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Chapter 1

The Evolution OF THE


Revolution: The Successful
Establishment of
Multicultural Psychology
Christine C. Iijima Hall
Copyright American Psychological Association. Not for further distribution.

“Psychology is the study of human behavior.” WHAT IS MULTICULTURAL PSYCHOLOGY?


“All men are created equal.” For many, these
“Multicultural Psychology is the study of the influ-
words have brought comfort and truth. For oth-
ences of multiple cultures in a single context on
ers, these words have conveyed pain and betrayal
human behavior” (Hall, 2009, p. 2); that is, multicul-
because human behavior meant White male behav-
tural psychology views human behavior as influenced
ior and men meant just that—men (White men in
by an individual’s culture and the cultures surround-
particular). It has taken almost 2 centuries after
ing and acting on the individual. Cultures can
the Constitution was written for people of color;
include ethnicity or race, gender, physical and mental
women; lesbian, gay, bisexual, transgender, ques-
abilities, sexual orientation, socioeconomic status,
tioning (LGBTQ) individuals; people with dis-
geography, family background, and many others.
abilities; and other disenfranchised and oppressed
The terms cultural psychology, cross-cultural psy-
groups were included as human and mankind.
chology, and ethnic psychology have been used inter-
Psychology was at the forefront of many of the
changeably (Mio, Barker-Hackett, & Tumambing,
political movements to make these changes, but
2006), but in reality, these terms reflect the progres-
at other times psychology actually supplied
sion of the history of multicultural psychology.
ammunition in the form of discriminatory
Cross-cultural psychology was primarily used when
research and theories of racial inferiority, misog-
studying international differences, but psychologists
yny, and homophobia.
later adopted this term when discussing ethnic and
Because psychology reflects the attitudes and
racial issues. Ethnic psychology began to emerge as a
beliefs of U.S. society, the history of the multicul-
term in the 1970s when psychologists of color
tural psychology movement cannot be told without
researched issues within a single culture—primarily
understanding U.S. sociopolitical movements.
the four U.S. racial/ethnic groups (African American/
D. W. Sue, Bingham, Porché-Burke, and Vasquez
Black, Asian Pacific Islander, Hispanic/Latino Native
(1999) called the multicultural psychology move-
American/American Indian, White/Caucasian). Not
ment within ­psychology a revolution. In this chap-
until 2 decades later did multicultural psychology
ter, I outline the evolution of this revolution by
become the preferred term when referring to the
highlighting events of the late 20th and early 21st
psychology of race (including Whites), gender, cul-
centuries that shaped multicultural psychology and
ture, sexual orientation and identity, and physical
changed the field of psychology (for more compre-
and mental abilities (Triandis, 1996).
hensive timelines and accounts of the history of eth-
Multicultural psychology was not immediately
nic psychology, see Bernal, Trimble, Burlew, &
embraced by all. Skeptics of multicultural psychology
Leong, 2003; Comas-Díaz, 1990; and Holliday &
have “characterized [multicultural psychology] as
Holmes, 2003).

http://dx.doi.org/10.1037/14189-001
APA Handbook of Multicultural Psychology: Vol. 1. Theory and Research, F. T. L. Leong (Editor-in-Chief)
3
Copyright © 2014 by the American Psychological Association. All rights reserved.
Christine C. Iijima Hall

being politically applied, or pejorative rather than sci- African Americans


entific in nature” (Jenkins et al., 2003, p. 483). Propo- Ancestors of today’s African Americans primarily
nents of multicultural psychology viewed it as a entered the United States as slaves. Knowledge of
powerful force in psychology. In fact, Pederson (1990) this involuntary migration is necessary to provide a
referred to multicultural psychology as the fourth force historic understanding of how European Americans
in psychology. A force in psychology is a theory that has view African Americans and vice versa. When slaves
greatly influenced psychology and produces a para- became free, many European Americans worked to
digm shift in the way professionals view human behav- ensure African Americans did not obtain education,
ior. The first, second, and third forces of psychology power, or become “whole,” setting the stage for the
have been psychoanalysis, behaviorism, and human- role of psychologists in establishing and maintaining
ism, respectively. Pederson did not propose that multi- White superiority (Guthrie, 1976).
culturalism replaced any of these forces but rather One way to prove superiority and to keep minor-
viewed multicultural psychology as a complement to ities down was through intelligence testing. Psychol-
Copyright American Psychological Association. Not for further distribution.

them. That is, the other three forces must acknowledge ogists were recruited to measure intelligence for
that behavior is learned, occurs in a cultural context, military and career placement of African Americans
and that psychologists must take culture into account (Shuey, 1958). Others joined the fight for White
when studying and understanding behavior. superiority. In 1969, Jensen published a Harvard
Multicultural psychology has been further ­validated Educational Review monograph in which he postu-
as a legitimate field of study by the vast amount of lated the existence of innate and hereditary differ-
research and publications on the subject. “An emerg- ences in intelligence as fact and that Blacks were
ing area of study is often defined by a community of inherently less intelligent than Whites. Policies and
scholars and professionals that begins to establish programs directing the education and future of
societies and proceeds to publish their work through a minorities were affected by this hypothesis. It has
variety of venues” (Bernal et al., 2003, p. 6). The taken decades to prove his hypothesis incorrect and
research then “forms the cornerstone for counseling to reveal intelligence tests as culturally biased.
theory and practice” (Ponterotto & Casas, 1991, p. xi). Similar to intelligence, topics such as low self-
esteem and single parenthood—ills of poverty and
oppression fomented by a racist society—were
ETHNIC MINORITY SOCIAL MOVEMENTS
researched by White psychologists to further dem-
AND MULTICULTURAL PSYCHOLOGY
onstrate African Americans’ inferiority. Opposition
The civil rights movement of the 1960s fought for to these “blame the victim” hypotheses was difficult
equality among the races. Subsequent movements because very few Black mental health professionals
of other disenfranchised groups later emerged in the existed to combat these racist beliefs. The number of
United States, where women, LGBTQ individuals, and psychologists of color in the 1930s could be counted
individuals with disabilities demanded equality. The on one hand (Guthrie, 1976; Padilla & Omedo, 2009).
journey of multicultural psychology parallels these However, these few psychologists persevered and
social movements in the United States. changed history. For example, the U.S. Supreme
Early psychology’s interest in racial and gender Court decision in Brown v. Board of Education in
differences was primarily directed toward proving 1954, which desegregated public schools, was sup-
and ensuring White European American male superi- ported by the doll study of African American psy-
ority (Guthrie, 1976; Unger, 2001). To combat this chologists Kenneth and Mamie Clark (1939) that
type of biased research and philosophy, ethnic psy- showed segregation was harmful to Black children.
chologists, female psychologists, LGBTQ psycholo- Black psychologists were also frustrated with the
gists, and psychologists with disabilities took the power structure of APA, which was not responsive
reins and researched their own communities while to the needs of Black or other ethnic psychologists.
demanding recognition and justice within the In 1968, African American psychologists separated
­American Psychological Association (APA). from APA and established the Association of Black

4
The Evolution of the Revolution

Psychologists. Its publication arm, the Journal of also found only 51 Latino graduate students
Black Psychology, allowed a venue to showcase the enrolled in master’s programs in psychology and
research, theory, and talent of African American 37 in doctoral programs. The ensuing conference
psychologists—an important action that allowed was dedicated to increasing the representation of
further legitimization of the field of Black psychol- Hispanics in psychology.
ogy. Additional classical publications on Black psy- Also in 1973, Latino Mental Health: A Review of
chology include Black Psychology (R. Jones, 1972) Literature (Padilla & Ruiz, 1973) was published and
and The Psychology of Blacks: An Afro-American served to shape the research and training agenda for
­Perspective (White, 1984). the Coalition of Spanish Speaking Mental Health
Many African American psychologists also Organizations. Its first Spanish-speaking mental
understood the importance of remaining vigilant health center was established at the University of
within APA to ensure the inclusion of psychologists California, Los Angeles. The creation of this first
of color. One victory was the election of Kenneth center provided a space for Hispanic researchers to
Copyright American Psychological Association. Not for further distribution.

Clarke as the first (and only) African American pres- gather and enable the publication of their work in
ident of APA in 1970. In 2005, Jessica Henderson the center-supported Hispanic Journal of Behavioral
Daniels became the first African American woman Sciences.
elected to APA’s board of directors. The First Symposium on Chicano Psychology in
Demands by Blacks and other minorities within 1975 was primarily a scientific conference. The book
APA resulted in decades of change in the infrastruc- Chicano Psychology (Martinez, 1977) resulted from
ture of APA. These changes are discussed later in this conference. The 1984 edition (Martinez & Men-
this chapter. “What began as an experiment to doza, 1984) was expanded to include the sociopoliti-
increase representation of ethnic and racial minori- cal issues in psychology. The 2004 publishing of The
ties in mental health became a catalyst for change in Handbook of Chicana/o Psychology and Mental Health
the structure and functions of APA” (J. M. Jones & (Velásquez, Arellano, & McNeill, 2004) included
Austin-Dailey, 2009, p. 388). multiple topics and was used to further the curricu-
lums for mental health practitioners working with
Hispanics, Latinos, and Chicanos Latino populations.
This group includes Mexican Americans, Central and Similar to Black psychologists, Hispanic psychol-
South Americans, Cubans, Puerto Ricans, and others. ogists established an organization outside the reaches
As with Black psychology, the first writings in Chicano of APA. In 1970, the Association of Psychologists
psychology were to invalidate the low intelligence test por la Raza emerged. Later, in 1979, at a conference
scores of Mexican American children (Sanchez, 1932). in Lake Arrowhead, California, the idea for the
Later, issues of bilingualism, biculturalism and multi- National Hispanic Psychology Association (which
culturalism, bicognition (how language and cultural later became the National Latino/a Psychological
shape cognition), acculturation, racism, poverty, fam- Association) was born.
ily structure, stereotypes, folk healing or curanderismo, Concurrently, Hispanic psychologists continued
gender issues, older adults, LGBTQ individuals, to demand recognition and visibility within APA.
domestic violence, family therapy, substance abuse, Many Hispanic psychologists served on APA boards
psychotherapy, and stress were addressed. and committees and as division officers. However,
Ramirez (2004) reviewed the milestones in Chi- not until 2007 did the first and only Hispanic (male
cano psychology, beginning with a 1973 National or female), Melba Vasquez, serve on the APA board
Institute of Mental Health (NIMH) grant to survey of directors. In 2010, Vasquez was also elected as
U.S. psychology departments to assess the number the first and only Hispanic president of APA.
of Hispanic faculty and graduate students and to
convene a national conference to address the results Asian/Pacific Islanders
of the survey. The survey revealed only 15 Chicano Asian/Pacific Islander Americans have encountered
psychology faculty out of 1,335 faculty. The survey racial discrimination upon their arrival in the United

5
Christine C. Iijima Hall

States. History has reported economic exploitation One of the first articles on the mental health of
(e.g., Chinese and Filipino immigrants exploited as Asians in the United States was by Harry Kitano in
cheap labor), internment (e.g., Japanese Americans 1969. Soon after came Asian Americans: Psychologi-
during World War II), legislative abuse (e.g., denied cal Perspectives (S. Sue & Wagner, 1973). In 1979,
citizenship and entrance into the United States, the first Handbook of Asian American/Pacific Islander
interracial marriages), and violence (Hall & Mental Health was published (Morishima, Sue, Teng,
­Barongan, 2002). Zane, & Cram, 1979). Additional handbooks
Early stereotypes of Asian/Pacific Islanders was emerged in subsequent years (Alvarez & Tewari,
that of unintelligent and subhuman individuals. 2008; Lee & Zane, 1998; Leong et al., 2006).
Around 1970, this negative stereotype changed to The Asian American Psychological Association
the “model minority” image (Peterson, 1966). That self-published its first journal—the Journal of the
is, Asian Americans were viewed, unlike other ethnic Asian American Psychological Association—in 1979,
minorities, as the “good minority”—the hard-working held its first national convention in Los Angeles in
Copyright American Psychological Association. Not for further distribution.

ones who have achieved academic and financial suc- 1985, developed a monograph series in 1995, and
cess. This image is problematic for multiple reasons in 2010 began publishing the APA-based journal,
but primarily because it stereotypes all Asians as the Asian American Journal of Psychology.
being the same when the diversity among the Asian Asian American psychologists have played prom-
groups encompasses more than 29 Asian cultures inent roles in the governance of APA. In 1994, Alice
and languages, varied migration reasons, and a wide Chang became the first woman of color and the first
economic continuum (Hall & Barongan, 2002). Asian American woman to be elected to APA’s board
The model minority stereotype led to the of directors. In 1997, Richard Suinn was elected the
assumption that Asian/Pacific Islander Americans first Asian American president of APA.
did not experience mental health problems. This
inaccurate interpretation of data resulted in a lack Native Americans
of mental health research and services to the Asian/ “Historically, Native Americans have been one of the
Pacific Islander American community. A more accu- most neglected groups of people in this country in
rate perception of Asian/Pacific Islander Americans education, health and mental health” (Duran &
and mental health emanated from a critical mass of Duran, 1995, p. 2). This group has experienced inva-
Asian/Pacific Islander American mental health sion, genocide, removal to reservations and boarding
researchers and practitioners in the 1970s. (For a schools, loss of language and heritage, and forced
more detailed account of the history of Asian Ameri- acculturation. Native American mental health
can psychology, see Leong & Okazaki, 2009). researchers have stated that these events are part of
Asian American psychologists worked to provide the intergenerational posttraumatic stress disorder
mental health services to the Asian community. One experienced by Native Americans (Choney, Berryhill-
such contribution was a major community health cen- Paapke, & Robbins, 1995; Duran & Duran, 1995).
ter, the Richmond Area Multi-Services Center, which These stresses have led to problems among
was established in 1974. The center later expanded to Native Americans, such as posttraumatic stress dis-
provide training to those mental health professionals order, alcoholism, suicide, homicide, unemploy-
interested in working with Asian populations. ment, and internalized oppression. To aid with such
In 1972, a small group of Asian American psy- problems, many Native American mental health
chologists met in the San Francisco Bay Area to practitioners have used culturally based complemen-
exchange ideas and for social support, and the Asian tary practices such as the use of traditional ­healers,
American Psychological Association was born extended family and support networks, and knowl-
(Leong & Okazaki, 2009). Four years later, many of edge of the Native American culture and history
these same professionals organized the National (Choney et al., 1995). See Trimble and Clearing-Sky
Asian American Psychology Training Conference (2009) for an excellent historical overview of Native
with funding from NIMH. Americans in psychology.

6
The Evolution of the Revolution

Native American psychologists were the final American members have been involved in APA gov-
group of ethnic psychologists to form a mental ernance and leadership.
health organization outside of APA. The Network of
Indian Psychologists began in the 1970s with a grant
MULTICULTURAL REVOLUTION WITHIN
to investigate the state of mental health services in
THE APA’S INFRASTRUCTURE
Indian communities. About this same time, the
American Indian Interest Group was established The Center for Minority Group Mental Health was
with the support of APA’s Division 9, the Society for launched after a 1969 meeting between a group of
the Psychological Study of Social Issues. In 1975, Black psychiatrists and administrators of the NIMH
these two Native American groups combined forces (J. M. Jones & Austin-Dailey, 2009). The mission of
and created the Society of Indian Psychologists, the Minority Center (as it was commonly called)
which is currently the official Native American psy- was to identify and analyze institutional racism
chological association. The first Annual Convention within mental health and human services institu-
Copyright American Psychological Association. Not for further distribution.

of American Indian Psychologists and Graduate tions, examine the effects of White racism, and
­Students was held in 1987. develop skilled professionals to implement pro-
A major concern of the Society of Indian Psy- grams that would eliminate institutional racism.
chologists and the 1987 convention was the dearth These issues were to be addressed through research
of Indian psychologists and other psychologists and human resource development and training. The
trained to work with Native American populations. Minority Center found that university-based train-
As a result of this conference, the Rural Minority ing programs did not attract, train, retain, or gradu-
Mental Health Program was established in 1991 to ate a significant number of ethnic minority
train psychology students interested in working in psychologists. As a result, NIMH provided funding
rural settings, especially on Native American reser- to several national professional associations to sup-
vations. Most of the students were of American port the training of students of color in psychiatry,
Indian and Alaskan Native background. psychology, psychiatric nursing, psychiatric social
In 1978, the Journal of the National Center for work, and sociology. APA was one of the associa-
American Indian and Alaska Native Mental Health tions that received these funds, and the APA Minor-
Research was published by the National Centers for ity Fellowship Program (MFP) was established with
American Indian and Alaska Native Mental Health these funds in 1974.
Research. The journal has had numerous titles over The mission of the MFP was to increase the num-
the years as the center moved to various locations. ber of ethnic psychologists and began with strategies
For additional publications addressing Native Amer- to (a) reach out to students of color who had a
ican and Alaska Native mental health issues, see two strong ethnic identification and the potential to
literature summaries, Kelso and Attneave (1981) successfully complete a doctoral training program;
and Trimble and Bagwell (1995). (b) engage the host institutions in supporting the
Native American psychologists worked to have MFP fellows financially and professionally; (c) pro-
funding for psychology graduate education included vide the fellows with ethnic minority role models;
in the 1992 Indian Health Care Improvement Act. (d) empower fellows by eliminating isolation; and
They were successful and three Indians Into Psy- (e) change the hosting institutions to ensure cultur-
chology Doctoral Education programs within APA- ally sensitive training and education (J. M. Jones &
accredited clinical psychology training programs Austin-Dailey, 2009). APA’s MFP originally funded
were established. only clinical psychology students but later expanded
Within APA, although a small number of Native to include students interested in research. The pro-
Americans have been APA members, Native Ameri- gram has been very successful, with 1,164 students
cans have participated in APA’s governance. In of color obtaining their doctorates in psychology
1986, the first APA president with Native American between 1974 and 2006. The MFP completion rate
heritage, Logan Wright, was elected. Other Native has averaged 70%. The program has expanded over

7
Christine C. Iijima Hall

the years to fund dissertations, establish a Summer minority authors. One journal, the Journal of Educa-
Institute, and recognize outstanding alumni of MFP. tional Psychology, took the recommendations to
Although the MFP was an excellent program for heart and began the Underrepresented Group Proj-
increasing the number of psychologists of color, ect, which encouraged publications addressing
ethnic psychologists and others realized that the issues relevant to ethnic minority groups (Comas-
ethnic minority agenda could not move forward in Díaz, 1990). In addition, the journal created a
APA without a more permanent infrastructure that position for an associate editor whose main respon-
would have oversight of APA’s policy and structure. sibility was to mentor new professionals in the
A supplemental grant from NIMH and funding from publication process.
APA enabled “the Dulles Conference” in 1978 at In 1994, the APA board of directors established
which psychologists of color gathered to discuss a the Commission on Ethnic Minority Recruitment,
plan for this infrastructure change. A result of this Retention, and Training in Psychology (CEMRRAT)
conference was the creation of APA’s Office of Eth- in response to an APA resolution that identified the
Copyright American Psychological Association. Not for further distribution.

nic Minority Affairs in 1978, the Board of Ethnic recruitment, retention, education, and training of
Minority Affairs in 1979, and an APA division dedi- ethnic minorities in psychology as one of the associ-
cated to issues of ethnic minorities—Division 45, ation’s highest priorities (Holliday & Holmes,
the Society for the Psychological Study of Minority 2003). CEMRRAT’s work resulted in several publi-
Issues—in 1986. cations regarding the recruitment and retention of
The Board of Ethnic Minority Affairs sprouted students and faculty, understanding the accredita-
committees under its tutelage, one being the Commit- tion requirement for diversity, and advice on curric-
tee on Ethnic Minority Affairs. This committee became ulum and training to educate and train future
the product-generating arm of the Board of Ethnic psychologists to work with communities of color.
Minority Affairs, producing pamphlets, research CEMRRAT continues to be a primary body within
guidelines, and other essential informative publica- APA to research and disseminate information on
tions. In 1991, the Board of Ethnic Minority Affairs issues relating to ethnic minority psychology.
merged with the Board of Social and Ethical Responsi- The collaborative work with APA and psycholo-
bility for Psychology and became the Board for the gists of color culminated with the First National
Advancement of Psychology in the Public Interest. Multicultural Conference and Summit in 1999,
Division 45 provided a publication venue with cosponsored by Division 17 (Society of Counseling
the Journal of Cultural Diversity and Ethnic Minority Psychology), Division 35 (Society for the Psychol-
Psychology. As stated earlier, a publication vehicle is ogy of Women), Division 44 (Society for the Psy-
important because it establishes the credibility of the chological Study of Lesbian, Gay, Bisexual, and
discipline, showcases mental health professionals, Transgender Issues), and Division 45 (Society for
provides a more culturally aware editorial group to the Psychological Study of Ethnic Minority Issues).
review ethnic-related articles, and provides informa- The summit continues to be held every 2 years.
tion dissemination. Although APA has become more In 2002, all the boards within the Public Interest
sensitive to the need for multicultural topics, many Directorate were merged into the Board for the
of its journals are still deficient in publishing ethnic- Advancement of Psychology in the Public Interest
based research and theory. (APA, 2011a). Its mission is to serve the public
The APA Publications and Communications interest and advance social justice, health, and well-
Board was aware of the dearth of journal articles on being for all people; ensure diversity is addressed
ethnic psychology and articles by ethnic psycholo- throughout APA; and serve in a consultative and
gists. The Publications and Communications Board advisory role with respect to ongoing planning and
established the Ad Hoc Committee on Increasing the operations of the Public Interest Directorate, in con-
Representation of Underrepresented Groups in the sultation with its executive director. The member-
Publication Process in 1984. From this committee ship of the board includes ethnic, LGBTQ, gender,
emerged new ideas for increasing the number of and disability representation.

8
The Evolution of the Revolution

Within the past 10 years, the leadership changes 2005; and Unger, 2001.) In reality, research results
within APA have included Norman Anderson’s that showed sex differences found them to be “few
being appointed the first African American chief or relatively small . . . given the level of professional
executive officer in 2003 and Gwendolyn Keita’s and popular attention devoted to the topic” (Mac-
becoming the first African American woman to serve coby & Jacklin, 1974, p. 3). That is, the differences
as an executive director in 2006. In addition, APA’s were exaggerated.
Council of Representatives became more diverse Similar to the civil rights movement for people of
when it invited a representative from each of the color, the feminist movement made political strides
four ethnic psychological associations, at APA’s cost, for women in the 1970s, including in the field of
to attend the Council of Representatives meetings. psychology. Women were entering into the profes-
This was a 3-year pilot program. sion, conducting research, and developing theory
The aforementioned programs within the Public on such topics as gender, stereotypes, workplace
Interest Directorate increased the visibility, credibil- discrimination, sexual harassment, reproductive
Copyright American Psychological Association. Not for further distribution.

ity, and number of ethnic psychologists. APA poli- rights, family violence, and sexual assault (Porter,
cies and guidelines addressing the mental health of 2005).
ethnic minorities resulted. Meanwhile, protests by APA, as a membership guild organization, mir-
women, LGBTQ individuals, and individuals with rored the sociopolitical climate of the United States
disabilities within APA were also occurring, in which women were not viewed as leaders, as
demanding representation and service from the reflected in the fact that APA did not elect its first
organization. female president until 1905 (APA was founded in
1892) and did not elect its second female president
until 16 years later in 1921. The third and fourth
SOCIAL MOVEMENTS OF WOMEN, LGBTQ
female presidents followed 50 years later. Most of
INDIVIDUALS, AND INDIVIDUALS WITH
these past female presidents did not push a feminist
DISABILITIES AND THE APA’S RESPONSE
agenda (Unger, 2001). Not until 1979, when Flor-
In much the same way as the civil rights movement ence Denmark was elected, was the feminist agenda
in the United States led to changes within APA for incorporated.
people of color, social movements of women, As a result of the archaic views of APA and the
LGBTQ, and individuals with disabilities stimulated mistreatment of women in research, teaching, and
recognition and action for these forgotten groups practice, female psychologists broke away from APA
within APA. by establishing the Association of Women in Psy-
chology in 1969 (APA, 1993a). APA, not wanting to
Women lose a large contingency of its members, responded
“Be it resolved that APA commit itself to doing for in 1970 by establishing the Task Force on the Status
women whatever it has stated it will do for blacks” of Women. The recommendation of this task force
(APA, 2004, p. 3). was to establish an ad hoc Committee on Women in
Females were included in research primarily as a Psychology (CWP) under the auspices of the Board
comparison group to prove male (specifically White of Social and Ethical Responsibility. CWP was estab-
male) superiority. The premise of this research lished in 1972. In 1981, in an attempt to upgrade
began with the belief of male biological superiority. CWP to board status, a proposal was brought for-
The proof was circular—only men had great ward to the APA Council of Representatives and was
achievements; thus, women must have biological defeated by the largest margin in the history of APA
defects (Barnes, 2005). Another “intuitive proof” in governance. CWP remains a committee today.
the late 1880s was research that showed that women CWP recommended the establishment of the
who attended college had fewer children; thus, edu- Division of Women in Psychology (Division 35;
cation must impair fertility. (For a detailed ­history later the Society for Psychology of Women) in 1973.
of women in psychology, see APA, 1993a; Barnes, Additional APA infrastructure changes came in the

9
Christine C. Iijima Hall

form of the Women’s Programs Office in 1977. In Psychology, as it did with ethnic groups and
1982, the Publications and Communications Board women, failed to address the topic of sexual orienta-
established an ad hoc committee to identify strate- tion without bias. When the topic was addressed,
gies for involving women and minorities in the pub- homosexuality was viewed as a psychological disor-
lications process, which resulted in the Guidelines der resulting from some “disturbance or pathological
for Avoiding Sexism in Psychological Research in 1988 arrest in development” (Greene, 1994, p. 1). Homo-
(APA, 1993a). sexuals were also grouped together as a single entity
In 1992, CWP published the Survival Guide to rather than being viewed as diverse groups—gay,
Academia From Women and Ethnic Minorities to aid lesbian, bisexual, transgender, and questioning
with promotion and tenure (APA, 1993a). That ­individuals—to the point at which results of research
same year, CWP compiled curriculum information on gay men were generalized to lesbian women.
for integrating women’s issues into the teaching of Much of the pathological results of research on
psychology in a volume titled Changing Herstory: homosexuality was the result of research subjects
Copyright American Psychological Association. Not for further distribution.

Integrating Diversity Into Teaching of Psychology being from “pathological” populations such as indi-
(APA, 1993a). viduals in prisons and mental hospitals (Kitzinger &
Feminist psychologists within APA led the way Coyle, 2002). The “cure” for homosexuality that
in suppressing the diagnosis of “battered woman resulted from some of these studies included con-
syndrome” in the American Psychiatric Association’s version therapy (“converting” gays and lesbians into
1980 Diagnostic and Statistical Manual of Mental Dis- heterosexuals with such practices as aversion ther-
orders (3rd ed.). In 1989, CWP also opposed the apy and systematic desensitization).
inclusion of “self-defeating personality disorder” as In the 1970s, mental health professionals began
a category in the third revised edition of the manual. to combat the pathology of homosexuality. (For a
Two excellent publications chronicling the fem- historical review, see Greene, 1994.) For example,
inist movement within APA are The Committee of LGBTQ psychologists and APA played a major role
Women in Psychology: Two Decades of Change in the removal of homosexuality as a disorder from
1973–1993 (APA, 1993a) and 52 Resolutions and the Diagnostic and Statistical Manual of Mental
Motions Regarding the Status of Women in Psychol- Disorders in 1973 (APA, 1973). However, the Amer-
ogy: Chronicling 30 Years of Passion and Progress ican Psychiatric Association replaced it with “ego-
(APA, 2004). dystonic homosexuality” (in which a person wishes
his or her sexual orientation were different), which
Gay, Lesbian, Bisexual, Transgender, the APA also fought to have removed in 1988.
and Questioning Individuals The APA adopted policy in 1987 that
In 1953, President Eisenhower banned homosexuals
homosexuality per se implies no impair-
from federal jobs (infoplease, 2011). Many busi-
ment in judgment, stability, reliability, or
nesses also implemented this ban. The Federal
general social and vocational capabilities
Bureau of Investigation and law enforcement agen-
and urged all mental health professionals
cies established surveillance programs against
to take the lead in removing the stigma of
homosexuals and began raiding bars and arresting
mental illness that has been long associ-
them. In June 1969, police raided the Stonewall Inn,
ated with gay and lesbian sexual orienta-
a bar in New York’s Greenwich Village. The patrons
tions. (Greene, 1994, p. 1)
fought back, and 3 days of riots resulted. Modeling
itself after the Black and women’s movements of the Mental health professionals also expanded the
time, the gay movement officially began with this research topics in LGBTQ research. Topics of
riot. The movement was successful, resulting in research included discrimination, alcohol and drug
approximately 800 gay and lesbian organizations in abuse, suicide, sexual identity, parenting, and rela-
the United States by 1973. The number of organiza- tionships. The population was also seen as more
tions is currently well over several thousand. diverse, with distinctions made among gay men,

10
The Evolution of the Revolution

l­esbian women, and bisexual, transgender, and of homosexuality; (b) be knowledgeable of, and
questioning populations. respect, the relationships a client has with families
Within APA, a faction of gay and lesbian psy- and partners who are not necessarily biologically or
chologists formed a lobbying group called the Asso- legally related; (c) understand the culture and inter-
ciation of Gay Psychologists in 1973 (Greene, secting minority status (LGB and racial/ethnic
1994), which developed a set of objectives for APA minority individuals, LGB youths and older adults,
to address. These were adopted by APA’s Board of and LGB individuals with disabilities); and (d) sup-
Social and Ethical Responsibility in Psychology in port the training and education of practitioners in
October 1975. These objectives resulted in the Task working with LGB clients. The guidelines are
Force on the Status of Lesbian and Gay Psycholo- important because the “treatment of gay men and
gists (early in the movement, the terms transgen- lesbians is a specialized field that requires a height-
dered and questioning were not included) and a ened level of self-awareness in the clinician and a
continuing committee called the Committee on Les- commitment to being educated about gay and les-
Copyright American Psychological Association. Not for further distribution.

bian and Gay Concerns (CLGC), which developed bian issues” (Greene, 1994, p. 21).
policy statements for APA that have been used for APA also established a new division in 1987—
advocacy purposes, influencing lawmakers, and sup- Division 44: The Society for the Psychological Study
porting human rights. These statements included of Lesbian and Gay Issues (now the Society for the
those on discrimination against homosexuals in Study of Lesbian, Gay, Bisexual and Transgender
1975, child custody and placement in 1976, employ- Issues). Although APA has had presidents who are
ment rights of gay teachers in 1981, hate crimes in women and people of color, no openly LGBTQ pres-
1988, LGB youths in schools in 1993, appropriate ident has been elected as of yet.
sexual orientation therapy in 1997, military service
in 2004, sexual orientation and marriage in 2004, Individuals With Disabilities
discriminatory legislation and initiates in 2007 and People with physical and mental disabilities were
2008, and affirmative responses to sexual orienta- once seen as possessed by the devil, dangerous,
tion distress and change efforts in 2009. retarded, or deficient in some manner, and many
In addition, APA adopted numerous guidelines were segregated through institutionalization (Bicken-
against heterosexual bias in psychological research bach, 1993). Today, the world has progressed some-
and practice, which included the Guidelines for Psy- what beyond these beliefs and has made movement
chotherapy With Lesbian, Gay, and Bisexual Clients toward not viewing the disability as the sole defini-
(APA, 2000), guidelines on avoiding heterosexual tion of an individual.
bias in research (Herek, Kimmel, Amaro, & Melton, The Civil Rights Act of 1964 did not include indi-
1991), and guidelines on avoiding heterosexual bias viduals with disabilities as a protected group (Mayer-
in language (Committee on Lesbian and Gay Con- son, 1992). It was not until 1973 when Section 504
cerns, 1991). of the Rehabilitation Act of 1973 became law that
The goals of the Guidelines for Psychotherapy individuals with disabilities were protected from dis-
With Lesbian, Gay, and Bisexual Clients were crimination. Previously, it had been assumed that the
problems faced by people with disabilities, such as
to provide practitioners with (1) a frame
unemployment and lack of education, were inevita-
of reference for the treatment of lesbian,
ble consequences of the physical or mental limita-
gay, and bisexual clients, and (2) basic
tions imposed by the disability itself. Enactment of
information and further references in the
Section 504 evidenced Congress’s recognition that
areas of assessment, intervention, identity,
the inferior social and economic status of people with
relationships, and the education and train-
disabilities was not a consequence of the disability
ing of psychologists. (APA, 2000, p. 1440)
itself but was instead a result of social barriers and
The guidelines are practical ones: Practitioners prejudices. As with racial minorities and women,
should (a) assess their own attitudes and knowledge Congress recognized that legislation was necessary to

11
Christine C. Iijima Hall

eradicate discriminatory policies and practices Office of Disability Issues was also established
­(Mayerson, 1992). within the APA Public Interest Directorate in 1985
Although Section 504 was passed by Congress in whose mission is to raise awareness of disability
1973, the Department of Health, Education, and issues with APA, promote equal opportunity, serve
Welfare failed to construct regulations to effectuate as a resource to APA staff and members, and pro-
the Rehabilitation Act, so agencies were not able to mote research to influence public policy decisions
respond. Not until a 28-day sit-in was held all over (APA, 2011b)
the country in front of department buildings were In 2008, the APA Council of Representatives
the guidelines finally produced in 1977. adopted a resolution to support the Americans With
Victory was short, however, because in the Disabilities Act. The resolution opposed discrimina-
1980s, President Ronald Reagan attempted to dereg- tion on the basis of disability status, sought to
ulate the Rehabilitation Act because it was a burden improve the adverse mental health effects of dis-
on businesses. Constant vigilance by the disability crimination, and supported services and environ-
Copyright American Psychological Association. Not for further distribution.

community stopped the deregulation. However, the ments that allow individuals with disabilities to
Rehabilitation Act banned disability discrimination participate fully at work, at home, and in their
only in those agencies that received federal funding. ­communities (APA, 2008).
Excluding individuals with disabilities from perform- To aid mental health professionals in providing
ing jobs and enjoying activities was still legal in insti- services to individuals with disabilities, the Guide-
tutions that did not receive federal funds. Finally, in lines for Assessment of and Intervention With Persons
1990, the Americans With Disabilities Act was passed, With Disabilities (APA, 2011c) were approved by the
which protected all individuals with disabilities from APA Council of Representatives in February 2011.
discrimination in employment and also demanded The goal of the Guidelines for Assessment of and
equal access to buildings, parks, and so forth. Intervention With Persons With Disabilities is to help
Psychology lagged behind in its response to the psychologists conceptualize and implement more
disability movement. Psychology commonly viewed effective, fair, and ethical psychological assessments
disability from the perspective of rehabilitation and interventions with people with disabilities. The
(Goodley & Lawthom, 2006). This perspective Guidelines provide suggestions on ways psycholo-
placed emphasis on the person’s impairment and gists can make their practices more accessible and
rehabilitation rather than on the cultural, social, and disability sensitive and how they might enhance
political aspects of individuals with disabilities. To their working relationships with clients with disabil-
aid in changing this limited perspective, APA estab- ities. Additionally, the Guidelines provide informa-
lished the Task Force on Psychology and the Handi- tion on how psychologists can obtain more
capped in 1979, which led to the Committee on education, training, and experience with disability-
Disabilities and the Handicapped in 1985 (later related matters (APA, 2011c).
renamed the Committee on Disability Issues in Psy- These guidelines address awareness, training,
chology in 1990; personal communication, APA’s accessibility, diversity, legal issues, common disabil-
Office of Disability Issues in Psychology, March 31, ity experiences, disability culture, families, abuse,
2011). The mission of the committee was to pro- testing and assessment, interventions, and health
mote the psychological welfare of people with dis- promotion.
abilities; the development and implementation of
psychological service delivery models responsive to
MULTICULTURAL PSYCHOLOGY AND
the needs of people with disabilities; the awareness
THE APA’S ETHICAL PRINCIPLES
of disability issues in psychological research and
OF PSYCHOLOGISTS AND CODE OF
specific research activity in disability areas; and the
CONDUCT
inclusion of knowledge about disabilities and dis-
ability issues in education, training programs, and One of the primary motivating factors for establish-
professional development of psychologists. The ing a field of multicultural psychology was APA’s

12
The Evolution of the Revolution

Ethical Principles of Psychologists and Code of Con- was any institution denied accreditation or placed
duct, which “sets the boundaries and responsibilities on probation for faltering on this standard (Hall,
of the profession” (Mio et al., 2006, p. 29) and dic- 1997).
tates that psychologists may only work within their In hopes of placing diversity in a more promi-
area of expertise (APA, 1981). In 1981, multicul- nent role in accreditation, in 1997 the Guidelines and
tural psychology was not viewed as an official area Principles for Accreditation of Programs in Profes-
of expertise, and many psychologists were con- sional Psychology (APA, 1997a) were written and
cerned that practitioners and researchers without contained criteria on how graduate programs,
cultural expertise were doing harm to particular internships, and residencies can meet the require-
communities. In 1992, through the efforts of psy- ments for Domain D (accreditation standard catego-
chologists committed to mental health awareness of ries changed from criterion to domain). Domain D
cultures, the Ethical Principles and Code of Conduct states that a psychology program “recognizes the
included statements on “respect for people’s rights importance of cultural and individual ­differences
Copyright American Psychological Association. Not for further distribution.

and dignity” and directed that psychologists must be and diversity in the training of psychologists” and
aware of and respect “cultural, individual, and role “engage[s] in actions that indicate respect for and
differences” (APA, 1992, p. 1063). This principle understanding of cultural and individual differ-
included specific descriptions of unfair discrimina- ences” (APA, 2009, p. 10). Specifically, programs
tion (which includes eliminating bias in work, must make efforts to attract and retain students and
knowingly condoning or participating in biased faculty from “differing ethnic, racial, and personal
activities, or interpreting assessments from a biased backgrounds” into the program and provide “stu-
perspective) and boundaries of competence. The dents with relevant knowledge and experiences
competency statements opened the way for the about the role of cultural and individual diversity”
establishment of an expertise of multicultural psy- in psychology (p. 10).
chology and multicultural guidelines and standards Also in 1997, CEMRRAT produced a document
for accreditation, training, research, and practice. titled Questions and Actions Program Chairs and
Directors of Clinical, Counseling and School Psychol-
Multicultural Psychology and APA ogy Programs Should Consider When Assessing the
Accreditation Degree to Which Their Program Complies With
The early APA standards for accreditation did not Accreditation Domain D: Cultural and Individual Dif-
include standards for the diversification of an insti- ferences and Diversity (APA, 1997b) to aid program
tution’s faculty, students, curriculum, and training chairs and directors in understanding and comply-
(Altmaier, 2003). The first statement regarding ing with the accreditation guidelines on diversity.
diversity appeared in the accreditation standards in
1973: “The quality and diversity of the relevant fac- Multicultural Competencies
ulty are perhaps the most important factors in the “Cultural competency, along with multiculturalism,
development of a professional psychologist” (APA, refers to the belief that people should not only
1973, pp. 15–17). In 1979, the accreditation stan- appreciate and recognize other cultural groups but
dards explicitly addressed diversity and multicul- also be able to deliver effective psychological inter-
tural competency with Criterion II—Cultural and ventions to members of a particular culture” (S. Sue,
Individual Differences and Diversity. Criterion II 1998, p. 440). Traditional European psychology has
was established to ensure programs “develop knowl- not adequately addressed the issues of ethnic and
edge and skills in their students relevant to human other diverse communities; in fact, lack of cultural
diversity such as people with handicapping condi- knowledge can do harm to these communities
tions; of differing ages, genders, ethnic and racial (Fouad & Arredondo, 2007). Examples of inade-
backgrounds, religions, and life-styles; and differing quate, discriminatory, and harmful research emanat-
social and individual backgrounds” (APA, 1980, ing from psychology can be found in other chapters
pp. 4–5). Although this language was strong, rarely of Volume 1 of this handbook. This type of research

13
Christine C. Iijima Hall

led to discriminatory and harmful clinical and The 2002 guidelines provide psychologists with a
applied practices. rationale for addressing multiculturalism in training,
To ensure mental health professionals were com- education, research, and organizational change; a
petent to work with populations of color, women, basic understanding of multiculturalism; resources
LGBTQ individuals, and individuals with disabilities, for information; and paradigms that “broaden the
a movement began to establish multicultural compe- purview of psychology as a profession” (APA, 2002,
tency criteria. According to Fouad and Arredondo p. 2). The guidelines state that psychologists, and
(2007), this movement began around 1981 with the field of psychology, are enhanced when psychol-
APA’s Division 17 (Society of Counseling Psychol- ogists (a) are knowledgeable of how socialization
ogy). In 1988, APA’s Board of Ethnic Minority Affairs through racial or ethnic group affiliation and mem-
established a task force that produced the Guidelines bership affect the education, training, research, and
for Providers of Psychological Services to Ethnic, Lin- practice of psychology; (b) understand and recog-
guistic, and Culturally Diverse Populations (APA, nize how individuals’ socialization experiences can
Copyright American Psychological Association. Not for further distribution.

1993b). The Guidelines began with a “do no harm” enhance the field of psychology; (c) recognize how
statement, which was followed by statements about racial/ethnic group membership intersects with
psychologists having the responsibility to (a) educate other dimensions of identity (e.g., gender, age, sex-
the client in the therapeutic process; (b) be cognizant ual orientation, disability, religion or spirituality,
of the research and practice of the culture; (c) recog- experiences, education level, socioeconomic status);
nize that culture and ethnicity are significant factors (d) are knowledgeable of how psychology has
in the client’s life and how the world interacts with viewed cultural differences as deficits and how this
the client; (d) respect the client’s family structure, perception has led to the underrepresentation of
hierarchy, belief systems, and values; (e) respect the ethnic minorities in psychology but how psychology
client’s religious or spiritual beliefs; (f) interact in the must now affirm and value the role of culture;
client’s preferred language; (g) consider the impact of (e) are able to promote racial equity and social jus-
social, political, and environmental factors when tice through their personal and professional roles;
assessing the problems and interventions; (h) attend and (f) are knowledgeable that organizations can
to and work to eliminate, bias, prejudice, and dis- play a leadership role in multicultural inclusion in
criminatory practices (providers); and (i) document education, training, institutional change, and
the relevant cultural and sociopolitical factors in research and policy development.
their clients’ records (practitioners).
In 2002, the APA’s Guidelines on Multicultural Multicultural Curriculum and Training
Education, Training, Research, Practice, and Organi- The APA has not succeeded in its mission “to
zational Change for Psychologists provided more advance psychology as a science and profession and
detailed and specific guidelines. These guidelines as a means of promoting health and human welfare”
“reflect knowledge and skills needed for the profes- (Trimble, 2003, p. x). That is, psychology has his-
sion in the midst of dramatic historic sociopolitical torically neglected ethnic cultures and ignored the
changes in U.S. society, as well as needs from new importance of multicultural competency, and future
constituencies, markets, and clients” (APA, 2002, practitioners must “be willing to learn and explore
p. 2). As with the earlier guidelines, these new other cultural groups” (p. x).
guidelines emphasized that individuals live in a To ensure psychologists and other mental health
sociopolitical environment, in particular, those indi- professionals possess these necessary multicultural
viduals and groups who have been marginalized and competencies, it is imperative that multicultural
disenfranchised because of their ethnic or racial her- coursework, supervision, and training be mandatory.
itage, social group identity or membership, or both. Counseling training programs must ensure multicul-
Competent psychologists should be knowledgeable tural competency training through trainees’ (a) under-
of these environments and their effect on individu- standing their own culture, (b) having the ability
als and groups. to relate to clients from different backgrounds,

14
The Evolution of the Revolution

(c) understanding the perceptions of cultural groups, efforts to match their clients against cul-
and (d) performing effectively within the relationship tural norms, they may fail to treat them
(Ridley & Kleiner, 2003). Multicultural competency as persons with uniqueness and individu-
training programs should integrate multicultural ality . . . “within group” differences are
understanding throughout the program through atti- always greater than “between-group” dif-
tudes and beliefs, knowledge and skills, racial iden- ferences. (Ridley & Kleiner, 2003, p. 15)
tity development, and proficiency in multicultural
terminology. Ridley and Kleiner (2003) cited numer-
CONCLUSION
ous studies regarding how to achieve this. One study
suggested that training programs adopt a four-part Social movements sparked the multicultural psy-
curriculum: First, make available classroom experi- chology revolution. This revolution changed the
ence that provides knowledge and awareness of how way mental health professionals viewed the role of
community, social, cultural, and political institutions culture in teaching, research, and practice. Policies,
Copyright American Psychological Association. Not for further distribution.

affect human systems. Second, trainees then begin guidelines, and standards soon emerged that
self-examination and evaluation, followed by required cultural and individual differences be
research on cultures, and fourth, end with a practi- addressed as a major factor in psychology—the
cum that adds an experiential component. study of human behavior that is inclusive of all.
These studies revealed that even minimum expo- The victories attained during a revolution can
sure to different groups was beneficial in multicul- only be sustained through constant vigilance, moni-
tural training and supervision. That is, trainees who toring, participation, and leadership. What seems
had contact with various groups or who heard second nature to many now was revolutionary in the
diverse speakers increased their understanding of dif- beginning. When issues and programs become sec-
ferent cultures, which aided their counseling skills. ond nature, it is not unusual for them to be taken
This contact, by White students in particular, allowed for granted or eliminated because of benign neglect,
them to explore their White racial identity develop- lack of monitoring, or the belief that they are no
ment. It is also important that supervisors participate longer needed.
in a similar curriculum if they have not done so. New issues and protections will also arise as the
Journal articles, book chapters, and other tools world and awareness change. For example, eco-
are available to aid psychology program chairs in nomic class has become more prominent as an
achieving a multicultural training program. One inequality issue. The recent “99% movement”
such tool is the Multicultural Competency Checklist (Wikipedia, n.d.) emerged because of the preferen-
(Ponterotto, Alexander, & Grieger, 1995). Included tial treatment of the wealthy, who represent 1% of
on this checklist is the need for chairs to be aware of society, versus the 99%, who represent the middle
the importance of cultural representation in the pro- class and poorer Americans. Rather than being a
gram’s faculty and students, curriculum, practice social movement demanding APA’s response, APA
and supervision, research, assessments, and the acted before the social movement by establishing the
physical environment. Another tool is the previously Office of Socioeconomic Status in 2007. The hope is
mentioned APA CEMRRAT’s question and actions that APA and psychologists lead the revolution on
document (APA, 1997b) to aid program chairs in issues that affect the mental health and lives of all
understanding what should be considered when human beings.
determining whether their programs comply with
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