Maria Yellow Horse Brave Heart, PhD | University of New Mexico (original) (raw)

Papers by Maria Yellow Horse Brave Heart, PhD

Research paper thumbnail of Premenstrual Dysphoric Disorder Among American Indian Women: A Preliminary Exploration

Research paper thumbnail of Healing the American Indian Soul Wound

International Handbook of Multigenerational Legacies of Trauma, 1998

Research paper thumbnail of Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populations

Tribal College Journal of American …, 2006

EJ728805 - Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populati... more EJ728805 - Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populations.

Research paper thumbnail of Examining Two Facets of American Indian Identity: Exposure to Other Cultures and the Influence of Historical Trauma

Journal of Human Behavior in the Social Environment, 1999

... The other sites, the North American Indian Center of Boston, the Rhode Island Indian Council ... more ... The other sites, the North American Indian Center of Boston, the Rhode Island Indian Council (Providence), American Indians for Develop- ment (Meriden ...

Research paper thumbnail of Native Americans and the trauma of history

Studying native America: Problems and prospects, 1998

21. Duran, B., Duran, E., & Yellow Horse, M. (1998). Native Americans and the trauma of h... more 21. Duran, B., Duran, E., & Yellow Horse, M. (1998). Native Americans and the trauma of history. In R. Thornton (Ed.), Studying Native America: Problems and prospects in Native American studies (pp. 291-311). Madison, WI: University of Wisconsin Press. Demography of colonialism and old and new Native Americans / Russell Thornton -- Perspectives on Native American identity / Raymond D. Fogelson -- Native Americans and the trauma of history / Bonnie Duran, Eduardo Duran, and Maria Yellow Horse Brave Heart -- Institutional and intellectual histories of Native American studies / Russell Thornton -- Literature and students in the emergence of Native American studies / Robert Allen Warrior -- Writing Indian / Kathryn W. Shanley -- Linguistics and languages in Native American studies / J. Randolph Valentine -- Native American studies and the end of ethnohistory / Melissa L. Meyer and Kerwin Lee Klein -- Using the past / Richard White -- Eagle's empire / Rennard Strickland -- Truth and tolerance in Native American epistemology / John H. Moore -- Kinship / Raymond J. DeMallie -- Directions in Native American science and technology / Clara Sue Kidwell and Peter Nabokov -- Who owns our past? / Russell Thornton. Description "Sponsored by the American Indian Studies Advisory Panel of the Social Science Research Council"--Page opposite title page. Includes bibliographical references and index. Publisher:: University of Wisconsin Press

Research paper thumbnail of The American Indian Holocaust: Healing Historical Unresolved Grief

American Indian and Alaska Native Mental Health Research, 1998

Seasonal differences in suicide birth rates among Alaska Natives and for populations at different... more Seasonal differences in suicide birth rates among Alaska Natives and for populations at different latitudes (residents of the Yukon, Saskatchewan, Montana, Wyoming, and Pennsylvania) were investigated. Seasonal birth rates for the general population were similarly examined. Suicide birth rates showed small seasonal variations for Alaska Natives with summer births showing more suicides. However, at lower latitudes, suicide birth rates among other populations showed no seasonal differences. Hours of daily sunlight at the summer and winter solstice correlated with the proportion of suicide victims born during those seasons. Seasonal differences in birth rates of suicide victims correlated strongly with latitude and seasonal differences in daylight. General population birth rates did not show significant seasonal differences, and did not correlate with differences in latitude or sunlight length at the summer or winter solstice. Examining the season of birth of those with psychiatric disorders is not a new idea. It has long been recognized that patients suffering from schizophrenia are more likely to be born in the first three months of the year

Research paper thumbnail of Toward an Adaptation of Interpersonal Psychotherapy for Hispanic Patients With DSM-IV Major Depressive Disorder

The Journal of Clinical Psychiatry, 2008

Background: Spanish-speaking individuals comprise a growing percentage of the United States popul... more Background: Spanish-speaking individuals comprise a growing percentage of the United States population. They have greater difficulty than most in accessing and remaining in psychiatric treatments, including psychotherapy, their stated preference. The literature on cultural competence in heating Hispanic patients provides few details of psychotherapeutic adaptations.

Research paper thumbnail of Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations

American Journal of Public Health, 2019

Research paper thumbnail of Wicasa Was'aka: Restoring the Traditional Strength of American Indian Boys and Men

American Journal of Public Health, 2012

Research paper thumbnail of Iwankapiya American Indian pilot clinical trial: Historical trauma and group interpersonal psychotherapy

Psychotherapy

American Indians face pervasive trauma exposure, collective histories of communal suffering, and ... more American Indians face pervasive trauma exposure, collective histories of communal suffering, and elevated risk for depression and posttraumatic stress disorder. In addition to socioeconomic barriers, access to culturally responsive treatment is limited, which may compromise treatment engagement. The Iwankapiya study piloted the Historical Trauma and Unresolved Grief Intervention (HTUG), combined with Group Interpersonal Psychotherapy (IPT), to reduce symptoms of depression and related trauma and grief. The study hypothesized that HTUG + IPT would lead to greater group engagement and decreased depression and related symptoms compared with IPT-Only. American Indian adults (n = 52) were randomized into one of two 12-session interventions, HTUG + IPT or IPT-Only, at two tribal sites: one Northern Plains reservation (n = 26) and one Southwest urban clinic (n = 26). Standardized measures assessed depression, posttraumatic stress disorder, grief, trauma, and substance use. Data were collected at screening, baseline, end of intervention, and 8 weeks postintervention; depression and group engagement measures were also collected at Weeks 4 and 8 of the intervention. Depression scores significantly decreased for both treatments, but there were no significant differences in depression between the two groups: IPT-Only (30.2 ± 6.4 at baseline to 16.7 ± 12.1 at follow-up) and HTUG + IPT (30.2 ± 8.1 at baseline to 19.9 ± 8.8 at follow-up). However, HTUG + IPT participants demonstrated significantly greater group engagement. Postintervention, clinicians expressed preference for HTUG + IPT based upon qualitative observations of greater perceived gains among participants. Given the degree of trauma exposure in tribal communities, these findings in a relatively small sample suggest HTUG should be further examined in context of treatment engagement. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Research paper thumbnail of Women finding the way: American Indian women leading intervention research in Native communities

American Indian and Alaska native mental health research (Online), 2016

Although there is literature concentrating on cross-cultural approaches to academic and community... more Although there is literature concentrating on cross-cultural approaches to academic and community partnerships with Native communities, few address the process and experiences of American Indian women leading federally funded and culturally grounded behavioral health intervention research in Native communities. This paper summarizes relevant literature on community-engaged research with Native communities, examines traditional roles and modern challenges for American Indian women, describes the culturally grounded collaborative process for the authors' behavioral health intervention development with Native communities, and considers emergent themes from our own research experiences navigating competing demands from mainstream and Native communities. It concludes with recommendations for supporting and enhancing resilience.

Research paper thumbnail of Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions

Social psychiatry and psychiatric epidemiology, Jul 2, 2016

To examine the prevalence of common psychiatric disorders and associated treatment-seeking, strat... more To examine the prevalence of common psychiatric disorders and associated treatment-seeking, stratified by gender, among American Indians/Alaska Natives and non-Hispanic whites in the United States. Lifetime and 12-month rates are estimated, both unadjusted and adjusted for sociodemographic correlates. Analyses were conducted with the American Indians/Alaska Native (n = 701) and Non-Hispanic white (n = 24,507) samples in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions [(NESARC) n = 43,093]. Overall, 70 % of the American Indian/Alaska Native men and 63 % of the women met criteria for at least one Diagnostic and Statistical Manual-IV lifetime disorder, compared to 62 and 53 % of Non-Hispanic white men and women, respectively. Adjusting for sociodemographic correlates attenuated the differences found. Nearly half of American Indians/Alaska Natives had a psychiatric disorder in the previous year; again, sociodemographic adjustments explained some of the diff...

Research paper thumbnail of Gender differences in the historical trauma response among the Lakota

Journal of health & social policy, 1999

The historical trauma response is a constellation of characteristics associated with massive cumu... more The historical trauma response is a constellation of characteristics associated with massive cumulative group trauma across generations, similar to those found among Jewish Holocaust survivors and descendants. Trauma response features include elevated mortality rates and health problems emanating from heart disease, hypertension, alcohol abuse, and suicidal behavior. This article explores gender differences in the historical trauma response among the Lakota (Teton Sioux) and the correlation with health and mental health statistics. The theory of a Lakota historical trauma response is first explained. Traditional gender roles are described in combination with modifications engendered by traumatic Lakota history. Then, data from a study on Lakota historical trauma are presented, including gender differences in response to an experimental intervention aimed at facilitating a trauma resolution process. The data revealed significant gender differences. The sample of women presented initially with a greater degree of conscious affective experience of historical trauma. In contrast, the men reported more lifespan trauma associated with boarding school attendance and appeared to be at an earlier stage of grief. However, at the end of the intervention, women's experience of survivor guilt--a significant trauma response feature-decreased while men's consciousness of historical trauma and unresolved grief increased. Degree of traditional presentation-of-self, including phenotype, appeared to interact with gender to place male participants at greater risk for being traumatized over the lifespan and perhaps subsequently utilizing more rigid defenses against the conscious experience of the trauma with the exception of survivor guilt. The article concludes with a discussion of health and mental health implications for prevention and treatment of the trauma response which could positively impact the health status of the Lakota. Recommendations for future research are suggested.

Research paper thumbnail of The return to the sacred path: Healing the historical trauma and historical unresolved grief response among the Lakota through a psychoeducational group …

Smith College Studies in Social Work, 1998

... at a statistically significant level: The American Indian Holocaust (P=.O12, p<.05), The P... more ... at a statistically significant level: The American Indian Holocaust (P=.O12, p<.05), The Past (P=.OO1, p<.01), and My People (P=.OO6, ... The first hypothesis that education about historicaltrauma would heighten awareness about its impact and the associated grief affects ...

Research paper thumbnail of Historical trauma among indigenous peoples of the Americas: Concepts, research, and clinical considerations

Indigenous Peoples of the Americas have experienced devastating collective, intergenerational mas... more Indigenous Peoples of the Americas have experienced devastating collective, intergenerational massive group trauma and compounding discrimination, racism, and oppression. There is increasing evidence of emotional responses to collective trauma and losses among Indigenous Peoples, which may help to inform ways of alleviating psychological suffering and unresolved grief. Tribal cultural and regional differences exist which may impact how the wounding across generations and within an individual&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s lifespan are experienced and addressed. This article will review the conceptual framework of historical trauma, current efforts to measure the impact of historical trauma upon emotional distress, and research as well as clinical innovations aimed at addressing historical trauma among American Indians/Alaska Natives and other Indigenous Peoples of the Americas. We will discuss assessment of historical trauma and implications for research and clinical as well as community interventions, and conclude with recommendations.

Research paper thumbnail of Oyate Ptayela: Rebuilding the Lakota Nation Through Addressing Historical Trauma Among Lakota Parents

Journal of Human Behavior in The Social Environment, 1999

This article presents evidence to suggest that historical trauma has affected Lakota parents and ... more This article presents evidence to suggest that historical trauma has affected Lakota parents and children by changing parenting behavior and placing children at risk for alcohol and other substance abuse. The theoretical explanation of the Lakota historical trauma response is described and used as a framework for the design of a parenting skills curriculum. This intervention focuses on (1) facilitating

Research paper thumbnail of The historical trauma response among natives and its relationship with substance abuse: A Lakota illustration

Journal of Psychoactive Drugs, 2003

Historical trauma (HT) is cumulative emotional and psychological wounding over the lifespan and a... more Historical trauma (HT) is cumulative emotional and psychological wounding over the lifespan and across generations, emanating from massive group trauma experiences; the historical trauma response (HTR) is the constellation of features in reaction to this trauma. The HTR often includes depression, self-destructive behavior, suicidal thoughts and gestures, anxiety, low self-esteem, anger, and difficulty recognizing and expressing emotions. It may include substance abuse, often an attempt to avoid painful feelings through self-medication. Historical unresolved grief is the associated affect that accompanies HTR; this grief may be considered fixated, impaired, delayed, and/or disenfranchised. This article will explain HT theory and the HTR, delineate the features of the HTR and its grounding in the literature, offer specific Native examples of HT and HTR, and will suggest ways to incorporate HT theory in treatment, research and evaluation. The article will conclude with implications for all massively traumatized populations.

Research paper thumbnail of Premenstrual Dysphoric Disorder Among American Indian Women: A Preliminary Exploration

Research paper thumbnail of Healing the American Indian Soul Wound

International Handbook of Multigenerational Legacies of Trauma, 1998

Research paper thumbnail of Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populations

Tribal College Journal of American …, 2006

EJ728805 - Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populati... more EJ728805 - Resource Guide: Historical Trauma and Post-Colonial Stress in American Indian Populations.

Research paper thumbnail of Examining Two Facets of American Indian Identity: Exposure to Other Cultures and the Influence of Historical Trauma

Journal of Human Behavior in the Social Environment, 1999

... The other sites, the North American Indian Center of Boston, the Rhode Island Indian Council ... more ... The other sites, the North American Indian Center of Boston, the Rhode Island Indian Council (Providence), American Indians for Develop- ment (Meriden ...

Research paper thumbnail of Native Americans and the trauma of history

Studying native America: Problems and prospects, 1998

21. Duran, B., Duran, E., &amp; Yellow Horse, M. (1998). Native Americans and the trauma of h... more 21. Duran, B., Duran, E., &amp; Yellow Horse, M. (1998). Native Americans and the trauma of history. In R. Thornton (Ed.), Studying Native America: Problems and prospects in Native American studies (pp. 291-311). Madison, WI: University of Wisconsin Press. Demography of colonialism and old and new Native Americans / Russell Thornton -- Perspectives on Native American identity / Raymond D. Fogelson -- Native Americans and the trauma of history / Bonnie Duran, Eduardo Duran, and Maria Yellow Horse Brave Heart -- Institutional and intellectual histories of Native American studies / Russell Thornton -- Literature and students in the emergence of Native American studies / Robert Allen Warrior -- Writing Indian / Kathryn W. Shanley -- Linguistics and languages in Native American studies / J. Randolph Valentine -- Native American studies and the end of ethnohistory / Melissa L. Meyer and Kerwin Lee Klein -- Using the past / Richard White -- Eagle&#39;s empire / Rennard Strickland -- Truth and tolerance in Native American epistemology / John H. Moore -- Kinship / Raymond J. DeMallie -- Directions in Native American science and technology / Clara Sue Kidwell and Peter Nabokov -- Who owns our past? / Russell Thornton. Description &quot;Sponsored by the American Indian Studies Advisory Panel of the Social Science Research Council&quot;--Page opposite title page. Includes bibliographical references and index. Publisher:: University of Wisconsin Press

Research paper thumbnail of The American Indian Holocaust: Healing Historical Unresolved Grief

American Indian and Alaska Native Mental Health Research, 1998

Seasonal differences in suicide birth rates among Alaska Natives and for populations at different... more Seasonal differences in suicide birth rates among Alaska Natives and for populations at different latitudes (residents of the Yukon, Saskatchewan, Montana, Wyoming, and Pennsylvania) were investigated. Seasonal birth rates for the general population were similarly examined. Suicide birth rates showed small seasonal variations for Alaska Natives with summer births showing more suicides. However, at lower latitudes, suicide birth rates among other populations showed no seasonal differences. Hours of daily sunlight at the summer and winter solstice correlated with the proportion of suicide victims born during those seasons. Seasonal differences in birth rates of suicide victims correlated strongly with latitude and seasonal differences in daylight. General population birth rates did not show significant seasonal differences, and did not correlate with differences in latitude or sunlight length at the summer or winter solstice. Examining the season of birth of those with psychiatric disorders is not a new idea. It has long been recognized that patients suffering from schizophrenia are more likely to be born in the first three months of the year

Research paper thumbnail of Toward an Adaptation of Interpersonal Psychotherapy for Hispanic Patients With DSM-IV Major Depressive Disorder

The Journal of Clinical Psychiatry, 2008

Background: Spanish-speaking individuals comprise a growing percentage of the United States popul... more Background: Spanish-speaking individuals comprise a growing percentage of the United States population. They have greater difficulty than most in accessing and remaining in psychiatric treatments, including psychotherapy, their stated preference. The literature on cultural competence in heating Hispanic patients provides few details of psychotherapeutic adaptations.

Research paper thumbnail of Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations

American Journal of Public Health, 2019

Research paper thumbnail of Wicasa Was'aka: Restoring the Traditional Strength of American Indian Boys and Men

American Journal of Public Health, 2012

Research paper thumbnail of Iwankapiya American Indian pilot clinical trial: Historical trauma and group interpersonal psychotherapy

Psychotherapy

American Indians face pervasive trauma exposure, collective histories of communal suffering, and ... more American Indians face pervasive trauma exposure, collective histories of communal suffering, and elevated risk for depression and posttraumatic stress disorder. In addition to socioeconomic barriers, access to culturally responsive treatment is limited, which may compromise treatment engagement. The Iwankapiya study piloted the Historical Trauma and Unresolved Grief Intervention (HTUG), combined with Group Interpersonal Psychotherapy (IPT), to reduce symptoms of depression and related trauma and grief. The study hypothesized that HTUG + IPT would lead to greater group engagement and decreased depression and related symptoms compared with IPT-Only. American Indian adults (n = 52) were randomized into one of two 12-session interventions, HTUG + IPT or IPT-Only, at two tribal sites: one Northern Plains reservation (n = 26) and one Southwest urban clinic (n = 26). Standardized measures assessed depression, posttraumatic stress disorder, grief, trauma, and substance use. Data were collected at screening, baseline, end of intervention, and 8 weeks postintervention; depression and group engagement measures were also collected at Weeks 4 and 8 of the intervention. Depression scores significantly decreased for both treatments, but there were no significant differences in depression between the two groups: IPT-Only (30.2 ± 6.4 at baseline to 16.7 ± 12.1 at follow-up) and HTUG + IPT (30.2 ± 8.1 at baseline to 19.9 ± 8.8 at follow-up). However, HTUG + IPT participants demonstrated significantly greater group engagement. Postintervention, clinicians expressed preference for HTUG + IPT based upon qualitative observations of greater perceived gains among participants. Given the degree of trauma exposure in tribal communities, these findings in a relatively small sample suggest HTUG should be further examined in context of treatment engagement. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Research paper thumbnail of Women finding the way: American Indian women leading intervention research in Native communities

American Indian and Alaska native mental health research (Online), 2016

Although there is literature concentrating on cross-cultural approaches to academic and community... more Although there is literature concentrating on cross-cultural approaches to academic and community partnerships with Native communities, few address the process and experiences of American Indian women leading federally funded and culturally grounded behavioral health intervention research in Native communities. This paper summarizes relevant literature on community-engaged research with Native communities, examines traditional roles and modern challenges for American Indian women, describes the culturally grounded collaborative process for the authors' behavioral health intervention development with Native communities, and considers emergent themes from our own research experiences navigating competing demands from mainstream and Native communities. It concludes with recommendations for supporting and enhancing resilience.

Research paper thumbnail of Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions

Social psychiatry and psychiatric epidemiology, Jul 2, 2016

To examine the prevalence of common psychiatric disorders and associated treatment-seeking, strat... more To examine the prevalence of common psychiatric disorders and associated treatment-seeking, stratified by gender, among American Indians/Alaska Natives and non-Hispanic whites in the United States. Lifetime and 12-month rates are estimated, both unadjusted and adjusted for sociodemographic correlates. Analyses were conducted with the American Indians/Alaska Native (n = 701) and Non-Hispanic white (n = 24,507) samples in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions [(NESARC) n = 43,093]. Overall, 70 % of the American Indian/Alaska Native men and 63 % of the women met criteria for at least one Diagnostic and Statistical Manual-IV lifetime disorder, compared to 62 and 53 % of Non-Hispanic white men and women, respectively. Adjusting for sociodemographic correlates attenuated the differences found. Nearly half of American Indians/Alaska Natives had a psychiatric disorder in the previous year; again, sociodemographic adjustments explained some of the diff...

Research paper thumbnail of Gender differences in the historical trauma response among the Lakota

Journal of health & social policy, 1999

The historical trauma response is a constellation of characteristics associated with massive cumu... more The historical trauma response is a constellation of characteristics associated with massive cumulative group trauma across generations, similar to those found among Jewish Holocaust survivors and descendants. Trauma response features include elevated mortality rates and health problems emanating from heart disease, hypertension, alcohol abuse, and suicidal behavior. This article explores gender differences in the historical trauma response among the Lakota (Teton Sioux) and the correlation with health and mental health statistics. The theory of a Lakota historical trauma response is first explained. Traditional gender roles are described in combination with modifications engendered by traumatic Lakota history. Then, data from a study on Lakota historical trauma are presented, including gender differences in response to an experimental intervention aimed at facilitating a trauma resolution process. The data revealed significant gender differences. The sample of women presented initially with a greater degree of conscious affective experience of historical trauma. In contrast, the men reported more lifespan trauma associated with boarding school attendance and appeared to be at an earlier stage of grief. However, at the end of the intervention, women&amp;amp;amp;amp;amp;amp;#39;s experience of survivor guilt--a significant trauma response feature-decreased while men&amp;amp;amp;amp;amp;amp;#39;s consciousness of historical trauma and unresolved grief increased. Degree of traditional presentation-of-self, including phenotype, appeared to interact with gender to place male participants at greater risk for being traumatized over the lifespan and perhaps subsequently utilizing more rigid defenses against the conscious experience of the trauma with the exception of survivor guilt. The article concludes with a discussion of health and mental health implications for prevention and treatment of the trauma response which could positively impact the health status of the Lakota. Recommendations for future research are suggested.

Research paper thumbnail of The return to the sacred path: Healing the historical trauma and historical unresolved grief response among the Lakota through a psychoeducational group …

Smith College Studies in Social Work, 1998

... at a statistically significant level: The American Indian Holocaust (P=.O12, p<.05), The P... more ... at a statistically significant level: The American Indian Holocaust (P=.O12, p<.05), The Past (P=.OO1, p<.01), and My People (P=.OO6, ... The first hypothesis that education about historicaltrauma would heighten awareness about its impact and the associated grief affects ...

Research paper thumbnail of Historical trauma among indigenous peoples of the Americas: Concepts, research, and clinical considerations

Indigenous Peoples of the Americas have experienced devastating collective, intergenerational mas... more Indigenous Peoples of the Americas have experienced devastating collective, intergenerational massive group trauma and compounding discrimination, racism, and oppression. There is increasing evidence of emotional responses to collective trauma and losses among Indigenous Peoples, which may help to inform ways of alleviating psychological suffering and unresolved grief. Tribal cultural and regional differences exist which may impact how the wounding across generations and within an individual&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s lifespan are experienced and addressed. This article will review the conceptual framework of historical trauma, current efforts to measure the impact of historical trauma upon emotional distress, and research as well as clinical innovations aimed at addressing historical trauma among American Indians/Alaska Natives and other Indigenous Peoples of the Americas. We will discuss assessment of historical trauma and implications for research and clinical as well as community interventions, and conclude with recommendations.

Research paper thumbnail of Oyate Ptayela: Rebuilding the Lakota Nation Through Addressing Historical Trauma Among Lakota Parents

Journal of Human Behavior in The Social Environment, 1999

This article presents evidence to suggest that historical trauma has affected Lakota parents and ... more This article presents evidence to suggest that historical trauma has affected Lakota parents and children by changing parenting behavior and placing children at risk for alcohol and other substance abuse. The theoretical explanation of the Lakota historical trauma response is described and used as a framework for the design of a parenting skills curriculum. This intervention focuses on (1) facilitating

Research paper thumbnail of The historical trauma response among natives and its relationship with substance abuse: A Lakota illustration

Journal of Psychoactive Drugs, 2003

Historical trauma (HT) is cumulative emotional and psychological wounding over the lifespan and a... more Historical trauma (HT) is cumulative emotional and psychological wounding over the lifespan and across generations, emanating from massive group trauma experiences; the historical trauma response (HTR) is the constellation of features in reaction to this trauma. The HTR often includes depression, self-destructive behavior, suicidal thoughts and gestures, anxiety, low self-esteem, anger, and difficulty recognizing and expressing emotions. It may include substance abuse, often an attempt to avoid painful feelings through self-medication. Historical unresolved grief is the associated affect that accompanies HTR; this grief may be considered fixated, impaired, delayed, and/or disenfranchised. This article will explain HT theory and the HTR, delineate the features of the HTR and its grounding in the literature, offer specific Native examples of HT and HTR, and will suggest ways to incorporate HT theory in treatment, research and evaluation. The article will conclude with implications for all massively traumatized populations.