Tag Archives: Gabor Mate

Canada’s indifference to Aboriginal addictions

From Dr. Gabor Mate,

There is a disproportionately high ratio of native Canadians among my Downtown Eastside patients, as well as in Canada’s drug-using population and prisons. And they suffer disproportionately. Last week, a study showed that the HIV rate among Vancouver’s aboriginal drug users is twice that of non-natives. The report came just a day after the tragic incident in which two toddlers froze to death on a Saskatchewan reserve. Their father, in an inebriated stupor, had carried them into a snowstorm.

The devastation wreaked by addiction among our first nations peoples is a national scandal — or it would be, were it to strike virtually any other segment of our population. Our country is strangely indifferent to its depredations among this marginalized group. We seem content to accept the high death toll that afflicts our native citizens, the low life expectancy, the high incarceration rate and the grinding poverty that both gives rise to substance abuse and results from it. We seem to comfort ourselves with the belief that the endemic drug addiction and alcoholism are unfortunate realities for which we, as a society, bear no responsibility. From both scientific and historical perspectives, such a view is distorted and self-serving.

Addicts are made, not born, and the most common precursors are early childhood privation, neglect and abuse. For several generations, Canada’s native children have been far more likely to suffer grinding penury, abuse and childhood substance addictions than non-natives. But contrary to what is sometimes asserted, such facts say nothing about the “innate” nature of Canada’s native peoples, either cultural or genetic. Abuse of young children among tribal peoples living in their natural habitats is virtually non-existent, and so it was with North American natives before European colonization. On the contrary — in many ways, their parenting practices were more enlightened than those current in our civilization.

And tobacco and other potentially addictive substances were available prior to the European settlement of this continent — even alcohol, in what is now Mexico and the American Southwest. Yet there is no mention by anthropologists or historians of anything that could be reasonably called addiction. As Bruce Alexander, professor emeritus of psychology at Simon Fraser University, points out, “where alcohol was readily available, it was used moderately, often ceremonially rather than addictively.”

The precursor to addiction is dislocation, according to Dr. Alexander. Dislocation is the loss of psychological, social and economic integration into family and culture — a sense of exclusion, isolation and powerlessness. “Only chronically and severely dislocated people are vulnerable to addiction,” he has written. Thus, today’s dismal statistics arise from the relationship between aboriginal people and the dominant culture.

With the mass migration of Europeans to North America and the economic transformation of the continent came also the loss of freedom of mobility for native peoples, the inexorable and still ongoing despoliation and destruction of their habitats and traditional livelihoods, the invalidation of their spiritual ways and persistent discrimination. Within living memory, native children were seized from their homes, alienated from their families and incarcerated in “civilizing” institutions where their lot was one of cultural suppression, emotional and physical maltreatment and, all too frequently, sexual abuse.

The overall pattern continues to be dispossession, denial of historical rights and patronizing control. Canadian society, with our self-appointed “mission” to improve the health, education and well-being of Afghans, has not even come close to securing those same essentials for our first nations citizens. The living situations, health conditions and social deprivation of many aboriginal Canadians are abysmal even by Third World standards. Under such circumstances, among tormented, dislocated and, most fundamentally, disempowered people, pain and suffering are transmitted from one traumatized generation to the next.

Wendy’s Dark Decade

Major Depressive DisorderOn Friday Wendy wrote a long post that kind of describes where she is right now in terms of her depression and life right now.  I found it quite uncomfortable to read, partly because of the details she wrote about are often painful ones for both of us.

A bunch of you wrote me with questions and while I tried to respond to as many as possible, some of the answers can be posted here.  In 2009 I wrote a bit about it as well.

  • Wendy isn’t bi-polar, she’s unipolar or as it is also called, Major Depressive Disorder which means that she is just down.  There are no manic episodes, no up, just one long extended period of down.   The reason I say that is that almost everyone when they hear depression thinks, bipolar.  There is a fairly significant difference.
  • She mentioned the childhood sexual trauma which started at a fairly young age and continued by more than one person growing up.  I don’t think I understood the impact of it until this year when I listen to Dr. Gabor Mate speak in Winnipeg in which he talked about the long term psychological impact of childhood trauma actually rewiring your brain.  As Mate looks at the neurobiological roots of addiction, parts of our brains governing some of our most basic and needs and functions: incentive and motivation, physical and emotional pain relief, the regulation of stress, and the capacity to feel and receive love.  If these brain circuits develop, or don’t develop, largely under the influence of the nurturing environment in early life, and that therefore addiction and behaviour dysfunction represents a failure of these systems to mature in the way nature intended.  The good news is that this can change (or so Mate says).  In essence her base instincts and reactions were changed and under stress, her actions and reactions are always going to be in pretty destructive ways.  If you want to read more, check out In the Realm of Hungry Ghosts.
  • A lot of you suggested a lot of different vitamins and medications but it is quite a bit past that.  Many of the medications have been tried and failed, others are for different kinds of depression.