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Commentary: The Trauma of Insidious Racism

Dr. Miller is Clinical Professor of Psychiatry, George Washington University Medical Center, Washington, DC, and Adjunct Professor of Law, Georgetown University Law School, Washington, DC. Address correspondence to: Glenn H. Miller, MD, 8213 Tomlinson Avenue, Bethesda, MD 20817. E-mail: gmmd123{at}gmail.com

Race-based traumatic stress assessments are difficult because of the insidious nature of racism, the lack of scientific research, and the disregard of the nondominant cultural experience. Although there is a large body of scientific literature about the harmful psychological effects of racism, most of that literature is not directly applicable to individual assessment. Carter and Forsyth begin to correct that deficiency. Implicit in their attempt is the beginnings of defining a race-based traumatic stress syndrome. At present, the psychiatric expert can be useful to the court through a psychological description of the evaluee within a racial-cultural context.