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Collaborative and Indigenous Mental Health Therapy


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Table of Contents



List of Abbreviations

Chapter One: Introduction

Chapter Two: Context

Chapter Three: Hey Moko, Slow Down!

Chapter Four: George and the Thing

Chapter Five: The Lesson

Chapter Six: 'I Will Not Leave My Baby Behind'

Chapter Seven: Into the World of Light

Chapter Eight: Tataihono

Glossary Acknowledgements Index

About the Author

Wiremu NiaNia was apprenticed as a child to a spiritual healer of the NiaNia whanau. In 2005 he became the cultural therapist at Te Whare Marie, the Maori mental health service at Capital Coast District Health Board. He is now an independent healer, writer and consultant. Allister Bush is a child and adolescent psychiatrist at Te Whare Marie, the Maori mental health service in Porirua, and at Health Pasifika (integrated Pacific mental health service, Capital Coast District Health Board). David Epston is an honorary clinical lecturer at University of Melbourne and an affiliate faculty member at North Dakota State University.


A significant contribution to the growing literature on indigenous views of health and illness. Asserts and secures Maori identity amid global pressures for cultural uniformity and homogenization. An informative journey into the Maori way-of-knowing and way-of-being in the world. The glossary of Maori language terms is a special treat.

Anthony J. Marsella, Ph.D., Emeritus Professor of Psychology, University of Hawaii. Ahakoa he pukapuka i roto i te Reo Pakeha, ka puta mai he whakaaro Maori tuturu. Na raua i rangatira motuhake ai ta tatou akoranga hei whakamahiti korou to tatou mahi tahi, kia piki ake ai te oranga o nga whanau. Despite being in English, a truly Maori approach is visible. The two authors present a unique opportunity to elevate our learning in order to strengthen working together so that whanau health is advanced. Dr Hinemoa Elder, Professor in Indigenous Mental Health Research and Director of Te Whare Matai Aronui, Te Whare Wananga o Awanuiarangi Tataihono is a unique book on what should be a culturally-adapted and person-centered care in the 21st century. It outlines the experiences of two exceptional individuals, one a Maori healer and the other a European-New Zealander psychiatrist, whom carefully manage together challenging clinical cases among the Maori. A wonderful account on Indigenous healers-psychiatrists' collaboration and their contributions to global mental health. Mario Incayawar, M.D, MSc., PhD., Runajambi Institute, Inca Nation, South America. The book is wonderful and makes a great contribution to psychiatry both in Australia and New Zealand. It furthers our understanding of the human experience through a cultural lens and clearly demonstrates the importance of good, respectful relationships within the clinical team and with the families seeking assistance. It also highlights the importance and significance of Indigenous knowledge and the benefit from using both a western and Indigenous perspective in achieving good outcomes. I really like the way the book has been written by honouring the voices of all who participated in the case studies and acknowledging their shared wisdom and experiences. Professor Helen Milroy, Director, Centre for Aboriginal Medical and Dental Health I found this to be an excellent exposition of quality clinical practice in mental health in a bicultural framework. I would strongly commend it to trainee psychiatrists as a core text in their training, and would recommend it to all those working in mental health in New Zealand. Professor Pete Ellis, Professor of Psychiatry, University of Otago, Wellington This work will be of wide interest to multiple practitioner and lay audiences both nationally and internationally, for people with difficulties of this kind and their families, for indigenous and non-indigenous mental health workers in different contexts, for clinical teachers, trainees and researchers, and anyone concerned with the mental health and wellbeing of those in their communities. Professor Tim McCreanor, Social Scientist, Massey University, Auckland The UNITEC Bachelor of Social Practice programme with its 300 students and the Postgraduate Diploma in Counselling with its 50 students, are both crying out for a book of this sort. Kay Ingamells, Lecturer, Department of Social Practice, UNITEC Institute of Technology, Auckland The authors have been able to use recordings of the actual clinical sessions to ensure accuracy of the content. They have also been able to follow up with the patients and have obtained updates on clinical outcomes and reflections on their experiences of the treatment they received. This all combines to provide a rich picture of how a truly collaborative interface between scientific and indigenous Maori knowledge looks. This definitely has value for clinicians of any ethnicity who will be working with Maori, at any level of experience. I will certainly be reading this book again. Clive Banks, Consultant Clinical Psychologist: Ora Toa Mauriora "I experienced this book as devine. It is beautifully written, provides detailed examples of how to assess for possible spiritual problems (which can be primary or comorbid issues), and teaches ua all how we might best partner healers steened in an indigenous, spiritual understanding of what it means to suffer and find healing." Dr Granda, University of Hawai'i, Honolulu

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