A Community-Based Treatment for Native American Historical Trauma: Prospects for Evidence-Based Practice
A Community-Based Treatment for Native American Historical Trauma: Prospects for Evidence-Based Practice
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DOI：
10.1037/a0015390
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发表时间：
2009-08-01
影响因子：
5.9
通讯作者：
Gone, Joseph P.
中科院分区：
文献类型：
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作者：
Gone, Joseph P.
我们采访了19位美洲原住民康复旅馆的工作人员和客户，讨论了如何使用治疗方法来解决美洲原住民历史创伤的遗留问题。在访谈主题内容分析的基础上，出现了治愈话语的4个组成部分。首先，咨询师认为来访者会承受痛苦，导致成人功能障碍，包括药物滥用。其次，心理咨询师认为，必须坦白这种痛苦，才能消除其有害的影响。第三，心理咨询师说，宣泄这种痛苦是为了开创自省和自我完善的终身习惯。最后，这个治愈之旅需要对土著遗产、身份和精神的重新利用，项目人员认为这将抵消殖民的致病影响。对这种治疗话语的思考表明，心理学家在基于证据和文化敏感的治疗范式之间建立桥梁的一个重要途径是与土著项目合作，探索当地决定的治疗结果，以最大限度地满足社区的需求和利益。
Nineteen staff and clients in a Native American healing lodge were interviewed regarding the therapeutic approach used to address the legacy of Native American historical trauma. On the basis of thematic content analysis of interviews, 4 components of healing discourse emerged. First, clients were understood by their counselors to carry pain, leading to adult dysfunction, including substance abuse. Second, counselors believed that such pain must be confessed in order to purge its deleterious influence. Third, the cathartic expression of such pain was said by counselors to inaugurate lifelong habits of introspection and self-improvement. Finally, this healing journey entailed a reclamation of indigenous heritage, identity, and spirituality that program staff thought would neutralize the pathogenic effects of colonization. Consideration of this healing discourse suggests that one important way for psychologists to bridge evidence-based and culturally sensitive treatment paradigms is to partner with indigenous programs in the exploration of locally determined therapeutic outcomes for existing culturally sensitive interventions that are maximally responsive to community needs and interests.