Black queer women and nonbinary people (BQWNB) living with mental distress are an important sub-group in the Black community in need of greater attention in mental health research. However, the majority of health research about the Black community focuses on Black cisgender men who have sex with men and people who have or are at risk of having HIV/AIDS. To expand the knowledge about BQWNB, I applied critical and transformative approaches to understand mental distress. Using a Black queer feminist mental health framework and transformative healing justice lens, this phenomenological qualitative study set out to explore and describe how BQWNB living with mental distress navigated their mental health and wellbeing with a sample of 17 participants. Data were collected using one-on-one audio-recorded semi-structured interviews. There were three major findings that emerged from participants’ narratives: (1) contributors to mental distress, (2) impacts of mental distress, and (3) positive responses to mental distress. Contributors to mental distress included individual and collective trauma experiences, embodying strength and independence, and experiencing stereotypes about their sexual and multiracial identities. The impact of mental distress resulted in lowered quality of life and reported self-harmful thoughts and behaviors. Finally, positive responses to mental distress included body, mind, and spirit and community-centered responses as well as resistance to cultural norms and expectations and non-disclosure as a form of self-preservation. These findings led to an integrative (not) being-in-distress framework and a new critical approach to mental health and healing that informed anti-oppressive social work research, practice, and education.

Approximately 89 million Americans will be age 65 and older by 2050 in the United States. This older adult population is especially vulnerable to loneliness as a result of numerous age-related risk factors including loss of social support and declining health. In addition to these common risk factors, refugee older adults may face increased loneliness as a consequence of war-related trauma, loss, and marginalized cultural values in their host country. Despite their heightened vulnerabilities to loneliness, the experiences of refugee older adults remain understudied.

This is the first study aimed at understanding the loneliness experiences of community-dwelling Hmong older adults, an ethnic group resettled in the United States as refugees over 40 years ago. A constructivist grounded theory method guided by an intersectionality framework was used to address three aims: 1) to understand the concept of loneliness among community-dwelling Hmong older adults, 2) to explore the premigration, displacement, and postmigration experiences of loneliness among community-dwelling Hmong older adults, and 3) to examine how community-dwelling Hmong older adults cope with loneliness. Semi-structured individual interviews were conducted with 17 Hmong older adults age 65 and older residing in Sacramento and Fresno, California. Analysis of the data was an iterative process between coding the data, generating focused codes, and connecting the categories to establish a conceptual pattern.

Participants conceptualized loneliness as a negative experience represented through physical and emotional expressions and intensity, which were influenced by an intersectional identity. Factors that influenced their experiences of loneliness in the premigration, displacement, and postmigration phase were discussed as trust, loss, aging-related issues, isolation, sense of community, access to cultural community, instability, violence, and cultural adjustments. Their narratives offered several coping mechanisms including religious and spiritual beliefs, social support, wandering, activity engagement, and control and avoidance. These findings informed a conceptual model of loneliness that incorporated an intersectional identity, influencing factors, and coping mechanisms. Overall, the results provide nuanced cultural meanings and insight into the loneliness experiences of Hmong older adults. Implications for social work research, practice, and policy suggests the need for greater culturally- and linguistically-competent services informed by Hmong older adults.

The number of interracial marriages and multiracial individuals continues to increase rapidly in the United States (U.S. Census Bureau, 2010). Black Female (BF) /White Male (WM) marriages are increasing, but not as quickly as other interracial marriages (Wang, 2012) leaving this population void in social science literature available to social workers. Consequently, there is a lack of information available to understand factors that contribute to these couple identities and how they navigate in the monoracialized systems they encounter. This qualitative study explored how BF/WM partners married in different generational cohorts experience and navigate race and identity as a couple through video recorded interviews where couples shared their narrative as a dyad. The secondary data analyzed was originally collected through snowball and convenient sampling to find BF/WM married couples that were married different generational cohorts living in the Phoenix area. Couples were asked to respond to starter questions (Linhorst, 2002) that encouraged them to share experiences as a couple interacting with community, social, and family systems. Ecological systems framework and social construction were used to guide analysis. Results from the multimodal transcript analysis and detailed review of the video data found themes of invisibility of the couples' relationships from community and family. Differences between cohorts were identified with movement from separation of racial identities within the couple identity to an infusion of both identities represented within the couple. Additionally, insights into the benefits of videography as a data collection method and its usefulness in to connecting social work research to practice were identified and align with the NASW Cultural Competence standards (NASW, 2001).

Recent studies have investigated reproductive coercion, a form of intimate partner violence (IPV) defined as when one partner attempts to control another through pregnancy; however, research has focused only on female victim-survivors. Accordingly, the purpose of this three-paper dissertation was to explore the context of male- and female-perpetrated reproductive coercion via interview data from perpetrators of this abuse. The objective of the first paper was to gain a more complicated understanding of male-perpetrated reproductive coercion, with attention to why the phenomenon only sometimes co-occurs with other forms of IPV. A multiple case study analysis framework was used to interpret interview data from men who self-identified as having perpetrating reproductive coercion (n=5). Several men attempted to impregnate non-consenting partners because they perceived value in fatherhood, or the label of "family man." Many justified their behavior by positioning themselves as the rightful "head of household" and minimized their actions by noting their partners' love for their children. The purpose of the second paper, a close narrative analysis of one male participant's interview (n=1), was to gain deeper understanding of how enactment of a certain type of masculinity influences articulations of power within an intimate relationship. Four interview excerpts were organized into stanzas, which were analyzed for narrative disjuncture as well as minimizations and justifications of coercive behavior, with the finding that desire for biological offspring and enactment of power and control may both be tied to a need to perform masculine identity. Finally, the aim of the third paper was to develop an understanding of the contexts in which women perpetrate reproductive coercion. A modified grounded theory approach was used to interpret interview data from women who self-identified as having perpetrated reproductive coercion (n=8), and an initial explanatory model was developed to illustrate a pathway leading to this behavior. Pregnancy appeared to be a means to end (meeting a critical unmet need) more than an end in itself. Preliminary findings suggest that differences exist between female- and male-perpetrated reproductive coercion. Generalizable research that investigates the function of gender in the perpetration of reproductive coercion can inform the development of targeted, gender-appropriate interventions.