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Redressing First Nations historical trauma: Theorizing mechanisms for indigenous culture as mental health treatment

Gone, J. (2013)

Transcultural Psychiatry, 50(5), 683-706

APA Citation

Gone, J. (2013). Redressing First Nations historical trauma: Theorizing mechanisms for indigenous culture as mental health treatment. *Transcultural Psychiatry*, 50(5), 683-706. https://doi.org/10.1177/1363461513487669

Summary

Psychologist Joseph Gone examined how Indigenous cultural practices may function as mental health treatment for historical trauma—the accumulated emotional and psychological injury from colonization, forced assimilation, and intergenerational suffering. He proposed that reconnecting with traditional practices provides therapeutic mechanisms including meaning-making, identity reconstruction, and community reconnection. The work demonstrates how healing from collective trauma requires culturally appropriate approaches, not just individually focused Western therapies.

Why This Matters for Survivors

Gone's work illuminates how healing from intergenerational trauma—whether from colonization or narcissistic family systems—requires more than individual therapy. Reconnecting with identity, meaning-making, and community are therapeutic mechanisms. If narcissistic abuse disconnected you from your culture, heritage, or community, recovery may involve reconnection as a healing practice.

What This Research Establishes

Historical trauma is transmitted across generations. Collective experiences of violence, oppression, and loss create accumulated injury passed from generation to generation.

Western therapy may not address collective trauma. Individually focused treatment for personal pathology may miss the cultural, identity, and community dimensions of historical trauma.

Cultural practices have therapeutic mechanisms. Meaning-making, identity reconstruction, community reconnection, and cultural rituals address specific therapeutic needs that Western models may neglect.

Healing requires culturally appropriate approaches. For historical trauma, treatment must address not just symptoms but identity, meaning, and belonging—often through cultural reconnection.

Why This Matters for Survivors

Narcissistic families create intergenerational trauma. The dynamics of narcissistic abuse—the disconnection, identity erosion, meaning-making distortion—create their own form of accumulated injury passed across generations.

Disconnection is part of the injury. Narcissistic abuse often disconnects you from culture, heritage, community, and identity. This disconnection isn’t incidental—it’s part of how the abuse operates.

Reconnection can be therapeutic. Gone’s research suggests that reconnecting with sources of identity and meaning—culture, heritage, community—addresses therapeutic needs that individual therapy alone may not.

Find your community. If your family of origin was the source of trauma, “community” may mean chosen family, support groups, or cultural reconnection. The mechanism is belonging and identity, however you find it.

Clinical Implications

Recognize intergenerational dimensions. Assess not just individual trauma but its intergenerational and cultural context. The patient may be carrying accumulated injury.

Consider cultural approaches. For patients disconnected from cultural or community sources of identity, reconnection may be therapeutic alongside individual treatment.

Don’t rely solely on Western models. Individual, symptom-focused therapy may not address identity, meaning, and community needs. Consider broader approaches to healing.

Support community connection. For survivors of narcissistic family systems, help them find belonging—support groups, chosen family, cultural communities—not just individual insight.

How This Research Is Used in the Book

Gone’s work appears in chapters on intergenerational trauma and recovery:

“Joseph Gone’s research on historical trauma and Indigenous healing illuminates something relevant to narcissistic abuse survivors: healing from intergenerational injury requires more than individual therapy. It requires reconnection with sources of identity and meaning—culture, heritage, community—that the trauma disrupted. Narcissistic family systems often inflict their own intergenerational trauma and disconnect members from broader sources of identity. Recovery may involve the same mechanisms Gone identifies: meaning-making that situates your experience in broader narrative, identity reconstruction that reclaims who you are beyond the narcissist’s distortions, and community reconnection that heals in relationship. If individual therapy alone feels insufficient, consider what reconnection might add.”

Historical Context

Published in 2013, Gone’s work contributed to decolonizing mental health, validating Indigenous healing practices as legitimate therapeutic mechanisms rather than merely “cultural activities.” His research exemplifies growing recognition that Western models developed for individual pathology may not address collective, historical trauma.

Further Reading

  • Brave Heart, M.Y.H., & DeBruyn, L.M. (1998). The American Indian holocaust: Healing historical unresolved grief. American Indian and Alaska Native Mental Health Research, 8(2), 60-82.
  • Gone, J.P. (2009). A community-based treatment for Native American historical trauma. Cultural Diversity and Ethnic Minority Psychology, 15(4), 352-363.
  • Kirmayer, L.J., et al. (2014). Rethinking resilience from indigenous perspectives. Canadian Journal of Psychiatry, 59(2), 84-91.

About the Author

Joseph P. Gone, PhD is Professor of Anthropology and Global Health at Harvard University. A member of the Aaniiih-Gros Ventre tribal nation, his research examines cultural approaches to mental health, particularly for Indigenous communities healing from historical trauma.

Historical Context

Published in 2013, this article contributed to decolonizing mental health approaches, recognizing that Western therapeutic models developed for individual pathology may not address collective, historical trauma. Gone's work validated Indigenous healing practices as legitimate therapeutic mechanisms.

Frequently Asked Questions

Cited in Chapters

Chapter 5 Chapter 21

Related Terms

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Intergenerational Trauma

The transmission of trauma effects from one generation to the next, including patterns of narcissistic abuse that repeat in families across generations.

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