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Acknowledgement: a series examining the history of healthcare in colonisation

Croakey will feature a series of articles exploring the importance of health systems and professionals taking responsibility in acknowledging their historic and ongoing roles in the colonisation of Aboriginal and Torres Strait Islander Peoples.

A recent landmark apology by the Australian Psychological Society (APS) – which has generated global interest from psychology organisations, including the Society of Indian Psychologists – provides a timely introduction to the series.

Professor Pat Dudgeon, a Fellow of the APS and Australia’s first Aboriginal psychologist, has described the apology as “a tremendous moment for Australian psychology”. She said: “The Aboriginal and Torres Strait Islander people and psychologists are delighted that the APS has taken this important step.”

Professor Dudgeon paid tribute to the role of a non-Indigenous psychiatrist, Professor Alan Rosen, in encouraging mental health bodies to acknowledge past poor practice, and an article by Professor Rosen will also feature as part of the Acknowledgement series.

APS President Professor Michael Kyrios said the apology was an important move in redressing past wrongs and ensuring the psychology profession collaborates and appropriately serves Aboriginal and Torres Strait Islander people. Read the full text of the apology below and beneath it is some of the historical context.

On other related matters, make sure to watch “Who Do You Think You Are?” featuring Peter Garrett on SBS tomorrow night (Tuesday, 7.30pm AEST) as the episode features some history that will also be covered in the Acknowledgement series, relating to one of his grandmothers, who was a nurse.


Apology to Aboriginal and Torres Strait Islander People from the Australian Psychological Society

Disparities between Aboriginal and Torres Strait Islander Australians and other Australians on a range of different factors are well documented. Aboriginal and Torres Strait Islander people experience much higher rates of psychological distress, chronic disease, and incarceration than other Australians. They manage many more stressors on a daily basis and, although suicide did not exist in their cultures prior to colonisation it is now a tragically inflated statistic. The fact that these disparities exist and are long standing in a first world nation is deplorable and unacceptable.

As we understand these challenging issues in relation to wellbeing and health, it is very important that we tell the stories of the strengths and resilience of Aboriginal and Torres Strait Islander peoples and communities.

Aboriginal and Torres Strait Islander people are the proud custodians of the longest surviving cultures on our planet. With this in mind, Aboriginal and Torres Strait Islander peoples’ resilience and resourcefulness could make a significant and positive impact on Australian society should they have the opportunity to contribute routinely in their areas of expertise.

We, as psychologists, have not always listened carefully enough to Aboriginal and Torres Strait Islander people. We have not always respected their skills, expertise, worldviews, and unique wisdom developed over thousands of years.

Building on a concept initiated by Professor Alan Rosen, we sincerely and formally apologise to Aboriginal and Torres Strait Islander Australians for:

  • Our use of diagnostic systems that do not honour cultural belief systems and worldviews;
  • The inappropriate use of assessment techniques and procedures that have conveyed misleading and inaccurate messages about the abilities and capacities of Aboriginal and Torres Strait Islander people;
  • Conducting research that has benefitted the careers of researchers rather than improved the lives of the Aboriginal and Torres Strait Islander participants;
  • Developing and applying treatments that have ignored Aboriginal and Torres Strait Islander approaches to healing and that have, both implicitly and explicitly, dismissed the importance of culture in understanding and promoting social and emotional wellbeing; and,
  • Our silence and lack of advocacy on important policy matters such as the policy of forced removal which resulted in the Stolen Generations.

To demonstrate our genuine commitment to this apology, we intend to pursue a different way of working with Aboriginal and Torres Strait Islander people that will be characterised by diligently:

  • Listening more and talking less;
  • Following more and steering less;
  • Advocating more and complying less;
  • Including more and ignoring less; and,
  • Collaborating more and commanding less.

Through our efforts, in concert and consultation with Aboriginal and Torres Strait Islander people, we envisage a different future. This will be a future where Aboriginal and Torres Strait Islander people control what is important to them rather than having this controlled by others.

It will be a future in which there are greater numbers of Aboriginal and Torres Strait Islander psychologists and more positions of decision-making and responsibility held by Aboriginal and Torres Strait Islander people. Ultimately, through our combined efforts, this will be a future where Aboriginal and Torres Strait Islander people enjoy the same social and emotional wellbeing as other Australians.


A long road

The apology follows decades of sustained advocacy and scholarship by Indigenous psychologists and colleagues.

An indication of how far the profession has travelled can be found in an historical account in the Working Together text (see pp. 46-47): When 4,000 psychologists from around the world gathered in Sydney in 1988 for the 24th International Congress of Psychology, the program had no Aboriginal content or discussion, despite the significance of bicentennial timing.

The only Aboriginal representation was a photographic exhibition with a section on ‘Indigenous Aspects of Australian Psychology’, which included photographs of Aboriginal skulls collected by ‘craniometrists, anthropometrists and psychometrists’, displayed without apology or apparent recognition of the insensitivity of such a display.

Indigenous psychologists have made concerted efforts, working together with non-Indigenous colleagues, to decolonise the profession and its structures and processes.

• Declaration by Melissa Sweet: The Acknowledgement series is related to the topic of my PhD research, and will also feature at a related website to be launched this week. Professor Dudgeon is one of my PhD supervisors.

Previewing Peter Garrett and "Who Do You Think You Are?"
Previewing Peter Garrett and “Who Do You Think You Are?”

acknowledgement

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Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20