"Cultural trauma" caused by forced assimilation into Western culture continues to wreak havoc on the health and well-being of Native Hawaiians even today, according to a Hilo, Hawai'i, researcher.
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Western writers who arrived in Hawai'i in the late 1700s described Native Hawaiians as "a very vibrant, very healthy, very vigorous and fit race," Cook said at a breakout session of the three-day Pacific Global Health Conference last week.

But a study done by the state Department of Health in 2002 concluded that a Hawaiian male, on average will die six years earlier than the average male in all other populations, Cook said.

One common pattern of cultural trauma syndrome is that often, attacks against the original culture start to manifest themselves from within, he said. "This is ... where a person becomes his own worst enemy, and (engages in) self-destructive behavior," he said. Often, people will engage in "suicide by lifestyle," which could result in such things as ignoring the advice of health experts to eat healthier, exercise more or quit smoking.

The key to blunting the impacts of cultural trauma is education, Cook said. "It's the process of empowerment; it's the process of growth; it's education which heals and not just informs, but develops wisdom and understanding in individuals, in families and in communities."