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In this chapter, young Black changemakers offer words of hope and calls to action for researchers, educators, organizers, and the public. Black youth envision a world without racism, and it is imperative to follow Black youth’s leads to eliminate racism. To help Black youth sustain their changemaking, it is valuable to invest in Black youth, including youth-led initiatives and Black-centered spaces. As a call to action, it is urgent to root out anti-Blackness in schools, on social media, and in broader public narratives. Each author reflects on major lessons learned from the study. We underscore how Black youth bring society hope for the future and point the way forward on the road to racial justice.
Young Black changemakers take pride in their connection to Black communities of past and present. This strong and positive Black identity motivates their changemaking. Black identity intertwines with other identities – such as gender and social class positions – to inform experiences of oppression and changemaking in response. Commitment to and love for Black communities empowers young Black people to cope with and resist racism in ways that protect their personal identities from threat and draw on the strengths of their personal narratives. Young Black changemakers find civic purpose and power in the legacy of Black social justice leaders and lean into that history to honor their place in Black communities. The relationship between identity and changemaking is reciprocal. For these young people, pride and connection to being Black fed their desire to eradicate racism through changemaking. Engaging in changemaking for a better world for Black people also deepened their connections to Black people and Black communities.
Critical action – action to dismantle oppression and seek justice – is often motivated by and in response to being subjected to racism. Indeed, critical action can be an adaptive coping response to racism, such that critical action might reduce the negative impacts of racism on the individual. Further, the goal of critical action, at its core, is to eliminate racism and its coconspiring forms of oppression, eradicating the root source of harm to marginalized individuals and communities. In this chapter, we provide an overview of current research that has examined how racism is related to critical action for racially marginalized youth. We consider racism as a system of oppression that manifests through culture, institutions, and individuals, along with stress responses to racism. We then provide recommendations for future research and practice to extend our understanding of if, when, and how experiencing racism motivates or detracts from youth critical action.
Treatment for hoarding disorder is typically performed by mental health professionals, potentially limiting access to care in underserved areas.
Aims
We aimed to conduct a non-inferiority trial of group peer-facilitated therapy (G-PFT) and group psychologist-led cognitive–behavioural therapy (G-CBT).
Method
We randomised 323 adults with hording disorder 15 weeks of G-PFT or 16 weeks of G-CBT and assessed at baseline, post-treatment and longitudinally (≥3 months post-treatment: mean 14.4 months, range 3–25). Predictors of treatment response were examined.
Results
G-PFT (effect size 1.20) was as effective as G-CBT (effect size 1.21; between-group difference 1.82 points, t = −1.71, d.f. = 245, P = 0.04). More homework completion and ongoing help from family and friends resulted in lower severity scores at longitudinal follow-up (t = 2.79, d.f. = 175, P = 0.006; t = 2.89, d.f. = 175, P = 0.004).
Conclusions
Peer-led groups were as effective as psychologist-led groups, providing a novel treatment avenue for individuals without access to mental health professionals.
Declaration of interest
C.A.M. has received grant funding from the National Institutes of Health (NIH) and travel reimbursement and speakers’ honoraria from the Tourette Association of America (TAA), as well as honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. K.D. receives research support from the NIH and honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. R.S.M. receives research support from the National Institute of Mental Health, National Institute of Aging, the Hillblom Foundation, Janssen Pharmaceuticals (research grant) and the Alzheimer's Association. R.S.M. has also received travel support from the National Institute of Mental Health for Workshop participation. J.Y.T. receives research support from the NIH, Patient-Centered Outcomes Research Institute and the California Tobacco Related Research Program, and honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. All other authors report no conflicts of interest.
This paper reports a case of Dirofilaria repens infection in a patient who presented with an anterolateral neck swelling. Dirofilaria repens infection of the neck region is rare even in countries where dirofilarial infestation is endemic. The diagnosis is made by identifying the worm in surgical or pathological specimens.
Case report:
A 47-year-old man presented with an 8-week history of non-tender, right-sided, lower anterolateral neck swelling and weight loss. An ultrasound scan showed a cystic lesion containing a living worm. The cyst was excised and the patient showed full recovery at follow up.
Conclusion:
To our knowledge, there has been no previous report of an anterolateral neck swelling secondary to Dirofilaria repens infection in Europe. Our case is unusual because of the rarity of Dirofilaria repens presenting as a neck swelling.
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