Contents
Preface
Acknowledgments
One. With the Wind and the Waves: A Guide for Mental Health Practices in Alaska Native Communities
Two. Guiding Principles for Mental Health Professionals Working in Alaska Native Communities
1. Self-Determination Is an Inalienable Right for Alaska Natives
2. Native Self-Determination Is Best Promoted Through Decentralized Mental Health Services
3. The Role of the Mental Health Professional Imparts a Co-Participatory and Background Presence
4. The Role of the Mental Health Professional Is Multifaceted and Collectively Mindful
Mindset, Transference Issues, and the Strengths of Alaska Native Communities
Collective Colonizing Trauma and Specific Traumas on Native Communities
Culture of Silence
Collectivism
Relational-Cultural Theory
Relational-Cultural Therapy and Multicultural Care
Psychotherapy with Alaska Natives
Case Examples of the 4Rs with Alaska Natives
Initial Treatment Engagement
Parenting and the Use of Parent-Child Interaction Therapy (PCIT)
Strengths Perspective
Trauma-Focused Narrative Therapy with Children
Crisis Intervention
Psychotropic Medication
Bibliotherapy
Self-Determination Versus Dependency
Dependency Patterns
Colonization Patterns
Indigenous Community-Based Approaches to Solving Problems
Tribal Problems, Tribal Solutions
Personal Biases/Worldview
Generalist Orientation
Hurting Helpers
Personal Well-Being (PWB)
Native Spirituality
Native Identity
The Assets Study
Flow
Learning and Communication Styles
Maslow’s Hierarchy of Needs
Trust/Mistrust
Working with Schools in Alaska Native Communities
Psychological Testing and Alaska Natives
Psychiatric Disorders, ACEs, Epigenetics, and Alaska Natives
Working with “Resistance” and Stages of Change, Community Readiness, and Healing
Self-Care
Six. Prevention Considerations
Seven. Concluding Thoughts
References
Index
About the Author