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Why Mental Health Is A Complicated Issue For The Black Community

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Progress is being made

Mental illness runs in my family. You wouldn’t know it though because it’s a topic that's thought as being best kept behind closed doors, swept under the rug, hidden behind a really big plant; it can live anywhere but in conversation. It wasn’t until a decade ago, when its complicated, impossible to ignore realities landed on our doorstep, that we started to address it as a family. But even now, 10 years later, is mental illness becoming something that's talked about frankly, rather than just hinted at passively?

The silence surrounding mental health issues is one of the most unfortunate traditions passed down in the black community; more frequently than not, black families and communities push aside conversation about mental health of any kind. There’s a stigma surrounding the topic—a glaring one. Rather than being seen as a disease that requires treatment like a physiological problem, mental illness is viewed in the black community as a sign of weakness, a hump to get over, a “white person’s problem.”

However, mental illness is a disease that visits all people, indiscriminate of race or ethnicity; mental health conditions are as prevalent in the African-American community as they are in every other one; statistics show that one in five adults and one in five children live with some kind of mental health condition. And, according to the National Alliance for Mental Illness, African Americans are 20 percent more likely to experience serious psychological distress than white Americans, with the most common disorders being major depression (this often results in suicide), attention deficit hyperactive disorder, and post-traumatic stress disorder, specifically due to the fact that black men and women are more likely to be the victims of violent crime.

One of the reasons that black people have historically not sought help for mental health issues is because of the common perception that, considering the amount of trauma they have endured for centuries in a systemically racist society, they are capable of enduring more pain than others can, that they have a superhuman resilience and strength. And while black people are clearly strong and resilient, it’s true, sometimes that perception of strength can hinder the ability to address what is really wrong and fixable, to the point that it hurts individuals and communities. 

“The image is put out there that we can deal with everything, that’s historical, this goes way back to slavery,” Carolyn Coleridge, a Kaiser Permanente therapist who runs several black women community groups, says. It’s one of the reasons why black men and women don’t seek out professional help; we have to keep up appearances of being more than capable because we’re existing in a world that already perceives us as being less than. “Society looks at African Americans as being a problem culture, that things are going on in the community that are negative,” Coleridge continues. “You don't want anything else to mark you, to make you look like there's something wrong.”

Another factor at play is a historical distrust of medical professionals—particularly white ones. “When considering mental health care options, black Americans may fear mistreatment, being hospitalized involuntarily, or being used as research ‘guinea pigs,’" Dr. Kimberly Gordon, child and adolescent psychiatrist, tells us. This dates back to such horrific occurrences as the Tuskegee Syphilis Study, in which rural black men in the South were prevented from receiving medical treatment for sexually transmitted diseases, so that doctors could see what would happen to their bodies; "Mississippi Appendectomies," in which black women, like Civil Rights leader Fannie Lou Hamer, were given hysterectomies or sterilized without their consent; and the story of Henrietta Lacks, whose cells were used by doctors after her death without her family knowing. It doesn’t help that, according to the Mental Health America website, less than 2 percent of psychiatrists are black. Add to the list the fact that therapy, medication, even securing an accurate diagnosis isn’t cheap nor always accessible. This leads people to seek help elsewhere.

“Have you been praying?” my grandmother asked a decade ago when she was clued into the familial happenings as if matters of the spiritual have anything to do with matters of the medicinal, as if the issue at hand was of the heart rather than the brain. She meant well; the church is at the center of the black community, and it’s commonplace to throw God at your problems, hoping he will deliver you from them rather than a doctor. There’s an underlying trust, between the black community and their religious leaders, that isn’t yet established with health professionals. And this isn’t to say religion isn’t helpful, it absolutely is and the church can act as a huge support system, but just like you wouldn’t tell someone diagnosed with cancer to choose prayer over chemo, mental health should be approached in the same way. “You do a disservice to your congregation to believe that you can treat people with serious mental illness without professional help,” Coleridge says. But, this is also, largely, a generational approach, and things are changing. 

Since mental health issues started affecting me on a personal level, I started thinking about the subject of mental illness as akin to getting a new car. Hear me out: When it becomes a part of your life, you start noticing it everywhere. But I’m starting to think that the sudden uptick in interest isn’t due to its omnipresence in my own life, but that people are, simply, talking about it more—particularly in black spaces. It comes into our homes on the TV show Empire when we found out bipolar disorder runs in the Lion family (although it's not handled the most tastefully, but that's a topic for another story). It’s on Black-ish when Rainbow encourages Dre to go to therapy after dealing with microaggressions at work. It’s on Insecure when Issa suggests her best friend Molly should go to therapy after screwing up yet another romantic relationship.

It’s brought up in a significant and chilling scene in Atlanta when the protagonist, Earn, is waiting to be processed at a local jail. He watches as an inmate, described as “crazy” by others, dips his cup into the toilet, then proceeds to drink it. “Why is he in here every week? He looks like he needs help,” he asks, to no one in particular. “Man, shut up,” an officer standing nearby replies. 


Coleridge also lists Oprah’s hit television series, Iyanla: Fix My Life, as another relevant show that’s working to erase stigma. “Iyanla Vanzant’s show has really, really helped African-American women because they have therapists on the show, they have the insight, they have people talking about it before we ever even talked about it,” she explains. “I always say that Oprah filled my private practice.”

Outside of television, black-hosted podcasts like The Read and Another Round bring up the subject of self-care, assure listeners that it’s okay to seek help, and touch on how important it is to find someone to talk to in almost every episode. Advertisements for Talk Space, an online and mobile therapy company, are littered between segments. And sign-offs include, “Drink your water, take your meds, call your person.”

I’m hesitant to label this new consciousness a trend because trend implies that it will eventually go away, and, hopefully, this awareness is something that sticks around far longer than our infatuation with millennial pink. And besides, this level of visibility is not just apparent in popular culture; it's everywhere: Coleridge says that she’s seen an increase in black patients, particularly women. And she’s making it a point to hire more black therapists to help address their multilayered needs by doing things like incorporating spirituality along with advice. “There are a lot of people going and talking about it and joking about it and we're using cultural context to help them feel comfortable and to get better,” she says. “I am really stunned at the number of black women, especially that are going to treatment, but I’m also thinking about the other people that aren’t in treatment.”

When I poll my black friends, all in the mid-20s age range, about whether or not they go to therapy, 80 percent say no. But of that 80 percent, at least half tell me that they’ve considered it, or would like to in the near future. This is promising. When I speak to my dad about the topic, he shows flickers of hope, too. “Do we need to talk about it more? Yep. Do we need to be honest about it? Yep. Do we need to seek help? Yep… It’s a tough thing,” he says, after a long pause. “It’s a tough thing.”

Photo by Dimitrios Kambouris/Getty Images for The Met Museum/Vogue

"I am honored to share this bonding experience with my own daughter"

In a heart-warming Instagram photo, Serena Williams shares the history of hair braiding and the importance of the tradition. The tennis player shared a photo of herself braiding her daughter Olympia Ohanian's hair and spoke about how "honored" she was to be able to "add another generation" to the tradition of the practice.

The photo shows Williams attentively braiding her daughter's hair while Olympia smiles, obviously loving the experience. Williams noted that hair braiding was created by the Himba people in Namibia, Africa, and that "we have been braiding our hair for centuries." "In many African tribes braided hairstyles were a unique way to identify each tribe," she continued.

Williams pointed out that braiding is a bonding experience. "People would often take the time to socialize," she wrote. "It began with the elders braiding their children, then the children would watch and learn from them. The tradition of bonding was carried on for generations, and quickly made its way across the world."

Williams closed her post with a sweet message about her daughter, saying that she's "honored to share this bonding experience" with her.

See the post, below.

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FROM THE WORLD WIDE WEB
Courtesy of Adidas

The Stan Smiths are a must-have

Adidas just shared its capsule of sneakers paying tribute to Keith Haring, and TBH I can already feel my wallet emptying (and they're not even on sale yet). The new collection features three shoe silhouettes, all including the late artist's iconic imagery as embroidered designs.

The standout style of the collection is the Rivalry hi-top; with bright blue and orange stripes and piping along the edges, Haring's stars and cartoon bodies, in black thread, pop right off. If you're looking for something less over-the-top, the quirky white Nizza Hi RF sneakers show a snake wrapping around the back of the shoe and chasing one of Haring's cartoon bodies toward the toe. There's also a minimal embroidered design on the toe of a classic Stan Smith pair. Look a little more closely at the tongue though, and you'll notice the traditional image has been swapped with a caricature of Haring himself.

Peep the three silhouettes, below, and set your calendar for the official drop at the end of the month.

Adidas, Rivalry Hi Keith Haring Shoes, $120, available at Adidas starting at 10am EST on June 30.

Adidas, Nizza Hi RF Haring Shoes, $120, available at Adidas starting at 10am EST on June 30.

Adidas, Stan Smith Keith Haring Shoes, $120, available at Adidas starting at 10am EST on June 30.

NYLON uses affiliate links and may earn a commission if you purchase something through those links, but every product chosen is selected independently.


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Photos by Frazer Harrison/Getty Images, Pascal Le Segretain/Getty Images

Hopefully this one will be typo-free

In an Instagram Live on Thursday, Taylor Swift announced that she would be creating a collaboration with fashion designer Stella McCartney inspired by her upcoming Lover album. Although she kept it vague, we can only assume that the two are working on a collection of luxe merch.

Swift noted in the announcement that she has been friends with McCartney "for a really long time," and that the designer already heard the new album. "I respect what she creates, how she creates it," Swift continued. "There's so much whimsy and imagination and romance to the clothing that she designs." Swift has been wearing McCartney's designs "a lot recently," so maybe we should have seen the collab coming.

One eagle-eyed fan pointed out that Swift wore Stella McCartney rainbow-hued shoes during her Wango Tango set. If the collab is anything like these shoes, you can bet I'll be copping it as quick as I can.

Swift detailed in her Instagram Live that the album Lover would be all about romance, which makes McCartney and her feminine designs perfect for the collaboration. We just hope that this collection doesn't have any typos, like some of Swift's "ME!" merch did.

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Photo by Kevin Winter/Getty Images

And spreads the message that "we all got crowns"

Late on Thursday, Taylor Swift dropped a new single, "You Need To Calm Down," and announced her forthcoming studio album, Lover, out this August. Following her lead single "ME!" Swift continues to spread her message of self-love and call out haters—particularly the homophobic ones—in this latest song.

Swift "ended homophobic locals," as one fan put it on Twitter, with one particular lyric: "'Cause shade never made anybody less gay."

Along with the song, Swift shared a lyric video via YouTube which made her sentiments even clearer. With her lyric, "Why are you made?/ When you could be glad?" she spelled "glad" as "GLAAD," referencing the queer media advocacy organization.

Swift sings of homophobic protestors in the second verse: "Sunshine on the street at the parade/ But you would rather be in the dark ages/ Makin' that sign must've taken all night." In the pre-chorus, she adds, "You just need to take several seats and then try to restore the peace/ And control your urges to scream about all the people you hate."

Swift additionally comments on women being pitted against each other—"We see you over there on the internet comparing all the girls who are killin' it"—asserting that "we all got crowns." There's nothing trolls can do to rain on her parade anymore.

One fan pointed out the possible symbolism of the crown lyric. In "Call It What You Want," track 14 on Reputation, she sings "They took the crown but it's alright." Now on "You Need To Calm Down," track 14 of Lover, she sings that there's not just one crown—we all have them.

Some fans are pointing to the double meaning of the track title. If I had a dollar for every time someone said those words to me in a totally condescending way, I'd probably be richer than her! What woman hasn't been told to calm down about an entirely not-calm situation or while expressing their distaste?

During Swift's live stream for the release of the song, she also announced a fashion collaboration with designer Stella McCartney, a peek of which we got during the singer's WangoTango performance.

Lover is set for August 23 release.

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Credit: Frederick Elmes/ Focus Features

"I was like, 'Did I sleep with this critic's girlfriend, or what?'"

The day I meet Jim Jarmusch, the sun hangs so bright and hot and yellow and solid in the sky that it's hard to believe that it will actually set at night. It's one of those New York June days that suggests we might be in permanent daylight; it's got a completely different feeling than the crepuscular atmosphere of Jarmusch's latest film, The Dead Don't Die, which takes place in a small town in what feels like one long twilight, maybe the last one.

But for today, Jarmusch and I are sitting at a table in a sun-filled restaurant, though we're in the shade. We're in a part of the city that used to be very punk rock, and is now very NYU, yet being there with Jarmusch, who looks so at home, like he's holding court in the booth (it helps that Larry Fessenden, an old friend of Jarmusch's and a writer/director/producer/actor, who appears in The Dead Don't Die, happens by the table to say hi), makes the area feel a little punk rock again, even with all the sun.

The Dead Don't Die is a very punk rock zombie movie, by which I mean: It's not very scary, but it is very cool, and even when it's sneering, it's a little bit tender. Starring Bill Murray, Adam Driver, and Chloë Sevigny as a trio of small-town cops who fight back against a nascent zombie apocalypse caused by fracking, the film is cast with a who's who of Jarmusch regulars, like Steve Buscemi, Tilda Swinton, Iggy Pop, and Fessenden, to name a few; but it also features younger stars like Caleb Landry Jones, Selena Gomez, and Luka Sabbat—and there's a real earworm of a theme song, courtesy of Sturgill Simpson.

Below, I speak with Jarmusch about the movie, being a dilettante, and why he only reads his negative reviews—which is definitely one of the most punk rock things I've ever heard.

Photo by Gareth Cattermole/ Getty Images

This was filmed on a pretty condensed shooting schedule, right?
It was a very rough schedule. A very difficult one, actually.

We only had seven weeks to shoot, and we had to shoot Adam Driver out in three weeks because he had to be delivered to Star Wars, and the financing of the film was incredibly grueling and took a long time, so we were pushed so far that we had about one month of prep, and then three weeks with Adam. And then all these different actors coming in and out; I don't know how Carter and Josh, the two producers, organized it all. And then we'd shoot 15-hour days, and halfway through, I had walking pneumonia; I had two coats; it was 95 out; I was shaking. You know, just weird stuff like that. But it's all okay because we had such great people—our crew—everybody. And then, the visual effects were very taxing and complicated.

How did that all work together? Because there's more than one decapitated head.
Yeah, it's a mixture. First of all, we mixed prosthetics with makeup with masks for some of the zombie stuff, but all of those effects with the decapitations, we had to just imagine. So we had to choreograph everything and then only imagine kind of what it would be like, which was, for me, very abstract because I'm not very versed in visual effects. You know, you had to really kind of trust your instincts, because Adam Driver's chopping away with a machete with no blade.

It could've been a machete, it could've been a lightsaber, who knows? So, to what degree is this a sequel of Paterson with Adam Driver's character's last name being Peterson?
Well, I just do these things to amuse myself while writing, you know? Bill Murray in Broken Flowers was named Don Johnson, and in this, I gave him the name Cliff Robertson. Tilda Swinton's character is Zelda Winston. Rosie Perez is named Posie Juarez. You know, I'm just kind of amusing myself.

And Peterson, Paterson. While we were filming Paterson I was always teasing Adam that the next one, we would make was gonna be a sequel about a psychopathic murderous bus driver named Peterson. Tag line: "Get the fuck off my bus!" Or "Next Stop Hell!" You know, stuff like that. It's just to make them... I love trying to make Adam Driver laugh, because he has a very odd and wonderful sense of humor, but it's on the dry side, so I'm always joking around with him between work to try and see what makes him laugh.

But yeah, there's no sequel of any kind, and I don't think that way, and I don't plan, and I don't see my films from the past ever again. I just look toward the next thing.

Credit: Frederick Elmes/ Focus Features

What was the original concept for this? When did you start coalescing all of these different elements into knowing that you wanted it to be your next film?
Some years ago after Only Lovers Left Alive, Tilda kept teasing me, calling me, saying, "When do we do the zombies? When are we doing the zombies?" And in between I made Paterson and Gimme Danger, but then after those I started writing the zombie one, and my original conception was: I wanna make a film that's really funny and silly like Coffee and Cigarettes, where people talk about whatever nonsense I want them to, and I want to get actors I love, you know? So I thought, okay, if I make a zombie film, I can have a structure where different groups are cordoned off against the zombies, and the zombie attacks will be intermittent and not very long, so I'll have long lags where they're just stuck there, like in the house of The Night of the Living Dead, where they can talk about any kind of nonsense. So that was my first idea, and then when I started writing it, for some reason, I wanted to have a small town, Centerville, and I just followed my intuition, and it became this, I don't really know why beyond that.

What is it about small towns that make them the perfect setting for existential terror?
They're insular. They're kind of… everyone kind of knows each other. It's controllable by the characters. It's believable that everyone kind of know each other. I don't know. I'm not very good at analyzing that. And also, this is not a horror film because horror films use devices that are necessary to frighten people, like suspense, and then you get scared. We have no interest whatsoever in that. This is more of a metaphorical zombie film, but I would not call it a horror movie. It's a comedy with zombies with a kind of sad ending. Beyond that, I don't know what it is.

And horror nerds may not like it if they're expecting creepy, creepy, scary thing! They're not gonna get it. They're not gonna get that delivered to them.

What's interesting about it is seeing who fights back against this existential dread. Or, like, Chloë Sevigny's character, Mindy, doesn't fight, she is on her own separate trip, avoiding the end till she embraces it.
It's a character film. It's not even a plot film, really, although critics say that about all my films. But Chloë… it's a complicated thing, because when I first called Chloë, I told her... I wrote her a letter, and then she said, "Yeah, yeah I'd like to do this." And I said, obviously, this is not a feminist character. She's reactive. She's our sort of "Scream Queen." She screams like six times. But Chloë is the master of reaction, and I love watching her react.

She definitely feels like a stand-in for what a normal person would feel during these absurdist experiences, which is nice to have. It's not necessarily that you need a relatable character in a movie like this, but...
Yeah, but she's an empathetic human that's in a job with some authority, but in a small town where that means taking care of whatever, you know, as a police officer, pretty minimal [stuff]. There's not a lot of rampant crime or anything going on… or anything at all, really.

Credit : Frederick Elmes / Focus Features

A lot of people are going to be projecting tons of different meanings onto this film, like with all your films. To what level do you participate in that or pay attention to that? Or, once you're done making a film, is it just out there, and you just let people project onto it whatever they will?
I've always felt that anyone's interpretation of a film that I write and direct is probably more valid than my own. Because it's a funny thing, the beauty of films is going into a world—or a book or whatever—but going into a world that you don't know, and you are entering a world, and it takes you. And if you wrote it, and you were there filming it, and you're in the editing room every day for six months, the mix, and all that... I can never possibly see it. I like hearing what friends or people I know... I like Q and As after screenings because they have no agenda except their interest. I like that a lot, and I value that. I don't really like to read a lot of reviews unless they're really negative. I love the negative ones.

You do?
Yeah, because they must be very far from me in their perception of the world, and that is interesting to me. But I try not to read a lot...

I think you're probably the first person who I've ever spoken to who says they like to read the negative reviews.
I really like them. The worst one I ever got in my life, I laminated and used to carry in my wallet. It was a brief thing from a right-wing French [paper], maybe Le Figaro or something, of a film called Dead Man that we made, and they said—this is the English translation—"The French intelligence celebrates Jarmusch in the way death and blind parents would celebrate their retarded child. Jarmusch is 33 years old, the same age as Christ when he was crucified. We can only hope the same for his film career." I was like, Whoa! That is harsh! I'm keeping that one!

It gets personal.
But that was vicious. I was like, Did I sleep with this critic's girlfriend, or what? What happened? It was really... the knife was sharpened, you know.

That speaks to a very specific kind of agenda for sure.
A friend of mine Amos Poe, he's sort of a mentor of mine, a punk filmmaker, whatever, and when we were young when he made, in the late-'70s, one of his films—The Foreigner or Unmade Beds—the New York Times called it "the cinematic equivalent of kindergarten scribbling," and he put that on his posters and put "New York Times" and we were like punks, we were like, "Yes! Amos! That's great!"

I mean, it genuinely is a pretty great pull quote, and I think also a little bit oblivious to the charms of a kindergartener's scribbles and what the value is in that anyway.
Yeah, it was kind of accurate in a positive way, and they intended it as very negative.

In this film, there are so many actors who are veteran actors, but there are also a lot of younger actors. What do you like about the combination of that dynamic?
I just like the variety of sort of world perceptions—indicated in a very minor way when Bill Murray's character says, "I've known Hermit Bob since we were in junior high," and Adam's character says, "Oh, wow! That must've been like 50 years ago!" And Bill says, "Yeah. It was." But just the kind of difference of perception of age I find as I get older really interesting. And I'm very interested in young people, especially teenagers, because I think they form our sense of style, of music, of so many things, and yet they're kind of pushed around and treated badly and constantly told, "You don't know how the world really works! You're just a teenager!" But they gave us poetry. They gave us Mary Shelley and Rimbaud and chess masters, and all the great music comes a lot from teenagers. So I tried to keep a pulse, that's why the three teenagers, I would not let them turn into zombies. There are only four people [who don't get turned by zombies]: those three that are delinquents, and the Tom Waits character, who's already removed himself from the social order long before.

When the zombies become zombies, they all have one inciting thing that they're still pursuing in the real world. Do you have one thing that you think you would pursue if you were a zombie?
You know, it's hard because I'm a self-proclaimed dilettante. I'm interested in so many things, I don't know if I would be breaking into a bookstore, or if I would be in the alley outside of a movie theater, or if I would be trying to get into a guitar shop. I'm not sure. I have a lot of interests.

I mean there's a way in which it's a really tender portrayal of the human impulse to just seek out these things that they love.
It's not totally a critique; it's their vestigial memory of some things that they were drawn toward, whether it was power tools or oxycontin.

The Dead Don't Die is in theaters now.

Credit: Frederick Elmes/ Focus Features