In order to achieve the above, a racist (white supremacist) social system is essential. Such a process calls for the "Inferiorization" of the dominated group. The system (institutional structures in place) ensures that the oppressors do not have to worry about keeping the oppressed under constant fire; the system prevents the oppressed from effectively challenging this oppressive system. This process leads to the development of a negative self-image, loss of self-respect and the development of destructive behaviour patterns for oneself and the group. The following are just a few examples of the mental health concerns among racialized groups caused by the system: high levels of anxiety, stress and stress-related illnesses, such as high blood pressure; neurological disorders, suicide ideation and attempts, depression, higher risk of substance abuse and violence, high rates of poverty, residential instability, leading to high rates of single parent households, alienation and loss of control.
These very disturbing and destructive forms of pathological behaviour for individuals and groups are the direct and indirect product of a fundamentally structured power system for the genetic survival of whites (the dominant group), nationally and globally. Considering all of the above, no other racial or ethnic population in the United States has ever experienced the same high levels of racial discrimination and segregation (now gentrification) that currently characterize the African-American experience. Defeating racism will require a breakthrough in America's consciousness. Racism is a pathology with personal and social consequences and must therefore be addressed at both the individual and group level. There is no health in a society afflicted by racism and discrimination. If an effort is made to address the roots of mental problems (afflicted by racism and discrimination) and other types of problems that exist in American society, two major institutions in America have the tools to develop programs and policies to overcome racism and prejudice.
If power relations are to be changed (i.e., the exercise of power from one people over another), "we must begin with an analysis of the political context in which they coexist. If change is to be made to eliminate racism, one of the key institutions capable of doing so is government. Through a national call for institutional change in American society with the enactment of laws through democratic procedures for a just and healthy society. Stronger laws and stricter enforcement of laws would be needed to change the existing structure. All efforts and movements that give blacks and other minorities the opportunity to access power and resources should be supported. One such example is the effort of African Americans lobbying for reform in schools: a mental health strategy. This is an affirmation of the value and dignity of black Americans. It represents a demand that schools be sensitive to Black American culture and heritage, that they eliminate remnants of discrimination in the employment of Black teachers, counselors, and administrators, and that they address racism in the curriculum.
The essence of racism lies in a relatively consistent pattern of prejudice and discrimination between one party that is idealized and favored and another that is devalued and exploited in a common relationship. In other words, "power is exercised rather than possessed"; when African-Americans come to understand the nature of power, its social origins, and its applications; when they recognize that they are as capable of acquiring and disposing of power as their European (and other ethnic) rivals; and when they consciously and deliberately choose to acquire and dispose of power for their own benefit and in defence of their own freedom; White domination will end when the power differences that make this process possible are equalized or reversed through Black empowerment. As well, the other institution best equipped to have the tools to develop programs to help people with mental health problems caused by institutionalized racism is the health care system and mental health professionals. Those who have been victims of years, decades and centuries of oppression must be empowered to take action.
S.Yusuf, special collaborator