perspectives on indigenous mental health
TRANSCRIPT
PERSPECTIVES ON INDIGENOUS MENTAL HEALTH: Cultural Teachings and Implications for Care
Dr. Christopher Mushquash, Ph.D., C.Psych. Canada Research Chair in Indigenous Mental Health and Addiction
Associate Professor, Department of Psychology Lakehead University and Northern Ontario School of Medicine Psychologist, Dilico Anishinabek Family Care
Director, Centre for Rural and Northern Health Research Associate Vice President Research, Thunder Bay Regional Health Sciences Centre
Chief Scientist, Thunder Bay Regional Health Research Institute
The Dr. Robert M. Martin Memorial Lecture Department of Clinical Health Psychology
OVERVIEW
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FOUNDATIONS
There are more differences within groups than between groups.
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The problem with simple linear relationships.
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There are 3 possible outcomes to every intervention, no matter how well-intentioned.
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1. Improvement
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1. Improvement 2. No change
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1. Improvement 2. No change 3. Make things worse
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FOUNDATIONS OF WELLNESS
• Ability to self-regulate • Ability to tolerate distress • Ability to meet the demands of daily life • Ability to be in meaningful relationship(s) • Ability to take responsibility for oneself and/or others • Ability to use adaptive coping behaviours • Ability to manage physical needs, etc.
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FOUNDATIONS OF WELLNESS
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FOUNDATIONS OF WELLNESS
From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/
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FOUNDATIONS OF WELLNESS
From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/
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INTERGENERATIONAL TRAUMA
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ADVERSE CHILDHOOD EXPERIENCES
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ADVERSE CHILDHOOD EXPERIENCES
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ADVERSE CHILDHOOD EXPERIENCES
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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Twitter: @DrMushquash
ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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ADVERSE CHILDHOOD EXPERIENCES
Felitti, 2004
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Male with ACE score of 6 compared to male with ACE score of 0 has 46-times greater risk
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ADVERSE CHILDHOOD EXPERIENCES
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EXECUTIVE FUNCTION
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PREVENTION 35
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SELF-EFFICACY BANDURA, 1982
• Individual's belief in her or his ability to achieve goals • Choices regarding behavior • Motivation • Work performance • Thought patterns and responses • Health behaviors • Relationship to loss of control • Factors affecting self-efficacy
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SELF-EFFICACY BANDURA, 1982
• Individual's belief in her or his ability to achieve goals • Choices regarding behavior • Motivation • Work performance • Thought patterns and responses • Health behaviors • Relationship to loss of control • Factors affecting self-efficacy
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https://www.cbc.ca/kidscbc2/the-feed/do-you-know-what-a-powwow-is
DEVELOPMENT
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0 6
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DEVELOPMENT
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0 18
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DEVELOPMENT
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-2 18
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DEVELOPMENT
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-18 18
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DEVELOPMENT
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-18 25
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FOUNDATIONS OF WELLNESS
From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/
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Predictability
Consistency
Warmth
Validation
Expectations
Consequences
Self-Efficacy
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ATTACHMENT
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CORRECTIVE EXPERIENCES
• Events that challenge one's fear or expectations and lead to new outcomes • Often facilitated by a skilled clinician
• Engage in new behaviors • Adopt more healthy ways of relating to others • Develop a more positive view of self • Feel previously unacceptable feelings
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Castonguay, L. G., & Hill, C. E. (Eds.). (2012).
CULTURE-BASED APPROACHES
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MEEGWETCH
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