Indigenous Peoples

08/02/21 • 51 min

This episode focuses on the Indigenous community, Dr. Virani discusses the systemic racism issues faced by this community with two psychiatrists who have Native American heritage, Dr. Mary Hasbah Roessel, a psychiatrist at the Santa Fe Service Unit in Santa Fe Indian Hospital working in the outpatient Behavioral Health Clinic in Santa Fe, New Mexico. She is Navajo from the southwestern US. Dr. Stefanie Gillson, who is Dakota Sioux and is finishing up her 4th-year psychiatry resident at Yale University and starting her Child & Adolescent Fellowship at Yale.

In this episode Dr. Virani and our guests examine

Indigenous war veterans and the treatment faced when returning from war
PTSD and survivor’s guilt
Tribal heritage as related to a therapeutic relationship
Ethnic matching
Being an indigenous psychiatrist
The effect of white cultural norms on therapy
Religious and spiritual assessment in the therapeutic evaluation
DSM-5 cultural formations
Effects of colonization policy on poor health outcomes of indigenous peoples
Historical intergenerational trauma
The broken promise of Indian health services
Indigenous women’s mental health and the incidence of physical violence
MMIWG report
Tribal government ruling and the US government

More podcasts by the APA including AJPaudio and The Medical Mind

In this episode Dr. Virani and our guests examine

Indigenous war veterans and the treatment faced when returning from war
PTSD and survivor’s guilt
Tribal heritage as related to a therapeutic relationship
Ethnic matching
Being an indigenous psychiatrist
The effect of white cultural norms on therapy
Religious and spiritual assessment in the therapeutic evaluation
DSM-5 cultural formations
Effects of colonization policy on poor health outcomes of indigenous peoples
Historical intergenerational trauma
The broken promise of Indian health services
Indigenous women’s mental health and the incidence of physical violence
MMIWG report
Tribal government ruling and the US government

More podcasts by the APA including AJPaudio and The Medical Mind

Previous Episode

LGBTQ

Before Stonewall, the gay community lived in the shadows and even after this monumental protest and other significant milestones, the LGBTQ community still faces discrimination, abuse, and aggressive behaviors in their day-to-day lives. Dr. Virani discusses the issues at the core of the mental health challenges to the LGBTQ community referencing history where applicable, with Dr. Elie Aoun and Dr. Ali Haidar, two New York-based psychiatrists.

Subjects discussed:

Conversion therapy
Queer expression of identity
Dealing with cultural values in a therapeutic relationship
Biased diagnoses due to sexual orientation
Doctors pathologizing based on negative implications of sexual practices
LGBTQ identifying psychiatrists facing micro and macro aggressions from administration and patients
Supporting LGBTQ trainees

Dr. Sanya Virani, host

Dr. Elie Aoun is a psychiatrist in general, addiction, and forensic practice in New York, on faculty at Columbia University, and at Central New York Psychiatric Center as the Sex Offender Management Liaison psychiatrist. He completed his general psychiatry residency at Brown University in Providence, RI, Addiction Psychiatry fellowship at UCSF in San Francisco, and Forensic Psychiatry fellowship at the Columbia University Cornell University combined program, and a fellowship in psychiatric research at Columbia University. He is the ECP Trustee at large for the APA and the immediate past Vice-Chair of the APA Council on Addiction Psychiatry. He works closely with medical students as well as psychiatric residents and fellows at Columbia University where he serves as a co-director of the sexual behavior clinic and rotation.

Dr. Ali Haidar completed his psychiatry residency at SUNY Downstate Medical Center in Brooklyn and is currently a PGY-5 Child and Adolescent Psychiatry Chief fellow at Mount Sinai in New York. His primary areas of interest include LGBTQ mental health, public psychiatry, cultural psychiatry, medical education, and global mental health particularly displacement and migration’s effect on the psyche. He is currently an APA leadership fellow and serves as ECP member of the APA Council on International Psychiatry and Global Health.

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Next Episode

Social Exclusion and Isolation

In Eleanor Rigby, the Beatles lament about loneliness and isolation and challenge us to “look at all the lonely people”. In this episode, Dr. Virani invites Dr. Dolores Malaspina and Dr. Luca Pauselli to explore social exclusion and insolation and its effects on mental health through case studies. Join us on the first episode of a new season of Finding Our Voice covering the social determinants of mental health.

In this episode

Jumbo, the elephant, and isolation of caged animals

DSM-5 code 62.4

Social isolation and exclusion during the pandemic

Loneliness and schizophrenia study published in Psychiatric Research

Loneliness and its effect on the body

Biological pathways and the social determinants of mental health.

Dr. Dolores Malaspina is the chair of the research and education workgroup of the current Presidential taskforce on Social Determinants of Mental Health chaired by Dr. Dilip Jeste. Dr. Malaspina directs the Psychosis Program called Critical Connections at the Icahn SM Mount Sinai where she is a Professor of Psychiatry, Neuroscience, and Genetics & Genomics and the Vice-Chair for DEI. She was previously the Steckler Professor and Chairman of the NYU/Bellevue psychiatry departments, where she founded and directed a multidisciplinary program for research and training (Institute of Social and Psychiatric Initiatives- InSPIRES).

Dr. Luca Pauselli is a PGY3 in the Mount Sinai Morningside/West psychiatry residency program. Luca completed medical school and a residency in Italy.

This podcast is subject to the Terms of Use at www.psychiatry.org. The views and opinions expressed in this podcast are those of the individual speakers only and do not necessarily represent the views of the American Psychiatric Association, its officers, trustees, or members. The content of this podcast is provided for general informational purposes only and is not intended as, and shall not be understood or construed as, medical or any other type of professional advice nor does it represent any statement of the standard of care. We strongly recommend that any listener follow the advice of physicians directly involved in their care and contact their local emergency response number for any medical emergency. The information within this podcast is provided as-is and is not guaranteed to be correct, complete, or accurate.