Indigenous Canadians suffer disproportionately from mental health concerns tied to histories of colonization, including exposure to Indian Residential Schools. Previous research has indicated that preferred therapies for Indigenous populations fuse traditional cultural practices with mainstream treatment. The present study comprised 32 interviews conducted with Indigenous administrators, staff, and clients at a reserve-based addiction treatment center to identify community-driven and practical therapeutic solutions for remedying histories of coercive colonial assimilation. Thematic analysis of semi-structured interviews revealed that counselors tailored therapy through cultural preferences, including the use of nonverbal expression, culturally appropriate guidance, and alternative delivery formats. Additionally, they augmented mainstream therapeutic activities with Indigenous practices, including the integration of Indigenous concepts, traditional practices, and ceremonial activities. Collectively, this integration of familiar counseling approaches and Indigenous cultural practices in response to community priorities resulted in an innovative instance of therapeutic fusion that may be instructive for cultural adaptation efforts in mental health treatment for Indigenous populations and beyond. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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咨询实践的理想：来自原住民第一民族控制的治疗计划的治疗见解。

加拿大原住民尤其遭受与殖民历史相关的心理健康问题，包括接触印第安寄宿学校。先前的研究表明，原住民的首选疗法将传统文化习俗与主流治疗融为一体。本研究对保护区成瘾治疗中心的原住民管理人员、工作人员和客户进行了 32 次访谈，以确定社区驱动的实用治疗解决方案，以纠正强迫殖民同化的历史。半结构化访谈的主题分析显示，咨询师根据文化偏好定制治疗，包括使用非语言表达、文化上适当的指导和替代的交付形式。此外，他们还通过土著习俗增强了主流治疗活动，包括土著概念、传统习俗和仪式活动的整合。总的来说，这种将熟悉的咨询方法与原住民文化实践相结合以响应社区优先事项的做法产生了治疗融合的创新实例，这可能对原住民及其他地区心理健康治疗的文化适应工作具有指导意义。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。