{"id":324,"date":"2024-08-28T18:40:28","date_gmt":"2024-08-28T22:40:28","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/?post_type=chapter&#038;p=324"},"modified":"2026-08-18T14:51:48","modified_gmt":"2026-08-18T18:51:48","slug":"1-4-macroaggressions-overt-and-systemic-racism","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/chapter\/1-4-macroaggressions-overt-and-systemic-racism\/","title":{"raw":"2.4: Macroaggressions: Overt and Systemic Racism","rendered":"2.4: Macroaggressions: Overt and Systemic Racism"},"content":{"raw":"While <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">microaggressions<\/a> are often subtle and indirect, <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">macroaggressions<\/a> refer to more overt, systemic forms of racism that occur at an institutional or societal level. These include discriminatory policies, practices, or structures within <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">institutions<\/a> that create barriers for Black individuals. In healthcare and dietetics, macroaggressions can manifest through unequal access to opportunities, biased hiring practices and student recruitment, or educational systems that fail to address the cultural needs of Black students and practitioners (Henry &amp; Tator, 2009; Braveman et al., 2022).\r\n\r\nPhysical or verbal assaults, such as racially motivated violence or using a racial slur, are also examples of macroaggression.\r\n\r\n&nbsp;\r\n\r\n<!-- Interactive Activity 12 -->\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\" style=\"color: #000000 !important\">\r\n<h3 class=\"textbox__title\" style=\"color: #000000 !important;margin: 0\"><strong>Activity:<\/strong> Can you spot a macroaggression? Select all the examples below that qualify.<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">[h5p id=\"12\"]<\/div>\r\n<\/div>\r\n&nbsp;\r\n\r\nThese examples highlight how Black patients, students and professionals are subjected to both microaggressions and macroaggressions in healthcare, professional and academic environments. The failure to address these behaviours perpetuates a <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">culture<\/a> of silence and complicity, where racism is allowed to persist without consequence (NCCDH, 2018; ACLRC, n.d.). This creates an environment where Black individuals often feel the need to suppress their concerns to avoid further <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">marginalization<\/a> (Henry &amp; Tator, 2009).\r\n\r\n&nbsp;\r\n\r\n<!-- Interactive Activity 13 -->\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\" style=\"color: #000000 !important\">\r\n<h3 class=\"textbox__title\" style=\"color: #000000 !important;margin: 0\"><strong>Activity:<\/strong> Do you know the difference between a macroaggression and a microaggression? Match each example to the correct term.<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">[h5p id=\"13\"]<\/div>\r\n<\/div>\r\n&nbsp;","rendered":"<p>While <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">microaggressions<\/a> are often subtle and indirect, <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">macroaggressions<\/a> refer to more overt, systemic forms of racism that occur at an institutional or societal level. These include discriminatory policies, practices, or structures within <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">institutions<\/a> that create barriers for Black individuals. In healthcare and dietetics, macroaggressions can manifest through unequal access to opportunities, biased hiring practices and student recruitment, or educational systems that fail to address the cultural needs of Black students and practitioners (Henry &amp; Tator, 2009; Braveman et al., 2022).<\/p>\n<p>Physical or verbal assaults, such as racially motivated violence or using a racial slur, are also examples of macroaggression.<\/p>\n<p>&nbsp;<\/p>\n<p><!-- Interactive Activity 12 --><\/p>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\" style=\"color: #000000 !important\">\n<h3 class=\"textbox__title\" style=\"color: #000000 !important;margin: 0\"><strong>Activity:<\/strong> Can you spot a macroaggression? Select all the examples below that qualify.<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<div id=\"h5p-12\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-12\" class=\"h5p-iframe\" data-content-id=\"12\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"2.4 Microagressions\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>These examples highlight how Black patients, students and professionals are subjected to both microaggressions and macroaggressions in healthcare, professional and academic environments. The failure to address these behaviours perpetuates a <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">culture<\/a> of silence and complicity, where racism is allowed to persist without consequence (NCCDH, 2018; ACLRC, n.d.). This creates an environment where Black individuals often feel the need to suppress their concerns to avoid further <a href=\"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/back-matter\/glossary\/\">marginalization<\/a> (Henry &amp; Tator, 2009).<\/p>\n<p>&nbsp;<\/p>\n<p><!-- Interactive Activity 13 --><\/p>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\" style=\"color: #000000 !important\">\n<h3 class=\"textbox__title\" style=\"color: #000000 !important;margin: 0\"><strong>Activity:<\/strong> Do you know the difference between a macroaggression and a microaggression? Match each example to the correct term.<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<div id=\"h5p-13\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-13\" class=\"h5p-iframe\" data-content-id=\"13\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"2.4 Match Micro\/Macro\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"author":503,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-324","chapter","type-chapter","status-publish","hentry"],"part":307,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapters\/324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/wp\/v2\/users\/503"}],"version-history":[{"count":27,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapters\/324\/revisions"}],"predecessor-version":[{"id":3602,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapters\/324\/revisions\/3602"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/parts\/307"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapters\/324\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/wp\/v2\/media?parent=324"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/pressbooks\/v2\/chapter-type?post=324"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/wp\/v2\/contributor?post=324"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/abrdietetics\/wp-json\/wp\/v2\/license?post=324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}