Engaging existing literature and current mainstream frontline health and mental health practice, this article expands research on the impact of colonization and mainstream mental health practices on Indigenous clients. Through this process, it creates new ground on which decolonizing therapeutic responses to ongoing attempted genocide are introduced, described, and developed. I identify the brutality of historical and contemporary colonization as one of the major influences in undermining Indigenous clients’ health and wellbeing—a perspective that decentres and resists individualistic pathologizing that is the focal point of mainstream psychiatric diagnoses and treatment. I also illustrate the negative impacts of psychiatric assessment for Indigenous clients and demonstrate how mainstream mental health practices, in not acknowledging colonization as the context for Indigenous clients’ suffering, are implicated in ongoing enactments of colonial oppression. The mainstream assessment of Indigenous clients’ suicidality as an individualized mental health disorder is also problematized. I conclude by centring Indigenous ways of knowing and culture in the promotion of health and wellbeing for Indigenous clients.
This article provides a theoretical framework and practical applications for an Indigenous-centred decolonising therapeutic practice. I define and critique the concept of the “attachment disruption” of colonisation and its impacts on Indigenous Peoples and, specifically, Indigenous clients. I discern and differentiate colonial forms of power, which are based in domination and violence, from Indigenous forms of power rooted in cultural traditions and connections to ancestral territories. Case examples illustrate ways of working therapeutically with the “attachment disruption” of colonisation as it concerns “residential school trauma,” “lateral violence,” and “addictions”. The importance of externalising the impacts of colonial violence and centring Indigenous cultural and relational imprints is the foundation of this decolonising therapeutic praxis.
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