Making to Heal
Abstract
Marginalized communities (MCs), including racial and ethnic minorities, LGBTQIA+ individuals, people with disabilities, first-generation college students, and those experiencing socioeconomic disadvantages, face disproportionate mental health challenges due to systemic inequities. More than half of US adults with mental illness go untreated; only 36–39% of Black and Hispanic adults receive mental health care compared to 50% of White adults. LGBTQIA+ youth are four times more likely to attempt suicide, while American Indian and Alaska Native youth have the highest suicide rates in the nation. Access to culturally responsive, affirming care remains limited. Therefore, this study explores how textile crafting (TC) (e.g., sewing, knitting, and embroidery) supports emotional well-being fulfillment and empowerment among marginalized makers. Participants described a flow state where time felt irrelevant and a sense of satisfaction. These experiences were synonymous with flow theory, making it an appropriate framework for understanding how TC generates psychological relief. Minority stress theory was used to explain how TC serves as a coping strategy by providing a protective barrier against the harmful effects of marginalization. Collectively, these frameworks explain how TC supports long-term well-being as a pathway to empowerment and in response to minority stress. A two-phase qualitative design included focus groups and individual interviews with participants across the US who self-identified as members of MCs. Thematic analysis revealed five key themes: affective engagement, immersive flow, social cohesion and identity, empowerment through creation, and meaning and purpose. Although the sample was small and predominantly African American women, the findings confirm that TC is a life-enhancing practice. Implications extend to educators, mental health practitioners, and community organizations as textile crafts can provide inclusive strategies that reduce stress and promote empowerment and social connection. However, issues of access, cost, and cultural relevance must be addressed.

