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拉布拉多因纽特人的疗愈过程:在历史和当代殖民主义的背景下改善健康和福祉。

A process of healing for the Labrador Innu: Improving health and wellbeing in the context of historical and contemporary colonialism.

机构信息

Population Health PhD Program, Faculty of Health Science, University of Ottawa, Ottawa, Canada.

Sheshatshiu Innu First Nation, Innu Nation of Labrador, Sheshatshiu, Newfoundland and Labrador, Canada.

出版信息

Soc Sci Med. 2021 Jun;279:113973. doi: 10.1016/j.socscimed.2021.113973. Epub 2021 Apr 29.

Abstract

In light of the negative effects of historical and contemporary colonialism on the Labrador Innu, healing initiatives grounded in self-determination, renewal of cultural practices, and non-reliance on Western bio-medicine, are known, taught and widely practiced among the Innu. The value of Indigenous healing practices in the treatment of Indigenous people is well-recognized in Indigenous wellness literature, yet non-Indigenous health practitioners know little about healing processes. Moreover, to our knowledge, no studies have examined any contemporary Labrador Innu healing process. The main aim of this paper is to describe the process of healing among the Innu. Although there may be multiple processes of healing, we shed light on a major process that emerged from interviews and focus groups with 39 participants. Five stages of healing were described: being "under the blanket"; finding spiritual strength; extending hands out; finding strength and power; and helping others. Findings highlighted enablement of healing through spiritualities, support from Elders, return to culture, and resistance to negative stereotypes. We provide health professionals with valuable information for considering Innu healing as a model that expands their views for the benefit of Innu seeking mental health services. Implications for non-Innu health and social service providers are about broadening their understanding of the significant role of self-determination among Innu, learning Innu ways-of-knowing and being, recognizing one's own biases, and acknowledging the power imbalances between themselves and Innu people.

摘要

鉴于历史和当代殖民主义对拉布拉多因纽特人的负面影响,基于自决、文化习俗复兴和不依赖西方生物医学的治愈举措,在因纽特人中是众所周知的,被教授和广泛实践的。在原住民健康文献中,原住民治愈实践在治疗原住民方面的价值得到了广泛认可,但非原住民健康从业者对治愈过程知之甚少。此外,据我们所知,尚无研究考察过任何当代拉布拉多因纽特人的治愈过程。本文的主要目的是描述因纽特人的治愈过程。尽管可能有多种治愈过程,但我们从对 39 名参与者的访谈和焦点小组中揭示了一个主要的治愈过程。描述了五个治愈阶段:“在毯子下”;寻找精神力量;伸出援手;找到力量和权力;帮助他人。研究结果突出了通过精神信仰、长辈的支持、回归文化以及抵制负面刻板印象来实现治愈的能力。我们为卫生专业人员提供了有价值的信息,供他们考虑因纽特人的治愈方法作为一种模式,扩大他们的视野,使寻求心理健康服务的因纽特人受益。对非因纽特卫生和社会服务提供者的影响是扩大他们对因纽特人自决的重要作用的理解,学习因纽特人的认知和存在方式,认识到自己的偏见,并承认自己与因纽特人之间的权力不平衡。

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