Abstract Black women underutilize mental health services. Challenges to help-seeking and sustaining treatment relationships have been well-documented to include stigma, cultural disconnect, and mismanagement of race and racism in the therapy room. Certain marginalized identities are stigmatized both within the dominant culture and Black community. Case material from a Black transgender client and a Black woman who presents a complex mix of religious identification is presented. Giving visibility and voice to populations typically neglected in the clinical literature will contribute to the goal of culturally competent practice. Implications for training and clinical supervision are discussed.

中文翻译：

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生活在边缘：与黑人女性的身份交叉和临床工作

摘要 黑人妇女未充分利用心理健康服务。寻求帮助和维持治疗关系的挑战已得到充分证明，包括污名化、文化脱节以及治疗室中种族和种族主义的管理不善。某些边缘化身份在主流文化和黑人社区中都受到污名化。展示了来自一位黑人变性客户和一位呈现复杂宗教身份的黑人女性的案例材料。为临床文献中通常被忽视的人群提供可见性和发言权将有助于实现文化能力实践的目标。讨论了对培训和临床监督的影响。