Mental Health

"Not only standing for, but standing up for diversity": an intersectional qualitative analysis of how university students embody and resist discrimination.

TL;DR

Discrimination in higher education emerged as a relational and institutional process through which students' academic trajectories and relationships to power are continuously (re)produced, with embodied consequences that must be recognised as 'not only a social issue, but also a critical public health concern determining students' mental health and wellbeing.'

Key Findings

University students in Germany experienced discrimination as an embodied process shaped by microaggressions, institutional rigidity, and unequal power relations, particularly within student-lecturer dynamics.

  • Fifteen semi-structured, problem-centred interviews were conducted with university students who reported experiencing discrimination.
  • Data were analysed using the Intersectional Multilevel Analysis (IMA) framework by Winker and Degele, linking individual meaning-making to symbolic representations and social structures.
  • Analysis combined inductive reconstruction of students' self-positionings with deductive contextualisation of how discrimination operates across interpersonal, institutional, and structural levels.
  • Student-lecturer power dynamics were identified as a particularly salient site where discrimination was enacted and reinforced.

Students reported multiple intersecting forms of discrimination rather than isolated, single-axis experiences.

  • Forms identified included racism, sexism, xenophobia, classism, language-based exclusion, ableism, caregiving discrimination, and ageism.
  • These forms were experienced 'not as isolated categories but as overlapping, context-dependent processes.'
  • The study explicitly critiques single-axis analyses for 'failing to capture the complexity of discrimination.'
  • An intersectional, qualitative multi-level approach was used specifically to address this gap in existing research.

Experienced discrimination settled into the body through emotional, cognitive, and physical manifestations.

  • Participants described embodied effects expressed as fear, anger, exhaustion, and burnout.
  • Discrimination was also accompanied by existential questioning and disrupted identities.
  • These embodied effects were described as 'not isolated reactions but ongoing responses to inequity.'
  • The concept of discrimination as an 'embodied process' frames these physical and psychological manifestations as inseparable from social and structural conditions.

Students exercised agency through strategies of endurance, withdrawal, and resistance as forms of 'embodied survival work' in response to persistent inequities.

  • These coping strategies were identified alongside the documented harms of discrimination.
  • Strategies were framed as 'embodied survival work in response to persistent inequities' rather than as purely voluntary choices.
  • The coexistence of harm and agency was a key finding, indicating students were not passive recipients of discrimination.
  • Resistance strategies included what the paper describes as 'standing up for diversity,' not only representing it.

Discrimination in higher education was found to operate as both a social issue and a public health concern affecting students' mental health and wellbeing.

  • The study frames discrimination's embodied consequences as a 'critical public health concern determining students' mental health and wellbeing.'
  • Students holding marginalised positions consistently reported negative effects on mental health, sense of belonging, and academic trajectories.
  • The authors argue this demands 'institutional accountability and policies that move beyond symbolic diversity rhetoric toward meaningful structural and cultural transformation.'
  • The study situates universities as institutions embedded in and contributing to existing social inequities, not merely neutral settings.

The study used the Intersectional Multilevel Analysis (IMA) framework to link individual student experiences to symbolic representations and broader social structures.

  • The IMA framework was developed by Winker and Degele and connects micro-level meaning-making with meso- and macro-level analyses.
  • The sample consisted of 15 participants who self-reported experiencing discrimination during their studies at universities in Germany.
  • A problem-centred, semi-structured interview format was used to elicit detailed personal accounts.
  • Analysis was both inductive (reconstructing self-positionings) and deductive (contextualising discrimination across interpersonal, institutional, and structural levels).

What This Means

This research suggests that university students who belong to marginalized groups in Germany face discrimination that is complex, layered, and deeply harmful to their mental and physical health. Rather than experiencing one type of discrimination at a time, students described overlapping forms — such as racism combined with sexism, or language-based exclusion combined with classism — that intensified their experiences and made it difficult to address any single source of harm. These experiences were especially pronounced in relationships with professors and instructors, where power imbalances left students with few options for recourse. This research also suggests that discrimination does not just affect how students feel in the moment — it becomes embedded in their bodies over time, manifesting as exhaustion, burnout, fear, anger, and a disrupted sense of identity and belonging. Students described these effects as persistent, not fleeting, pointing to the cumulative toll of navigating discriminatory environments throughout their academic lives. At the same time, students were not simply passive victims; they found ways to endure, withdraw, or actively resist discrimination, though these survival strategies themselves required significant emotional and physical effort. The study highlights that discrimination in universities should be understood not just as a social or ethical problem, but as a public health issue with real consequences for student wellbeing and academic success. The authors argue that meaningful change requires universities to go beyond symbolic statements about diversity and inclusion, and instead take concrete institutional responsibility for addressing the structural and cultural conditions that allow discrimination to persist.

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Citation

Pilz González L, Prediger C, Stock C, Tezcan-Güntekin H, Heinrichs K. (2026). "Not only standing for, but standing up for diversity": an intersectional qualitative analysis of how university students embody and resist discrimination.. International journal for equity in health. https://doi.org/10.1186/s12939-026-03003-w