A Personal Narrative: Encountering Systemic Discrimination As A Status Indian Hard-of-Hearing Male John Paul Jones B.A., Trinity Western University, 1989 B.S.W. , University of Victoria, 1997 Project Submitted In Partial Fulfillment Of The Requirements For The Degree Of Master Of Arts lll Disability Management The University Of Northern British Columbia December 2005 © John Paul Jones 2005 UNIVERSITY of NORTHERN BRITISH COLUMBIA liBRARY Prince George, B.C• .. 11 Abstract There is a community mental health crises situation on-reserve/s in the North. Specifically concerning this crises situation, there is a lack of community health services provided for Indian Reserves in Northern British Columbia by the Northern Health Authority. The main reason is because of the lack of trust by community mental health leadership on-reserve for provision of services on-reserve by the Northern Health Authority. Therefore, the leadership in the Northern Health Authority and the leadership in community mental health on Indian Reserves need to initiate new communication regarding the provision of services specifically for community mental health issues onreserve. The methodology used is a combination of Narrative/Autobiographical Research specifically addressing the writer's experiences in working with the Northern Health Authority and a non-profit community mental health agency contracted by the Northern Health Authority to provide community mental health services on-reserve in the North. The paper provides simple, clear recommendations for all parties concerned in order to address this community mental health crises situation. 111 TABLE OF CONTENTS Abstract u Introduction 1 Methodology 2 Literature Review 3 Historical Narrative of Being An Older First Nation Male Who Is Hard-of-Hearing and Has Meniere's Disease 14 Systemic Discrimination vs. Direct Discrimination 24 Synopses of Incidents 26 Summary 30 Discussion 31 Concerns 48 Recommendations 54 References 58 Introduction I am an older First Nation male who is profoundly Hard-of-Hearing and has Meniere's Disease. My conversation experiences in communication with people has varied. There have been compassionate people that have tried, unsuccessfully, to help me understand them and their thoughtful consideration caused them embarrassment and confusion. On the other hand, there have been individuals that have blatantly expressed impatience towards me because I could not understand what they were saying. Then, of course, there have also been those that were clearly apathetic regarding how seriously my hearing disability affected our conversations. In July 2004, I was involved in an uncomfortable discussion with a Northern Health Authority worker. In this incident our communication was possibly influenced by my First Nation ethnicity and my profound hearing loss. Next, in November 2004, a nonprofit community agency administrator made a negative remark to me about my profound hearing loss, based on her assessment of the difficulties that I experience in my ability to communicate, especially on the phone. In the last incident, in February 2005, I was involved in another uncomfortable discussion with another administrator from another non-profit community service agency. In this incident, our communication may have been influenced by my First Nation ethnicity, and was definitely influenced by my profound hearing loss. In the literature search I found that even progressive, well educated First Nation scholars experienced institutional racism in their careers (Battiste, 2000). Weeber (1999), who had polio as a child, says that ableism is "a form of prejudice and bigotry that marks 2 us as less than those who are nondisabled" (p. 2). I now describe the methodology I used in conducting my Research Project. Methodology: I completed a Literature Review on: (1) the QOL of people with Hearing Loss and Meniere's Disease, (2) Ableism, and (3) Racism. According to Clark, Carlson and Polkinghorne (1997) it is important to: (a) understand the experiences of being Hard-of-Hearing, and (b) understand the effect Meniere's Disease has on one's Quality of Life (QOL). Therefore, I have written a Narrative history of being an older Pacheedaht First Nation male who was born Hard-of-Hearing because of a neurological disorder in my middle ears and was also diagnosed with Meniere's Disease in my late twenties. It is important for me to clearly understand how I have been treated differently by significant others and other people in society throughout my life (Gallavan & Whittemore, 2003). It is just as important for me to explore the invisibility of my self as one who is Hard-of-Hearing and has Meniere's Disease, with the goal to defining a visibility for my self that is healthy and progressive, which can be of benefit to myself and other First Nation individuals with a profound hearing loss (Rapmund and Moore, 2002). I include a discussion on Narrative and Autobiographical research in my research project. I emphasize that it is considered self-centred for First Nation individuals to write about their lives, and I definitely experienced a sense of awkwardness in writing this narrative of my life (Swann and Krupat, 1987, p. xii). 3 I have provided incidental illustrations of systemic and direct discrimination that I have experienced, as a foundation for three incidents involving racism and ableism. The three incidents illustrate the difficulties that I experience as a mature Pacheedaht First Nation male who is Hard-of-Hearing and has Meniere's Disease. There are common themes in my life that keep reoccurring, related to how I communicate with administrators and managers. The meanings I have attached to my racial heritage and my discriminatory experiences based on my hearing loss are directly impacted upon by these themes, and will be discussed. The purpose of my Research Project is to suggest new ways to the Northern Health Authority (NHA), to improve communication with the leadership in Community Health on Indian Reserves in the North in order for the NHA to initiate community mental health programs on-reserve. Clear recommendations are provided at the end of my paper, in order to make this initiative possible. Next, is my literature review on the QOL of individuals with hearing loss and Meniere's Disease. Literature Review: Quality of Life of Individuals with Hearing Loss and Meniere's Disease Yardley, Dibb and Osborne (2003) state that Meniere's Disease seriously impacts on the QOL of individuals with the disease. Its symptoms are vertigo, hearing loss, and tinnitus. Vertigo is experienced as "a false sense of movement or spinning ... Nausea and vomiting often accompany it" (Harvard Women's Health Watch, 2003, p. 6). Vertigo significantly effects work performance, social relations, leisure, and one's psychological well-being (Yardley, Dibb, & Osborne. 2003). 4 The second symptom is hearing loss, which seriously affects communication. It is difficult in noisy settings to understand people who speak softly (Heine and Browning, 2004). Hearing loss causes fatigue, embarrassment and social isolation. In fact, many older people with hearing loss often do not want other people to know of the difficulty they experience in understanding conversations; and further, older people often withdraw from conversations because they are also convinced that because of their hearing loss they are poor conversationalists. The third symptom is tinnitus, which is the presence of sound in one's hearing (Ahmad, Seidman 2004). Unfortunately, in their prognosis many physicians encourage their patients with tinnitus to "live with it" because there is no cure. The cause of tinnitus is not known and its prevalence is approximately 75-80% of the hearing-impaired population. Tinnitus contributes to depression and interferes with social interaction and can be serious enough to affect workplace performance. Zager, Svedlund, and Holgers (2004) state there is a correlation between tinnitus severity and psychological factors; for example-depression, concentration problems, and irritability. Zager et al found that although half of the tinnitus patients in their research did not have severe hearing impairment they still experienced psychiatric disorders, with the most frequent disorders being anxiety and mood disorders. Additional symptoms of tinnitus are poor general health, sleep disturbances, and pain. In 1980, the World Health Organization defined disability as a " ... limitation or the obstacle that makes it impossible for someone, as a result of an impairment, to carry out an activity in a certain way, or within limits that are considered normal" (BackenrothOhsako, Wennberg, and Klinteberg, 2003, p. 192). The consequences of denial of 5 hearing loss are "frustration, embarrassment, isolation and stress" (p. 193). In fact, in order to avoid stigmatization many individuals often deny their communication difficulties and pretend to understand what is said to them; and further, many avoid social interaction at work. Those that are hearing impaired people do one of two things in communication: control or avoid. Consequently, in attempting to control conversations at work often results in muscle tension and various anxiety conditions. In fact, at the end of a working day the hearing impaired experience psychastenia, which means "difficulties concentrating in a disturbing environment, the tendency to experience fatigue, the tendency to tire quickly, the need to conserve one's energy" (p. 200). Finally, it is common for workplace colleagues to mirror society's prejudices to disabilities and hearing impairment. I now provide a brief report of my literature review on Ableism. Literature Review: Ableism Ableism is "the idea that a person's abilities or characteristics are determined by disability ... that people with disabilities as a group are inferior to nondisabled people" (Disability Studies for Teachers, n.d., p. 1). A similar definition is "discrimination in favor of the able-bodied and able-minded" (Gabel, 2000, p. 4 ). In this regard, despite the provision of fax machines, electronic mail, teletypewriters (TTYs), relay systems, and assistive listening devices there are still vocational rehabilitation counsellors who lack knowledge about hearing loss accommodations (Bat-Chava, Deignan & Martin, 2002). Hearing impaired individuals have fewer relationships, decreased social activity, and increased depression (Cohen, Labadie, and Dietrich & Haynes, 2004 ). The hearing impaired often experience difficulties interacting with family members, neighbours and friends (Miyakita, Ueda, Zusho & Kudoh, 2002). The hearing impaired are overly 6 marginalized from society because of unreliable social support; and, adults 50 years of age and older suffer from sadness, anxiety, social isolation, and insecurity. Hearing impaired people do not age well due to anxiety, low self-confidence, depression, and social isolation. For these reasons, it is crucial that helpers understand: (a) how people with hearing loss feel about their hearing impairment, (b) why the hearing impaired behave the way they do, and (c) how the hearing impaired cope with their daily communication problems. The Murphy et al. study (as cited in Li & Lindenberger (2002)) found that "Under noisy conditions, older adults suffered a significant drop in memory performance. This result suggests that some proportion of the observed age-related cognitive deficits may be attributed to sensory deficits." (p. 779). The Pichora-Fuller et al. study (as cited in Lunner, 2003) found that" ... when auditory processing becomes very difficult, because of an adverse listening situation and a damaged cochlea, the individual's cognitive function influences performance to a high degree. In other words, it is not only the peripheral hearing loss that limits performance under demanding listening conditions" (p. 9). Acquired hearing loss is also associated with social and emotional isolation (Mulrow, Aguilar, Endicott, Tuley, Velez, Charlip, Rhodes, Hill, DeNino, 1990). Moore, Beazley & Maelzer (1998) state that research designs mould research findings; with the result being that disability researchers have reproduced disadvantage, inequality and disablement amongst those with disabilities. In fact, this finding supports Zola's findings about disability: While most minority group members grow up in a recognized subculture and thus develop certain norms and expectations, people with chronic diseases and disabilities are not similarly prepared. The nature 7 of their experience has been toward isolation. The vast majority of people who are born with or acquire such conditions do so within families who neither have these conditions nor associate with others who do. They are socialized into the world of the 'normal' with all its values, prejudices, and vocabulary. (Nagler, Ed., p. 15-16, 1993). Consequently, the permanently disabled are often negatively viewed as recipients of medical treatment and are ascribed negative traits such as weakness, helplessness, dependency, regressiveness, abnormality, and depreciation of personhood. In fact, these traits become permanent characteristics of the disabled communities (Nagler, Ed., p. 17, 1993). The next section is a brief report of my literature review on Racism. Literature Review: Racism I give opinions on racism from three female Black educators. I then provide opinions on racism of five female Caucasian Canadian educators. Then I provide closing /opinions on racism from three Native American educators. My reason for the provision of such broad opinions is to indicate that objective opinions are offered by researchers of different ethnic backgrounds. The purpose is to show that native and non-native educator/researchers are concerned about racism. Razack (1998), a female Black Canadian educator, emphasizes that " .. .power relations deeply shape encounters" (p. 14) and she asks this question regarding race relations "What does the ethnic eye see?" (p. 16). bell hooks (2003), a female Black American educator states that segregation is still the norm in social relationships in the United States. The female Caucasian Canadian researchers Kowalsky, Verhoef, Thurston & Rutherford (1996) state that First Nation people cautiously evaluated their activities to determine their motives, honesty, and openness before agreeing to becoming subjects of 8 their research. Further, specifically concerning non-aboriginal researchers' motives: "Motives are communicated through many actions that are analyzed quietly without a researcher being aware." (p. 275). Adelson (2000), another female Caucasian Canadian educator, describes the Quebec government's effect on the Cree people of Northern Quebec, as "communal exhaustion" (p. 18); and that, because of social suffering endured by First Nation people in Canada, as the" ... pain of being Aboriginal" (p. 11). Adelson also states " ... aboriginal peoples by and large are living out the effects of a chronology of neglect, indifference and systematic oppression (p. 12). Adelson further emphasizes the existence of " ... a long history of institutionalized neglect enmeshed more recently with an attempt to further erode the population's social and economic base" (p. 14). Razack ( 1998) states that " ... we are each implicated in systems of oppression that profoundly structure our understanding of one another. .. we come to know and perform ourselves in ways that reproduce social hierarchies" (p. 10). Finally," ... we need to direct our efforts to the conditions of communication and knowledge production that prevail, calculating not only who can speak and how they are likely to be heard but also how we know what we know and the interest we protect through our knowing" (p. 10). Pinderhughes, a female Black American educator, says this about power and race: The significance of difference in the helping encounter is compounded by the dynamic of power, for the power inherent in the practitioner role is compounded by the status assignment (power) associated with the cultural/social group identity of both client and practitioner. (Weaver, 1999, p. 218). Cheboud (n.d.), formerly of Ethiopia and now living in Canada, states "For those who experience racial oppression on a continuous basis, race can be an extremely salient part 9 of their identity, because they are constantly reminded of their marginal status. In contrast, those who harvest societal privileges may be less aware of their racial selves" (p. 3). Turner (n.d.) emphasizes that it is possible that privileged people (with the implication that Caucasian people are privileged) may not even recognize racial discrimination, because their identities are not rooted in race, as people of colour' identity is rooted in race. Yazzie, a Navajo lawyer and chief justice of the Navajo Nation in the United States has this to say about colonialism: Colonialism is a situation in which people in Washington, Ottawa, or other neocolonial capitals make decisions that affect the lives of Indigenous peoples without effectively involving them or reaching consensus with them. Postcolonialism will not arrive for Indigenous peoples until they are able to make their own decisions. Colonialism remains when national legislatures and policy makers make decisions for Indigenous peoples, tell them what they can and cannot do, refuse to support them, or effectively shut them out of the process. Social Darwinism is colonialist thinking, and it is alive and well in the United States and Canada. Its assumption is that an elite has the moral and legal right to shape the destinies of Indigenous minorities. (Battiste, Ed. 2000. p. 46). Duran and Duran (1995), Native American educators, refer to the painful cross-cultural experiences of Native Americans with White Americans as a "soul wound" (p. 24 ). Leroy Little Bear, a member of the Blood Tribe of Alberta, used to teach at the University of Lethbridge, where his academic experience was fraught with institutional racism from his Western colleagues, who largely discredited the thinking of aboriginal researchers (Battiste, 2000, p. 93). Therefore, when working with First Nation people the non-Native helping professional must be aware of their Western" ... values, biases and 10 beliefs" (Weaver, 1999, p. 218) and have " ... the ability to integrate cultural knowledge and sensitivity with skills for a more effective and culturally appropriate helping process" (p. 217). I continue onto my literature review on Narrative Research. Literature Review: Narrative Research When compared to the "hard sciences" research has viewed qualitative studies as "soft", when in fact narrative research "can illuminate hard realities" (Bleakley, p. 535, 2005). Narrative research brings " ... researchers and practitioners closer to the patient's world through the medium of story, acting-metaphorically-as stethoscope" (p. 535). In fact, narrative research involves itself" ... proactively with its research population through deliberate intervention, as research with, not on, people" (p. 535). Nonetheless, sadly, "medicine's self imposed institutional autism" denies the importance of stories (p. 534). Narrative research provides the framework to" ... inquire, reflect, and interpret our memories ... " (Gallavan & Whittemore, p. 20, 2003). Nieto states that narrative research provides an opportunity to" . .. exchange observations, pose inquiries, and engage in meaningful dialogue ... with open honesty, integrity, and care" (as cited in Gallavan & Whittemore, p. 20, 2003). Narrative research is a healthy ongoing, developing discourse that helps researchers respect difference in others. Morrow (2005) states that narrative research data and analysis infrastructure are rooted in subjectivity. Peshkin defines narrative subjectivity as "monitoring of self' (as cited in Morrow, 2005). Hoshmand (2005) states " ... we listen for meanings and patterns in what clients say about themselves and their lives" (p. 2). Thus, the "diverse voices" addressing social and political issues which impact upon peoples' lives are given recognition and personal perspectives are understood in multiple ways (p. 4). 11 Overcash (2004) states that telling stories is unique because stories focus on individual experiences of specific events. Overcash quotes Richardson (1990): "Narrative ... allows us to contemplate the effects of our actions and to alter the directions of our lives." Clark, Carlson, and Polkinghorne (1997) state that narrative research allows for the study of how individuals understand the effect of experience in their lives. Narrative research also gives personalized depth to the story-teller's meaning of their life and in fact, may be" ... the only reasonable alternative for addressing many of the central questions" (p. 315). Rapmund and Moore (2002) emphasize that diversity as cultural difference needs to be respected. This respect is achieved by valuing and supporting diversity; and it is through stories that silence and invisibility within diversity emerges. Narrative research "provides a way of exploring meaning within its natural and ever-changing context" and opens new realities or options. (p. 25). In fact, one can "reinvent" their identity by listening to others tell their stories (p. 26). In this fashion, information shared as story is based on actual experiences rather than academic theories (p. 27). Hanninen (2004) states that the inner narrative "refers to the narrative organization of experience, the story we tell to ourselves. The inner narrative is the focus of interest of narrative psychology" (p. 70). Stories reflect what people think about "their identities, their sense of meaning in life, their conceptions of causal relationships between events, their moral commitments, and their ways of understanding the past and anticipating the future" (p. 71). The inner narrative helps to "grasp events in certain ways", and is "the central organizer of experience and action" (p. 75). In short, narrative research provides meaning and dignity for the story-teller. 12 Goodall Jr. (2005) states: What we inherit narratively from our forebears provides us with a framework for understanding our identity through theirs. It helps us see our life grammar and working logic as an extension of, or a rebellion against, the way we story how they lived and thought about things, and it allows us to explain to others where we come from and how we were raised in the continuing context of what it all means. We are fundamentally homo narrans-humans as storytellers-and a well-told story brings with it a sense of fulfillment and of completion. (p. 497). However, Goodall Jr. cautions, "But we don't always inherit that sense of completion. We too often inherit a family's unfinished business, and when we do, these incomplete narratives are given to us to fulfill" (p. 497). I now provide a brief report of my Literature Review on Autobiography of Native Americans. There is very little research data available on this subject. Literature Review: Autobiography Swann and Krupat (1987) state: ... a sense of awkwardness or embarrassment at being asked to write about oneself is a deeply traditional feeling for Native Americans, although it is important to recall that whatever they may have in common as "Indians," there are also differences among them both culturally and individually. There are no inevitably or inherently Indian subjects, although certain themes and images come up again and again; no given Indian way of treating every subject, although modalities will occur more frequently than others (p. xii-xiii). Swann and Krupat refused to edit the autobiographical texts of this book of essays from which this quote is taken because they did not want to impose "good" writing style on the Native American contributors, with their editorial purpose being to preserve the Native American oral tradition. Their emphasis is that" ... Native American writers should speak 13 for themselves while they speak of themselves" (xiii-xiv). In fact, Krupat and Swann (2000) have found that there are" ... many different ways . .. to be Indian ... " (xiv), and, there are" ... many different ways . .. to write about being Indian" (xiv). Krupat ( 1985) maintains that autobiographical texts are social in nature. Krupat also emphasizes that Native American autobiographies did not exist until Whites felt it was necessary to produce them in the late 19 1h century. This is because American Whites thought of Indians as the "other"; and had no culture worth writing about (p. 5). Consequently, American Indian discourse has been "notoriously lacking" of Native American authors, and "Euramericans", in racist bias towards Native Americans, simply neglected this obvious need (p. 10). The "author-ity" of the author in aubiograpical discourse originates in the author's "personality," "imagination," or "individual genius" (p. 11). However, historically, in Native American culture, Native Americans could only orally speak for himself/herself and no one else (p. 11). Therefore, "Euramerican" reasoning concluded that because Native Americans passed on information orally and did not write, they were, and are not, "authors" (p. 11 ). This background information is crucial for the success of my Research Paper. My purpose is to objectively analyze the issues of race and ability, and how I have failed to navigate the template of normalcy of the able-bodied in contemporary society. I now provide a historical Narrative report on being an older Hard-of-Hearing Pacheedaht First Nation male with Meniere's Disease. 14 Historical Narrative o(Being An Older Pacheedaht First Nation Male Who Is Hardof-Hearing and Has Meniere's Disease I am a 55 year old Status Indian member of the Pacheedaht First Nation in Port Renfrew, which is 62 miles northwest of Victoria on the west coast of Vancouver Island. At birth, my parents and our family doctor failed to notice that I could not hear normally. My two oldest siblings are my brothers, who were fourteen years old and twelve years old respectively when I was born. When my oldest brother was thirteen years old our father forced him to work on a fish boat for the summer and took all of his earnings. Our father's explanation to him for taking his money was that he was too young to spend it. Also, my oldest brother is very intelligent and our mother expected him to finish high school. However, our father told him that "Indians don't need high school to work." In the traditional Indian way, as the oldest son in our family he felt compelled to obey our father. Consequently, he quit school at sixteen years of age and started working in the woods. My second oldest brother followed suit and started logging full-time as well when he turned sixteen. As soon as they started working my two oldest brothers began drinking heavily, eventually becoming alcoholics like my parents and other Pacheedaht relatives. Our father was physically abusive to my fourth oldest brother, and emotionally sterile towards the rest of his children. Before I was born my mother was an abstainer and as soon as I was born she started drinking and quickly became alcoholic as well. At two years of age I could not speak age appropriately. Due to my mother's alcoholism she was resentful and emotionally abusive towards me and she constantly told me "You're so stupid!" My mother's intolerance towards me resulted in her relegating parental 15 responsibility for me to my two oldest brothers. Fortunately, my mother's neglect and abuse did not affect my natural tenacity and innate intelligence. I was determined to learn to speak and my two oldest brothers helped me. Their love, patience and encouragement paid off because at fours years of age I was talking age appropriately. Our father's alcoholism progressed to the point that he often became enraged when drinking. He would viciously assault our mother, and to protect herself she left him at every opportunity. However, she always returned to him because she was unable to support herself and her children financially. In 1956, I started attending the Alberni Indian Residential School in the Alberni Valley on Vancouver Island. Despite my being a victim of abuse from my mother I was a friendly, sociable child. Initially, playing with other kids my age in this new environment was an exciting adventure. However, I soon became discouraged because I could not understand some children in playtime conversations. These conversations were often reinforced by cruel remarks which they directed at me because of my hearing loss and to avoid these cruel remarks I quickly learned to play alone. Also, our grade one teacher made a mockery of my inability to understand her when she taught. She became frustrated towards me and constantly asked me "Are you retarded?" When she asked me this cruel question my classmates always laughed. Our teacher's derision of my inability to understand and my classmate's accompanying laughter was painful and humiliating. It is not surprising that I failed grade one. I spent approximately one month in grade two and was promptly placed in grade three. I am not positive but I believe that my grade two teacher suspected that my innate intelligence was too advanced for grade two level, and discussed this issue with the third 16 grade teacher. Upon entering grade three, I was not able to write. The third grade teacher sat me down for approximately two weeks in class and concentrated specifically on teaching me to write. The patience and kindness of my grades two and three teachers was the supportive inspiration I needed to reinforce my fragile child's self-esteem. Consequently, I was very proud of myself for catching up to my former grade one class, in which many students poked fun at me because I could not understand. Nonetheless, in the Indian Residential School sadistic supervisors "boxed" our ears. This sick, sadistic form of punishment caused further damage to my already poor sense of hearing. We also suffered this ignorant remark, made to us by a few racist supervisors: "You're very fortunate to be getting a good White Man's education". I was eleven years old when I was seriously physically assaulted by a supervisor. The reason was because I refused to obey his orders to repeatedly clean a long stairwell as a form of disciplinary punishment. In self-defense, I curled up caterpillar fashion to protect myself. Shortly after, I was physically assaulted by another supervisor, who smashed my head against the corner of a hall archway. I sustained a three inch gash in my head, exposing my skull. I spent almost three weeks in the infirmary and for the first week I lapsed in and out of consciousness and almost died. This assault was never reported to the police. In 1963, I started public school in the seventh grade. In grade seven, I had a few uncomfortable experiences with racist classmates who called me a "dumb Indian" because I could not clearly understand. As a very young Status Indian growing up in a racist town, I refused to submit passively and determined to work extra hard to keep my marks up with my White classmates. In fact, I did so well that I was placed in the 17 "Academic Program" in grade eight. I could not forget the humiliation and shame I endured at being emotionally and mentally abused by my grade one teacher, as well as being made fun of by many students in my grade one class. Therefore, I intentionally avoided mentioning to my grade eight teachers that I was Hard-of-Hearing. It was in the eighth grade that my hearing loss first intensified. I also started drinking. I failed grades eight and nine due to a combination of my hearing loss and the problems that resulted from alcohol abuse. On Friday afternoons I used to leave the Indian Residential School without permission and return late Sunday night. This got me into serious trouble with the Principal of this institution. I remained in the Indian Residential School until 1996, despite the many problems that alcohol caused me. I was home for a year in grade ten, and used to sit in front in class in order to hear better. I went to high school in Nanaimo in 1968-1969. In grade eleven I was the only Status Indian chosen (from the Social Studies program in my high school) to watch the Provincial Legislature in session. This fact clearly indicates to me that even though I drank a lot, I was still enthusiastic and interested in doing well in my high school education. In 1969, at nineteen years of age, I passed into grade twelve. However, instead of graduating from high school I followed in the footsteps of my older brothers and started working in the woods. Simultaneously, this was when the ringing in my ears and the vertigo attacks began. Both symptoms quickly progressed to the point of being practically unbearable to endure. I never spoke to anyone about these debilitating conditions because I was ashamed of the stigma of being Hard-of-Hearing. In 1972, partially as a way to cope with the stress that the ringing in the ears, the vertigo, and my 18 hearing loss caused, I started using street drugs. I was twenty-two years old. In 1978, at twenty-eight years of age, I joined Alcoholics Anonymous, a 12-step recovery program. I have remained sober and clean to date. In 1979, I went to an Ear, Nose and Throat (ENT) Specialist who diagnosed me with profound hearing loss and Meniere's Disease. The ENT's prognosis was that I would be completely deaf by sixty years of age. Since this diagnosis I have used a standard hearing aid. I also have to use an FM hearing aid device in meetings. In addition, at conferences or in larger groups I have to use Captioning. The symptoms of Meniere's Disease are fluctuating hearing loss, ringing of the ears and vertigo. In 1981, my hearing declined again, and for safety reasons I quit working in the woods. I then worked for a few months as a floor-layer apprentice and had to quit this job because of my hearing loss and Meniere's Disease. In 1982 I enrolled in college in Vancouver, and completed a one-year community service program. I sat at the front in classes and had to have classmates take notes. After completing this program I worked in a few six-month job-training programs for Status Indians (which were funded by the federal government) in Vancouver. When program funds were exhausted I was out of a job, and a period of unemployment always followed. I grew to loath being repeatedly laid off, and returned to college in 1986. Upon returning to college, I noticed that it was even more difficult for me to understand during classes. Also, in a conversation with a very conservative right-wing professor, I informed him that I intended to continue onto university. In response, he raised his right hand and shook it in judgement, and said "Welll ... to be honest, John Paul you don't have what it takes to succeed in university. I'm sorry, but that's the truth." I 19 was very disappointed. However, I chose not to ask him for an explanation of his blatant opinion due to feeling ashamed and humiliated. Nonetheless, I applied to Trinity Western University (TWU) in Langley, B.C. and was accepted, transferring to the third year of university in September 1987. Practically all of my classmates were much younger than I and in class many thought that I was not paying attention because I would ask questions about issues that they had finished discussing. The majority expressed their frustration very clearly to me in these incidents. Despite my low marks I managed to graduate from TWU in May 1989 with a Bachelor of Arts Degree in History. Langara College and TWU did not have any disability services for students with disabilities. In the summer of 1989 I worked as a seasonal labourer for the White Rock Parks Department. The supervisor of this program hired me because I was honest about my hearing loss. Our foreman and my fellow crew members were very patient with me. In 1990, I worked in a group home for autistic men in White Rock. In this job, one reason my boss hired me was because I was profoundly hearing disabled. He believed that my being Hard-of-Hearing was an asset which would help me to be more patient and supportive with the adult autistic residents. His confidence in my ability proved to be correct. I worked there for only a few months and quit to start a one-year Case Management Officer (CMO) secondment training position for the Correctional Services of Canada (CSC) at Matsqui Penitentiary in Abbotsford, British Columbia. At the time, I was one of only two CMOs in the entire CSC system. I thoroughly enjoyed this job and my CSC Unit Manager (my boss) gave me an excellent assessment. After the one-year training program expired I started training as a Correctional Officer (CO) at the CSC College in Mission, British Columbia. In 20 accordance with the Workmen's Compensation Board rules I had to wear ear muffs during firearms training. The CSC did not offer alternative ways for firearms training and in order to wear the ear muffs required that I remove my hearing aid. Consequently, I could not understand the orders being given by the firearms instructor and the CSC College Director fired me for this reason. Despite feeling that I was treated in a discriminatory manner because of my hearing loss, I chose not to dispute his decision to let me go. In 1992, I worked as a Social Worker for the Aboriginal Services Team for the British Columbia Ministry of Social Services. This team serves all Indian Bands in British Columbia. As I got older, there were two symptoms of my vertigo attacks that got worse. The ringing in the ears got "louder" and the dizziness attacks got worse to the point that my sense of balance was drastically affected and there were occasions in which I could not stand up. During this job I had a vertigo attack due to stress, which was so traumatic that I had to take a week sick leave. During my sick leave my manager harassed me by phoning me two times at home to ask when I was returning to work; a violation of the working agreement of the union to which I belonged. However, the union steward did not help me. After eight months, I quit this job because it was far too stressful and threatening my health. In 1993-1994, I had a half-time job as a Social Worker for the Pacheedaht Band in Port Renfrew. I also started taking Social Work courses part-time at the University of Victoria (UVic) in September 1993. I was related to all Band Council members and practically all of the Band Office employees. I had to supply a telephone with higher volume (packing it every day from home to work and back again) because the Pacheedaht 21 Band would not purchase one for me. During this job I had to be taken in an ambulance to the hospital in Victoria because I had another very serious vertigo attack; again, caused by stress on the job. In September 1994, I became a full-time student in the UVic Social Work Program. In the summer of 1995 I took a computer lab course and I could not understand the instructor because she lectured while students used the computers and the acoustics of the lab made the noise extra loud. I could not concentrate due to the loudness and I failed this course. The Director of the School of Social Work informed that I was not meeting the program's academic requirements and strongly advised me to consider withdrawing from the program. However, I felt that her attitude and behaviour towards me was unfair and discriminatory because she failed to empathize with the reasons I gave her for failing the computer lab course. The Education Coordinator and the Band Manager for the Pacheedaht Band requested a meeting with the Director to discuss their concerns in this situation. They could not convince the Director to consider the difficulties that I experienced in this course because of my profound hearing loss. Therefore, I wrote a letter to the Director requesting to appear in front of an appeal board for the UVic School of Social Work. I was granted permission to do so and I won the appeal and was allowed to continue in the program. Later, in yet another course, I again experienced further discrimination because of my profound hearing loss. This discrimination was directed at me from the professor who taught the course and from some of my class colleagues. I applied to the UVic Registrar's Office to withdraw from this course for medical reasons and I was granted permission to withdraw from the course with no academic penalty. A short while later, 22 the Dean of the UVic Human Services and Social Development Program overturned this decision. Due to the Dean's reversing the Registrar's Office decision to allow me to withdraw, I received an "I" for the course and I was concerned that I would not qualify for graduation because of the "I" mark reduced my grade point average. Consequently, I appealed to the Dean and he rejected my appeal. Simultaneously, the Pacheedaht Band Manager intervened and provided legal counsel for me to lobby the Dean for my right to stay in the Social Work program. The Dean was especially concerned about litigation and our lawyer (who was First Nation) clearly informed him that the Pacheedaht Band wished to avoid litigation. Despite our lawyer's diplomacy the Dean wrote me a letter informing me that he did not like communicating with a student (with a disability), through the student's legal counsel. The matter took over two months to be settled out of court and as a result I was placed on academic probation. Nonetheless, I graduated from UVic with a Bachelor of Social Work Degree in June 1997. In September 1999, in order to raise my marks to qualify for university Graduate Study Programs, I enrolled in a one-year Diploma Program at the University of British Columbia (UBC). I experienced discrimination from a professor in this program as well. During a meeting in which we were discussing my progress, I told her that I could not understand her in class because she spoke too fast. She responded rudely by saying, "Yes, you keep saying that" and I did not feel safe after she made this remark. I discussed the issue of my safety in the classroom with the Coordinator of the UBC Students' Disability Services Program. The Coordinator in turn spoke to the UBC Registrar, and I was again given permission to withdraw from the course with no academic penalties. I took three years to complete this one-year program mainly because 23 of the progression of my hearing loss. My determination paid off and I completed the program and was rewarded a Diploma in Guidance Studies from UBC in April 2002. In May 2002, I started work for the Salvation Army (SA) in Yellowknife in the Northwest Territories. A difficulty I have on the phone is that I cannot understand what is being said to me by people who speak fast or have soft voices. Therefore, I need to use a Voice Carry Over phone (VCO phone). In the VCO system I read what is being said by the person whom I am speaking with, from a monitor on the phone. This is typed into the system by a Message Relay Operator for the phone company. The SA bought me a VCO phone to use on the job. However, after three months the VCO phone was still not installed in my office due to my boss's negligence. Also, other staff members refused to use my FM Hearing Aid device during staff meetings. Eventually, in a meeting with my boss about my need for these hearing loss accommodations, he rudely said to me "You're going to have to stop talking about being Hard-of-Hearing. Everyone knows you're Hard-of-Hearing." I quit this job due to this ongoing conflict. In September 2002, I started the University of Northern British Columbia (UNBC) Graduate Studies Program in Disability Management. In one incident during an evening class I had a controversial discussion about ableism with one of my class colleagues. He quickly became frustrated and defensive, and made this remark: "Well, how about this, John Paul? You talk about First Nations people with disabilities. Isn't that discriminating?" In response to this statement I was shocked. I experienced anxiety bordering on panic and felt very unsafe for the remainder of the term. Due to shame, fear, and embarrassment I never discussed this incident with the man who made the 24 statement and the problem has remained unresolved. This concludes my historical Narrative. Before continuing onto three synopses of incidents which my Narrative is foundational to, I provide a brief report on systemic discrimination versus direct discrimination. Systemic Discrimination vs. Direct Discrimination Due to the constraints inherent in the writing of this paper, it is difficult to write about how discrimination manifestly affects my QOL as an older male. Consequently, the issues of systemic and direct discrimination will be applied solely to race and ability, albeit that discrimination also impacts upon age. Systemic Discrimination Mcintyre (1997) defines whiteness as: "a system and ideology of white dominance that marginalizes and oppresses people of color, ensuring existing privileges for white people ... " (p. 3). Mcintyre emphasizes" ... I have seen whiteness continue to function as a system that accepts and exacerbates multiple forms of racism within our society." (p. 2). There is a strong emphasis that inequities have" ... everything to do with socioeconomic class, gender, exceptionalities, sexuality, and religion ... " (p. 2); and which is also" ... embedded in the system of whiteness-a system that is largely invisible to those of us who benefit from it." (p. 2). Henry (2002) states that the federal government continues it exploitative relationship with Indian people (p. 232). There are" ... a host of social problems, including ill health, well above average rates of alcoholism and suicide, high rates of incarceration, and overall poverty" (p. 232). Turner and Cheboud (n.d.) state that 25 marginalized people " ... feel victimized ... whatever they do will not improve their situation and may indeed worsen it. They are paralysed by internalized oppression, total feelings of helplessness, and fear (often justified) of repercussions if they complain or seek redress" (p. 12). Direct Discrimination Straker (2004) states "Blatant racism involves a split between an in-group that is felt to be my own group and an out-group that is felt not to be mine. In regard to my own group, a sense of its goodness is retained while onto the out-group are projected multiple negative stereotypes and badness." (p. 449) and that the White community's "guilt concerning racism may derive from feelings that we want and need our privileges." (p. 448). St. Denis and Hampton (2002) report that Aboriginal teachers, in cross cultural communication, have had experiences that" ... carried overtones, stereotyping, prejudices, and general misunderstanding .... The increasing number of Aboriginal teachers in provincial schools have brought diverse reactions from parents and community. Teachers have encountered overt. .. racism, stereotyping and prejudice attitudes." (p. 17). Regarding direct discrimination against those that are disabled, Titchkosky (2001) emphasizes " ... disability is conceived and programatically treated as an individual trouble and not a public issue ... Disability is made an individual matter 'because' it is what is the matter with some individuals." (pp. 135-136). In North America, systemic discrimination inequities are rooted in white dominance. On the other hand, direct racism is clear alienation of an out-group from an in-group, specifically, the White community's alienation of other groups that are not White. However, discrimination against the disabled is extensive, including one's 26 family. Weeber (1999) strongly emphasizes that families who have children with disabilities have worked hard to " ... adapt their child to a society that needs them to be 'normal' "(p. 5). This concludes my report on systemic discrimination and direct discrimination. I now move onto describing three incidents which involved systemic or direct discrimination towards race and ability, or both. Synopses o(lncidents Incident 1 In the first week of August 2004 I attended a luncheon meeting with a Northern Health Authority employee and an employee from a non-profit community mental health service agency. The purpose of our meeting was to discuss a planned information meeting with an Indian Band in Northern British Columbia scheduled for mid-August 2004. At the planned mid-August 2004 meeting, the non-profit community mental health agency employee was going to do a one-day information presentation about a week-long workshop on mental illnesses which she was facilitating in this northern British Columbia community in October 2004. I was doing a contract analytical report on the workshop manual planned to be used for the October 2004 workshop by this non-profit community mental health agency. The Northern Health Authority was providing funding for travel, lodging and food for us for this mid-August 2004 trip, which I was to attend as an observer. We were disappointed about the lack of progress made in planning for the midAugust 2004 meeting and the workshop in October 2004. In order to respect First Nation culture, it was crucial that the First Nation Elders from this community attend the mid- 27 August 2004 meeting. However, the person in charge of the program for Elders on this Northern British Columbia Indian Reserve made the decision that their Elders would not attend the meeting. The decision was final. Consequently, the information meeting for mid-August 2004 was cancelled. I understood the resistance of this First Nation Band employee concerning their Elders attending the mid-August 2004 meeting and the workshop planned for their community in October 2004. Therefore, I made an agenda for the mid-August 2004 meeting. The agenda's purpose was to encourage the First Nation community to give full approval to go ahead with the week-long workshop scheduled for October 2004 and I presented the agenda to the Northern Health Authority employee for his opinion. After briefly glancing at the agenda, he dismissingly threw it at me from across the table in a disrespectful manner and sneered "No, this won't do." His condescension towards me was evident. Indeed, I was surprised, even insulted. This being a cross-cultural meeting, his power as a Caucasian male manager seemed to be complacent within him. He appeared to confidently assume that no one would question his decisions. In consideration of this possibility I chose not to question him on his rejection of the agenda. Incident 2 In late November 2004 I spoke to an employee of a non-profit community mental health agency concerning my alternating feelings of uncertainty and confidence about my plan to become a consultant for Disability Management for First Nation peoples. I valued this person's opinion because I had become comfortable working with her in the previous seven months. However, in this conversation her demeanour did not correspond with my established trust in and of her as a progressive professional community mental 28 health worker. Her frank response belied this trust. She said "Well, JP, seeing as you have been so honest with me I am going to be honest with you." In attempting to be diplomatic and mature I reassured her that I would be comfortable with her honesty. She then said "I do not think you will do very well at all because you have difficulty understanding me when we talk. I don't see how you will be able to handle problems communicating with people, in the type of work that you want to do, especially on the phone." It was clear to me that she was judging me on my ability. Consequently, my subjective response to her candour was fear and shame. I experienced fear because her candour reinforced my uncertainty about my plan to become a consultant. I felt shame because in my mind's eye, it was true that I could not attain rewarding work because I often feel totally incapacitated by my profound hearing loss. I have never discussed this issue with this woman since this incident, because of this shame and fear. Incident 3 During my Disability Management Practicum, I was concerned about the lack of funds required for me to travel back and forth from Prince George to an Indian Band Office in a northern town. I raised this concern with my supervisor at the agency where I was doing my practicum. In response, she informed me that it would be part of my practicum training to find funding to cover my travel costs. I phoned an employee of the Northern Health Authority, which was funding this outreach project to Indian Reserves in the North. He made inquiries and was unable to find any funding sources. I reported back to my practicum supervisor. She instructed me to apply to a community initiative funding committee for funds to cover all costs for my practicum expenses. 29 I was supposed to receive a letter informing me of the committee's decision on my funding application. At the time, I was concerned about not receiving the letter, and had a difficult time contacting the person whom I was told was responsible for writing the letter. She is an Executive-Director for a community mental health agency in Prince George. I phoned her office and e-mailed her a few times and she did not respond to my inquiries. I persisted and eventually spoke to her on the phone, when she informed me that the committee had rejected my funding application because of a policy of not funding university students. I emphasized that I desperately needed the funding because where we were planning to do outreach their Community Health Program was experiencing emergency crises caused by Band members with mental illnesses. In response, she was extremely apathetic about the seriousness of our concern. In reference to the previous statement, I had discussed with my practicum supervisor the possibility of a conflict with this woman. In the event of a conflict, my practicum supervisor instructed me to ask clear, specific questions. In following my practicum supervisor's instructions, I asked if there had been any other First Nation community health professionals that had previously applied to the committee for funding. The woman was surprised and cautiously responded to my question, "No. As far as I know you're the first." Then, I specifically asked if the committee had an appeal process in place. Again, she cautiously replied, "No, there's no appeal process in place." I finally received the letter informing me of the committee's decision to reject my funding application approximately four weeks after the decision was made, which unfortunately, was over halfway through my practicum. 30 Summary There are common themes in my historical narrative of being an older Pacheedaht male who is Hard-of-Hearing and has Meniere's Disease, which manifest themselves in the three communication incidents. Race is an issue for me because I fear the power and authority of Caucasian administrators. For example, my low self-esteem caused by my profound hearing loss triggers me into experiencing deep shame when my potential and ability is critiqued by professional Caucasian administrators. I avoid issues in discussions with Caucasian people who hold authoritative jobs if the possibility exists that the discussion could develop into a confrontation. The administrators were innocently unaware that I experienced a great deal of difficulty subjectively concerning the way they were treating me in our communication. In this regard, questions do arise. Why do I choose to avoid discussion of issues with Caucasian administrators that may develop into a confrontation? What skills do I lack to prevent this from occurring? Is the fear and shame a common First Nation defensive response when oppression is implied in communication with Caucasian people? These are the kinds of questions I propose to address in my Research Project. I now provide a discussion of these themes. Discussion Fung, Chow and McBride-Chang (2005) inform that 95% of deaf or Hard-ofHearing children are born to Hearing parents and have a reduced ability to learn language in the same manner as hearing children. Despite this difficulty, in a healthy home environment parental involvement in the education of hearing impaired children has produced impressive results for their language, academic and social-emotional 31 development. In fact, the authors emphasize that they found "maternal communication skills" to be "critical for language development of deaf and hard-of-hearing children" (p. 83). Further, in the Kurtzer-White and Luterman (2003) research, they found that the more emotionally connected a mother is to her hearing impaired child, increases the child's ability to learn expressive language. However, mothers with healthy hearing (with children that were deaf) were also more directive, intrusive and controlling of their deaf children. As a child I did not have the emotional support of my parents and I had very little social interaction with relatives my age because they lived far down the road. In fact, before being sent to the Indian Residential School, I spent hours playing quietly alone. I was afraid of my mother's anger and became quite reclusive. Also, one of my older brothers was often physically abusive to me because our father physically abused him. In frustration, he would hit me because I could not understand him. In recovery, I have often wondered if I would have learned to speak if my two oldest brothers did not take extra interest in me. After a few years of sobriety I asked my mother if she was aware of my hearing loss when I was a child. She laughed and said "No, I never thought about it. I just thought you were kind of simple." Horsman (2004) suggests that violence and systemic discrimination experienced in childhood may be conducive to poor learning ability in a child's education. She emphasizes that victims of violence " ... confirm to themselves that they really cannot learn" (p. 2). In fact, "Deaf students ... are particularly vulnerable to abuse by those they depend on" (p. 4). Horsman emphasizes that severe violence is potentially soul- 32 destroying to victims of violence, to the extent that they cannot perceive living a healthy lifestyle because they believe that it is non-existent. Horsman (2004) also emphasizes the difficulty that people experience in being marginalized because of race and ability, in addition to being victimized in the violence of oppression. As a child my mother constantly told me that I was stupid. My first grade teacher heartlessly asked me if I was retarded, accompanied by the attendant laughter and derision from my grade one classmates. As an eleven year old child I experienced extreme, brutal victimization of physical violence from two sadistic, racist Caucasian supervisors in the Indian Residential School. The incident in the classroom with my Disability Management Program student colleague triggered memories of emotional violence that I experienced during childhood. Horsman emphasizes that" ... each experience of violence increases fear, decreases the possibility of safety, and adds a new layer of experience that shapes the self "(p. 7). Also, an ableism incident occurred in the UVic School of Social Work, wherein a faculty member's inappropriate response to my request that he use my FM hearing aid device was, "If you think I am going to stand in front of your FM set for three hours, forget it." This statement was made by a well respected faculty member. The irony is that my accommodation request occurred in a program whose objective is to promote " ... social justice, anti-racist, anti-oppressive social work practices, and to promote critical enquiry that respects the diversity of knowing and being" (University of Victoria School of Social Work Mission Statement). Horsman (2004) stresses that educators " ... must recognize the effects of trauma and create opportunities that are viable for 33 learners who are 'familiar with trauma,' enabling them to learn while they continue to 'live beside the violation' (p. 7)." Daes (Battiste, Ed., 2000) states that a shared experience of colonized people all over the world is " spiritual loneliness" from which flows "a lack of self-confidence" and "a fear of action" (p. 7). The metaphor which I think of is that of "culture-lag" wherein the Indian Residential School is the mechanism that dislocated our people culturally. I had no sense of place and time after being removed from my community against my will and did not understand the effect that removal had on my concept of culture until fairly recently. I am now "catching up", so to speak, and defining myself as one who is Pacheedaht. However, I cannot do this safely in the Pacheedaht community because of my relatives' culture loss issues. In McBride (2003), it is emphasized that "In order for community healing to develop, there needs to be a sense of safety within the community. It must be a place where it is safe to disclose, to work on our own personal healing, and where people feel connected to each other" (p. 76). McBride (2003) mentions "ethnostress", or, "loss of joyful identity" regarding the oppression experienced by American Indians (p. 69). Michelson (1997) states " ... the first peoples of North America have a collective experience of "ethnostress" caused by violent conquest leading to cultural and economic dislocation. That dislocation continues to disrupt collective and personal identity, producing such social problems as alcohol dependency, child abuse, and chronic unemployment, and contributing to numerous psychic and intellectual scars that interfere with the ability to learn" (pp. 47 -48). Further, " . .. the examination of values and experience must address the problems of incomplete cultural assimilation and the resultant confusion between aboriginal and Euro-Canadian 34 values" (p. 48). In fact, psychic and intellectual scars exist within Native students in university. Bobiwash (1999) states " .. . if we learn the catechism of culture in Grade school then we learn the theology of it in university. This is the crux of the problem for many Native students then: they do not see a place they can occupy without violation of their fundamental or base values and thus their very identity as Indians ... " (p. 12). McBride (2003) speaks about American Indians " . .. being shut out from community, home and family ... feelings and experiences of isolation, fear, self-doubt, loss, and factionalism manifest when a sense of belonging is denied ... Yet this very dynamic is present and continues to do damage in American Indian communities" (p. 75). My paternal and maternal grandparents attended the Indian Residential School. My maternal grandmothers died before I was born and my siblings and I were not close to our grandfathers. We younger siblings did not know our father, because he was away in logging camps and he left our family when I was three years old. I did not know my older siblings in the way that a standard nuclear family is defined because they were away at the Indian Residential School for a good part of the year; at least until my two oldest brothers left school to go to work. In fact, a few years before her passing, my mother confessed to me that she did not know how to be a healthy parent because of her institutionalization experience in the Indian Residential School. I identify this inter-generational pattern as an extreme feeling of loss and emptiness; what Daes refers to as spiritual loneliness (Battiste, Ed. 2000, p. 7). In fact, "From this loneliness comes a lack of self-confidence, a fear of action, and a tendency to believe that the ravages and pain of colonization are somehow deserved. Thus, the victims of colonization begin, in certain cases, to blame themselves for all the pain that 35 they have suffered" (p. 7). One effect on the Pacheedaht community because of this spiritual loneliness is a sense of not belonging; there is no comfortable "fit" of being Pacheedaht, which is the complete opposite of the communal life of our ancestors. Chrisjohn and Young (1997) state that Goffman: . .. analyzed institutional practices that had long been employed to bring about particular psychosocial effects in target groups. In doing this he cited research literature going back to the 1920s and church documents hundreds of years old. Interestingly, Goffman, a Canadian, developed his account with no apparent knowledge of Residential Schools. His examples and the principles of operation he abstracted were taken from homes for the aged, asylums, private boarding schools, monasteries, prisons, concentration camps, and the like. He called such places total institutions, defined .. . as social institutions which were "walled off' in some way from the world at large; which "broke down" the barriers that existed in greater society between places of work, sleep, and play; and which enforced and maintained an extreme power disparity between a large inmate population and a smaller supervisory staff (which continued to be integrated with the outside world. (p. 69-70). Chrisjohn and Young state that the Indian Residential Schools were established, as total institutions to "unmake" the Indian student population over whom they had complete control (p. 73). Their opinion was that Indian Residential School students " . .. must be taken apart and reassembled enough to allow what remains to operate in accordance with the institutional requirements" (p. 73). Total institutions do not produce a new self; rather, the destruction of the self was initiated immediately upon the students' arrival in the Indian Residential School. The purpose was not to train the Indian student to become a healthy, competent adult. Rather, the purpose was to circumvent this human development process from occurring within Indian people at all. Chrisjohn and Young 36 quote Duncan Campbell Scott, who spoke on Bill 14, which asserted the government's "right" to force Indian people to attend Indian Residential Schools (p. 126): I want to get rid of the Indian problem. I do not think as a matter of fact, that this country ought to continuously protect a class of people who are able to stand alone. That is my whole point. Our objective is to continue until there is not a single Indian in Canada that has not been absorbed into the body politic, and there is no Indian question, and no Indian department and that is the whole object of this Bill. 80 (p. 42). Kirmayer, Brass and Tait (2000) inform that "Estimates of the indigenous population of North America prior to the arrival of the Europeans range upward from about 7 million. Close to 90% of these people died as a result of the direct and indirect effects of cultural contact...The European settlers' economic, political, and religious institutions all contributed to the displacement and oppression of indigenous people" (p. 608). This oppression continues today through bureaucratic control which continues to decimate the First Nations' attempts to preserve their cultures. Boldt (1993) emphasizes that the Department of Indian Affairs' role" ... has always been to translate the 'national interest into synergic Indian policies and administrative initiatives' "(p. 111). However, the 'national interest' is a hypothetical and unrealistic Canadian political abstraction whose sole purpose is to maintain political, social, and economic hegemony over the Canadian state. The 'national interest' fabricates a semblance of uniform national interests; when in fact, the political, bureaucratic and corporate decisions are made by the powerful, privately. I believe that Indian policy affects the mental health of Canada's aboriginal peoples. There are parallel comparisons between the aboriginal peoples of Australia and Canada. I give a quote from Vicary and Westerman (2004) who argue for: 37 ... the inclusion of socio-historical-political factors implicated in the development of disorder amongst Indigenous groups. This must include the impact of colonialism; trauma, loss, and grief; separation of families and children; the taking away of land; the loss of culture and identity; plus the impact of social inequity, stigma and racism (Swan & Raphael, 1995). Current definitions have also failed to include the extent to which these factors have impaired the functioning of the individual being assessed. (p. 4 ). Many Australian aboriginal people are distrustful towards Western mental health practitioners. The reason is because of negative experiences which occurred when they were placed in residential schools far from home. When they eventually returned home (often years later) they were not the same people as they used to be when they were taken from their homes. In fact, many Aboriginal families and communities are tenaciously determined to cope alone with a mentally ill individual from their community, and resist turning to Western medicine for help and support. I have a nephew who at fourteen years of age was diagnosed with schizophrenia. He had no family members present when he was being assessed in the Prince George Regional Hospital Psychiatric Unit and he was terrified. As he grew up he allowed Caucasian people to intimidate him. His people are from an isolated community in northwestern British Columbia, and he is not used to the larger urban population of the Prince George area. He did not do well in junior high school and did not finish grade twelve. He is unemployed and lives at home with his parents. Culturally, in accordance with the Western social and family development model, preferably, he should be living independently. However, by and large, Indian people do not adhere to this Western value. In fact, when necessary, Indian people provide care for their adult children. My nephew's father and step-mother provide this care for him. They are doing their best to 38 cope with his mental illness; and to date have resisted sending him out of the community, exactly like the Aboriginal people of Australia. Almost two years ago, he voluntarily committed himself to the Regional Psychiatric Unit. His life was completely unmanageable because of his addiction to marijuana and he was in the psychiatric unit for almost two weeks. The psychiatrist and psychiatric nursing staff were extremely rude to us. The psychiatrist and the psychiatric nursing staff did not inform us that my nephew had a right to have a family member participate in his discharge plan and it was through the support of the British Columbia Schizophrenia Society that I was made aware of this right. He wanted to be close to Narcotics Anonymous meetings in Prince George and was worried about returning home as they are not held in his community. The Northern Health Authority Mental Health Services placed him in a temporary group home for adults with mental disabilities in Prince George. Their plan was to find him a permanent home to live in when space became available. Sadly, he stayed for two days in the temporary group home and hitchhiked back home. He was overwhelmed and frightened of living with other residents who he did not know which made him lonely and homesick. Despite his mental illness, his actions exemplify Indian peoples' resistance to services and programs offered by the provincial government. Unfortunately, there is a complete lack of university-trained community mental health workers and a permanent group home on-reserve where he could live in a structured, supervised, supportive environment. He wishes that he could live in this kind of home environment, and prefers his current living arrangement (even though it is unsatisfactory for his needs) because he does not want to leave his relatives and community. 39 Pepper and White (n.d.) wrote a report, "First Nations Traditional Values", for the University of Victoria Aboriginal Liaison Office. Pepper is a member of the Creek Nation in Georgia, United States and White is a member of the Coast Salish Nation in British Columbia. Their report emphasizes the universality of First Nation story-telling in North America. There is a powerful simplicity of story-telling in Indian communities and story-telling was the most common way of teaching behaviour and community values to children. It was through stories that the sense of belonging was instilled in Indian children, with the goal being that they develop kindness and a giving sense of self and for others. In the early 1950s I grew up hearing stories and my ability to get clarity of what people were saying was difficult. Nonetheless, my aunts and uncles were patient and tolerant of me, and would hold me. Touch, in the "Indian way" (as my mother often emphasized) is another form of expression of communication and acceptance-especially for children. The Pacheedaht people went fishing for crabs and other traditional seafood which we harvested from a beach in our territory (now part of Pacific Rim National Park). My emphasis is that it was role-modeled through adult Pacheedaht behaviour that Pacheedaht people were kind and shared; we fed our relatives and any others that were hungry. My nephew grew up in a similar social and family environment. Titchkosky (200 1) states "Bodies differ, sense-abilities differ, minds differ" (p. 133)." Titchkosky emphasizes that "Separating the person from his or her disability is the aim of people-first language, an aim that does not acknowledge that the social consequence is the alienation of persons from a political understanding of disability (p. 133)." In short, political and social context correctness is so rigid that they impact upon 40 the members of the disabled communities' opportunities to affirm their positions in the world-to say who they are, to define themselves. I believe that Titchkosky is correct. I have experienced being told that my identity is much more than just being hearing impaired. An Island Deaf and Hard of Hearing Centre social worker told me that I am "John Paul the dad", "John Paul the university student", "John Paul the Pacheedaht Band member", and "John Paul the consumer". Her forceful opinion invalidated my main fears, which were the difficulties that I was experiencing in adjusting to the progression of my hearing loss. Another incident involved an able-bodied, hearing psychologist. She told me that I must not say that I am hearing disabled but that I have a hearing impairment, explaining to me that the word "disability" implies that there is something wrong with me, that I am flawed. I understood her point; however, I was comfortable informing people that I was hearing disabled. One more example of this political correctness is when Georges Erasmus coined the phrase "First Nations" over and above the use of "aboriginals" and "Indians" and "Status Indians". Georges Erasmus and I are in the same generation. Despite his benevolent intentions as a native Indian leader I was offended by his assumption that he spoke for me as a native Indian individual. I am Pacheedaht. Georges Erasmus is Dene from the Northwest Territories. My introducing my self as being Pacheedaht is far more respectful than being referred to as "First Nations". Titchkosky's stance is well taken, with the emphasis being that many wellmeaning politicians, community leaders, and community health professionals believe they are putting into practice a "people first" approach when in fact they are speaking above and around people with disabilities. 41 Delaney (2002) emphasizes that the terms "Indian" and "Native American" may place indigenous peoples "within and in relationship to Euro-American colonial frames of reference centered on the taken-for-granted scale of 'the nation,' meaning the EuroAmerican state" (p. 8). Hence, due to this ethnocentric rnindset, native people are often reduced to the roles of a minority group in Canada or the United States. Alfred and Corntassel (2005) reflect on this phenomenon. For instance, in Canada, often, native people are referred to as "aboriginals" and "Native Americans" in the United States (p. 3). Further, they emphasize that" 'aboriginalism' "is a legal, political, and cultural discourse designed to serve an agenda of silent surrender to an inherently unjust relation at the root of the colonial state itself' (p. 3.) The authors state that "colonialism is a narrative in which the Settler's power is the fundamental reference and assumption, inherently limiting Indigenous freedom and imposing a view of the world that is but an outcome or perspective on that power" (p. 5). There is a strong emphasis that colonialism has debased Indigenous cultures and communities; and that in Canada the move to self-government for the different Indian Nations nationally, if Indian Nations accept the current realities of our colonized state (on the government's terms), then the process is doomed to failure. I attended an Indian Residential School Survivors Group meeting, sponsored by the Assembly of First Nations in Vancouver in July 2005. At the meeting there were very few Status Indians with disabilities in attendance, and the few that attended, we rarely spoke to one another. I tried to speak to a man in a wheelchair, and he acted somewhat uncomfortable towards me in response, saying very little to me. On the second day all attendees were given three minutes to voice concerns. Many of the attendees 42 were furious at being given only three minutes to speak, and as I am an Indian Residential School Survivor I clearly understood their feelings of resentment. Another individual with a disability and I were the only survivors with disabilities that spoke. Our main concern was "How does one 'measure' financial compensation for abuse of those with handicaps?" The member of the Assembly of First Nations panel who responded (in a detached, bureaucratic manner) to our question, informed us that our issues were being "looked at". That was the sole substance of his response. My subjective experience to his response was this: it felt like our concerns were not important in the eyes of the Assembly of First Nations panel; Status Indian people with disabilities appear to be beyond the margins of concern of the organization that represents all Status Indians in Canada. In comparison with workplace managers who did not know how to empathize with the difficulties that people with disabilities experience in the workplace, my subjective experiences are similar to that of what I experienced at the Assembly of First Nations Indian Residential School Survivors meeting in July 2005 in Vancouver. Disque and Bitter (1998) state that people and the problems they experience in their lives can become fused into a single identity which they call "undifferentiated narrative" and their lives become "problem-saturated"; and, it can be difficult for a therapist to distinguish between these people and their problems (p 433-434). I have rigidly responded to other people in communication with them ever since I was a young child. The irony of my life is that I was the youngest son in a problem-saturated marriage. My mother's emotional and mental abuse of me direly affected my personality. I am extremely self-judgmental. I have always been told that I am intelligent, but, I have never really believed this to be true because of the way she treated 43 me as a child. The irony of my life is that in sobriety I tried to develop a healthy motherson relationship with her, and it simply did not happen. It has been difficult understanding that as a Hard-of-Hearing child I was vulnerable in my dependency upon my mother and she abused this dependency. It is challenging for me to understand the dynamic of this abuse, because I have only recently started to search deeply into my childhood. Horsman (2004) emphasizes that severe violence is potentially souldestroying to victims of violence and I agree with her. She says that this kind of soul destruction erodes the victim's ability to imagine a healthy lifestyle for themselves. Horsman (2004) emphasizes the danger of framing trauma outside of normalcy preserving silence. She uses the phrase "live beside the violation" and this metaphor is certainly applicable in my life. I mentioned that I am now "catching up" to my identity, my personhood, as a member of the Pacheedaht First Nation. I have worked hard at recognizing that it is my responsibility to "live beside the violation" and this has been very frightening. The triggers which I respond to are directly related to my early childhood before I even entered the Indian Residential School. The silence around the abuse I was the victim of, in my early childhood and in the Indian Residential School was difficult to make sense of; the reason is because no one spoke about the abuse in my family. In fact, I was the initiator of trying to discuss abuse in my family. My oldest brother has denied that abuse occurred. I tried to talk to him about how our father forced him to go to work at thirteen years of age and his response was "That's just the way the old man was." The denial has remained to this day. This is the main reason why I have chosen to remain aloof of my siblings after my parents passed away. The anger is still deeply rooted within all of my siblings and it is a toxic way to communicate. The 44 toxicity is too overwhelming to deal with; hence, I choose to stay away. I do this to preserve my emotional stability. Morrow (2005) informs that "Increasing consciousness involves identifying sources of inequality and representing the perspectives of those who have been silenced or disempowered. It also explores and makes visible who benefits from power and how power is exercised" (p. 253). Further, Martin Luther King, Junior, said this: "Injustice anywhere is a threat to injustice everywhere. We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly" (Letter From A Birmingham Jail, 1963, p. 2). To illuminate even further, Razack, the female Canadian Black educator, candidly reminds us that everyone in society participates in some form or another in systemic oppression. She also says that we need to examine who can speak and how they are likely to be heard. I agree wholeheartedly with Morrow, King, and Razack. The fact that I was encouraged by the Director of the UVic School of Social Work to withdraw from the program because I was not maintaining the marks expected of me was discriminating. I could not function in an environment where there was so much noise, as there was in the computer lab in which I took the Statistics course that I failed. It is obvious that under the circumstances that I had experienced psychastsenia because I definitely failed to concentrate on the lectures objectively in such a noisy environment. This caused me to experience extremely stressful mental and physical fatigue, which caused me to tire, and I simply could not conserve the required energy I needed to concentrate on getting clarity of what the professor was teaching in this particular course. Clarity was impossible to achieve because I do not have the hearing ability. 45 There is also the issue of my being silenced and disempowered by the provincial government employee. Woodcock and Aguayo (2000) state that "Deafness .. .imposes a loss on a life that must continue" (p. 42). Also, " .. . the loss involves an 'indefinite life sentence' "(p. 42). It was an intimidating experience speaking with a man in middle management, employed by the provincial government. In this incident, I was working hard to live my life, wherein at that moment experientially I was training to develop a new relationship with the provincial health agency he represented. His throwing my agenda across the table was more than an act of inconsideration. I was attempting to create a healthy communication with him about the need to develop more realistic ways to promote mental health services on Indian Reserves in the North. The agenda was serving this purpose. Lane (1992) states that "There are many victims but few victimizers" (p. 87). This is an apt statement which describes this meeting with the provincial government employee. His flinging my creative agenda across the table at me indicated that his interest in promoting mental health services on Indian Reserves in the North was at a minimum. I feel strongly about this because he did not appear to take into consideration that he was furthering the victimization of First Nation people on Indian Reserves because of his neglect in communicating with me about the agenda. His curt dismissal made this very clear to me. On this particular Indian Reserve the primary concern was the preventative measures necessary for suicide on Indian Reserves because a young man who apparently was assumed by the community to be mentally healthy took his life. This middle management provincial government employee's actions reflected a lack of 46 commitment of the provincial government to initiate preventative programs for suicide, and mental illness support services on Indian Reserves in the North. The same can be said for the woman who I spoke to concerning my application to the funding committee for funds to enable me to do promotion of mental health outreach services for another Indian Reserve in the North. This woman's lack of empathy indicated to me that outreach services were of no concern for her. I was overwhelmed as to how to maintain a diplomatic approach to dealing with her, when her demeanour did not reflect a positive regard for my concerns. Her surprise when I asked her if there was any appeal process in place for funding decisions made me aware that that was when she started to take my application for funding seriously. In regard to my hearing loss, I wondered if she perceived me as a competent community mental health worker. She exhibited the least patience and tolerance in our phone discussion. The fact that she never returned my calls made me suspicious that I was not important to her. These are the kinds of situations that make First Nation people think about what non-Native people think about them. I certainly felt this way. I felt this way because it seems like she treated me as if I was a low priority because she did not return my calls nor did she answer my e-mails. This is a concern, because if she is an Executive-Director for a community mental health agency, then her concerns about mental health promotion on Indian Reserves in the North should be high on her list. The fact that I felt otherwise indicated to me that I was beyond her margins of concern. This is not a reflective indicator of the agency's attitude about mental health issues for First Nations people, especially on Indian Reserves in the North. Also, her use of power as an Executive-Director made me uncomfortable. Power is a force that Status Indians are 47 completely familiar with as we live under the oppressive power of the Indian Act. This is a relevant concern when the mental health issues on Indian Reserves in the North are in a crises situation, as the situation was on the Indian Reserve in question. My social identity as a First Nation man with a profound hearing loss has been puzzling and challenging. The puzzle has always been for me, culturally as Pacheedaht, where do I fit in with my hearing loss? Lane (1994) states "Hard-of-hearing adolescents ... tend to be culturally homeless, belonging to neither the deaf nor the hearing communities" (p. 227). Lane refers to children who are hard-of-hearing as "implanted" and who are members of neither the hearing world nor the deaf world. I grew up like this. The difficulties that I encountered as a child in the Indian Residential School were extremely frightening. I heard young native children speaking their language (my siblings and I never learned to speak our language), and this fascinated me. My mother was determined to learn Pacheedaht because my Pacheedaht relatives made fun of her because she could not understand the language; she did learn. On the other hand, my father spoke Pacheedaht fluently, and he abhorred the idea that his children speak the language as well. He was full of shame. He refused to allow our mother to teach his children to speak his language. There are many First Nation people in my generation who did not learn their language because their parents were ashamed to speak it. This loss, for all native people in my generation, is why I feel a sense of cultural homelessness as Pacheedaht, and not only as an individual who is profoundly Hard-of-Hearing. Concerns There are concerns. I refer to the provincial government document "Toward a New Era of Reconciliation with First Nations: A Progress Report June 2004" (Progress 48 Report) as a guide. The most pressing area of concern is what appears to be a lack of commitment to initiating the provision and development of community mental health programs on Indian Reserves in Northern British Columbia. At the community mental health agency where I did my practicum there was a clear need for immediate provision of services on the Indian Reserve where we were doing our outreach. The Northern Health Authority did not have any funds available to enable me to pay for travel costs in order to promote these outreach services. Hence, I was instructed by my practicum supervisor to apply for funding from a funding initiatives committee in Prince George. This committee turned down my application for funding. Their lack of communication with me was challenging to deal with under the crises situation being experienced by the Indian Band in question. The Northern Health Authority middle manager who threw the agenda back across the table at me was a very sensitive incident to deal with, one which I chose not to respond to because of the lack of understanding which this individual showed. The woman who had an opinion on my hearing loss as applied my ability, showed a lack of empathy, which affected my opinion about her at that time. Sensitivity and objective thinking was lacking. All of these affect relationships with First Nations people in the North. In the "Forging a New Relationship" section of the Progress Report, it clearly states that the province is making an effort to materially improve the quality of life, to improve the quality of opportunities, to improve the quality of education, and to improve the quality of health of Aboriginal families in British Columbia (p. 3). The province of British Columbia recognizes the challenges affecting the First Nation peoples. The province of British Columbia is addressing reconciliation, consultation, and 49 accommodation where rights may be affected. Finally, the province of British Columbia appears to be committing to the provision of the renewal of First Nations' social and economic opportunities (p. 3). In application to the three communication incidents in which I was involved, the incidents are very serious violations of the province's commitment to forge a new relationship with First Nation peoples. Another section of the Progress Report is titled "Founding A New Relationship on Strong, Open Communication" (p. 3). The section clearly emphasizes that communication must be open with a concentration on building relations. The exact words used are " ... to keeping dialogue flowing and building relations through .... " (p. 3) In the incident with the Northern Health Authority middle manager the dialogue did not flow. I am a Status Indian from British Columbia. He is Caucasian, employed in a professional capacity with the Northern Health Authority. If the dialogue is to keep flowing, then the provincial government mental health employees must listen and hear what is being communicated to them from First Nation peoples. In order to listen and hear requires objective analysis skills. The seriousness of the lack of communication between the Northern Health Authority and Indian Bands in the North must be addressed objectively. The situation with the need for support services being made to remote Indian Reserves in the North is crucial. I speak about my nephew, who is constantly in emotional turmoil because of his addiction to marijuana. The reason why he started smoking marijuana is because he did not like the effect that his medication has on him. His psychiatrist kept changing his medication and each time he took his new medication, there was very little change. He keeps smoking marijuana to offset the effect. He does not live in an environment where professionally trained support workers are available to 50 speak to when necessary. This is not the fault of the provincial government; however, their role is to be able to provide support services to First Nation people with mental illnesses living on-reserve. My nephew does not have this option. The Indian Bands' leadership has a responsibility to initiate healthy dialogue with the provincial government in order to address the need for support services being made to Status Indians living on-reserve. The decision to address this need must come from the Indian Band leadership. The community health workers are aware of the crises situation because they work with Band members (with mental illnesses) in crises daily. They are tired. When I was doing my practicum these community health workers' tiredness was clearly evident. Their concern for Indian Band members with mental illnesses living on their reserve was extremely high, and understandably so. However, when I informed the representative of the funding committee of the crises situation she blatantly ignored my concerns. I mention this incident because I believe that community initiatives funding committee to which I applied for funds is responsible for addressing mental health issues on-reserve as well. We are all responsible to forging new relationships based on strong, open communication between First Nation communities and all British Columbians. The Assembly of First Nations must take the needs of the Indian Residential School Survivors with disabilities, seriously. My experience at the Indian Residential School Survivors Meeting in Vancouver, British Columbia on July 19-21, 2005 was very spiritually and emotionally painful. On the last day, when the Assembly of First Nations panel summed up the issues discussed, disability issues were not mentioned. Why? I spoke to the Assembly of First Nation employee who was responsible for the logistics of the meeting, about the need for accommodation for deaf and hard of hearing 51 Indian Residential School Survivors. I clearly emphasized that I cannot understand dialogue in audio sound systems in auditoriums because of the echo effect. She informed me that she was investigating whether or not the Assembly of First Nations could provide for our accommodation, which was Captioning. I explained to her that Captioning had to be provided by a professionally trained Captionist, and could not be done by an Assembly of First Nations computer typist because Captionists are professionally trained to provide the accommodation. In fact, I had provided her with the name of a Captionist in Vancouver. The Captioning problem was not rectified until a day or two before the meeting. This woman is a Social Worker, and her lack of a professional attitude towards me as one with a profound hearing loss surprised me. She was quite neglectful and did not see the need to take my concern for hearing loss accommodation seriously. I never did hear back from her. In "The New Relationship" released by the Province of British Columbia in August 2005, the document begins "We are here to stay. We agree to a new governmentto-government relationship based on respect, recognition and accommodation of aboriginal title and rights. Our shared vision includes respect for our respective laws and responsibilities. Through this new relationship, we commit to reconciliation of Aboriginal and Crown titles and jurisdictions" (p. 1). In Incident 1, I did not experience being respected in my role as a developing First Nation community health worker by the Northern Health Authority middle manager. I was being responsible, considering entirely the needs of the community which had requested intervention by the Northern Health Authority Mental Health and Addiction Programs. In Incident 3, albeit addressing the needs of another Indian Band in the North, is directly influenced by the beginning 52 statement in "The New Relationship" because I did not feel respected as a First Nation developing community health worker with a profound hearing loss by the primary person in this incident. The funds administered by the community initiatives funding committee comes directly from the Northern Health Authority. In Incident 2, I did not feel respected by the person who made the comment to me regarding my ability. This incident illustrates the need for respect for all First Nation people with disabilities. I did not feel respected on the basis of my ability. Trust is a serious concern. The Indian Bands in the North appear to not trust the offering of the community outreach offered by the agency which has contracted with the Northern Health Authority to provide the services in Indian communities. "The New Relationship" emphasizes working together with First Nations to develop social justice (p. 1). This was not my experience in Incident 1 and 3 because I felt paternalized by the main people mentioned in these incidents. The paternalism is common in communication between First Nation people and White administrators in the government and private sector. "The New Relationship" mentions strategic vision concerning their goal number 3, "To build the best system of support in Canada for persons with disabilities, special needs, children at risk and seniors (p. 2)." In Incident 1 and 3 I was not treated as an equal sharing a strategic vision to initiate and maintain the goals of "The New Relationship." In Incident 1 I felt like I was "talked down" to, rather than "talked to" because I had gone into the meeting feeling very positive because I had worked hard in preparation of the agenda. When the agenda was flung back across the table at me, the experience was very intimidating. In Incident 3 I felt like I did not even matter, in the eyes of the woman whom I spoke to. 53 I am aware of how I am still affected by the racist way I was treated in the Indian Residential School. I had difficulty working for the former Ministry of Social Services, and a counsellor explained to me that he felt it was the institutionalization of the Indian Residential School I was reacting to. I "transferred" the experience to the Ministry of Social Services. When I worked in the woods I did not experience being affected by institutionalization. In fact, I enjoyed the camaraderie that is common in the woods. It is a different work environment than bureaucracies. I am also aware of the fear and shame issues in my life. The time when I experience these feelings is almost always when I am tired, which is caused by the energy loss which I experience due to trying to hear as best as I am capable of hearing, and the fear and shame usually "kicks in" in communications in the late afternoon or evening. This is one of the symptoms that I have had to adjust accordingly to in my acceptance of being Hard-of-Hearing. This paper has been challenging to write because to objectively present the issues required that I looked inward in order to proceed. I encourage the non-Native and First Nation leadership to look inward as well. It is necessary for leadership on both sides to begin a new dialogue, working toward the development of a healthy communication attitude with the goal to building a new relationship. If the provincial government and First Nation leadership fail to do so, the First Nation peoples with disabilities will be the ones who will continue to suffer the most due to a lack of programs on Indian Reserves in the North. It is common knowledge that in British Columbia, there are many political issues about land claims; however, for the initiation of a new relationship to begin, 54 political issues must be pushed out of the negotiation landscape. The following five practices are foundational to this initiative. Recommendations (1) Model The Way Kouzes and Posner (2002) state that leaders model the way and are clear about their guiding principles. This will require an attitude of humility, expressed in commitment to what one says, manifesting itself in positive action. A commitment to belief is crucial for the success of this commitment. Therefore, spending time in the communities where services are most needed is suggested, especially during times of fear and anxiety. Leaders must not only be visible in the community when anxiety and fear occur; they must also be approachable. (2) Inspire A Shared Vision Kouzes and Posner (2002) state that it is through shared vision that leaders encourage others to share their goals. An important asset of leaders that openly encourage others, is that they understand the needs and interests of the people they wish to provide services to, and engage in dialogue with them specifically about how they envision to develop these services. Charismatic leadership has a vision of something new, different; as well as confidence in their leadership skills to put their visions into action. A fertile imagination creates images of what can be, and drives leaders in their initiating the development of a more progressive future. If leaders are enthusiastic, their enthusiasm will be apparent, and will affect in a positive way those that they wish to serve because their goal is to develop a "common good" (p. 18). 55 (3) Challenge The Process Progressive leadership is naturally inclined to challenge outdated systems of service. The introduction of new ideas for new services is provided by the population in need; as well as from the workers that are providing current services to them. Therefore, in the communication of needs, in order to challenge the process, requires that leaders listen more than speak. If the leadership is actively listening, they will recognize these ideas as innovative and openly support them. Also, change often involves risk, even failure; nonetheless, progressive leadership persistently moves along anyway. In order to challenge the process, leadership is encouraged to make small steps with the goal to attaining small wins. Small steps indicate that leadership is aware of the ability for their subordinates to manage change. (4) Enable Others To Act Governments' imperialistic paternalism over Status Indians has never worked. The power that the federal and provincial governments hold over Status Indians weakens First Nation leadership. This weakening of First Nation leadership often results in their feeling dependent and alienated-powerless. In order to accommodate a new relationship between the provincial government health authorities and Indian Reserves in the North, the provincial government must enable the First Nation leadership to act (Kouzes and Posner, 2002, p. 18). Cooperation is required and must be established by all who wish to participate in this new vision. Also, power to make decisions must not be delegated to First Nation leadership by the provincial government. Power to make decisions about community health issues must be shared. There are many First Nation people, especially 56 younger people, with the potential to become progressive community health leaders on Indian Reserves in the North. The provincial government must openly encourage these individuals to develop their capabilities to lead. (5) Encourage The Heart Kouzes and Posner (2002) refer to encouragement as "curiously serious business" (p. 19). Simply stated, this involves "genuine acts of caring" (p. 19). One of leadership's responsibilities is to express gratitude for peoples' contributions to a cause or goal. If the encouragement is not sincere, Status Indians will immediately notice, whether the insincerity is given by the provincial government or by their own leadership. In fact, many grassroots First Nation people do not trust their leaders because they feel that their needs are being ignored by them. In short, encouragement from the heart will reap dividends for all that are courageous in initiating a new relationship in the provision of community health programs on Indian Reserves in the North. On November 25 2005, part of Premier Gordon Campbell' s Closing Remarks at the First Ministers' Meeting in Kelowna, British Columbia was "In March 2005, the Province began meetings with representatives of the First Nations Summit, the Union of B.C. Indian Chiefs and the B.C. Assembly of First Nations to develop new approaches for consultation and accommodation and a vision for a new relationship to deal with Aboriginal concerns based on openness, transparency and collaboration-one that reduces uncertainty, litigation and conflict for all British Columbians" (p. 3). The five suggested recommendations are crucial for the initiation of a new relationship. The reason is because there is bitterness, distrust, fear, and anxiety in First Nation communities, especially concerning the lack of service provision for community 57 health issues on Indian Reserves in the North. These five principles will take years to cultivate, and to ensure their success the provincial government and First Nation leadership must accept and respect this reality. Patience and tolerance are key assets for First Nation and provincial government leadership to initiate this new relationship. Battiste (2000) states "The psychology of the oppressor and the psychology of the oppressed are different faces on the same coin, dependent on each other for their value" (p. xxvi). The writer hopes that this paper will contribute to moving towards more similar values on this same coin. 58 References Adelson, N. (2000). Re-lmagining Aboriginality: An Indigenous Peoples' Response to Social Suffering. Transcultural Psychiatry, 37(1 ), pp. 11-34. Ahmad, N., Seidman, M. (2004). 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