Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health.
American Indian Health and Family Services of Southeast Michigan, Inc.
J Couns Psychol. 2024 Nov;71(6):531-542. doi: 10.1037/cou0000764. Epub 2024 Oct 3.
Contemporary American Indian communities experience a disproportionately high rate of specific mental health concerns, including psychiatric disorders as defined by professional psychology. Although integrating mainstream mental health services and Indigenous traditional healing (ITH) has been presented as a promising approach to addressing these inequities, such integration necessitates in-depth exploration and consideration of ITH. To that effect, this article provides a thematic analysis of an interview with an urban American Indian traditional healer who reflected on more than 4 decades of therapeutic experience. Based on this analysis, we identified two major themes. The first theme, , reflects this healer's conceptualization and understanding of the therapeutic process while the second theme, explicates the foundational commitments that shape and guide this healer's application and practice of ITH. These insights reinforce previous observations made by scholars of Indigenous health and well-being that challenge dominant Euro-American perspectives and call for transformative change in psychology research and practice, advocating for professional consideration of a broader range of therapeutic rationales, traditions, and practices than what is common within the field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
当代美洲印第安人社区经历了特定心理健康问题的不成比例的高发病率,包括专业心理学定义的精神障碍。尽管将主流心理健康服务和本土传统疗法 (ITH) 相结合被认为是解决这些不平等问题的一种有前途的方法,但这种整合需要深入探索和考虑 ITH。为此,本文对一位城市美洲印第安传统治疗师的访谈进行了主题分析,该治疗师反思了 40 多年的治疗经验。基于此分析,我们确定了两个主要主题。第一个主题 ,反映了这位治疗师对治疗过程的概念化和理解,而第二个主题 ,阐述了塑造和指导这位治疗师应用和实践 ITH 的基本承诺。这些观点强化了之前学者对原住民健康和福祉的观察,挑战了主流的欧洲-美国观点,并呼吁在心理学研究和实践中进行变革,提倡专业考虑更广泛的治疗理据、传统和实践,而不仅仅是该领域常见的理据、传统和实践。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。