University of Hawai'i System, Honolulu, Hawai'i, USA.
Associate Professor of Psychiatry, University of Hawai'i John A. Burns School of Medicine, Honolulu, Hawai'i, USA.
J Psychoactive Drugs. 2021 Apr-Jun;53(2):111-126. doi: 10.1080/02791072.2020.1833114. Epub 2020 Nov 8.
This article builds on an existing body of scholarship on historical and intergenerational cultural trauma to elucidate deliberate attempts to eliminate Native Hawaiian cultural practices related to psychoactive drug use and replace them with the foreign (Western) tradition of alcohol use. This action, to instill alcohol as a component of colonial domination, was one example of the resulting assault on cultural identity that has often been overlooked, particularly in relation to transgenerational trauma in the history of Hawai'i and the Hawaiian context. In this article, we argue for the use of the term , introduced by Brave Heart, which allows for a more inclusive consideration of the many aspects of trauma. Drawing on literature related both to alcohol use in indigenous Hawaiian society and to the wider historical context of Hawai'i since the late eighteenth century, we endeavor to demonstrate the correlation between the historical trauma experienced by the population and the incidence of alcohol consumption and alcohol use disorder. The article is intended to augment the existing paradigm on cultural trauma as it specifically relates to Hawaiians, and potentially to widen the explanatory power of this paradigm with regard to present-day psychoactive drug use among Hawaiians as well as the implications for treatments.
这篇文章以现有的关于历史和代际文化创伤的学术研究为基础,阐明了刻意试图消除与精神活性药物使用相关的夏威夷原住民文化习俗,并以使用酒精的外来(西方)传统取而代之的行为。这种行为将酒精作为殖民统治的一部分,是对文化认同的攻击的一个例子,这种攻击常常被忽视,特别是在夏威夷历史和夏威夷背景下的代际创伤方面。在本文中,我们主张使用 Brave Heart 提出的术语 ,以更全面地考虑创伤的许多方面。我们借鉴了与夏威夷本土社会中酒精使用以及自 18 世纪后期以来夏威夷更广泛历史背景相关的文献,努力证明人口所经历的历史创伤与酒精消费和酒精使用障碍的发生率之间的相关性。本文旨在补充现有的关于文化创伤的范式,特别是与夏威夷人有关的范式,并可能扩大该范式对当今夏威夷人使用精神活性药物的解释力,以及对治疗的影响。