Roots of Resilience: Transformations of Identity and Community in Indigenous Mental Health

我们建议制定一项跨国跨学科研究计划，研究促进土著人民终生心理健康韧性的因素和过程，重点放在幼儿、学龄儿童、青春期和青壮年。我们将执行一系列相互关联的项目，以确定这三个国家土著人民的个人和集体复原力的独特特点。这项研究的联系将以三种方式进行：(1)在个人、家庭、社区和社会层面制定一个可应用于三个国家的综合复原力模型；(2)设计对同一人群的多方法研究，以便能够对结果进行三角划分，从而更有效地解释结果；(3)使用跨国家比较来检查复原力过程中潜在的社会结构、文化和历史差异。这些项目将包括使用定性生活史和人种学方法对复原力进行临床、社区和人口研究，并对流行病学数据进行量化分析。合作研究人员为不同年龄段的复原力研究开发了具体方法，包括：婴儿期和幼儿期的父母教养和家庭环境；基于学校的关于表现和保持结果的研究；基于社区的关于个人生活轨迹的民族志研究；关于社区对逆境的反应的社会历史研究；以及基于人口的纵向数据集研究。在整个这些研究中，我们的重点将是确定土著人民的经历中可能有哪些特点，以便适当地解释和应用关于复原力的研究，以改善这些人口的健康。

We propose to develop a cross-country interdisciplinary research program on factors and processes that promote resilience in mental health among indigenous peoples across the lifespan, with an emphasis on early childhood, school age children, adolescence and young adulthood. We will carry out a set of linked projects to identify the distinctive characteristics of individual and collective resilience among indigenous peoples in the three countries. This linkage of studies will occur in three ways: (1) developing a comprehensive model of resilience at individual, family, community and societal levels that can be applied across the three countries; (2) designing multi-method studies of the same population so that results can be triangulated for greater validity of interpretation of results; (3) using cross-national comparisons to examine potential social structural, cultural and historical differences in the processes of resilience. The projects will include clinical, community and population-based studies of resilience using both qualitative life history and ethnographic methods and quantitative analysis of epidemiological data. The collaborating investigators have developed specific methods for studies of resilience in different age groups, including: parenting and family environment during infancy and early childhood; school-based research on outcomes of performance and retention; community-based ethnographic research on individual life trajectories; social historical research on community responses to adversity; and population-based research on longitudinal datasets. Throughout these studies our emphasis will be on identifying what may be distinctive about the experience of indigenous peoples so that research on resilience can be appropriately interpreted and applied to improve the health of these populations.