PBS Hawaii – Insights: What Are the Mental Health Challenges for Native Hawaiians?


DAN: ACCESS TO MENTAL HEALTH RESOURCES IN
RURAL COMMUNITIES AROUND HAWAII IS SPARSE. MENTAL HEALTH EXPERTS SAY THE SERVICES ALREADY
ESTABLISHED NEED TO BE CULTURALLY SENSITIVE. ARE WE DOING ENOUGH TO PROVIDE CULTURALLY
APPROPRIATE COMMUNITYBASED CARE TO NATIVE HAWAIIANS? COMING UP ON INSIGHTS ON PBS HAWAII,
WHAT ARE THE MENTAL HEALTH CHALLENGES FOR NATIVE HAWAIIANS? COMING UP NEXT ON INSIGHTS ON PBS HAWAI, WHAT
ARE THE MENTAL HEALTH CHALLENGES FOR NATIVE HAWAIIANS? ALOHA AND WELCOME TO INSIGHTS ON PBS HAWAII.
IM DAN BOYLAN. STUDIES SHOW THAT NATIVE HAWAIIANS HAVE HIGHER
HOSPITALIZATION RATES THAN ANY OTHER PACIFIC ISLANDER GROUP FOR DEPRESSION, BIPOLAR DISORDER,
AND ANXIETY DISORDER. AND NATIVE HAWAIIAN TEENAGERS ARE MORE AT RISK FOR ATTEMPTING
SUICIDE THAN THEIR PEERS. THESE STATISTICS SHINE A LIGHT ON HAWAIIS NEED TO PROVIDE BETTER
ACCESS TO MENTAL HEALTH SERVICES. HOW CAN WE HELP NATIVE HAWAIIANS GET THE MENTAL HEALTH
CARE THEY NEED? WHAT MORE CAN WE DO? WE INVITE YOU TO JOIN OUR CONVERSATION BY
CALLING, EMAILING OR TWEETING YOUR QUESTIONS AND COMMENTS. NOW TO OUR PANEL: VICKY HOLT TAKAMINE IS A KUMU HULA AND EXECUTIVE
DIRECTOR OF THE PAI FOUNDATION, A NONPROFIT ORGANIZATION WHOSE MISSION IS TO PRESERVE
AND PERPETUATE HAWAIIAN CULTURAL TRADITIONS FOR FUTURE GENERATIONS. POKA LAENUI IS THE EXECUTIVE DIRECTOR OF HALE
NA`AU PONO, A COMMUNITY BASED BEHAVIORAL HEALTH CENTER IN HIS WAI`ANAE COMMUNITY. DR. NALANI BLAISDELLBRENNAN IS A PSYCHIATRIST
WHO WORKS IN PRIVATE PRACTICE AND AT THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER. SHE HAS
STUDIED THE ROLE OF CULTURE ON MENTAL HEALTH. CHRISTEN MARQUEZ IS A FILMMAKER WHO MADE HER
DIRECTORIAL DEBUT WITH THE DOCUMENTARY E HAKU INOA: TO WEAVE A NAME. CHRISTENS DOCUMENTARY
FOCUSES ON HER RELATIONSHIP WITH HER MOTHER, A NATIVE HAWAIIAN CULTURAL PRACTITIONER DIAGNOSED
WITH SCHIZOPHRENIA. IM GOING TO START WITH YOU. YOU HAVENT BEEN
HERE IN A LONG TIME. SO YOU GET IT. WHAT ARE THE MENTAL HEALTH CHALLENGES FOR NATIVE HAWAIIANS
IN YOUR MIND? SOCIETY HAS DEVELOPED OVER A PERIOD OF TIME ESPECIALLY AFTER THE OVERTHROW
OF HAWAIIAN NATION SO THAT WE HAVE OVER A PERIOD MUCH TIME DEVELOPED A DEEP CULTURE
THAT FUNCTIONS WITHIN HAWAII. WHETHER ITS WITHIN THE HEALTH SIS EM, EDUCATION SYSTEM,
POLITICAL SYSTEM, ENVIRONMENTAL SYSTEM. BASED ON PILLAR DOMINATION, INDIVIDUAL INDIVIDUALISM
AND EXCLUSION. I CALL THE DIE, CULTURE. THAT DEEM CULTURE IS SIMPLY IS NOT APPROPRIATE
FOR WELLBEING NOT ONLY FOR NATIVE HAWAIIANS BUT FOR PEOPLE OF MANY DIFFERENT ETHNICITIES.
YOU HAVE OTHER CULTURES YOU FIND IN THE COMMUNITIES. ITS AN INFORMAL SYSTEM. DOMINATION WE CALL
OLU. OLU SORT OF KINDER, GENTLER, NOT ALWAYS DOMINATING AND SAYING IM BETTER THAN YOU OR
THINGS LIKE THAT. INDIVIDUALISM, ITS LOKAHI. TO THINK OF GENERAL COMMUNITY, THE FAMILY,
THE LARGER COMMUNITY. INSTEAD OF EXCLUSION, ITS ALWAYS ALOHA, TO BE INCLUSIVE WITH A SENSE
OF HUMAN TI. THAT IS A CULTURE THAT BRINGS ABOUT HEALTH. ITS THE OLA CULTURE. OLUOLU,
LOKAHI AND ALOHA AS OPPOSED TO DOMINATION INDIVIDUALISM AND EXCLUSION CULTURE. ITS NOT
ONLY FOR NATIVE HAWAIIANS. UNTIL WE MAKE THAT BROAD SHIFT OF A CULTURAL CHANGE, AND WITHIN
THAT CULTURAL CHANGE, YOU CHANGE THE WAY WE DO MENTAL HEALTH, THE WAY WE DO ECONOMICS,
YOULL OF THESE OTHER THINGS. ONLY THEN ARE WE GOING TO START GETTING A HEALTHIER COMMUNITY.
TAKEN FROM A LOT OF NATIVE HAWAIIAN PRINCIPLES. REALLY, IT STRETCHES THROUGHOUT OUR COMMUNITY.
>>DAN: DO YOU FEEL THAT THE HAWAIIAN COMMUNITY AND THE YOUNG PEOPLE THAT YOURE TEACHING AT
LEEWARD COMMUNITY COLLEGE FOR EXAMPLE, YOUNG HAWAIIANS, DO YOU FEEL THAT THEY ARE BECOMING
MORE CULTURALLY SENSITIVE THEMSELVES TO THE ROOTS OF THEIR CULTURE?
>>I THINK THATS THE DIRECTION WE WANT OUR COMMUNITY TO GO. STUDENTS THAT I REACH OUT
TO THAT COME TO THE COMMUNITY COLLEGE AND UNIVERSITY OF HAWAII ARE EXCEPTIONAL. ACCESSING
RESOURCES. SEEKING OUT EDUCATION. ITS THE ONES THAT ARE NOT IN THAT SYSTEM THAT
WERE CONCERNED ABOUT. ITS THE ONES THAT ARE NOT GOING TO COLLEGE, THAT ARE NOT HAVING
ACCESS TO RESOURCES, TO ALLOW THEM OR EVEN THE HOME ENVIRONMENT THAT PROVIDES THEM THAT
SUPPORT SYSTEM. IF THE YOURE LIVE BEING OUT IN WAIANAE, TAKES YOU 2 HOURS TO GET BACK
AND FORTH. 4 HOURS OUT OF THE DAY BEFORE YOU GET BACK TO YOUR FAMILY. SO IF YOURE LEAVING
HERE AT 6:00 P.M. AT NIGHT, YEAR NOT GETTING HOME TIL 8:00 AND YOU DONT SEE YOUR CHILDREN
TIL 8:00. THEY DONT START DINNER TIL 8:00 OR SOMEBODY ELSE, ONE OF THE KIDS IS COOKING
DINNER FOR THEM. WERE LOOKING AT AN REMOTE RURAL COMMUNITIES WHERE WE WERE DESIGNATED
THROUGH THE ADMISSIONS ACT TO THESE RURAL REMOTE AREAS. WITHOUT ANY RESOURCES OUT IN
THAT COMMUNITY. IT IS ONLY THROUGH THE WAIANAE COMPREHENSIVE HEALTH CENTER AND AUNTY AGGIE
AND KAMAKI WHO INSISTED ON BUILDING TO SERVE THE NEEDS OF WAIANAE COMMUNITY THAT WERE HAVE
ABLE TO HAVE SOME RESOURCES. OTHERWISE, WHERE WOULD THE NEXT AMBULANCE COME FROM? TOWN AND
HOW LONG WOULD IT TAKE TO GET THERE? WE LOSE SO MANY HAWAIIANS THAT WERE AT RISK OF BEING
LOST. BECAUSE OF THE DISTANCE AND THOSE ARE THE HOMESTEAD COMMUNITIES. AND THE REMOTE
AREAS OF OUR ISLANDS. YOURE TREATING PEOPLE PIPE ARE HAVING MENTAL HEALTH PROBLEMS ON
THE WAIANAE COAST. WHAT ARE THE BIGGEST CHALLENGES THAT THEY FACE IN YOUR NEIGHBOR ISLAND? IS
IT DISTANCE OR IS IT ITS MORE THAN DISTANCE, RIGHT? THERES THIS PROBLEM THAT POKAI HAS
BEEN TALKING ABOUT.>>AS YOU KNOW, IM MY FATHERS DAUGHTER. AND
MY FATHER SEES EACH PERSON AS AN INDIVIDUAL. EXCUSE ME. WE SHOULD SAY KEKUNI BLAISDELLS
DAUGHTER, FOUNDER OF UNIVERSITY OF HAWAII MEDICAL SCHOOL.
MY FATHER DOESNT SEE AN INDIVIDUAL AS SICK OR WELL OR NATIVE HAWAIIAN OR NOT NATIVE HAWAIIAN.
HE DOESNT TREAT PEOPLE BECAUSE THEYRE NATIVE HAWAIIAN. HE SEES PEOPLE BECAUSE HES HAWAIIAN.
SO THE OLUOLU COMES BECAUSE HES OLUOLU. SO YOURE ASKING ME HAUHAU E DOES HE TREAT PEOPLE
THAT COME IN WITH ILLNESS. HE DOESNT SEE THEM AS ILL. HE TAUGHT ME TO TREAT THEM WITH THE
SPIRIT OF OLUOLU, WITH KINDNESS AND JUSTICE AND WITH MALAMA. IM NOT SURE WHAT YOUR QUESTION
IS. YOURE ASKING ME HOW HAS MY FATHER TAUGHT ME TO SEE A PERSON. I DONT, MY FATHER HAS
TAUGHT ME TO NOT SEE A PERSON AS SCHIZOPHRENIC BUT TO SEE A PERSON AS HO IS YOUR MOTHER.
WHO IS YOUR FATHER? WHAT FAMILY DO YOU COME FROM? HOW WAS YOUR DAY TODAY? WAS IT HOT WHEN
YOU WALKED IN AND HOW ARE YOU FEELING NOW? INTO LETS TIE IT TO POKAIS POINT. WHAT ROLE
DOES CULTURE PLAY IN YOUR MIND IN MENTAL ILLNESS?>>SO THE WAY MY FATHER TAUGHT ME, I DONT
LOOK AT SOMEONE AS A 45YEAROLD NATIVE HAWAIIAN PERSON WITH SCHIZOPHRENIA. I LOOK AT SOMEONE
WHO HAS COME IN AND IS ASKING ME AND IS TELLING ME THAT THEYRE HURT. THATS THE WAY MY FATHER
TAUGHT ME. OKAY? ONE DAY A MAN CAME IN AND SAID HE WAS HEARING VOICES AN HIS FAMILY WAS
SHAMING HIM BECAUSE HE WAS HEARING HAWAIIAN VOICES. I LISTENED AND LISTENED. IT TURNED
OUT THE VOICES WERE SPEAKING TO HIM IN HAWAIIAN. HIS FATHER AND BROTHER WERE TELLING HIM, SHUT
UP STUPID. THERES SOMEBODY TALKING TO YOU. I LISTENED AND ASK HIM WHO WERE THOSE VOICES.
LONG STORY SHORT? DID I HEAR HIM? NO. DID I CALL HIM SCHIZOPHRENIC IN NO. ACCORDING
TO THE DSMV, IM BOARD CERTIFIED, SCHIZOPHRENIA IS ONLY TEE FINED IF ITS IMPAIRING AND NOT
ACCORDING TO CULTURAL PRACTICE. HE WAS HEARING THE VOICE OF HIS KUPUNA KANE WHO SPOKE ONLY
TO HIM BECAUSE HE WAS RAISED BY HIS KUPUNA KANE AND HIS KUPUNA. KANE WAS NOT TALKING
TO HIS FATHER AND BROTHERS BECAUSE HE WAS NOT CHOSEN BY THEM. SO THE ANSWER TO YOUR
QUESTION IS WHEN I SEE SOMEONE, I DONT TREAT THEM.
I LISTEN TO THIS. IF THEY DONT NEED MEDICATION, I DONT PROVIDE MEDICATION. IF I DONT SEE MYSELF
AS A TREATER. I SEE MYSELF AS MY FATHER TAUGHT ME, AS MY FATHER ALWAYS TAUGHT ME THAT PATIENT
COMES FIRST. AND DOCTOR MEANS TEACHER. SO I TRY TO DO MORE LISTENING THAN TREATING.
I THINK YOUR STORY BRINGS UP A REAL IMPORTANT ISSUE. THE FACT THAT MANY OF OUR HAWAIIANS
OUR CULTURE HAS BEEN STOLEN AWAY FROM THEM. SO HULA WAS BANNED. HAWAIIAN LANGUAGE WAS
BANNED. ALL OF THESE THINGS THAT WERE IMPORTANT TO OUR CULTURAL AND TO OUR LIVELIHOOD WAS
BANNED FROM PUBLIC IN SCHOOLS, MY GRANDMOTHER, MY GRANDMOTHER, MY GRANDPARENTS WERE ONE OF
10 CHILDREN. THEY HAD 10 CHILDREN. THEY BOTH SPOKE FLUENT HAWAIIAN. MY GRANDMOTHER WAS
FLUENT HAWAII. NOT ONE OF THE 10 CHILDREN SPEAK ANY LANGUAGE. IM THE FIRST BORN OF THE
NEXT GENERATION. MY GRANDMOTHER, I TRIED TO LEARN HAWAIIAN FROM MY GRANDMOTHER. AND SHE
WAS LIKE, WOULDNT TEACH ME ANY HAWAIIAN LANGUAGE SO I CAME TO THE UNIVERSE OF HAWAII AND TOOK
MY FIRST LANGUAGE CLASS IN HAWAIIAN LANGUAGE. FROM LORDY KAULILI. WE DIDNT HAVE DIACRITICALS,
WE DIDNT HAVE ANY OF THOSE OKINA OR KAHAKO. WE WERE NOT LOOKING AT KAPEPI. ALL THESE DIFFERENT
KINDS OF LANGUAGE TECHNIQUES THAT THEYRE TEACHING NOW. WE JUST SPOKE AND READ HAWAIIAN LANGUAGE.
BUT GRANDMA TOLD ME IT WAS BOOK LANGUAGE. THAT WASNT HAWAIIAN LANGUAGE. SHE STILL REFUSED
TO TALK TO ME. OF MY GENERATION, I WAS THE ONLY ONE AND IM LOOKING BACK AT THAT, THAT
TELLS ME A LOT ABOUT WHAT HAS HAPPENED TO OUR PEOPLE. THEYRE NOT CONNECTED TO THEIR
HAWAIIAN CULTURE AT THE ROOT OF IT, WHICH ALL HAVE TO COME BACK. SO IN THE 70S, WHEN
WE GRADUATED, ALL OF US CAME, WE COME FROM THAT GENERATION OF THE 1970S WHERE WERE LOOKING
FOR REESTABLISHING HAWAIIAN LANGUAGE SCHOOLS FOR OUR PUNANA LEO, TO TEACH THE NEXT GENERATION.
>>DAN: NOW, IT SHOULD BE NOTED THAT THE HAWAIIAN CHARTER SCHOOLS ARE GOING ALONG WAY IN THAT
DIRECTION. ARE THEY NOT?>>AND THEYRE GRADUATING AND THEY ARE SURVIVING
REGARDLESS OF NO CHILD LEFT BEHIND. HAVING SUCCESSES. STUDENTS ARE GOING TO COLLEGE.
THEYRE BILINGUAL. AND SO THE STORY GOES ON. I HAVE NOW 3 GRANDCHILDREN. TWO OF THEM ARE
FLUENT. THEYRE IN HAWAIIAN LANGUAGE IMMERSION SCHOOLS AND KIDS BILINGUAL. FATHER WASNT BROUGHT
UP IN THE LANGUAGE, MY NUMBER 2 SON, IS ALSO BECOMING FLUENT IN THE LANGUAGE. HES PRETTY
FLUENTWE LOST IT IN MY GRANDPARENTS GENERATION, WE ARE RECLAIMING THAT CULTURE AROUND I THINK
THAT THATS PART OF THE LOSS OF CULTURE, THE LOSS OF LANGUAGE, HAS BEEN, YOU HAVE LOSS
OF YOUR PEOPLE. INTO KRISTIN, I WANT TO TALK TO YOU BECAUSE YOU LOST MORE THAN THAT. YOU
LOST YOUR NAME. YOU DIDNT UNDERSTAND YOUR NAME. YOU DIDNT KNOW WHAT IT WAS. COULD YOU
EXPLAIN YOUR FILM AND EXACTLY HOW THAT ALL TURNED INTO SUCH A MOVING DOCUMENT?
>>DEFINITELY. WELL, I GUESS I WOULDNT SAY THAT I ACTUALLY LOST MY NAME. IT WAS ALWAYS
THERE.>>DAN: YOU DO KNOW THE MEANING, RIGHT?
>>YEAH. BUT THE FACT THAT IT WAS THERE WAS SOMETHING THAT I ALWAYS FELT CONNECTED TO
EVEN AFTER I LEFT THE ISLANDS, IT WAS ALWAYS THIS THING THAT I FELT WOULD BRING ME BACK
ONE DAY. THE FILM, E HOKU INOA, I WAS LIVING IN NEW YORK CITY ABOUT FIVE YEARS AGO. START
THE THIS PROCESS. I LEFT THE ISLANDS WHEN I WAS 8 YEARS OLD WITH MY YOUNGER BROTHERS.
AFTER MY MOTHER WAS DIAGNOSED AS SCHIZOPHRENIC IN THE EIGHTIES. THAT DIAGNOSIS REALLY FOR
US WAS THE IMPETUS FOR MY FAMILY TO BE SEPARATED FROM OUR CULTURE AND FROM AT LEAST ME, I ALWAYS
FELT A VERY HUGE LOSS FOR NOT BEING ABLE TO GROW UP CONNECTED IN THE WAY THAT I WOULD
HAVE HAD I BEEN RAISED HERE. BUT IN A SENSE, I THINK MAYBE IT WORKED OUT ALL FOR THE BEST
BECAUSE I THINK I WASNT, I DIDNT HAVE THAT ACCENT AND I HAD ALWAYS WANTED IT SO BADLY,
THAT NOW, ITS REALLY KIND OF COMING TO FRUITION. BUT.
>>DAN: WHAT IS THE FILM ITSELF ABOUT? ITS ABOUT COMING BACK YOUR MOTHER, RIGHT? AND
COMING BACK E HOKU INOA, TO WEAVE A NAME. COULD YOU EXPLAIN THAT HOW THAT CAME ABOUT
AND HOW THAT TOOK PLACE?>>SURE. REALLY, IT WAS JUST LIKE THAT DESIRE
INSIDE OF ME TO LEARN THAT NAME THAT I ALWAYS KNEW HAD SOME KIND OF GREATER MEANING. MY
FATHER RAISED ME WITH THE IDEA THAT, YEAH, SURE YOU CAN LOOK UP YOUR NAME IN THE DICTIONARY,
BUT YOURE NEVER GOING TO KNOW WHAT IT ACTUALLY MEANS UNTIL YOU TALK TO THE PERSON WHO HAKUD
THE INOA. WHO MADE THE NAME. AND THANKFULLY, HE WAS KNOWLEDGEABLE ENOUGH TO KNOW THAT.
SO THAT PROCESS OF ME COMING BACK TO LEARN MY NAME WAS REALLY, I GOT TO KNOW MY MOTHER
REALLY FOR THE FIRST TIME IN MY LIFE AND GET, AS I STARTED TO KNOW HER, AND LISTEN TO HER,
AS HE SAID, I BEGAN TO REALIZE I HAD GROWN UP MY ENTIRE LIFE HEARING THAT MY MOTHER WAS
CRAZY AND WHEN I ACTUALLY SPENT TIME WITH HER, I STARTED TO QUESTION THE DIAGNOSIS OF
SCHIZOPHRENIA. I DO KNOW THAT WHEN WE WERE YOUNG, SHE HAD, ISSUES. THIS THERE WERE PROBLEMS
IN OUR FAMILY. SHE WAS VIOLENT AT TIMES. AND THERE WERE, SHE HAD EMOTIONAL DISTURBANCES.
BUT AS I BEGAN TO TALK TO HER ABOUT HER EXPERIENCES WITH WORKING WITH PSYCHOLOGISTS AND PSYCHIATRISTS,
THEY WERE REALLY NOT ONLY WILLING, I THINK EAGER TO MEDICATE HER, AND THAT WAS SOMETHING
THAT SHE DID NOT WANT. AND ULTIMATELY, SHE LOST CUSTODY OF US AND I THINK THAT THAT WAS†
AND THEN THAT, I FEEL VERY MUCH A PART OF THAT LEGACY OF DISPLACEMENT, OF DISLOCATION,
BECAUSE OF THAT. HER NOT FEELING COMFORTABLE AROUND HER PSYCHOLOGISTS, SHE NEVER REALLY
FELT THAT SHE NEEDED TO TAKE PILLS. AND THAT WAS ACTUALLY HER REFUSAL TO TAKE THOSE MEDICATIONS
WERE PART OF THE REASON THAT SHE LOST CUSTODY OF US. AND I WAS ALWAYS, I GREW UP WITH THIS
NARRATIVE WHERE IT WAS LIKE, WELL, SHE DIDNT CARE ABOUT US. DIDNT CHOOSE TO KEEP US. BUT
AFTER SPEND WILLING TIME WITH HER, I THINK I REALIZED THAT SHE NEVER THOUGHT THAT ANYONE
WOULD HAVE THE POWER TO TAKE AWAY HER CHILDREN BECAUSE SHE WAS OUR MOTHER. AND HOW, IF SOMEBODY
WHO DOESNT EVEN UNDERSTAND KIND OF WHO SHE IS FROM A CULTURAL PERSPECTIVE, ITS SUGGESTING
THAT SHE TAKES MEDICATION, SHE DIDNT FEEL OBLIGATED TO LISTEN TO THEM. BUT NEVERTHELESS,
I DONT THINK SHE EVER REALLY FULLY UNDERSTOOD THE CONSEQUENCES OF WHAT THIS WOULD BE. INTO
DID YOU WANT TO RESPOND TO THAT?>>IN TERMS OF HALE NAAU PONO, THE APPROACH
WE TAKE IS IF WE CAN IMAGINE A TRIANGLE, FIRST LET ME SAY THAT WESTERN MEDICINE NORMALLY
SEES AN INDIVIDUAL WHO SUFFERS FROM MENTAL ILLNESS AS SOMETHING WRONG WITH FUNCTION IN
THE BRAIN, EITHER SHOOTING OUT TOO MUCH JUICES OF ONE SORT OR ANOTHER OR NOT ENOUGH. AS A
RESULT, YOU HAVE DEPRESSION OR YOU HAVE EXCITABILITY, YOU HAVE IMAGINATIONS AND ALL SCHIZOPHRENIA,
WHATEVER THEY HAVE. ON TOP OF THAT, ITS IMPORTANT BECAUSE THE INFLUENCE THAT YOU HAVE AMONG
SOCIAL FACTORS, YOUR FRIENDS, NEIGHBORS, FAMILY, AND HOW YOU GET SOCIAL SUPPORT, SO TO DEVELOP
THIS, WHAT IS CALLED BEST PRACTICE, ILLNESS MANAGEMENT AND RECOVERY, LOOKING AT AN INDIVIDUAL
AND TREATING THAT INDIVIDUAL FOR WHATS HAPPENING IN THE BRAIN AS IF THAT INDIVIDUAL IS BIOLOGICAL
LABORATORY THAT YOU CAN CHANGE BY CERTAIN MEDICATION AND TO GET THAT PERSON SOCIAL SUPPORT.
WHEN WE RECEIVE THE PROGRAM FROM THE DEPARTMENT OF HEALTH, TO ROLL IT OUT IN THE WAIANAE COMMUNITY,
AND WE SAID, WERE NOT WILLING TO ROLL IT OUT UNTIL WE CAN CULTURALLY OR ADJUST THAT PROGRAM
TO MEET OUR PARTICULAR NEEDS, AND 2 YEARS OF STUDY AND GOING THROUGH THE COMMUNITY INVITING
PEOPLE TO COME IN AND DO AN ANALYSIS, WE SAY THEY WERE MISSING 2 VERY ESSENTIAL POINTS.
ONE IS SPIRITUALITY. AND THE FAILURE TO RECOGNIZE THE IMPORTANT ROLE THAT SPIRITUALITY HAS.
NOT ONLY IN NATIVE HAWAIIANS, BUT IN ALL THE OTHER ETHNICITIES. USUALLY WHEN YOU ASK A
PERSON WHERE DID YOU FIRST GO TO TRY TO RESOLVE THIS ISSUE OF SOMEBODY ACTING FUNNY KIND,
WAS IT THE DOCTOR? WAS IT THE PSYCHIATRIST? OF COURSE NOT. IT WAS THE ELDERS OR IT WAS
GOING TO TEMPLE OR SOME OTHER AREA LOOKING AT WHETHER OR NOT THERE HAS BEEN IN SOME KIND
OF SPIRITUAL TOUCHING OR EFFECT TO THAT PERSON. WE DONT ADMIT IT OUT IN THE PUBLIC, BUT IT
GOES ON AND ON AND ON IN OUR HOMES. IRRESPECTIVE OF WHAT ETHNICITY WE COME FROM. THE THIRD
ASPECT OF THE TRIANGLE IS CIRCUMSTANCE. OUR CONDITIONS. IT MAY BE GENERATIONAL TRAUMA
THAT WE HAVE TALKED ABOUT EARLIER. IT MAY BE THE ECONOMIC SITUATION. MAYBE HOMELESSNESS.
MAYBE ALL OF THESE OTHER FACTORS. SO WHEN YOU DEAL WITH AN INDIVIDUAL AND YOU TRY TO
ADDRESS THAT INDIVIDUAL, YOU HAVE TO LOOK AT THE RECOVERY PLAN THAT WILL INCORPORATE
ALL OF THESE POSSIBILITIES. IT DOESNT MEAN THAT EVERY NATIVE HAWAIIAN HAS SOME KIND OF
SPIRITUAL EFFECT OR SOME KIND OF CULTURAL OR OTHER CIRCUMSTANCE, EFFECT. BUT AT LEAST
WE NEED TO OPEN THOSE WINDOWS, WE NEED TO EXPLORE WITH THAT PERSON AND HAVE THAT PERSON
PARTICIPATE IN THE DEVELOPMENT OF THE RECOVERY PLAN. AND RECOVERY IS A TERM THAT WE ACTUALLY
BORROWED FROM ALCOHOL AND DRUG FIELDS. ITS NO LONGER ANY MAINTENANCE OR A SENSE THAT
YOURE STUCK IN THAT POSITION. RECOVERY IS WHAT YOU CONTINUALLY LOOK FOR. SO ITS AN UPWARD
POSITION OF MOVING A CLIENT.>>DAN: NALANI, DID I SEE YOU RESPONDING TO
SOMETHING?. THERES A COMMON MISCONCEPTION THAT PSYCHIATRISTS
ALL WANT TO PRESCRIBE MEDICINE. ACTUALLY, ACCORDING TO THE AMERICAN BOARD OF PSYCHIATRY
AND NEUROLOGY, THERES SEVERAL STAGES. ONE CAN HAVE DEPRESSION. SOMETHING CALLED A DEPRESSIVE
EPISODE WHICH DOES NOT REQUIRE MEDICATION. ONE CAN HAVE BRIEF PSYCHOTIC EPISODE WHICH
DOES NOT REQUIRE MEDICATION. AND ACTUALLY, IF SOMEONE HAS MINOR DEPRESSIVE EPISODE, THE
RECOMMENDED TREATMENT IS THERAPY WITHOUT MEDICATION. IF SOMEONE HAS A MODERATE DEPRESSIVE EPISODE,
THE RECOMMENDATION IS THERAPY OR MEDICATION. AND ACTUALLY, WE DONT HAVE JUICE. WE HAVE
NEUROHORMONES. THE ONES IN DEPRESSION ARE SERATONIN AND OTHERS. WHEN I GO TO THE AMERICAN
PSYCHIATRIC ASSOCIATE, CONVENTION, THERE ARE PEOPLE STANDING WITH SIGNS SAYING STOP MEDICATING
OUR PEOPLE. A LOT OF IT IS OUR FAULT. WE DONT EDUCATE THE PUBLIC WELL ENOUGH TO KNOW THAT
STEP ONE IN ALL OF OUR PROGRAMS IS MAKING ACCURATE DIAGNOSIS. IF SOMEONE DOES NOT MEET
THE THRESHHOLD FOR SCHIZOPHRENIA, OR DEPRESSION, WE ABSOLUTELY DO NOT ADVOCATE MEDICATION.
IF SOMEONE MEETS JUST THE MERE, THE MINOR THRESHOLD FOR SAY DEPRESSION, WE ADVOCATE
SIMPLE THERAPY. IF SOMEONE MEETS THE MODERATE THRESHOLD, WE ADVOCATE THERAPY OR MEDICATION.
AND PSYCHIATRISTS ARE NOT PILL PUSHERS. BUT FOR THOSE WHO DONT UNDERSTAND WHAT OUR STANDARDS
ARE AND WHAT OUR STRICT GUIDELINES ARE FOR THE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY,
WILL IS A MISCONCEPTION AND ITS NOT HELPED BY THE MEDIA. YOU SEE SKULL BEING FIGURES
IN THE MEDIA PUSHING PILLS. THIS IS A GOOD TIME TO EDUCATE PEOPLE ABOUT WHAT OUR BEST
PRACTICE REALLY AND WE DONT ADVOCATE MEDICINE FOR EVERYBODY. I CAN SAY FOR MY PRACTICE,
I DO NOT ADVOCATE MEDICATION FOR EVERYONE.>>MY QUESTION WOULD BE, WHAT IS THE ROLE
OF SPIRITUALITY IN THE GENERAL HEALING? WHAT IS THE ROLE.
>>IM SO GLAD YOU ASKED.>>ROLE OF CONDITIONS.
>>I CAME PREPARED TO TALK ABOUT THE POSITIVE PSYCHOLOGY MOVEMENT THAT HAS COME OUT OF THE
UNIVERSITY OF PENNSYLVANIA. STARTED BY A MAN NAMED MARTIN SELIGMAN WHO ORIGINALLY WAS STUDYING
DEPRESSION. HE WAS THE FOUNDER OF LEARNED HEALTH. HE DISCOVERED THAT DSMV WAS ONLY FOCUSED
ON SICKNESS AND HE DECIDED THAT PSYCHIATRISTS AND PSYCHOLOGISTS SHOULD FOCUS ON WHAT IS
WELLNESS. SO HE WENT ACROSS THE WORLD AND FOUND OUT CROSS CULTURALLY, CHINESE JAPANESE,
INDIANS, HAWAIIANS, EVERYONE WHAT ARE THE POSITIVE VALUES THAT EVERY CULTURE CONSIDERS?
TO BE POSITIVE. SO SOME OF MY COLLEAGUES IM NOT ALLOWED TO SAY WHERE I WORK, SOME OF MY
COLLEAGUES AND I, ONE OF THEM IS THE WONDERFUL YKALIKA CHANG.† KALIKA CHANG. BROUGHT TOGETHER
THOSE VALUES AND THEY ARE CHARACTER STRENGTH AND VIRTUE, WISDOM, COURAGE, LAHUI, HUMANITY,
PONO, JUSTICE, HAHA HUMILITY AND MANA. SPIRITUALITY. AND THESE ARE UNIVERSAL VALUES. INSTEAD OF
FOCUSING ON ILLNESS, WE FOCUS ON POSITIVE VALUES AND THOSE ARE THE THINGS WE TRY TO
WORK WITH IN OUR PATIENTS. INSTEAD OF FOCUSING ON WHAT IS MAKING YOU SICK, LETS EFFECT ON
US ON SPIRITUALITY AND JUSTICE AND TEMPERANCE AND FOCUS ON THOSE TO HELP YOU BECOME WELL.
>>OFTENTIMES, PEOPLE ARE JUST TREATING THE PATIENT. THEY FORGET THAT THERES A WHOLE FAMILY
ON SUPPORT SYSTEM THAT HAS TO BE INCLUDED IN THAT THERAPY. AND WHEN WE LOOK BACK AT
OUR OLDER WAYS OF DOING THINGS, FOR THE KAHUNA PRACTICES, THERE WAS ALWAYS EVERYTHING THAT
HAWAIIANS DID REQUIRED PULE. YOU PRAY. WHEN YOU GATHER YOUR MEDICINES. YOU PRAY. WHEN
YOU APPLY THOSE MEDICINES, YOU PRAY. TO THE APPLICATION WHEN WE TALK ABOUT WHAT POQAI
IS MENTIONING, SPIRITUALITY WAS PART OF THE HEALING. SO THERES NO APPLICATION OF MEDICATION
OR THERAPY WITHOUT PULE BECAUSE THE POWER OF THAT COMES WITH THE POWER THAT IS GIVEN
INTO THAT AND WE HEAL THE WHOLE FAMILY. NOT JUST, YOU WANT TO HEAL THE MIND, SPIRIT, AS
WELL AS THE BODY.>>DAN: VICKY, YOU JUST BROUGHT ON THE WHOLE
FAMILY. THERES A WHOLE LOT OF PEOPLE INVOLVED AND HOW DOES ANN IN MAKAKILO WANTS TO KNOW,
HOW DOES THE HAWAIIAN CULTURE KNOWN TO CARE FOR FAMILY MEMBERS RECONCILE ITSELF WITH THE
LACK OF CARE EVIDENCED WITHIN A FAMILY WHO HAVE MENTAL HEALTH DISORDERS? DOES THAT STRIKE
ANYONE? HOW DOES THE HAWAIIAN CULTURE KNOWN FOR ITS CARE OF FAMILY MEMBERS, RECONCILE
ITSELF WITH THE LACK OF CARE EVIDENT WITH FAMILY WHO HAVE MENTAL HEALTH DISORDERS?
>>THIS IS A PROBLEM WITH THE FAILURE OF THE CURRENT MEDICAL APPROACH OR THE CURRENT DEPARTMENT
OF HEALTH APPROACH. AND THE FAILURE TO ACCORD MORE APPROPRIATE CULTURE APPROACH. COMMUNITY
APPROACH. THESE APPROACHES HAVE OPINION IN THE COMMUNITY FOR MANY, MANY YEARS. THATS
WHY HALE NAAU PONO STARTED UP. WE INVITED THE STATE TO LEAD THE COMMUNITY BECAUSE THEY
WERE SCREWING UP OUR PEOPLE BECAUSE THEY HAD NONE OF THOSE INCLUSIVENESS, FOR EXAMPLE.
EARLIER TALKED ABOUT DYE AS OPPOSED TO OLA, INDIVIDUALISM AS OPPOSED TO LOKAHI. THE WAY
WE TREAT INDIVIDUALS IS THAT INDIVIDUALS ARE TO BE PROTECTED AND SEPARATED FROM EVERYONE
ELSE. JUST THE ISSUES OF CONFIDENTIALITY AND THE INABILITY TO CONSULT WITH OTHER MEMBERS
WHO WOULD BE IMPORTANT MEMBERS OF THE RECOVERY TEAM. SO WHAT IM SUGGESTING IS THAT CULTURE
ITSELF HAS TO SHIFT SO THAT YOU CAN ACCORD THE WHOLE COMMUNITY TO BECOME PARTICIPANTS
OF THE RECOVERY OF FAMILY MEMBERS.>>DAN: CHRISTEN, IM SORRY, YOU WANTED TO SAY
SOMETHING. NALANI?. WHAT I WANT TO SUGGEST IS A RADICAL NEW APPROACH
WHICH IS ACTUALLY AN OLD APPROACH. MY FATHER WOULD SAY,.
>>DAN: USUALLY ARE OLDER. THEY COME AROUND.>>MY FATHER WOULD SAY, WE HAVE 3PICO. AUNTY,
YOUVE HEARD HIM SAY THAT. TO THE GODS AND OUR ANCESTORS. THE PICO TO OUR MOTHER AND
THEN THE OTHER PICO TO THE FUTURE GENERATION. OUR TRADITION IS AN ORAL TRADITION. WHAT OUR
PEOPLE USED TO DO IS TO FIND SOMEONE TOO BE OUR TEACHER AND ONCE WE FOUND THAT PERSON,
TO STAY BY THAT PERSON AROUND TO LEARN AT THEIR FEET. WHETHER WERE LEARNING WISDOM OR
COURAGE OR HUMILITY, AND IF YOU LOOK AT OUR PEOPLE WHO REALLY ARE LEARNING THEIR CULTURE,
THATS EXACTLY WHAT THEYRE DOING. THEYRE FINDING AUNTIE
AGGIE AND LEARNING EVERYTHING FROM HER. FINDING VICKY AND LEARNING EVERYTHING FROM HER. FINDING
AUNTY LENA AALA AND LEARNING EVERYTHING FROM HER. THATS THE SPIRITUAL WAY TO FIND HEALTH
AND GROWTH. ITS RADICAL, NOT GOING TO A DOCTOR, BUT FINDING HEALTH AND HEALING.
>>NOT THE SAME THING AS GOING TO THE DEPARTMENT OF HEALTH. NOT GOING TO A CENTER.
>>DAN: CHRISTEN, I WANT TO ASK YOU THIS. IT COMES BACK TO YOUR MOTHER AND HER DIAGNOSES.
WOULD YOUR MOTHER HAVE BEEN, YOU DONT SEE† YOU SEE YOUR MOTHER AS CULTURALLY DIFFERENT
AND NOT REALLY SCHIZOPHRENIC, YOU SAID SOMETHING THAT YOU FELT LIKE A BIG CITY KID COMING BACK
TO A WOMAN WHO DID THINGS IN A MUCH DIFFERENT TEMPO AND IN A DIFFERENT CULTURAL SENSE THAN
YOU HAD LEARNED NOW IN YOUR FIVE YEARS IN THE CITY. DO YOU UNDERSTAND WHAT IM TRYING
TO GET AT?>>NOT QUITE. I DONT ALSO WANT TO MAKE MY
MOTHER OUT TO BE, OH, SHES THIS HAWAIIAN OTHER. SHES A COMPLICATED INDIVIDUAL AND ONE OF THE
PEOPLE IN MY FILM TALKS ABOUT CULTURALLY MINDED CARE VERSUS CULTURALLY APPROPRIATE CARE. MY
MOTHER IS NOT STRICTLY A HAWAIIAN CULTURAL PRACTITIONER. VERY CATHOLIC. MULTIPLE FACETS
TO HER. SO THE IDEA OF KIND OF LIKE A BLANKET APPLICATION OF LIKE HAWAIIAN CULTURAL PRACTICE,
I THINK IS ALMOST AS COULD BE POTENTIALLY AS HARMFUL AS NOT BEING CULTURALLY APPROPRIATE.
YOU DONT WANT TO SHOVE THIS IDEA OF LIKE OH, SOMEONE HEARS VOICES. MUST BE THEIR ANCESTORS.
YOU MEAN THATS OBVIOUSLY SOMETHING TO BE CAREFUL ABOUT AS WELL.
>>ABSOLUTELY.>>BUT IN THAT SENSE, I THINK THE IDEA OF
JUST LISTENING AND BEING TOGETHER AS A WAY OF HEALING, JUST THAT CARING FOR EACH OTHER,
ME, GENUINELY REACHING OUT TO MY MOTHER, AND WANTING TO UNDERSTAND WHO SHE IS, IS, WAS
HEALING NOT JUST FOR HER, BUT ALSO FOR MYSELF. BECAUSE I WAS DEALING WITH THOSE SAME AFFECTS
OF DISPLACEMENT OF BEING CUT OFF. THOSE THINGS WERE AFFECTING ME IN WAYS THAT I DIDNT QUITE
UNDERSTAND UNTIL I WAS ABLE TO MAKE THAT CONNECTION WITH MY MOTHER. AND I MEAN, TO TALK TO THE
QUESTION FROM THE PERSON, THAT IDEA OF WELL, HOW DO WE RECONCILE A FAMILY NOT CARING FOR
SOMEONE WHO IS MEANLY ILL. THERES A LOT OF THINGS THAT GO INTO THAT. WITH MY FAMILY,
I THINK THERE WERE SOME PEOPLE WHO KIND OF THOUGHT, SHE GOT REALLY DEEP INTO HULA AND
THAT WAS LIKE AWAKENED THINGS THAT, SHE SHOULDNT HAVE DABBLED IN THOSE THINGS. AND TO ME, THAT
ALMOST SEEMS LIKE OUR OWN FEAR OF OUR OWN CULTURE. THAT SEEMS DAMAGING FROM, THIS IDEA
OF LIKE MENTAL COLONIALISM OR COLONIZED IN YOUR OWN MIND TO BE FEARFUL OF YOUR OWN PRACTICES.
>>DAN: I HATE TO BRING UP A QUESTION. THIS PHILOSOPHICAL. IS MENTAL ILLNESS DEFINED BY
CULTURE?>>NO. I HAVE AN ANSWER FOR THAT.
>>DAN: GOOD.>>SO ACCORDING TO THE DSMV, MENTAL ILLNESS,
HAS† SPECIFIC DESCRIPTIONS FOR EACH CATEGORY OF PSYCHOTIC ILLNESS, MOOD DISORDER, ANXIETY,
SUBSTANCES, ET CETERA. THERE IS A CAVEAT FOR NOT BETTER DESCRIBED BY A PERSONS CULTURE.
IS THAT CLEAR? LETS SAY SOMEONE HAS SOME KIND OF, WELL, IVE ALREADY EXPLAINED IT. I DONT
WANT TO OVERDO IT.>>I WOULD NOT ACCEPT THE DSM, WHETHER ITS
4 OR 5. THEIR DEFINITION OF MENTAL ILLNESS. WHEN YOURE WORKING IN A COMMUNITY, THE REAL
QUESTION IS ON THIS WHOLE RANGE OF BEHAVIOR, THAT IS ACCEPTABLE, AT WHAT POINT DOES A PERSON
FALL OFF AND IT BECOMES UNACCEPTABLE? DANGER TO SELF? DANGER TO OTHERS. WHATEVER YOU DEFINE
IT AS. IMPAIRMENT CAN BE MANY TYPES OF IMPAIRMENT. IM HEARING VOICES WHEN IM SUPPOSED TO BE ON
A TV SHOW. THATS AN IMPAIRMENT. BUT I HAVENT FALLEN OFF. DEFINITION THAT WE WOULD USE AND
AS I SAY, I WOULD REJECT IF DSM SAYS THIS IS THE ONLY DEFINITION YOU CAN HAVE, IS THE
COMMUNITY DEFINITION IS AT WHAT POINT IN TIME IS A PERSON NEEDING THE HELP, REQUESTING THE
HELP, AND FALLS OFF SO THAT HE BECOMES A DANGER TO SELF OR OTHERS. THATS THE WAY I WOULD DEFINE
MENTAL HEALTH, WELLBEING, MENTAL ILLNESS.>>I HAVE AN ANSWER FOR YOU.
>>IMPAIRMENT IS DEFINED AS†>>YOURE TAKING FROM A WESTERN ACADEMIC
>>ARE YOU GOING TO LET ME ANSWER THE QUESTION?>>LETS BE CLEAR. WHAT STANDARD ARE YOU USING
TO DEFINE A COMMUNITY SUCH AS WAIANAE OR A COMMUNITY SUCH AS HANA MAUI AND THE REST?
YOURE TAKING UNIVERSITY OF HAWAII OR WE ARE OF YOU CAME FROM AND USING THAT DEFINITION
AND THIS IS PART OF THE REJECTION THAT WE HAVE HAD OVER A LONG PERIOD OF TIME.
>>NALANI?>>AM I ALLOWED TO ANSWER THE QUESTION? YES,
YOU ARE. IM SHUTTING HIM DOWN RIGHT NOW. YOU WENT OFF THE EDGE THERE.
FIRST OF ALL, THAT WAS IDEAS TANGENTIALITY. IMPAIRMENT DEFINE AS INABILITY SEVERAL SETS.
WORK, FAMILY, OCCUPATIONAL. SO IF SOMEBODY IS UNABLE TO HOLD DOWN A JOB, TAKE CARE OF
HIS FAMILY, UNABLE TO TAKE CARE OF HIMSELF OR OTHERS, POOR HYGIENE, NOT ABLE TO TAKE
A BATH, UNABLE TO GET OUT OF BED ALL DAY, UNABLE TO PERFORM AT HIS JOB, CANT TAKE CARE
OF HIS OR HER CHILDREN ANY MORE, CANT FEED THEM, WHETHER ITS PRINCETON, HARVARD, UCLA,
HANA, WAIANAE, WHEREVER IT IS, THATS IMPAIRMENT. AND YOU DONT HAVE TO ACCEPT THE DSMV. BECAUSE
THE DSMV RULES.>>WELL T. DOESNT RULE. IT RULES WITHIN THE
UNITED STATES. IT DOESNT RULE AT THE WORLD HEALTH ORGANIZATION. THEY HAVE MANY DIFFERENT
KINDS OF STANDARDS.>>IT DOES RULE AT THE WORLD HEALTH ORGANIZATION.
I BEG TO DIFFER.>>YOU CAN DIFFER ALL YOU WANT.
>>DOI. INTO I THINK VICKY WANTS INTO THIS. DO YOU WANT INTO THIS.
I WANT INTO THIS BECAUSE I THINK THERE ARE OTHER APPLICATIONS FOR MENTAL HEALTH THAT
MAYBE DONT FIT BECAUSE A LOT OF IT, WERE NOT DRESSING THE FOUNDATION OR THE ROOT OF IT.
SOMEBODY CANT TAKE CARE OF HIS FAMILY BECAUSE THEY LOST THEIR JOB. AND THEN THEY BECOME
DEPRESSED.>>RIGHT.
>>AND THEN BECAUSE OF THAT DEPRESSION, ITS NOT REALLY A MENTAL HEALTH ISSUE. ITS AN ECONOMIC,
SOCIAL ISSUE THAT HAS TO BE. CAN WE GET TO THE ROOT OF THE PROBLEM? WHAT IS THE ROOT
OF PROBLEM? SOMETIMES THE ROOT OF THE PROBLEM IS ECONOMICS AND SOCIAL.
WE ACCOUNT FOR THAT.>>THAT IS NOT MENTAL HEALTH. THAT IS INABILITY
TO GET BACK UP ON YOUR FEET. WE HAVE TO HELP AT THAT POINT. BUT YOU GET SO ENTRENCHED SOMETIMES,
YOU THEN THE BILLS START POURING IN AND YOU GET DEPRESSED BECAUSE OF THAT. BUT THATS NOT
MENTAL HEALTH. THATS INABILITY TO† ADJUSTMENT DISORDER
WITH DEPRESSED MOOD. I JUST WANT TO SAY THAT ITS LIKE THEYRE SINKING. THEYRE SINKING. AND
SOMEBODY NEEDS TO HELP THEM UP.>>FUNCTIONALITY WITHIN A SOCIETY. WITHIN
YOUR COMMUNITY, WITHIN YOUR FAMILY. IF YOU CAN FUNCTION WELL, WITHIN YOUR FAMILY, BUT
YOU ARE WHERE IS ELSE IN TERMS OF YOUR IMAGINATIONS, THE REAL TEST IS DO YOU NEED HELP FOR FUNCTIONALITY.
NOT WHAT THE DSMIV OR PSYCHIATRIST OR SOMEONE ELSE IS GOING TO TELL YOU WHO YOU ARE OR WHAT
YOU ARE.>>
>>DAN: WHAT ABOUT THE HAWAII BUSINESS MAGAZINE JUST CAME OUT AN ISSUE IN WHICH THEY WERE
LOOKING AT PEOPLE WITH ETHNICITIES AND WHERE THEY ARE AND THE KIND OF MONEY THEYRE MAKING.
JAPANESE ARE AT THE TOP. HAOLES ARE SECOND. HAWAIIANS DOWN NEAR THE BOTTOM. IF POVERTY
IS THE PROBLEM, DONT WE ADDRESS POVERTY IN WESTERN WAYS?
>>WE DO.>>DAN: BUT THEN WERE SAYING A GUY IS IMPAIRED
IF HES OUT OF A JOB. THAT KIND OF DEFINITION. POVERTY IS DEFINED BY WESTERN MONEY. SUBSISTENCE
WAS OUR WAY OF LIFE. FISHING, FARMING, GETTING BACK TO THE LAND. THAT IS A WEALTH, IF YOU
LOOK AT ECONOMICALLY, YOU LOOK AT MOLOKAI FOR EXAMPLE, THEY LIVE OFF THE LAND. BUT THEY
ARE, WHEN YOU LOOK IN THE STATISTICS, THEYRE AT THE BOTTOM BUT THEYRE THE WEALTHIEST PEOPLE
BECAUSE THEYRE NOT BUYING THE SPAM. THEYRE NOT FEEDING THEIR KIDS SPAM. THEYRE FISHING.
THEY GET FRESH FISH FROM THE OCEAN.>>DIFFERENT DISCUSSION.
I THINK ITS PART OF IT.>>DAN: DID YOU WANT INTO THIS? PLEASE COME
IN. CHRISTEN AND HELP ME. GET ME OUT OF THIS. IM IN A CORER. I FEEL LIKE THE UNITED STATES
CONGRESS AND THE PRESIDENT RIGHT NOW. HELP ME OUT. STOP THIS GRIDLOCK.
THEY ARE ABSOLUTELY RELATED. ISSUES OF POVERTY. ABSOLUTELY CONTRIBUTING TO DEPRESSION IN THE
HIGHER NUMBERS IN NATIVE HAWAIIANS. THAT CYCLE OF BREAKING OUT OF THAT, HOW DO YOU DO THAT.
DO YOU GET RID OF THE DEPRESSION FIRST OR TO GET TO THE ECONOMIC YOU SHALL ISSUE IN
IS THAT EVEN POSSIBLE? DO YOU NEED IMPROVE ECONOMIC CONDITIONS FOR NATIVE HAWAIIANS SOMEHOW
TO BE ABLE TO THEN WORK ON DEPRESSION? I DONT KNOW.
>>DAN: YOU KNOW, I WANT TO SKI QUESTION THAT COMES DOWN TO SOMETHING THAT IVE JUST NOTED
IN MY LIFETIME AND HAWAII. THATS THAT IN ENORMOUS PROGRESS IN THE PRIDE OF HAWAIIANS AND THERE
ARE MOMENTS WHEN MY FEEL SOMETHING IF I HAD TO PICK A GRIPE THAT HAS GOT THE GREATEST
SENSE OF THEMSELVES AND THEIR PRIDE, I WOULD PICK HAWAIIANS.
>>IM SO GLAD YOU BROUGHT THAT UP.>>DAN: BECAUSE OF LANGUAGE AND I MEAN, I WAS
KIDDING WITH SOMEBODY THE, THAT HAWAIIAN LANGUAGE NOW IS THE HAWAIIANS REVENGE ON WE HAOLES.
YOU CAN NEVER GET ALL THE EMPHASES RIGHT. THERE YOU GO, WHY CANT YOU SAY IT CORRECTLY.
THE DANCE, THE NAVIGATION, YOU KNOW. SO MANY THINGS. EVERYBODY WANTS TO BE ABLE TO DO HAWAIIAN
MUSIC NOW. ALL THE KIDS WANT TO DO THAT. HASNT THAT HAD A POSITIVE EFFECT ON HAWAIIAN MENTAL
HEALTH?>>IM SO GLAD YOU BROUGHT THAT UP BECAUSE
SINCE MY FATHER HELPED WRITE THE NATIVE HAWAIIAN HEALTH ACT, THE PRIDE OF NATIVE HAWAIIANS
HAS GONE UP AND THE REASON HE WROTE THAT ACT WAS BECAUSE AS HE WAS SPEAKING ABOUT NATIVE
HAWAIIANS, HE WAS AFRAID THAT THE NATIVE HAWAIIANS WOULD BECOME EXTINCT BY THE YEAR 2008. LESS
AND LESS PEOPLE WERE AS YOU KNOW, AS YOU ALL KNOW, WERE IDENTIFIEDING AS NATIVE HAWAIIANS.
THE GRAPH AND CENSUS WAS GOING DOWN. HE PREDICTED THERE WOULD BE NO MORE NATIVE HAWAIIANS BY
THE NEW MILLENNIUM. SINCE THE NATIVE HAWAIIAN HEALTH CARE ACT WHICH PASSED CONGRESS, MORE
AND MORE PRIDE HAS COME FROM THE NATIVE HAWAIIAN COMMUNITY. THANKS TO PUNANA LEO, THANKS TO
THE WORK THAT YOU DO, THANKS TO THE WORK POKA DOES, THANKS TO ROBERT ULAWEHI, NAINOA THOMPSON.
THANKS TO ROBERT CAZIMERO WHO SINGLE HANDLEDLY REVIVED HULA AMONG MEN, AND ONE OF THE WONDERFUL
THING THAT GROUPS LIKE THE ROTARY CLUB DOES IS GIVE OUT THE DAVID MAMO AWARD EVERY YEAR
TO RECOGNIZE INDIVIDUALS WHO HAVE REALLY CONTRIBUTED TO BRINGING ABOUT PRIDE IN THE NATIVE HAWAIIAN
COMMUNITY. YOU WERE THERE LAST YEAR WHEN WE RECOGNIZED ROBERT AND ROLE AND CAZIMERO. I
THINK TO END THIS, OR I DONT KNOW IF WERE ENDING IT.
>>DAN: WERE NOT ENDING IT. NO WAY.>>ON A POSITIVE NOTE. I ACTUALLY BROUGHT
A LIST OF PEOPLE THAT ABOUT WE CAN BE PROUD OF IN THE NATIVE HAWAIIAN COMMUNITY. SOME
ARE LIVING AND SOME ARE NOT. MARY KAWENA PUKUI, REVEREND ABRAHAM, KAPENA WONG, LUCAS, MARTHA
AND ON THE LIVING SIDE, DANIEL AKAKA, WILLIAM KAINA, HAUNANI, KAMAKAS, KAYE KIONI BLAISDELL,
EDDIE KAMAI AND THIS YEAR, WERE HONORING BUFFALO KELANI AND NAPPY NAPOLEON. SO I THINK WE AS
HAWAIIAN PEOPLE CAN FOCUS MORE ON THOSE OF US WHO ARE DOING WELL AND WHO ARE PERPETUATING
THE HAWAIIAN CULTURE AND I ADMIRE SO MUCH AUNTY VICKY AND HER FOUNDATION.
FOR ME, THERE HAVE BEEN PEOPLE LIKE PERSONALLY, I DONT WANT TO SAY WHOS BEEN PERSONAL FOR
ME, ABOUT YOU THERE ARE SO MANY PEOPLE AMONG US WHO ARE OUR HEROES. THAT WAS WHAT OUR CULTURE
WAS ABOUT. FIND SOMEONE AND AUNTY AND UNCLE, SCHOOL TEACHER, WHO INSPIRES YOU, AND HAT
WHAT OUR CULTURE IS ABOUT. PASSING ON THE ORAL TRADITIONS, FIND SOMEONE WHO INSPIRES
YOU. FOURTH GRADE TEACHER, AUNTY DOWN THE BLOCK. THATS WHAT WILL KEEP OUR CULTURE ALIVE.
YOUR PUNANA LEO TEACHER.>>DAN: CHRISTEN, EARLIER, THE GOOD DOCTOR
OVER HERE TOOK A SHOT AT THE MEDIA AND SAID ITS OUR FAULT THAT THEY DONT UNDERSTAND, WE
DONT† WE DONT† IM SETTING YOU UP AS A STRAW, DOCTOR. HERE. YOURE A FILMMAKER AND
YOUR FILM, E HOKU INOA, TO WEAVE A NAME, THIS IS YOUR SECOND FILM, RIGHT? SECOND DOCUMENTARY.
>>FIRST FEATURE DOCUMENTARY.>>DAN: WHERE DO YOU THINK, HOW DO YOU THINK
THE MEDIA CAN HELP OR HASNT HELPED? MY IDEA ABOUT MENTAL ILLNESS IS ONE FLEW OVER THE
KOOKOOS NEST, TYRANNIZING PEOPLE WITH MEDICATION. CAN THE MEDIA MAKE AN UNDERSTANDING OF MENTAL
HEALTH BETTER AND MORE REALISTIC?>>THERE NEEDS TO BE MORE FOR UPS LIKE THIS†
FORUMS LIKE THIS ONE TO DISCUSS. THAT WAS PART OF THE REASON THAT I MADE THE FILM, TO
BE ABLE TO SHOW, AND NOT TO CONTRADICT WHAT YOURE SAYING, AND I THINK ITS THAT HAWAIIANS
ARE SO PRIDEFUL OF BEING HAWAIIAN IN SOME RESPECTS BECAUSE THEY HAVE TO BE. WE HAVE
TO BE OUR OWN ADVOCATES. THERE IS A STUDY THAT I REFERENCE IN THE FILM THAT I THOUGHT
WAS FAIRLY INTERESTING IN TERMS OF FINDING NATIVE HAWAIIANS BY DR.†KEAWE KULAKULA WHO
STUDIED DEPRESSION IN NATIVE HAWAIIANS. FOUND OPPOSITE OF WHAT HE WAS HOPING TO FIND. HE
WAS HOPING TO FIND A CORRELATION†A STRONGER NATIVE HAWAIIAN IDENTITY AND BETTER INSTANCES
OF MENTAL HEALTH OR HEALTHIER PEOPLE. BUT ACTUALLY FOUND THAT IT WAS THE OPPOSITE. HE
MAKES THIS CONNECTION BETWEEN THE, HE POSITS THAT THATS BECAUSE THE MORE CLOSELY YOURE
IDENTIFIED WITH YOUR NATIVE HAWAIIAN HERITAGE, YOU ACTUALLY REALIZE THAT THERE ARE THESE
KIND OF, ITS A PERCEIVED RACISM THAT YOU ENCOUNTER AN THAT INCREASES YOUR LEVEL OF STRESS AND
CAN CONTRIBUTE TO DEPRESSION. SO THAT AS GREAT AS IT IS TO BE, I FIND STRENGTH IN MY HAWAIIAN
IDENTITY. HOWEVER, THERE IS STILL THE REALITY THAT EVEN IF ITS THIS PERCEIVED PRESSURE OF
LIVING IN WESTERN KIND OF PHILOSOPHICALLY OR CONTROLLED AREA, THAT THAT CONTRIBUTES
TO DEPRESSION. AND SO THERES STILL THAT REALITY OF PERCEIVED DEPRESSION.
>>DAN: TOM WANT TO KNOW, WHAT CAN BE DONE ABOUT THE MANY CRYSTAL METH ADDICTS, MANY
OF THEM ARE NATIVE HAWAIIANS IN HAWAII. ANY THOUGHT ITS ON THAT?
>>THATS A TOUGH QUESTION BECAUSE I THINK THAT DRUGS ARE INTRODUCED AND THATS NOT SOMETHING
THAT IS MENTAL. IT IS, I MEAN, ITS A REAL DRUG HABIT. HOW CAN WE DO THAT? I THINK WE
GOT TO GET RID OF CRYSTAL METH AND THE DEALERS. I THINK THATS A SOCIAL, I MEAN, THAT IS, WE
NEED ENFORCEMENT. BUT THERES, WE HAVE TO WORK ON NOT HAVING THAT SO READILY AVAILABLE TO
OUR PEOPLE. I WOULD ALSO ADD, WE HAVE TO FIND OTHER OPPORTUNITIES
FOR ECONOMIC OPPORTUNITIES OR MANY OTHER OPPORTUNITIES BECAUSE IF THERES NO EMPLOYMENT, IF THERES
NOWHERE ELSE TO GO AND THE STUFF, JUNK IS SO AVAILABLE, THATS WHAT THEY TURN TO. SO
ITS MORE THAN JUST AVAILABILITY OF CRYSTAL METH. WE HAVE TO ADDRESS THE EDUCATION PROBLEMS,
WE HAVE TO ADDRESS ECONOMIC PROBLEMS. ALL OF THESE OTHER PROBLEMS NEED TO BE ADDRESSED.
>>HEATING PROBLEMS IN THE SCHOOLS OUT THERE IN WAIANAE. HOW CAN WE STUDY IN HEAT LIKE
THAT.>>WHOLE THING. CRYSTAL METH IS JUST A SYMPTOM
OF WHAT HAS OCCURRED AS A RESULT OF THE KIND OF SOCIETY WE HAVE.
>>SELF MEDICATING.>>TO A CERTAIN EXTENT. AT TIMES THEY DONT
MEDICATION, ITS FOR A JOY RIDE. MANY OTHER REASONS FOR IT.
>>DAN: BILL FROM PUUNUI, STUDIES OF THE† WHERE IS THAT.
>>LILIHA.>>DAN: I NEVER GO TO LILIHA. THATS NOT MY†
>>LILIHA BAKERY.>>DAN: THATS NOT MY HANG OUT.
GREAT PLACE.>>DAN: I KNOW. BEEN THERE TWICE MAO IN MY
LIFE. STUDY US FOR EXAMPLE OF HOLOCAUST CHARLES DJOU SHOW PTSD CAN BE INHERITED. WHAT ARE
THE THOUGHTS OF PTSD BEING PASSED ON TO OTHER GENERATIONS.
>>I THINK THATS A REAL PROBLEM. HISTORIANS TALK ABOUT MALAISE DISPOSITION OF LAND AND
SO FORTH. DOES THAT CULTURAL MALAISE CARRY ON.
I THINK ITS POSTTRAUMATIC STRESS DISORDER ON A RACIAL BASIS, HISTORICAL BASIS AND IT
FOLLOWS A PEOPLE FOR A PERIOD OF TIME THAT WE HAVE NOT BEEN WILLING TO CALL IT AS SUCH.
I THINK PTSD ON GENERATIONAL BASIS IS SOMETHING THAT IS THERE. THAT TRAUMA HAS AFFECTED US.
WHEN I WENT CRAZY WHILE I WAS IN THE MILITARY, REALIZING THAT WHAT HAD HAPPENED, ILLEGAL
TI OF THE OVERTHROW, VOLUNTEERING TO SERVE IN THE MILITARY DURING THE VIETNAM PERIOD.
THAT ANGER AND THERES MANY OTHER WORDS I CAN USE FOR IT, AND WHAT WE HAVE GONE THROUGH
DURING THE HAWAIIAN CULTURAL AND POLITICAL REVOLUTION FROM THE 70S ON TO THE PRESENT
TIME, YOU HAVE RACIAL BASIS AND MORE ON A NATIONAL BASIS THIS GREAT MOURNING AS A RESULT
OF THE FIRST STAGE OF DECOLONIZATION. RECOVERY AND DISCOVERY. GO BACK AND TRY TO FIND OUT
WHAT THE ARE NAME AND CULTURAL PRACTICE. WE FIND WE HAD A NATION TAKEN AWAY FROM US. LOOK
AT US NOW. POOREST IN HAWAII, MOST HOMELESS. WE ARE IN THESE CONDITIONS. THAT IS VERY TRAUMATIC
FOR US. AND SO THE ANGER THAT IS IN THE COMMUNITY ALSO IS PART OF THAT PTSD THAT NEEDS TO BE
ADDRESSED.>>DAN: CHRISTEN, YOU WERE NODDING YOUR HEAD.
YES. I AGREE.>>DAN: YOU WERE GOING DO SAY SOMETHING TOO.
>>I WAS FASCINATED BY, I THINK SOME OF THE QUESTIONS AND RESPONSES BETWEEN BOTH NALANI
AND POKA AND CHRISTEN BECAUSE I THINK THAT SOMETIMES WE WALK A FINE LINE FOR THOSE OF
US THAT ARE IN CULTURAL PRACTICE WITH OUR, FOR THOSE THAT HAVE BEEN BAPTIZED CHRISTIANITY
AND THAT CAN CREATE SOME CONFLICT WITHIN OUR OWN SELVES. AND FAMILIES. AND BEING JUDGMENTAL
OF THOSE OF US THAT ARE CULTURAL PRACTITIONERS OR PEOPLE THAT SAY YOURE PRO HAWAIIAN, THAT
MEANS IM ANTIAMERICAN. NO, NOT NECESSARILY. IM JUST ADVOCATING FOR BEING HAWAIIAN. IT
HAS NOTHING TO DO WITH ME BEING UNAMERICAN. I WAS BORN A HAWAIIAN. I WAS WHEN I WAS BORN,
I WAS BORN HAWAIIAN THEN I WAS BAPTIZED. I WAS STILL HAWAIIAN FIRST.
I DONT FIND THE CONFLICT WITHIN MY CULTURAL PRACTICE OR WITH WHO I AM.
>>BUT I THINK THAT IS A REAL ISSUE FOR MANY HAWAIIANS.
I DONT KNOW HOW WELL YOU KNOW MY FATHER. YOU SAID YOU MET HIM MANY TIMES.
>>DAN: HES BEEN AT THIS TABLE SEVERAL TIMES OVER THE YEARS.
>>SO MY FATHERS FEELING THAT HES PASSED ON TO ME IS THAT HE LIKES TO MAKE PEOPLE VERY
AWARE OF THE FACTS OF THE OVERTHROW BECAUSE HE FEELS PEOPLE SHOULD KNOW ABOUT IT. IF YOU
HAVE EVER MET HIM AND SPENT TIME WITH HIM, HE IS A VERY GENTLE LOVING, HAPPY, PERSON.
>>DAN: TREMENDOUSLY SO. I AGREE.>>HE HAS NOT USED THE OVERTHROW TO BECOME
AN ANGRY PERSON. AND WHEN YOU TALK ABOUT WALKING A FINE LINE, I DONT KNOW HOW TO EXPRESS THIS,
BUT MY FATHER IS A PERSON WHO LIVES VERY MUCH IN TODAY. HE LIVES, HE HAS TAUGHT ME TO HELP
PEOPLE TODAY AS MUCH AS I CAN. AND THATS ALL I CAN SAY. HE IS A MAN WHO HAS LIVED 88 YEARS
AND I SEE NO ANGER IN HIM. HE HAS TAUGHT PEOPLE THE FACTS OF THE OVERTHROW AND ANNEXATION
AND THAT MAN HAS NO ANGER IN HIM. HE TOLD ME ONCE ABOUT, HE DIDNT RECOGNIZE
THESE FACTS OR CONFRONT THEM ABOUT THE OVERFLOW OR WHAT HAD HAPPENED UNTIL HE HAD COME BACK
FROM MEDICAL AND WAS HERE BACK IN HAWAII AND SUDDENLY, THINGS STARTED COMING.
>>HERE IS A MAN WHO WAS LIKE THE FIRST HAWAIIAN PROFESSOR OF MEDICINE AT THE UNIVERSITY OF
CHICAGO. HE HAD TO USE THE HONORABLE WHITE BATHROOM AT TULANE BUT HE HAD NEVER EXPRESSED
TO ME ANY ANGER ABOUT RACISM, HE EMBRACES WHITE VIETNAMESE, ANYBODY OF ANY COLOR AND
THERES NOT AN OUNCE OF ANGER IN MY FATHER. SO IT MAKES ME A LITTLE SAD WHEN PEOPLE WHO
HAVE TAKEN UP HIS, WHAT DO YOU CALL IT? HIS BADGE AND THEYRE QUITE ANGRY BECAUSE MY FATHER
IS A PERSON OF ABSOLUTE PEACE.>>DAN: THATS RIGHT. EVERYTHING I HAVE EVER
SEEN OF HIM. I WANT HER TO SAY HER NAME. CAN YOU SAY YOUR NAME?.
ITS A BIT OF A SPOILER ALERT FOR THE FILM.>>DAN: THATS ALL RIGHT BECAUSE I WANT TO TELL
PEOPLE WHEN THE FILM IS GOING. CAN WE GO WITH THE SHORT ONE. HIPUA, PART
OF IT. PART OF A BIG LONG NAME.>>DAN: OKAY. E HOKU INOA TO WEAVE A NAME WILL
BE SHOWN HERE ON PBS 2 WEEKS FROM TONIGHT AT 8:00, OUR HOUR, AND THEN AFTERWARDS, THERE
WILL BE AN INSIGHTS SHOW IN WHICH THERE WILL BE A DISCUSSION OF THE FILM. YOULL BE AROUND
FOR THAT.>>YES. CORRECT.
>>DAN: OKAY. AND WE WILL WATCH. WE WILL DEFINITELY WATCH. NOW, YOU WONT SAY YOUR WHOLE NAME.
OKAY.>>I KNOW YOURE JUST TRYING TO KILL 2 MINUTES
OF AIR TIME.>>DAN: I NEVER KILL AIR TIME. ITS A HECK OF
A NAME. LET ME TELL YOU. WHAT WERE YOU GOING TO SAY.
THE ISSUE WAS ON A RACIAL BASIS, ON AN ETHNIC BASIS, WE CAN EVEN MAKE IT ON A NATIONAL BASIS,
WHAT HAS BEEN THE TRANSITION AND THE CHANGES WITHIN THE RACE ITSELF AND OFTENTIMES REFLECTED
BY INDIVIDUALS. WHAT IM SUGGESTING IS THAT WE GO THROUGH STAGES OF DECOLONIZATION, THE
FIRST STAGE BEING RECOVERY AND REDISCOVERY. AND AFTER WE GET INTO THAT STAGE, THE SECOND
STAGE IS MOURNING STAGE. IN WHICH WE ARE VERY BITTER, WE ARE VERY ANGRY, WE ARE ALL OF THIS.
BUT THEN WE GO INTO THE THIRD STAGE STAGE. THERES SOME PEOPLE WHO GET STUCK IN THE MOURNING
PHASE. BUT THERE ARE OTHERS WHO CAN GO INTO A DREAMING PHASE AND THEY TALK ABOUT HOW DO
WE STRUCTURE THE SOCIETY, WHAT KIND OF DEEP CULTURE WE HAVE, HOW ARE WE GOING TO MOVE
INTO ON INDEPENDENT NATION OR WHATEVER THE FORMULATION WILL BE. AND THEN THE EXECUTION
OR THE CONSENSUS BUILDING AND ACTION STAGE STAGE. WERE NOT HERE TO EXAMINE NALANI BLAISDELL
BRENNAN OR ANYONE ELSE. IF WERE TALKING ABOUT ON A NATIONAL WIDE BASIS, THIS IS WHERE WE
HAVE SEEN THE MOVEMENTS WITHIN HAWAII, JUST WITH REGARDS TO THE ISSUE OF DECOLONIZATION.
WE HAVE SEEN A LOT OF THAT MOURNING FACES AND WE HAVE EVEN† PHASE AND SEEN HOW MEDIA
HAS PARTICIPATED IN BRINGING ABOUT THE CONFLICT, RAISING THE OR ELEVATING THOSE SO CALLED LEADERS
WHO CONTINUALLY SCREAMING AND SHOUTING WITH ALL THAT BITTERNESS BECAUSE MEDIA SELLS TO
THAT KIND OF CONFLICT. BUT THERES ANOTHER PART OF THE PROCESS AND THAT IS A DREAMING,
DISCUSSION THAT PEOPLE ARE HAVING, IN THE COMMUNITY, AT THE UNIVERSITIES, MANY OTHER
AREAS. INTO WERE RUNNING OUT OF TIME. SO HARD TO DO FOR A PROFESSOR. BUT WHAT WOULD YOU
TO DO TO IMPROVE MENTAL HEALTH ACCESSIBILITY FOR HAWAIIAN?
>>WE NEED TO HAVE BETTER RESOURCES AVAILABLE. AND CULTURALLY BASED TRAINERS OR PEOPLE THAT
ARE IMMERSED IN CULTURE, MORE NEIGHORS THAT ARE IN THE FIELD† NATIVE HAWAIIANS THAT
ARE IN THE FIELD TO HELP OUT. LIKE NALANI.>>NALANI WOULD YOU ADD ANYTHING TO THAT?
>>RESTATE THE QUESTION.>>DAN: DO WE NEED MORE PEOPLE, RESOURCES TO
ACCESSIBILITY? YOURE NOT GOING TO HAVE THAT ASK THAT QUESTION. THERES A GUY OVER THERE
GOING LIKE THAT. WHICH MEANS WE GOT TO GET OUT OF HERE. THANKS A LOT. IT WAS A FASCINATING
DISCUSSION. I REALLY ENESI JOYED IT. THANKS FOR HAVING US.>>DAN: NEXT WEEK ON INSIGHTS MILITARY SERVICE
PERSONNEL RETURNING FROM DEPLOYMENT TO IRAQ AND AFGHANISTAN OFTEN NEED SUPPORT IN RETURNING
TO CIVILIAN LIFE. WHERE CAN HAWAIIS VETERANS TURN FOR HELP WITH PROBLEMS LIKE POSTTRAUMATIC
STRESS DISORDER, DEPRESSION AND ALCOHOLISM? ON THE NEXT INSIGHTS, HOW CAN WE HELP VETERANS
AND THEIR FAMILIES COPE WITH MENTAL HEALTH ISSUES? THATS NEXT TIME ON INSIGHTS ON PBS HAWAII.
IM DAN BOYLANÖ A HUI HOU.

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