This episode is sponsored by the International Society for the Study of Trauma and Dissociation (ISSTD).

The International Society for the Study of Trauma and Dissociation is an international, non-profit, professional association organized to develop and promote comprehensive, clinically effective and empirically based resources and responses to trauma and dissociation and to address its relevance to other theoretical constructs.

To learn more and become a member, visit: https://www.isst-d.org/

Visit https://cfas.isst-d.org/ to access educational offerings for both professionals and non-professionals

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What if healing trauma started with a wider lens—one that includes history, culture, policy, and the daily negotiations of belonging? We sit down with clinical psychologist and researcher Usha Timolinarra to examine how immigration, racism, and collective memory shape individual symptoms, family dynamics, and community resilience. The conversation moves from the shift in care from “what’s wrong” to “what happened, to the include social, economic and political contexts, among others. Context matters, across childhood, adolescence, and adulthood.

Usha unpacks dissociation as more than detachment, describing a dual sense of self that many immigrants and their children develop to survive competing expectations. We explore the costs and strengths of compartmentalization, the normalization of silence around sexual violence among Indian American and Mexican American families, and why breaking that silence can threaten belonging even as it opens space to heal. Listeners hear how survivors bridge Western psychotherapy with community-rooted and indigenous practices, building bicultural healing that honors both science and tradition.

For therapists, we dive into staying steady in a volatile sociopolitical climate: tending to our own stress, practicing lifelong cultural learning, and inviting specificity around shame, guilt, and identity. Usha illustrates how psychoanalytic concepts—defense, transference, countertransference—become more powerful when joined with a social lens that recognizes racism, colorism, and policy as active forces in the room. We track practical routes from therapy to impact: mentoring students, briefings on the Hill during the DREAM Act era, and using media to translate data with empathy and urgency.

We also tackle the debate on racial trauma as a diagnosis, the lived effects of chronic racism, and Usha’s current research on early-career psychologists of color and the intergenerational legacy of colorism. The throughline is hope with a backbone: speak truth, remember history, and keep widening the range of possible futures for our clients, our communities, and ourselves. If this resonates, follow the show, share with a colleague, and leave a review so more listeners can find these conversations.

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Learn more about Dr. Tummala-Narra here:

https://www.bc.edu/bc-web/schools/lynch-school/faculty-research/faculty-directory/Usha-Tummala-Narra.html

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Context Matters: Immigration, Racism & Resilience with Dr. Usha Tummala-Narra