Child Health Research Centre, The University of Queensland, Brisbane, QLD 4072, Australia.
Curtin Medical School, Curtin University, Perth, WA 6000, Australia.
Int J Environ Res Public Health. 2023 Mar 22;20(6):5215. doi: 10.3390/ijerph20065215.
Aboriginal culture intuitively embodies and interconnects the threads of life that are known to be intrinsic to human wellbeing: connection. Therefore, Aboriginal wisdom and practices are inherently strengths-based and healing-informed. Underpinned by an Indigenist research methodology, this article presents findings from a collaboration of Aboriginal and non-Aboriginal peoples to develop an Australian Fetal Alcohol Spectrum Disorder (FASD) Indigenous Framework during 2021 to 2023. The FASD Indigenous Framework unfolds the changes that non-Aboriginal clinicians and Aboriginal peoples each need to make in their respective ways of knowing, being and doing in order to facilitate access to healing-informed, strengths-based and culturally responsive FASD knowledge, assessment, diagnosis and support services among Aboriginal peoples. Drawing on the Aboriginal practices of yarning and Dadirri, written and oral knowledges were gathered. These knowledges were mapped against Aboriginal cultural responsiveness and wellbeing frameworks and collaboratively and iteratively reflected upon throughout. This article brings together Aboriginal wisdom (strengths-based, healing-informed approaches grounded in holistic and integrated support) and Western wisdom (biomedicine and therapeutic models) in relation to FASD. From a place of still awareness (Dadirri), both forms of wisdom were drawn upon to create Australia's first FASD Indigenous Framework, a new practice in the assessment and diagnosis of FASD, which offers immense benefit to equity, justice, support and healing for Aboriginal families with a lived experience of FASD.
联系。因此，土著智慧和实践从本质上是以优势为基础的，并以疗愈为导向。本文以本土主义研究方法为基础，介绍了 2021 年至 2023 年期间，土著和非土著人民合作制定澳大利亚胎儿酒精谱系障碍（FASD）土著框架的研究结果。该 FASD 土著框架展现了非土著临床医生和土著人民各自需要在其各自的认知、存在和行动方式上做出的改变，以便在土著人民中促进获得以疗愈为导向、以优势为基础和以文化为响应的 FASD 知识、评估、诊断和支持服务。该框架借鉴了土著人的 Yarning 和 Dadirri 实践，收集了书面和口头知识。这些知识与土著文化响应性和幸福感框架进行了对照，并在整个过程中进行了合作和迭代反思。本文将土著智慧（基于整体和综合支持的以优势为基础、以疗愈为导向的方法）与西方智慧（生物医学和治疗模式）结合起来，探讨了 FASD 问题。在 Still Awareness（Dadirri）的基础上，借鉴了这两种形式的智慧，创建了澳大利亚第一个 FASD 土著框架，这是 FASD 评估和诊断的新实践，为具有 FASD 生活经历的土著家庭提供了公平、正义、支持和疗愈方面的巨大利益。
