A racist attack managing complex relationships with traumatised service users – a psychodynamic approach

Abstract

ABSTRACT Notions of whiteness, white supremacy and racial hatred such as the recent multiple racist murders by a white supremacist in New Zealand are at the forefront of public consciousness. How do whiteness and racism play out in a clinical and social welfare context? This article illustrates the impact of trauma on a vulnerable young white woman who although was not the direct target of a racist assault was left traumatised by witnessing it. It discusses how initially she sought refuge in a racist solution synonymous with a psychic retreat to her own detriment. Working with such complex, unconscious and bewildering dynamics is extremely challenging for clinicians. It describes the impact of these dynamics on a clinician of colour who attempted to work with this young woman in a child and adolescent mental health service after the family was referred as a consequence of her assaulting her child shortly after witnessing the racist attack. The unconscious responses to trauma and challenges for clinicians and clinician of colour in particular when working with racism in the consulting room are also discussed.