Bridging Worldviews: Integrating Indigenous Medicine in a Clinical Practice

Bridging Worldviews

Integrating Indigenous Medicine in a Clinical Practice

Sandi Löytömäki, Yesenia Cortés

Volume 25, Number 2 (2026) 25 (2): 1-23


Keywords Indigenous medicine (IM), clinical integration, Indigenous research methodologies, multicultural identity, multifocal thinking, traditional medicine (TM), traditional knowledge (TK), Indigenous women, Sámi traditional medicine (STM)

Abstract

Within the context of the World Health Organization’s new Global Strategy on Traditional Medicine (2025–2034), this article employs Indigenous Research Methodologies to examine the integration of Indigenous medicine into contemporary clinical practice. Drawing on personal reflexive ethnography, the author proposes moving beyond a dualistic framework and the notion of “second sight” toward a multifocal perspective that weaves together narrative, Indigenous teachings, and scientific discourse. This approach emerges from a mixed Indigenous and multicultural identity that articulates Indigenous medical practices, integrative medicine, and Western biomedical science. The analysis includes a critical review of traditional, integrative, and complementary medicine, biomedicine,
gender disparities in healthcare, and the historical role of women, with particular emphasis on Sámi traditional medicine. Finally, the article discusses clinical experiences that engage with the four objectives of the WHO strategy: evidence, safety and efficacy, integration into health systems, and community empowerment.

Authors

Sandi Löytömäki

Yesenia Cortés

Published January 14, 2026

How to Cite

Bridging Worldviews: Integrating Indigenous Medicine in a Clinical Practice. (2026). Fourth World Journal, 25(2), 1-23. https://doi.org/10.63428/z2yh7091

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References

Ancestral knowledge, provided by Ancestors, Elders and Ancient Ones, later verified in documentation by others or through scientific validation.

Adams, Tony E., Stacy Holman Jones, and Carolyn Ellis, eds. 2022. Handbook of Autoethnography. 2nd ed. London: Routledge.

Adelson, Naomi. 2000. "Being Alive Well": Health and the Politics of Cree Well-Being. Toronto: University of Toronto Press.

Andrews, S. n.d. "Women in Saami Society." Sámi Culture website.

ASCO. 2022. "How to Make Evidence-Based Integrative Medicine Part of Oncology Care." ASCO Educational Book (and/or Journal of Oncology Practice). https://ascopubs.org.

Bailey, S. 2024. "Murray Sinclair: A Legal Giant Who Almost Wasn't." CBC / National Magazine. https://nationalmagazine.ca/en-ca/articles/people/profiles/2024/murray-sinclair,-a-legal-giant-who-almost-wasn-t.

Bourque Bearskin, M. L., et al. 2025. "Indigenous Research Methodology." Journal of Indigenous Health Research. SAGE Journals.

Brattland, et al. n.d. "Secrecy in Sámi Traditional Healing." De Gruyter / Brill.

Cajete, Gregory. 2006. Native Science: Natural Law of Interdependence. Santa Fe, NM: Clear Light Books.

Caxaj, C., K. Schill, and R. Janke. 2017. "Priorities and Challenges for a Palliative Approach to Care for Rural Indigenous Populations: A Scoping Review." Health & Social Care in the Community 26 (3): e329-e336. https://doi.org/10.1111/hsc.12469.

https://doi.org/10.1111/hsc.12469

Cohen, Kenneth. 2013. Honoring the Medicine. New York: Ballantine Books.

Cook, Katsi, ed. 2016. Tekatsi:tsia'kwa Katsi Cook: Health. Akwesasne First Nation, Quebec. https://indspire.ca/laureate/sherrill-katsi-cook-barreiro/.

Commonwealth Fund. 2024. "Health Care for Women: How the U.S. Compares Internationally." Issue brief. https://www.commonwealthfund.org/publications/issue-briefs/2024/aug/health-care-women-how-us-compares-internationally.

CWIS Editor. 2025. "Healing in the Face of Violence: Indigenous Women, Traditional Medicine, and Resistance." Center for World Indigenous Studies, April 9.

Davy, C., S. Harfield, A. McArthur, Z. Munn, and A. Brown. 2016. "Access to Primary Health Care Services for Indigenous Peoples: A Framework Synthesis." International Journal for Equity in Health 15 (1). https://doi.org/10.1186/s12939-016-0450-5.

https://doi.org/10.1186/s12939-016-0450-5

Drost, J. 2019. "Developing the Alliances to Expand Traditional Indigenous Healing Practices within Alberta Health Services." Journal of Alternative and Complementary Medicine 25 (suppl. 1): S69-S77. https://doi.org/10.1089/acm.2018.0387.

https://doi.org/10.1089/acm.2018.0387

Dubois, R. A., and J. F. Lang. 2013. "Johan Turi's Animal, Mineral, Vegetables Cures and Healing Practices: An In-Depth Analysis of Sami (Saami) Folk Healing One Hundred Years Ago." Journal of Ethnobiology and Ethnomedicine 9:57. http://www.ethnoboimed.com/content/9/1/57.

https://doi.org/10.1186/1746-4269-9-57

Durey, A., and S. Thompson. 2012. "Reducing the Health Disparities of Indigenous Australians: Time to Change Focus." BMC Health Services Research 12 (1). https://doi.org/10.1186/1472-6963-12-151.

https://doi.org/10.1186/1472-6963-12-151

Espey, D. K., M. A. Jim, N. Cobb, M. Bartholomew, and J. Goodwin. 2014. "Cancer Mortality in American Indian and Alaska Native Women." American Journal of Public Health 104 (suppl. 3): S316-S322. https://doi.org/10.2105/AJPH.2013.301755.

https://doi.org/10.2105/AJPH.2013.301755

Finbog, L.-R. 2023. It Speaks to You: Making Kin of People, Duodji and Stories in Sami Museums. DIO Press Inc.

Gaski, H. 2000. "In Sami Culture in a New Era: The Norwegian Sami Experience; In the Shadow of the Midnight Sun: Contemporary Sami Prose and Poetry; The Sun My Father." Ethnohistory 47. https://doi.org/10.1215/00141801-47-1-275.

https://doi.org/10.1215/00141801-47-1-275

Grossinger, Richard. 1995a. Planet Medicine: Origins. Berkeley, CA: North Atlantic Books.

Grossinger, Richard. 1995b. Planet Medicine: Modalities. Berkeley, CA: North Atlantic Books.

Hämäläinen, S., F. Musial, A. Salamonsen, O. Graff, and T. A. Olsen. 2018. "Sami Yoik, Sami History, Sami Health: A Narrative Review." International Journal of Circumpolar Health 77 (1): 1454784. https://doi.org/10.1080/22423982.2018.1454784.

https://doi.org/10.1080/22423982.2018.1454784

Helander-Renvall, E. n.d. Silde: Sami Mythic Texts and Stories. Kalevaprint Oy.

Helander-Renvall, E., and I. Markkula. 2017. "On Transfer of Sámi Traditional Knowledge." In On Transfer of Sámi Traditional Knowledge, 1-20. Leiden: Brill. https://brill.com/downloadpdf/book/edcoll/9789004342194/BP000006.pdf.

Hildreth, A. G. 1938. The Lengthening Shadow of Dr. Andrew Taylor Still. Kirksville, MO: Simpson Printing Company.

Huria, T., S. Palmer, L. Beckert, C. Lacey, and S. Pitama. 2017. "Indigenous Health: Designing a Clinical Orientation Program Valued by Learners." BMC Medical Education 17 (1). https://doi.org/10.1186/s12909-017-1019-8.

https://doi.org/10.1186/s12909-017-1019-8

Indian Health Service. 2020. "Addressing Maternal Health Disparities in AIAN Communities." https://www.commonwealthfund.org/blog/2025/addressing-maternal-health-disparities-american-indian-alaska-native-communities.

Jacobsson, L., A. Ouma, and J. Liu-Helmersson. 2021. "Sámi Traditional Healing in Sweden-An Interview Study." Socialmedicinsk tidskrift 5 (6): 813-820. https://www.diva-portal.org/smash/get/diva2%3A1622152/FULLTEXT01.pdf.

https://doi.org/10.62607/smt.v98i5-6.37946

Katz, J. 2012. Teaching to Diversity: The Three-Block Model of Universal Design for Learning. Winnipeg: Portage and Main Press.

Katz, Richard. 2017. Indigenous Healing Psychology: Honoring the Wisdom of the First Peoples. Rochester, VT: Healing Arts Press.

Kailo, K. 1993. "Sami Identity-Who Has the Right to Define It?" https://www.researchgate.net/publication/350609599.

Kailo, K. 1998. "Indigenous Women, Ecopolitics and Healing-'Women Who Marry Bears.'" In Minorities and Women, edited by Jansson, R., 85-121. Mariehamn: Åland Peace Institute.

Kirmayer, L. J., C. Simpson, and M. Cargo. 2003. "Healing Traditions: Culture, Community and Mental Health Promotion with Canadian Aboriginal Peoples." Australasian Psychiatry 11 (suppl. 1): S15-S23. https://doi.org/10.1046/j.1039-8562.2003.02010.x.

https://doi.org/10.1046/j.1038-5282.2003.02010.x

Koskimies, A. V., and T. I. Itkonen. 2019. Inari Sami Folklore: Stories from Aanaar. Madison: University of Wisconsin Press.

https://doi.org/10.2307/j.ctvfjcxnm

Kovach, M. 2021. Indigenous Methodologies: Characteristics, Conversations and Contexts. 2nd ed. Toronto: University of Toronto Press.

Krippner, S. 2002. "Conflicting Perspectives on Shamans and Shamanism: Points and Counterpoints." American Psychologist 57 (11): 962-977.

https://doi.org/10.1037/0003-066X.57.11.962

Kuokkanen, R. 2000. "Towards an 'Indigenous Paradigm' from a Sami Perspective." Canadian Journal of Native Studies 20 (2): 411-436.

Kuokkanen, R. 2007. "Myths and Realities of Sami Women: A Post-colonial Feminist Analysis for the Decolonization and Transformation of Sami Society." In Making Space for Indigenous Feminism, 2nd ed., edited by Green, J. Halifax: Fernwood Press.

Laureano-Eugenio, L., and T. Smith. 2024. "Evidence-Based Traditional Medicine for Transforming Global Health." Global Health Journal (review).

Lewis, J. 2012. A. T. Still: From the Dry Bone to the Living Man. Kirksville, MO: Dry Bone Press. https://www.atstill.com.

Liu-Helmersson, J., and A. Ouma. 2021. "Sámi Traditional Medicine: A Scoping Review." International Journal of Circumpolar Health.

Lönngren, A. S. n.d. Reclaiming a Repressed World: Decolonizing the Human-Animal Relationship in Three Stories by Contemporary Sami Author Kirsti Paltto. DiVA portal.

Löytömäki, S. 2005. "Taking an Edgewalker's View." Fourth World Journal 6 (1): 94-103.

https://doi.org/10.63428/yg0y3953

Mendoza, N. S., F. A. Moreno, G. A. Hishaw, A. C. Gaw, L. R. Fortuna, A. Skubel, M. V. Porche, M. H. Roessel, J. Shore, and A. Gallegos. 2020. "Affirmative Care Across Cultures: Broadening Application." Focus 18 (1): 31-39. https://doi.org/10.1176/appi.focus.20190030.

https://doi.org/10.1176/appi.focus.20190030

Miller, B. H., ed. 2015. Idioms of Sámi Health and Healing. Edmonton: University of Alberta Press.

Moffitt, P., and S. Browne. 2022. "Integrating Indigenous Healing Practices within Collaborative Care: A Rapid Scoping Review." BMJ Open / PLOS.

National Aboriginal Health Organization (NAHO). 2007. Culture and Tradition in Health. Ottawa, ON: NAHO.

National Collaborating Centre for Indigenous Health. 2022. "Disparities in Primary and Emergency Health Care Among 'Off-Reserve' Indigenous Women in Canada." Canadian Medical Association Journal 195 (33): E1097-E1103. https://doi.org/10.1503/cmaj.220212.

https://doi.org/10.1503/cmaj.221407

Pan American Health Organization. 2004. Gender, Equity, and Indigenous Women's Health in the Americas. https://www3.paho.org/hq/dmdocuments/2011/gdr-gender-equity-and-indigenous-women-health-americas.pdf.

Pilarinos, A., S. Field, K. Vàsàrhelyi, D. Hall, E. Fox, E. Price, and B. Bingham. 2023. "A Qualitative Exploration of Indigenous Patients' Experiences of Racism and Perspectives on Improving Cultural Safety within Health Care." CMAJ Open 11 (3): E404-E410. https://doi.org/10.9778/cmajo.20220135.

https://doi.org/10.9778/cmajo.20220135

Rautio. n.d. People-Plant Interrelationships (SLU thesis). pub.epsilon.slu.se.

Roach, P., and F. McMillan. 2022. "Reconciliation and Indigenous Self-Determination in Health Research." PLOS Global Public Health.

https://doi.org/10.1371/journal.pgph.0000999

Roher, S., P. Andrew, S. Chatwood, K. Fairman, T. Galloway, A. Mashford‐Pringle, and J. Gibson. 2023. "Envisioning Indigenous and Biomedical Healthcare Collaboration at Stanton Territorial Hospital, Northwest Territories." International Journal of Circumpolar Health 82 (1). https://doi.org/10.1080/22423982.2023.2253603.

https://doi.org/10.1080/22423982.2023.2253603

Sami Learning and Education. n.d. Sami Culture website.

SAMINOR 1 Survey. 2006. "Prevalence and Associations for Use of Traditional Medicine." BMC Complementary Medicine and Therapies 17 (1): 37. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-017-2037-0.

Schill, K., and C. Caxaj. 2019. "Cultural Safety Strategies for Rural Indigenous Palliative Care: A Scoping Review." BMC Palliative Care 18 (1). https://doi.org/10.1186/s12904-019-0404-y.

https://doi.org/10.1186/s12904-019-0404-y

Sexton, R., and E. A. Buljo Stabbursvik. 2010. "Healing in the Sami North." Culture, Medicine, and Psychiatry 34 (4): 571-589. https://doi.org/10.1007/s11013-010-9191-x.

https://doi.org/10.1007/s11013-010-9191-x

Shahid, S., S. Ekberg, M. Holloway, C. Jacka, P. Yates, G. Garvey, and S. Thompson. 2018. "Experiential Learning to Increase Palliative Care Competence among the Indigenous Workforce: An Australian Experience." BMJ Supportive & Palliative Care 9 (2): 158-163. https://doi.org/10.1136/bmjspcare-2016-001296.

https://doi.org/10.1136/bmjspcare-2016-001296

Smylie, J., M. Firestone, and E. Cameron. 2024. "Incorporating First Nations, Inuit and Métis Traditional Healing in Canadian Hospitals: Program Descriptions and Policy Implications." Canadian Journal of Public Health / Revue Canadienne de Santé Publique.

Stanford Lane Guides. 2023. "Indigenous Health-Multicultural Health." https://laneguides.stanford.edu/multicultural-health/indigenous-health.

Still, A. T. 1908. Autobiography of Andrew T. Still: With a History of the Discovery and Development of the Science of Osteopathy. 7th reprint. Kirksville, MO: American Academy of Osteopathy, 2011.

Stroud, M. n.d. "The Origin and Genetic Background of the Sami." Sami Culture website.

Struthers, R. 2003. "The Lived Experience of Ojibwa and Cree Women Healers." Health Care for Women International 24 (10): 903-922. https://doi.org/10.1080/07399330390249266.

Subba, N. R. 2025. Sam-Upma Mundhum: An Indigenous Philosophy of Soul, Healing and Decolonial Thought.

Tannenbaum, R. 2021. "Women and Medicine in Early America." Oxford Research Encyclopedia of American History. Oxford Academic.

https://doi.org/10.1093/acrefore/9780199329175.013.942

Taiaiake, A. 2009. Peace, Power, Righteousness: An Indigenous Manifesto. 2nd ed. Oxford: Oxford University Press.

Taylor, E., M. Lyford, L. Parsons, T. Mason, S. Sabesan, and S. Thompson. 2020. "'We're Very Much Part of the Team Here': A Culture of Respect for Indigenous Health Workforce Transforms Indigenous Health Care." PLOS ONE 15 (9): e0239207. https://doi.org/10.1371/journal.pone.0239207.

https://doi.org/10.1371/journal.pone.0239207

Thornton, Russell. 1996. "Tribal Membership Requirements and the Demography of 'Old' and 'New' Native Americans." In Changing Numbers, Changing Needs: American Indian Demography and Public Health, edited by G. D. Sandefur, R. R. Rindfuss, and B. Cohen. Washington, DC: National Academies Press. http://www.nap.edu/catalog/5355.html.

Tunón, et al. 2013. "Johan Turi's Animal, Mineral, Vegetable Cures..." Journal of Ethnobiology and Ethnomedicine. BioMed Central.

Tuhiwai Smith, Linda. 2022. Decolonizing Methodologies: Research and Indigenous Peoples. 3rd ed. London: Bloomsbury Academic.

https://doi.org/10.5040/9781350225282

Turi, Johan. 1965. Mui'talus samiid birra. Uppsala: Almqvist & Wiksells Boktryckeri AB.

Waldram, James B., D. Ann Herring, and T. Kue Young. 2006. Aboriginal Health in Canada: Historical, Cultural, and Epidemiological Perspectives. Toronto: University of Toronto Press.

Warrington, L. 2021. "Comparing Residential Schooling Systems in Northern Spaces during the Mid-Twentieth Century." The Mirror: Undergraduate History Journal 41 (1): 10-28. https://ojs.lib.uwo.ca/index.php/westernumirror/article/view/15734.

Waziyatawin, and Michael Yellow Bird, eds. 2012. For Indigenous Minds Only: A Decolonization Handbook. Santa Fe, NM: School for Advanced Research Press.

Wilson, Shawn. 2008. Research Is Ceremony: Indigenous Research Methods. Halifax: Fernwood Publishing.

Woolf, Virginia. 1938. Three Guineas. London: Hogarth Press.

World Health Organization. 2013. WHO Traditional Medicine Strategy 2014-2023. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789241506096.

World Health Organization. 2025. WHO Global Traditional Medicine Strategy 2025-2035. Geneva: World Health Organization. https://www.who.int/news/item/02-06-2025-wha78--traditional-medicine-takes-centre-stage.

Wright, A. L., C. Gabel, M. Ballantyne, S. M. Jack, and O. Wahoush. n.d. "Using Two-Eyed Seeing in Research with Indigenous People: An Integrative Review." International Journal of Qualitative Methods 18: 1-19.

https://doi.org/10.1177/1609406919869695

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