Friday Factoids Catchup: Toward Cultural Competence: Understanding Historical/Generational Trauma for Native Americans

 

Native Americans have been facing psychological consequences of genocide for over 400 years. Due to colonization and military attacks, Native Americans have been subjected to one of the most systemic and brutal ethnic cleansing operations in history. They were relocated to penal colonies, neglected, starved, forbidden to practice their religious beliefs, and their children were taken away from them and reeducated so that much of their language, culture and kinship patterns were lost (Whitbeck, Adams, Hoyt, & Chen, 2004).  In addition, the researchers note that the threats of their lives and cultures being obliterated has become progressive, increasing as each generation passes away. One elder noted, “I feel bad about it. Tears come down. That is how I feel. I feel weak. I feel weak about how we are losing our grandchildren.”

 

Native Americans still are faced with daily reminders of this violent erasure of self and community, such as reservation living, encroachment on their reservation land, loss of language, loss of traditional practice, and loss of healing practices (Whitbeck, Adams, Hoyt, & Chen, 2004). The Indian Health Service (1995) noted that Native American alcoholism death rate was 5.5 times the national average. One can argue that this population is drinking as a means of coping with the historical and generational trauma, as well as the daily reminders of the trauma they experience. Whitbeck, Adams, Hoyt, and Chen, 2004 supported this theory, indicating that daily reminders of ethnic cleansing coupled with persistent discriminations are the keys to understanding historical trauma among Native people.

 

When conducting psychological treatment with this population it is important to be mindful of the historical and generational trauma Native Americans have faced, as well as keeping in mind the role their culture plays. Brave Heart and DeBruyn (1998) highlight that when conducting psychological treatment it is important to recognize that Native Americans incorporate spiritual empowerment and utilize traditional healing ceremonies, which have a natural therapeutic and cathartic effect for spiritual, physical and emotional healing. Many tribes need to conduct specific grief ceremonies, not only for recent deaths, but also historical traumas, including but not limited to the loss of sacred objects being repatriated, mourning for human remains of ancestors, loss of rights to raise children in their cultural norms, and loss of land.  Bridging both evidence-based treatment (EBT) and culturally sensitive approaches in this population appears advantageous. Gone (2009) found, “Both in Northern Algonquian and other Native community contexts, the therapeutic emphasis often remains on healing rather than treatment.” McCabe (2007) supported this finding, indicating that Native healing goes beyond the meaning of distress and coping, to fostering a robust sense of well-being, a strong Aboriginal identification, cultural reclamation, purposeful living and spiritual well-being. Native Americans may not be fond of formal outcome assessment or therapeutic interventions, and find it a distraction from the provision of services ( (Gone, 2011).

 

References
Brave Heart, M., & DeBruyn, L. (1998). The American Indian holocaust: healing historical unresolved grief. American Indian & Alaska Native Mental Health        Research: The Journal Of The National Center8(2), 56-78.

Gone, J. P. (2009). A Community-Based Treatment for Native American Historical          Trauma: Prospects for Evidence-Based Practice. Journal Of Consulting &        Clinical Psychology77(4), 751-762. doi:10.1037/a0015390

Gone J. P. (2011). The red road to wellness: Cultural reclamation in a Native First             Nations community treatment center. American Journal of Community    Psychology 47(1–2):187–202

Indian Health Service. (1995). Trends in Indian health. U.S. Department of Health and     Human Services. Washington, DC.

McCabe, G. H. (2007). The healing path: A culture and community-derived indigenous    therapy model. Psychotherapy: Theory, Research, Practice, Training44, 148–      160.

Whitbeck, L. B., Adams, G. W., Hoyt, D. R., & Chen, X. (2004). Conceptualizing and      Measuring Historical Trauma Among American Indian People. American Journal Of Community Psychology33(3/4), 119-130.

 

Katy Roth, M.A., CRC
WKPIC Doctoral Intern

 

Friday Factoid Catch-Up: Toward Cultural Competence: Historical/Generational Trauma Related to Japanese Americans

 

Historical trauma is relevant to examine regarding the Japanese population in the United States, because those who never experienced the traumatic stressor themselves, such as children and descendants, can still exhibit signs and symptoms of trauma. “During World War II, the United States confined 120,000 Japanese Americans in camps based solely on their Japanese heritage and two thirds of those forced to live in the camps were United States Citizens,” (Nagata, Kim, & Nguyen, 2015.) In addition, the researchers noted that even though the United States was also at war with Germany and Italy, neither German Americans nor Italian Americans were subjected to mass incarceration, like the Japanese Americans.

 

When conducting psychological treatment with this population it is important to be mindful of the historical and generational trauma Japanese individuals have faced, and to note that, “Even though the incarceration assaults on identity represented a cultural trauma, Japanese Americans did not process them as a collective group. Instead, the impacts were contained primarily at the individual trauma level, during and after the war,” (Nagata, Kim, & Nguyen, 2015.) In addition, the researchers stated, after the Japanese Americans experienced incarceration in camps, they attempted to cope by silence to repress the incarceration trauma for more than three decades. Laub and Auerhahn (1984) supported Nagata, Kim, and Nguyen (2015) and stated, “The more profound the outer silence exhibited by a Japanese individual, the more extensive was the inner impact of the event experienced (p. 154).”

 

In many cases, the lack of communication about the interment created a sense of foreboding for the Sansei as they grew older, and ultimately increased the curiosity about the camps, as well as heightened their sense of parental trauma (Nagata, 1991). A participant described the topic of internment as a forbidden topic that family tiptoed around, like a family scandal. It is important when conducting therapy with Japanese individuals to explore the role of this silence, not only on an individual level but a familial level, and to explore the client’s interpretation of that silence. In addition, this population may experience lower levels of self-esteem and identity issues stemming from the historical trauma, which may need to be considered in current psychological treatment. According to Nagata (1991), after the camps, many Nisei felt particularly pressured to demonstrate their worth after being rejected by their country, and their Sansei children were also expected to be the best and acquire the respect of others. Further, while Sansei today have more opportunities accessible to them than their Nisei parents, the camp experience of their parents may continue to affect their sense of ethnic identity, resulting in issues of identity.

 

Narrative Therapy may be beneficial when working with this population because it will allow the therapist to evaluate the stories of the client and can serve several functions in clinical practice: (1) to “make the latent manifest,” (2) to “help construct a unifying narrative, “and (3) to “reconstruct a more useful and coherent interpretation of past events and future projects than the client’s present narrative” (Polkinghorne, 1988, p. 178). Family therapy is also advantageous for this population because, “The focus of the family work is to unburden relationships by encouraging dialogues among family members whereby protected, hidden, and even unconscious conflicts of loyalty, obligations, myths, and legends can surface and be examined” (Miyoshi, 1980, p. 41).

 

 

References
Laub, D. & Auerhahn, N.C. (1984). Reverberations of genocide: Its expression in the        consciousness and unconsciousness of post-Holocaust generations. In S. A. Lueland P. Marcus (eds.), Psychoanalytic reflections on the Holocaust (pp. 151-167).   New York: KTAV Publishing House.

Miyoshi, N. (1980). Identity crisis of the Sansei and the American concentration camp.     Pacific Citizen, December 19-26, 91, pp. 41-42, 50, 55.

Nagata, D. K. (1991). Transgenerational Impact of The Japanese- American Internment:   Clinical Issues in Working With Children of Former     Internees. Psychotherapy28(1), 121-128.

Nagata, D. K., Kim, J. J., & Nguyen, T. U. (2015). Processing Cultural Trauma:    Intergenerational Effects of the Japanese American Incarceration. Journal Of      Social Issues71(2), 356-370. doi:10.1111/josi.12115

Polkinghorne, D. E.  (1988). Narrative knowing and the human sciences. New York:         State University of New York Press.

 

Katy Roth, M.A., CRC
WKPIC Doctoral Intern

 

 

Friday Factoids: Why Am I So Thirsty?

 

New research has begun examining how we know when to stop drinking.  It may come as a surprise, but we stop drinking well before our body has begun processing the liquids we have ingested (Hamilton, 2018).  Past research discovered the “thirst center” of the brain would trigger the body to quit drinking when it recognized enough liquids were taken in, however, there was little understanding as to how it worked.

 

Now, researches have learned that nitric oxide synthase-expressing neurons in the median preoptic (MnPO) nucleus alert the subfornical organ (SFO) (the part of the brain responsible for thirst) when we are thirsty (Augustine et al., 2018).  When we drink something, MnPO expressing glucagon-like peptide 1 receptors (GLP1R) are activated and inhibit the SFO neurons.  What is interesting is the body recognizes the difference between solids and liquids (Hamilton, 2018).  When ingesting a solid comprised mostly of liquid components (like gelatins), our body does not recognize it as a liquid and inhibit the SFO.

 

Even more useful, this research helps better explain psychogenic polydipsia, a disorder in which people are unable to recognize when they have had enough to drink (Hamilton, 2018).  This disorder can commonly lead people who have suffered brain trauma to drink dangerous amounts of water or other liquids believing they are still thirsty.  After inhibiting GLP1R-expressing MnPO in mice, the study found similar effects, suggesting this area of the brain is a major contributor to the expression of psychogenic polydipsia (Augustine et al., 2018).

 

References:
Augustine, V., Gokce, S. K., Lee, S., Wang, B., Davidson, T. J., Reimann, F., . . . Oka, Y. (2018). Hierarchical neural architecture underlying thirst regulation. Nature. doi:10.1038/nature25488

 

Hamilton, J. (2018). Still thirsty? It’s up to your brain, not your body. NPR. Retrieved from https://www.npr.org/sections/thesalt/2018/02/28/589295404/still-thirsty-its-up-to-your-brain-not-your-body

 

Michael Daniel, MA, LPA (temp)
WKPIC Doctoral Intern

 

 

Friday Factoids: Psychological Preparation for the Olympics

With the 2018 Winter Olympics coming to a close in the next few days, you may be wondering how these word class athletes handle the stress of performing on an international level.  These athletes do not just have to be in the best physical shape of their lives, but they also have to be mentally prepared.

 

And that is where psychologists can help.  Jim Taylor, Ph.D. has been working with athletes to create an individualized program to allow each of them to perform to the best of their abilities (February 2018).  He noted that the technique most commonly used with his athletes is mental imagery and described several benefits of this technique. First, mental imagery allows athletes to imagine feeling great during the event, which helps to boost their overall confidence level before they compete.  Second, it allows the athlete to focus on what they need to do to perform their best.

 

So, the next time you are stressed about an upcoming event, channel your inner Olympic athlete and form a mental image yourself “winning gold.”

 

References
Taylor, J. (2018, February 5). Mentally Preparing for Olympic Sports Success. Retrieved from https://www.psychologytoday.com/blog/the-power-prime/201802/mentally-preparing-olympic-sports-success

 

Anissa Pugh, MA, LPA
WKPIC Doctoral Intern

 

 

 

Friday Factoids: Why It Hurts To Lose A Fictional TV Character

For the fans of the hit television series This Is Us, Super bowl Sunday was not just about the game, Justin Timberlake’s halftime performance, and the commercials.  It was the day we finally learned the backstory of one of the show’s beloved characters, Jack Pearson, and how he died.  As fans watched the show, it is likely that they experienced feelings of sadness and probably cried along with the thousands of other fans who were glued to their TV screen.

 

But why do fans mourn the loss of these TV characters? It has been suggested that fans of these TV shows use the characters as an escape from the stressors in their daily lives (Holmes, 2015).  Each week and even each season, fans tune into their favorite shows to see how the characters are developing in life. It is not surprising that many people begin to form an attachment to these characters and potentially even see some of themselves in the characters.

 

A study conducted on the end of television series and thus the subsequent death of beloved characters found that fans are most unhappy when loose ends are left about the fate of the characters.  This indicates that fans want a sense of closure with the characters’ stories and do not want to have to continue wondering, “What if.”

 

So know that when you feel sad that a beloved character is no longer on your favorite show, you are not alone, and it is likely that others around the world are having those same feelings.

 

References:

Cristel Antonia Russell, Hope Jensen Schau. When Narrative Brands End: The Impact of Narrative Closure and Consumption Sociality on Loss Accommodation. Journal of Consumer Research, 2014.

 

Holmes, L. (2015, April 29). Yes, Grieving Fictional Characters Is A Real Thing — Here’s Why We Do It. Retrieved from https://www.huffingtonpost.com/2015/04/29/why-we-grieve fictional-characters_n_7152992.html

 

Anissa Pugh, MA, LPA
WKPIC Doctoral Intern