Featured on Tonic. VICE's health channel.
Hands On Barbers in Mount Rainier, Maryland is pretty much my second home. The tiny barbershop is tucked between an equally small Dominican beauty salon and a dusty antique shop walking distance from the nation's capital. The neighborhood surrounding my safe haven isn't the best.
There's a growing problem with local residents abusing PCP, alcoholics wandering up and down the block with brown paper bags of booze, and abandoned buildings outnumbering the occupied ones. I know this doesn't sound too appealing to the average person, but I am there every week due to my sometimes untamable facial hair.
It has been well discussed that many people of color are not fans of therapy. Taking it a step further, blacks have significant issues when it comes to trusting health professionals and are sometimes undertreatedwhen we do go to the doctor. That, along with the Trumpcare on the horizon and 22 million people possibly losing healthcare in the next decade, there's a lot of uncertainty in the black community.
However, the need to take matters into our own hands—which can mean self-medicating with drugs and alcohol, not expressing our issues, and a slightly healthier option: relying on communal spaces to vent where individuals have similar backgrounds and experiences. Places like church, or yes, the barbershop.
"In these public communal spaces, there is less fear of that type of racism which would be further detrimental to our health," says Carlton Green, a psychologist at the University of Maryland. "For decades, the barbershop has been a place of self-definition where black people have this degree of power in a society where in most cases we feel inferior. In these communal spaces, we are not constrained to larger social norms."
In the US, barbershops have been consistently used as research sites for communicating health messages. Nonprofits like the Colorado Black Health Collaborative (CBHC) partnered with healthcare giant Kaiser Permanente to create barbershops that combine health outreach initiatives. By combining the barbershop experience with interventions for hypertension, diabetes, and HIV for people of color, the program was able to expand from one barbershop to twelve. Health professionals are starting to realize that when it comes to treating men more effectively, it starts with being in the public spaces that we frequent.
"Barbershops allow African American men to talk about a myriad of issues impacting the black community," says Larry Walker, a researcher who has written extensively about black barbershops and mental health. "Important issues including politics, economic development, and wellbeing are frequently discussed. Without barbershops, black men would have very few places to feel physically and emotionally safe."
Every type of person walks through the shop doors on a given day. Police officers, city councilmen, addicts, family men, and their sons are all welcome. But once you sit in that chair, it's like the walls we build come crashing down and every opinion comes out. For an hour or two, you can unapologetically raise your voice, call your cheating girlfriend everything under the sun, and walk out feeling and looking like a better man. It's cathartic. But is it actually therapy?
"Barbershops are considered the black man's country club and often there are men in there who are not even getting haircuts," says Sula Hood, a behavioral and social sciences professor at Indiana University-Purdue University. "But the relationship between a man and his barber is a unique and trusting relationship. Barbers tend to chime in with their own personal experiences so the client doesn't feel isolated or alone. That's a different kind of relationship [than] a psychologist, who may not identify with you."
Of course, there's a big difference between getting treated by a mental health professional and working through some issues with a barber. Receiving cognitive behavioral therapy (CBT) from a psychologist may restore a brain's structural balance and ease chronic pain. For illnesses like bipolar disorder, cognitive analytic therapy (CAT) has proven to be an effective treatment. You won't get those benefits hanging out at the shop—some people might even find being around large groups of people to be stressful. No doubt, the physical and mental benefits of seeing a professional outweigh the benefits of not seeing one.
Yes, there are clinical differences between paying 150 dollars an hour for therapy from a psychologist and a 20 dollar haircut from my favorite barber. One is a licensed mental health professional and the other is not. But both have their place. This past weekend, for instance, one of my best friends, Brad, and I took the short drive to the barbershop for our Saturday morning ritual. After waiting my turn and conversing with the regulars, John offered his chair, and then he asked how my parents were doing.