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Date Submitted: 07/05/2013 02:33 PM
Deborah Gloria
HLT-205
February 23, 2013
Dr. Michael Rothrock
Distrust Factor Among Specialized Populations
Trust is the obligation or responsibility imposed on a person. By the same token distrust is to
regard as untrustworthy or regard with suspension, to have no faith or confidence in. To build
positive patient-provider relationships, recruiting and retaining patients for research projects, and
work effectively with communities trust is essential. Distrust comes from “historical trauma”,
and “intergeneration wounding” imposed on various minority populations (Kosoko-Lasasi,
Cook, & O, 2009)
One example of “intergeneration wounding” to American Indians was genocidal
extermination by policies developed by the U.S. During this time it was believed that “the only
good Indian was a dead Indian” (Saunders, 2008). Blankets were infested with small pox,
mumps, measles and influenza. These blankets were given to the American Indians as a gift of
of peace. American Indians immune systems could not fight these diseases. In addition, a
bounty system was created to foster elimination of the “Indian Problem”, encouraging the killing
of the Indians. When killed the body was brought to a specialized designated area and a bounty
was paid. If there was no body that could be recovered, then the scalp was brought in and was
paid for. The extermination was a dreadful period for the American Indian and its effects
came in the form of intergeneration posttraumatic stress disorder. (Sanders, 2008).
They encountered “historical trauma” in the 1950’s where many American Indian women
Were sterilized by the Indian Health Services. Women neither consented nor did their parents
to this procedure. Although this is a reliable form of birth control, this procedure was considered
abuse and silenced the American Indian women to silence them with fear and shame. The
women did not speak out for fear of losing their services with the Indian Health...