Envisioning Deep Collaboration Between Psychiatry And Traditional Ways Of Knowing In A British Columbia First Nations Setting: A Personal Reflection
Dr. Tony B. Benning
Volume 15, Number 1 (2016) 15 (1): 55-64
Keywords collaboration, Western psychiatry and traditional/indigenous healing asymmetrical relationships, Western and traditional medicine
Abstract
In this paper, I draw on my experiences of providing psychiatric outreach services to indigenous communities near Chilliwack, B.C. over the course of a two and a half year period. The principle aim of the paper is to critically examine and reflect on the concept of collaboration as it pertains to psychiatric services on Canadian First Nation communities. The hope is that doing so will inform the work of others engaged in service development and delivery in similar settings. The analysis proceeds through a combination of personal reflection and critical reading of pertinent literature. Emerging from the analysis is a tripartite conceptualization of collaboration that
recognizes the value of structural or organizational collaboration but which, at the same time, acknowledges the possibility of and calls for a deeper level collaborative approach. A multi-level conceptualization of collaboration then is envisioned in this paper; one that encompasses the notions of collaboration at ‘deep’ and ‘ideological’ in addition to ‘surface’ levels. Barriers to the realization of such a multi-level collaboration are examined and discussed.
Dr. Tony B. Benning
Published June 1, 2016
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Ruiz, P. & Langrod, J. (1976). Psychiatry and folk healing: A dichotomy? American Journal of Psychiatry, 133, 95-97.
https://doi.org/10.1176/ajp.133.1.95
Cook, S. J. (2005). Use of Traditional Mi'kmaq medicine among patients at a First Nations community health centre. Canadian Journal of Rural Medicine, 10(2), 95-99.
Jilek, W. & Todd, N. (1974). Witchdoctors succeed where doctors fail: Psychotherapy among Coast Salish Indians. Canadian Psychiatric Association Journal, 19, 351-356.
https://doi.org/10.1177/070674377401900404
Waldron, I. (2010). The marginalization of African Indigenous healing traditions within Western medicine: Reconciling ideological tensions and epistemological tensions along the epistemological terrain. Women's Health and Urban Life, 9(1), 50-68.
Yen, J. & Wilbraham, L. (2003). Discourses of culture and illness in South African mental health care and indigenous healing, part I: western psychiatric power. Transcultural Psychiatry, 40(4), 542-561.
https://doi.org/10.1177/1363461503404005
Ditte, D., Schulz, W., Ernst, G., & Schmid-Ott, G. (2010). Attitudes towards complementary and alternative medicine among medical and psychology students. Psychological Health & Medicine, 16(2), 225-237. doi:10.1080/13548506.2010.532559
https://doi.org/10.1080/13548506.2010.532559
Abbot, R. B., Hui, K. K., Hays, R. D., Mandel, J., Goldstein, M., Winegarden, B., Glaser, D., & Brunton, L. (2011). Medical student attitudes toward complementary, alternative, and integrative medicine. Evidence Based Complementary and Alternative Medicine. doi:10.1093/ecam/nep195
https://doi.org/10.1093/ecam/nep195
Campbell-Hall, V., Peterson, I., Bhana, A., Mjadu, S., Hosegood, V., Fisher, A. J., MHaPP Research Programme Consortium (2010). Collaboration between traditional practitioners and primary health care staff in South Africa: developing a workable partnership for community mental health services. Transcultural Psychiatry, 47(4), 610-628. doi:10.1177/1363461510383459
https://doi.org/10.1177/1363461510383459
Maar, M. A. & Shawande, M. (2010). Traditional Anishinabe healing in a clinical setting: The development of an Aboriginal interdisciplinary approach to community based Aboriginal mental health. Journal of Aboriginal Health, 6(1), 18-27.
https://doi.org/10.18357/ijih61201012342
Wieman, C. (2000). An Overview of Six Nations Mental Health Services. In The Mental Health of Indigenous Peoples - Proceedings of the Advanced Study Institute McGill Summer Program in Social and Cultural Psychiatry and the Aboriginal Mental Health Research Team, May 29-31.
Waldram, J. B. (1997). But Does it Work? Traditional Healing and Issues of Efficacy and Evaluation. In Widening the Circle: Collaborative Research in Mental Health Promotion in Native Communities, Proceedings of the Conference September 26-28, Montreal, Canada.
Pakula, B. & Anderson, J. F. (2013). Sts'ailes primary healthcare project: Report.
Crowe-Salazar, N. (2007). Exploring the Experiences of an Elder, a Psychologist and a Psychiatrist: How can Traditional Practices and Healers Complement Existing Practices in Mental Health? First Peoples Child and Family Review, 3(4), 83-95.
https://doi.org/10.7202/1069378ar
Tait, C. L. (2008). Ethical programming: Towards a community centred approach to mental health and addiction programming in Aboriginal communities. Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health, 6(1), 29-60.
Bakker, C. B. & Bakker-Rabdau, M. K. (1985). An Educational Approach to Psychiatric Problems. In P. Pichot (Ed.), Psychiatry and the State of the Art Volume 4: Psychiatry and Psychosomatic Medicine (pp. 112-118). New York, NY: Plenum Press.
https://doi.org/10.1007/978-1-4684-4697-5_20
Gupta, M. (2014). Is evidence-based psychiatry ethical? Oxford: UK. Oxford University Press.
https://doi.org/10.1093/med/9780199641116.001.0001
Timmermans, S. & Mauck, A. (2005). The promises and pitfalls of evidence-based medicine. Health Affairs (Millwood), 24(1), 18-28.
https://doi.org/10.1377/hlthaff.24.1.18
Ermine, W. (2007). The ethical space of engagement. Indigenous Law Journal, 6(1), 193-203.
Benning, T. B. (2014). Before and after psychopathology: A Foucault-inspired perspective on Western knowledge concerning the shaman. Fourth World Journal, 13(1), 59-67.
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