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When I Spoke, I Spoke From the Heart”

Empirical Insights and Therapeutic Lessons From an Indigenous Counseling Center

Bibliographic Data

ID8912813
AuthorsRachel E Wilbur (0000-0002-3008-962X, Institute for Research and Education to Advance Community Health, Washington State University, Seattle WA, USA, corresponding author), Tony V Pham (0000-0002-3261-8185, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA), J P Gone (0000-0002-0572-1179, Harvard Medical School)
Year2024
Volume52
Issue7
Pages1142-1173
Publication date2024-09-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Counseling Psychologist (JOURNAL)
Journal identifiersISSN: 0011-0000 • E-ISSN: 1552-3861
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00110000241279120
OpenAlexW4402412217
LanguageEN
Citations received3
References cited34

Indigenous Peoples in Canada experience inequities in behavioral health outcomes stemming from colonial subjugation, including tacit cultural assimilation through health care. Indigenous communities assert that culturally commensurate health interventions improve wellbeing. This study, conducted with clients and staff at a First Nations behavioral health treatment program, sought to identify how respondents conceived of the therapeutic endeavor with respect to possibilities for remedying colonial injuries such as the abuses of the Indian Residential Schools (IRSs). Thematic analysis of 32 interviews revealed that targeted therapeutic goals as well as specific counselor qualities were important for a positive therapeutic experience for those in the program. Ultimately, assimilative practices, such as the IRSs of the past and mainstream behavioral health treatment programs in the present may collectively contribute to the continuation of inequities in health outcomes for Indigenous Canadians. Decolonizing the therapeutic endeavor offers a potential avenue for positive change

Center (category theory · Counseling psychology · Empirical research · Indigenous · Medical education · Psychotherapist · Spoke-hub distribution paradigm · Child Therapy and Development · Counseling Practices and Supervision · Engineering · Indigenous Health, Education, and Rights · Medicine · Psychology

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  • Cultural humility

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  • Effects of land dispossession and forced migration on Indigenous peoples in North America

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  • American Indian Culture as Substance Abuse Treatment

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Unique citing works3
Citations per year1.5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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