An Integrated Historical Trauma and Posttraumatic Growth Framework: a Cross-Cultural Exploration

J Trauma Dissociation. 2021 Mar-Apr;22(2):220-240. doi: 10.1080/15299732.2020.1869106. Epub 2021 Jan 22.

Abstract

Trauma recovery for racial and ethnic groups experiencing ongoing systemic violence and discrimination requires a framework that simultaneously addresses harms and strengths. Historical trauma (HT) is a social determinant of health emanating from targeted mass group-level harm. Posttraumatic growth (PTG) focuses on positive shifts in individuals coping with trauma. This article highlights the unique contributions of these two distinct bodies of literature to inform trauma recovery. We explore areas of overlap, gaps, and tensions between the concepts to present an HT-PTG conceptual framework. The HT-PTG framework combines HT's focus on socio-structural-historical experiences in racial and ethnic groups targeted for oppression with PTG's descriptions of characteristics of growth. Specifically, five mass group-level domains of growth, centering healing, creativity, growth, and transformation are described. The ancestral legacies of the authors, including American Indian, Indigenous Mexican, African American, Puerto Rican, and Indigenous Taiwanese, inform the HT-PTG framework. This paper presents implications for trauma-recovery research and practice.

Keywords: African American; American Indian; Indigenous Mexican; Indigenous Taiwanese; Puerto Rican; Trauma recovery; healing; historical resistance; historical trauma; posttraumatic growth.

MeSH terms

  • Adaptation, Psychological
  • Cross-Cultural Comparison
  • Historical Trauma*
  • Humans
  • Posttraumatic Growth, Psychological*
  • Violence