Aboriginal Health and History: Power and Prejudice in Remote Australia

Front Cover
Cambridge University Press, 1993 M06 14 - 318 pages
The Royal Commission into Aboriginal Deaths in Custody (1987-1991) focused attention on the behavioural dimension of Aboriginal health and the lack of appropriate services. This book is a systematic analysis of the sociohistorical and intercultural aspects of mental health in one area of remote Australia, the Kimberly. The author shows how the effects of social disruption, cultural dislocation and loss of power suffered by Aboriginal people have manifested themselves in certain behavioural patterns. The book analyses rising mortality rates from suicide, accidents and homicide amongst Kimberley Aboriginal communities and studies the economic impact of alcohol on these communities. It also considers the role of alcohol in producing violent behaviour and affecting the general level of health.
 

Contents

Caduceus and Clipboard
1
Guiding frames
4
Methodologies
8
paths and mazes
9
Morality review
11
Pilot community surveys
13
Populationbased survey
17
Fruitful digressions
21
incarceration and suicide
141
International Experience
144
Kimberley Suicides in Custody
145
LockUp study
147
19571989
149
19571987
150
19881989
154
The Parental generation
156

Notes
23
Time
24
Acts and actors
26
New arrivals in an old land
35
gold cattle pearls converts
36
Government nomads
47
Opportunity and exclusion
49
Notes
51
Mabarn and Medicine
52
Systems in conflict
54
Perceptions and policy
57
Stigmatised contagions
58
Leprosy
61
Hospitals and beyond
67
Changing fortunes
72
Notes
75
Mortality in a Time of Change
76
The study
78
Findings
80
Discussion
86
Notes
89
Alcohol
90
Setting
91
Frames
92
Correlates and consequences
94
Quantitative studies
102
Alcohol problems and impressionistic reports
103
Clinical studies
104
Population studies
105
Aboriginal alcohol consumption in the Kimberley
109
The sample
110
Questions
111
Results
112
Summary
125
Notes
127
Suicide
133
Definitions
134
Suicide and indigenous populations
135
Suicide and Aborigines
139
Related issues
157
Suicide and Aboriginal social integration
160
Notes
162
Bloodlines Violence to Self and Others
166
Ritual mutilation
167
Nontraditional selfmutilation
168
Intentional personal violence
173
Presentday Aboriginal violence
174
a paradigm
175
Mission boys and warriors
187
Convergences
190
Notes
198
Issues of Identity
200
Definitions and usage
201
Aborigines and Aboriginality
202
Levels of continunity
204
Elements of change
209
Adaptation and survival
210
Assimilation and selfdetermination
218
Consequences for children
229
Anomie exclusion and powerlessness
236
gambling and Aborigines
241
Aboriginal gambling in the Kimberley
243
Summary
251
Notes
252
Structures and Change
254
Imposed constructions
256
Imposed structures
258
Imposed problems
261
Imposed solutions
263
development and its vicissitudes
267
Attribution and allied theories
268
a paradigm
270
And Australian Aborigines?
281
Notes
287
References
288
Index
314
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Page 309 - JS (1982). The accuracy of officially reported suicide statistics for purposes of epidemiological research.

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