Gone Joseph P
University of Michigan
Transcult Psychiatry. 2014 Jun;51(3):387-406. doi: 10.1177/1363461513489722. Epub 2013 Jun 13.
Professional clinicians and human services providers are increasingly attributing the mental health problems of American Indians (AIs) to historical trauma (HT). As an alternative to established psychiatric disorders, AI HT was formulated to explain enduring mental health disparities as originating in tribal experiences of Euro-American colonization. As a result, AI HT has been described as the collective, cumulative, and intergenerational psychosocial disability resulting from massive group-based oppression, such as forced relocation, political subjugation, cultural domination, and genocide. One objective of the HT construct is to frame AI distress and dysfunction in social and historical terms. Given widespread indigenous experiences of colonization, the debilitating effects of HT are presumed to affect most AI communities today. With this background in mind, I explore AI HT with specific reference to a "war narrative" obtained by an anthropologist in 1901 from an elderly Gros Ventre woman. In this account, Watches All described her participation in a historic intertribal battle, and her subsequent captivity and escape from the enemy during the late 1860s. This historical narrative references many first-hand experiences that would today be identified as traumatogenic. Interestingly, however, this account complicates several assumptions underlying AI HT, leading to vexing questions of whether Watches All's ordeal actually qualifies as an instance of AI HT. No matter how one answers these questions, such ambiguity highlights serious theoretical confusions requiring elaboration and refinement if AI HT is to remain a useful construct in the behavioral health sciences.
专业临床医生和人类服务提供者越来越多地将美国印第安人(AI)的心理健康问题归因于历史创伤(HT)。作为既定精神疾病的替代解释,AI的HT被用来解释持续存在的心理健康差距,认为其起源于欧美殖民时期部落的经历。因此,AI的HT被描述为基于群体的大规模压迫(如被迫迁移、政治征服、文化统治和种族灭绝)所导致的集体、累积和代际心理社会残疾。HT概念的一个目标是以社会和历史的角度来界定AI的痛苦和功能障碍。鉴于广泛存在的本土殖民经历,HT的削弱作用被认为影响了当今大多数AI社区。基于这一背景,我将特别参考一位人类学家在1901年从一位格罗斯文特老年妇女那里获得的“战争叙事”来探讨AI的HT。在这个叙述中,沃奇斯·奥尔描述了她参与一场历史性的部落间战斗,以及她随后在19世纪60年代后期被敌人俘虏并逃脱的经历。这个历史叙事引用了许多如今会被视为创伤源的第一手经历。然而,有趣的是,这个叙述使AI的HT所基于的几个假设变得复杂,引发了关于沃奇斯·奥尔的磨难是否真的符合AI的HT实例的棘手问题。无论人们如何回答这些问题,这种模糊性都凸显了严重的理论困惑,如果AI的HT要在行为健康科学中继续作为一个有用的概念,就需要进行阐述和完善。