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American Indians (herein referred to as Indians, Native Americans, or Natives) have a rich and heart-rendering history and continue to contribute to the fabric of American society. The history of Native people is important for mental health professionals and researchers to understand in order to grasp the present implications of history and how they may affect psychological, familial, and social interactions. The following overview of Indian country, past and present, is divided into several sections. A brief history of Native-White relations serves as an introduction to Native peoples. This section is followed by a presentation of demographics and an introduction to the complex definitions that surround being Native. Several myths that are commonly held by non-Indian “others” regarding Native Americans are presented and clarified. This is followed by an overview of health and mental health issues affecting Natives today. The final section presents traditional Native and contemporary approaches to healing, examining the physical, spiritual, and psychological community and group approaches to mental health.

History

The history of Native peoples can be divided into two major periods: pre-contact and contact. The contact period is generally divided into several subsets, including the periods of Manifest Destiny (1492–1890), Assimilation (1890–1970), and Self-Determination (1970 to the present). Pre-contact was a period of autonomy for tribes that inhabited the Americas. Tribes adapted to the environment they lived in. Varieties of lifestyles included those of hunting and gathering, agrarian lifestyles, and a combination of both, which were determined by the environment and terrain where tribes lived. Complex social and political systems were developed by each tribe. Each group had its own set of attitudes, beliefs, social organizations, men's and women's societies, and views of creation, self, and nature. Wickiups, teepees (hide and bark), sod housing, and cave dwellings served as homes across the continent. Political practices included input from both men and women in clans or bands and honor societies; this latter respect for women ran contrary to European patriarchy and contributed to the cultural dissonances between colonialists and Natives.

Manifest Destiny, Assimilation, and Self-Determination

With the arrival of Christopher Columbus, a lost sailor who worked for the Spanish, in 1492, Natives were removed from ancestral homes, starved to death, and massacred as a means to secure land and resources. This westward movement was justified under the auspices of Manifest Destiny. This movement was a form of what has come to be known as ethnic cleansing. Native Americans suffered new sicknesses and diseases brought by colonists, illnesses that claimed more lives than combat claimed.

The assimilation era was between 1890 and 1970 and was characterized by efforts to socialize Natives through missionary activities and the practices of boarding schools. Both of these acts of forced assimilation served destructive cultural, social, and psychological influences on Native groups. With the advent of the boarding schools, children often witnessed the loss of tribal life ways. These practices represented the shift from physical genocide to cultural genocide. Common practices of corporal punishment and sexual abuse impeded healthy psychological development and, in many cases, impeded the ability to develop appropriate relationships with others.

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