Further Reading ABORIGINAL HEALTH IN CANADA: Historical, Cultural, and Epidemiological Perspectives By James B. Waldram, D. Ann Herring and T. Kue Young University of Toronto Press, 2002 ISBN 0802068871 334 pages Numerous studies, inquiries and statistics accumulated over the years have demonstrated the poor health status of Aboriginal Peoples relative to the Canadian population in general. This state of affairs has led to charges of neglect, indifference and even genocide against the federal government and Canadian society by Aboriginal groups and their supporters. The debate on Aboriginal health services has focused on their current availability, adequacy, accessibility, effectiveness, and sensitivity to community needs. While there are several books on particular aspects of Aboriginal health and health care in Canada, a comprehensive historical review that is national in scope and combines the methodologies and perspectives of epidemiology, history, and anthropology has not been available until now. Aboriginal Health in Canada is about the complex web of physiological, psychological, spiritual, historical, sociological, cultural, economical, and environmental factors that contributed to health and disease patterns among the Aboriginal Peoples in Canada. Authors James B. Waldram, D. Ann Herring and T. Kue Young explore the evidence for changes in patterns of health and disease prior to European contact and since then, up to the present. They discuss medical systems and the place of medicine within various Aboriginal cultures and trace the relationship between politics and the organization of health services for Aboriginal Peoples. They also examine popular explanations for Aboriginal health patterns today and emphasize the need to understand both the historical-cultural context of health issues and the diversity of circumstances that give rise to variation in health problems and healing strategies in Aboriginal communities across the country. An overview of Aboriginal Peoples in Canada provides a very general background for the non-specialist. Finally, contemporary Aboriginal healing traditions, the issue of self-determination and 26 health care, and trends in Aboriginal health issues are examined. Waldram is a professor in the Department of Native Studies at the University of Saskatchewan. He and N. Dyck are the editors of Anthropology, Public Policy and Native Peoples in Canada. Herring is an associate professor in the Department of Anthropology at McMaster University. She and Leslie Chan are editors of Strength in Diversity: A Reader in Physical Anthropology. Young is a professor in the Department of Community Health Services in the University of Manitoba’s Faculty of Medicine. He is author of The Health of Native Americans and Health Care and Cultural Change. Journal of Aboriginal Health • January 2004 COMPARING THE POLICY OF ABORIGINAL ASSIMILATION: Australia, Canada and New Zealand By Andrew Armitage University of British Columbia Press, January 1995 ISBN 0774804599 304 pages The Aboriginal People of Australia, Canada and New Zealand became minorities in their own countries in the 19th century. The expanding British Empire had its own vision for the future of these peoples, which was expressed in 1837 by the Select Committee on Aborigines of the House of Commons. It was a vision of the steps necessary for them to become civilized, Christian and citizens – in a word, assimilated. Comparing the Policy of Aboriginal Assimilation provides the first systematic and comparative treatment of the social policy of assimilation that was followed in these three countries. The recommendations of the 1837 committee were broadly followed by each of the three countries. However, there were major differences in the means that were used. Australia began with a denial of the Aboriginal presence. Canada began establishing a register of all Status Indians. New Zealand began by giving British citizenship to all Maori. The policy of assimilation is traced through five principal phases: • a period of initial contact when the power relationships necessary to carry out the policy were established; • a period when the policy was passive and Aboriginal People were expected to die out or merge with the immigrant populations; • a period of aggressive policy when specific social policies were introduced to suppress Aboriginal institutions; • a period of integration when it was thought that the policy could be achieved through disregarding the Aboriginal existence; and • the present period when the policy is being reversed as Aboriginal Peoples re-establish control of their own social policy. As well as providing comprehensive and comparative data on the conduct of the policy of assimilation, Comparing the Policy of Aboriginal Assimilation provides a series of accounts of the reasons given for the Journal of Aboriginal Health • January 2004 policy in each period. These lead to an analysis of the origins of the policy within the immigrant societies of the British Commonwealth and the reasons for its persistence. In the end, the policy of assimilation is shown to be primarily an expression of the racist and colonial nature of the immigrant societies. Today the Aboriginal societies are reasserting themselves. There are some grounds for hope that a plural form of social policy can be brought into effect that accommodates the need to respect differences between the Aboriginal and immigrant societies. Andrew Armitage is a professor in the Department of Social Work at the University of Victoria. 27
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