outcomes for Black students. With a sample of 234 Black and 182 White medical students across 50 schools in the US, we found that Black students tended to report more fatigue and less belonging than White students; however, the self-affirmation intervention did not significantly influence students' fatigue, depression, anxiety, or belonging. Unexpectedly, Black students in the self-affirmation (vs. control) condition reported lower perceived competitiveness for residency. White students' perceived competitiveness for residency was unaffected by the intervention. Exploratory analyses revealed that Black (vs. White) students were less likely to indicate stable residency goals over time, which may be an indication of threat; however, this racial gap was eliminated with the intervention. We discuss the plausible reasons for these findings and provide recommendations for future work in this area.

Socialization of racial ideology by White parents.

Objectives: The ways that White American parents socialize their children to think about and interact with racial out-groups are not well understood. The goals of this study were to explore the degree to which White parents endorse contradictory racial ideologies, and the reasons behind the presence versus absence of parent-child discussions of race-related current events (e.g., Trayvon Martin, Michael Brown, or the Charleston church shooting). Method: We recruited a sample of White parents of children ages 8-12 on Amazon MechanicalTurk (N = 165, 66.1% female, M-age = 36.67) and applied a qualitative thematic analysis to their answers to open-ended probes regarding racial discussions with their children. Results: Results revealed both color-blind and color-conscious racial ideology communicated by White parents. Thirty-seven percent of White parents endorsed a mixture of color-blind and color-conscious ideology. The majority of parents did not discuss race-related current events with their children; many believed these discussions were either too negative or unnecessary. Conclusions: The results indicate that White parents have the potential to be agents of change that socialize color-conscious beliefs in their children, but many are reinforcing the current system of color-blind indifference to racial inequality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Oxytocin Administration Increases Proactive Control in Men with Overweight or Obesity: A Randomized, Double-Blind, Placebo-Controlled Crossover Study.

OBJECTIVE: Preclinical and clinical evidence suggests that oxytocin administration decreases food intake and weight. The mechanisms underlying the anorexigenic effects of oxytocin in humans are unknown but critical to study to consider oxytocin as a neurohormonal weight loss treatment. Complementing ongoing research into metabolic and food motivation mechanisms of oxytocin, this study hypothesized that in humans, oxytocin improves cognitive control over behavior. METHODS: In a randomized, double-blind, placebo-controlled crossover study of 24-IU single-dose intranasal oxytocin, 10 men with overweight or obesity completed a stop-signal task assessing ability and strategy to suppress behavioral impulses, in which they performed a choice-reaction task (go task) but had to withhold their response when prompted (stop task). It was hypothesized that oxytocin would improve suppression of behavioral impulses. RESULTS: After receiving oxytocin, compared with placebo, participants showed increased reaction times in the go task (mean [M] = 936 milliseconds vs. 833 millseconds; P = 0.012; 95% CI: 29 to 178) and displayed fewer stop errors (M = 36.41% vs. 41.15%; P = 0.049; 95% CI: -9.43% to -0.03%). CONCLUSIONS: Oxytocin triggers increased proactive control over behavior. Future studies need to further characterize the impact of oxytocin on cognitive control and investigate its potential role in the anorexigenic effects of oxytocin in human obesity.

Open science, communal culture, and women's participation in the movement to improve science.

Science is undergoing rapid change with the movement to improve science focused largely on reproducibility/replicability and open science practices. This moment of change-in which science turns inward to examine its methods and practices-provides an opportunity to address its historic lack of diversity and noninclusive culture. Through network modeling and semantic analysis, we provide an initial exploration of the structure, cultural frames, and women's participation in the open science and reproducibility literatures (n = 2,926 articles and conference proceedings). Network analyses suggest that the open science and reproducibility literatures are emerging relatively independently of each other, sharing few common papers or authors. We next examine whether the literatures differentially incorporate collaborative, prosocial ideals that are known to engage members of underrepresented groups more than independent, winner-takes-all approaches. We find that open science has a more connected, collaborative structure than does reproducibility. Semantic analyses of paper abstracts reveal that these literatures have adopted different cultural frames: open science includes more explicitly communal and prosocial language than does reproducibility. Finally, consistent with literature suggesting the diversity benefits of communal and prosocial purposes, we find that women publish more frequently in high-status author positions (first or last) within open science (vs. reproducibility). Furthermore, this finding is further patterned by team size and time. Women are more represented in larger teams within reproducibility, and women's participation is increasing in open science over time and decreasing in reproducibility. We conclude with actionable suggestions for cultivating a more prosocial and diverse culture of science.

Not Quite Monoracial: Biracial Stereotypes Explored.

Stereotypes often guide our perceptions of members of social groups. However, research has yet to document what stereotypes may exist for the fastest growing youth demographic in the United States-biracial individuals. Across seven studies (N = 1,104), we investigate what stereotypes are attributed to various biracial groups, whether biracial individuals are stereotyped as more similar to their lower status monoracial parent group (trait hypodescent), and whether contact moderates these stereotypes. Results provide evidence of some universal biracial stereotypes that are applied to all biracial groups: attractive and not fitting in or belonging. We also find that all biracial groups are attributed a number of unique stereotypes (i.e., which are not associated with their monoracial parent groups). However, across all studies, we find little evidence of trait hypodescent and no evidence that the tendency to engage in trait hypodescent varies as a function of contact.

Are Attitudes Contagious? Exposure to Biased Nonverbal Signals Can Create Novel Social Attitudes.

Prior work has established that nonverbal signals that capitalize on existing cultural biases can shift attitudes toward members of familiar social groups (e.g., racial minority group members). This research is the first to examine whether nonverbal signals can influence adults' attitudes toward unfamiliar individuals outside the context of existing cultural biases. In a series of studies, we examined whether seeing one individual receive more cold, unfriendly nonverbal signals than another individual would lead to biases in favor of the target of more positive nonverbal signals. Consistent with our preregistered hypotheses, exposure to nonverbal bias in favor of one individual over another led participants to develop nonverbal signal-consistent explicit biases. Moreover, a combined analysis of the data from all four samples indicated that participants also formed nonverbal signal-consistent implicit biases. Taken together, these findings suggest that nonverbal signals have the potential to create and spread attitudes toward others.

The Value of Interracial Contact for Reducing Anti-Black Bias Among Non-Black Physicians: A Cognitive Habits and Growth Evaluation (CHANGE) Study Report.

Although scholars have long studied circumstances that shape prejudice, inquiry into factors associated with long-term prejudice reduction has been more limited. Using a 6-year longitudinal study of non-Black physicians in training (N = 3,134), we examined the effect of three medical-school factors-interracial contact, medical-school environment, and diversity training-on explicit and implicit racial bias measured during medical residency. When accounting for all three factors, previous contact, and baseline bias, we found that quality of contact continued to predict lower explicit and implicit bias, although the effects were very small. Racial climate, modeling of bias, and hours of diversity training in medical school were not consistently related to less explicit or implicit bias during residency. These results highlight the benefits of interracial contact during an impactful experience such as medical school. Ultimately, professional institutions can play a role in reducing anti-Black bias by encouraging more frequent, and especially more favorable, interracial contact.

The Effects of Racism in Medical Education on Students' Decisions to Practice in Underserved or Minority Communities.

PURPOSE: The purpose of this study was to examine the relationship between manifestations of racism in medical school and subsequent changes in graduating medical students' intentions to practice in underserved or minority communities, compared with their attitudes and intentions at matriculation. METHOD: The authors used repeated-measures data from a longitudinal study of 3,756 students at 49 U.S. medical schools that were collected from 2010 to 2014. They conducted generalized linear mixed models to estimate whether manifestations of racism in school curricula/policies, school culture/climate, or student attitudes/behaviors predicted first- to fourth-year changes in students' intentions to practice in underserved communities or primarily with minority populations. Analyses were stratified by students' practice intentions (no/undecided/yes) at matriculation. RESULTS: Students' more negative explicit racial attitudes were associated with decreased intention to practice with underserved or minority populations at graduation. Service learning experiences and a curriculum focused on improving minority health were associated with increased intention to practice in underserved communities. A curriculum focused on minority health/disparities, students' perceived skill at developing relationships with minority patients, the proportion of minority students at the school, and the perception of a tense interracial environment were all associated with increased intention to care for minority patients. CONCLUSIONS: This study provides evidence that racism manifested at multiple levels in medical schools was associated with graduating students' decisions to provide care in high-need communities. Strategies to identify and eliminate structural racism and its manifestations in medical school are needed.

Correction to: Medical School Factors Associated with Changes in Implicit and Explicit Bias Against Gay and Lesbian People among 3492 Graduating Medical Students.

Due to a tagging error, two authors were incorrectly listed in indexing systems. Brook W. Cunningham should be B.A. Cunningham and Mark W. Yeazel should be M.W. Yeazel for indexing purposes.

A comparison of clinicians' racial biases in the United States and France.

RATIONALE: Clinician bias contributes to racial disparities in healthcare, but its effects may be indirect and culturally specific. OBJECTIVE: The present work aims to investigate clinicians' perceptions of Black versus White patients' personal responsibility for their health, whether this variable predicts racial bias against Black patients, and whether this effect differs between the U.S. and France. METHOD: American (N = 83) and French (N = 81) clinicians were randomly assigned to report their impressions of an identical Black or White male patient based on a physician's notes. We measured clinicians' views of the patient's anticipated improvement and adherence to treatment and their perceptions concerning how personally responsible the patient was for his health. RESULTS: Whereas French clinicians did not exhibit significant racial bias on the measures of interest, American clinicians rated a hypothetical White patient, compared to an identical Black patient, as significantly more likely to improve, adhere to treatment, and be personally responsible for his health. Moreover, in the U.S., personal responsibility mediated the racial difference in expected improvement, such that as the White patient was seen as more personally responsible for his health, he was also viewed as more likely to improve. CONCLUSION: The present work indicates that American clinicians displayed less optimistic expectations for the medical treatment and health of a Black male patient, relative to a White male patient, and that this racial bias was related to their view of the Black patient as being less personally responsible for his health relative to the White patient. French clinicians did not show this pattern of racial bias, suggesting the importance of considering cultural influences for understanding racial biases in healthcare and health.