A former Assistant Professor of Psychiatry at the University of Pennsylvania School of Medicine, Wayne Macfadden MD has held several positions at clinics and medical centers focused on Substance Use Disorders. Since August 2018, Wayne Macfadden MD, has provided Psychiatric Services on the Spirit Lake Reservation, in Fort Totten North Dakota. Centuries of discrimination, racially based violence, and stigma have contributed to some Native American communities grappling with disproportionally high rates of Substance Use Disorders. The concept that the extreme hardship experienced by a prior generation can cause emotional and physical consequences in the following generations is known as historical trauma. In response to horrific circumstances, such as institutionalized deprivation, abuse, and violence, people may develop poor health, unhealthy coping skills, or mental disorders. This impacts the following generations through dysfunctional family dynamics and other negative psychosocial factors, and possibly through hereditary means. In the case of Native Americans, the systematic destruction of their culture contributed to deep feelings of social isolation. New generations are also subjected to similar stigma and discrimination, which can exacerbate issues like addiction and mental health problems.
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AuthorWayne Macfadden MD: Expert in both Clinical and Research Psychiatry. Archives
March 2024
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