Abstract: There is a dearth of comprehensive literature relevant to the relationship between settler colonialism and health outcomes of Indigenous peoples residing in the United States (U.S.). Critical analysis of settler colonial determinants of Indigenous health will help to further shape discourse, research priorities, and policy relevant to Indigenous population health and disease distribution. This thesis will bring awareness to settler colonialism, propose relationships between settler colonialism and health outcomes, and identify specific settler colonial determinants of Indigenous health to help guide development and use of nursing theory. This dissertation argues that the structure of settler colonialism threatens and implicates the health of Indigenous peoples residing in colonized nations. The dissertation supports Patrick Wolfe’s assertion that settler colonialism is a current-day structure of elimination and will build upon this notion by providing analyses to identify pathways, processes, and determinants of the embodiment of settler colonialism. The project further encourages readers to identify the presence and influence of Eurocentric power relationships between structural and systemic settler colonial determinants and Indigenous peoples, often resulting in oppressive and traumatic experiences. The exposure to exogenous hazards and continual stress and trauma resulting from settler colonialism may lead to high levels of allostatic load and/or epigenetic dysregulation. For example, Indigenous women in particular are affected by settler colonialism which may result in disproportionate maternal health disparities such as high blood pressure during pregnancy. This project will increase understanding and awareness of settler colonialism as a current-day structure and a significant determinant of Indigenous health. This dissertation consists of three manuscripts. The first manuscript is a literature review that informed the development of a conceptual framework identifying six settler colonial determinants of Indigenous health. Frameworks describing how the structural determinants of settler colonialism result in historical and cultural trauma, and negatively impact health outcomes via biological and social pathways, have not been developed. Therefore, I identified six interconnected settler colonial determinants of Indigenous health that I hypothesize will result in the embodiment of settler colonialism and ultimately lead to adverse health outcomes, such as hypertensive disorders of pregnancy (HDP). The six determinants are historical context, land, environmental justice, culture, settler-colonial societal context, and structural violence. The second manuscript is a published literature review that explores the processes and pathways of the embodiment of historical trauma secondary to settler colonialism of Indigenous peoples. Guided by EcoSocial Theory, Historical Trauma Theory, and the Allostatic Load (AL) Model, this literature review provides evidence that sources of stress rooted in experiences of historical trauma resulting from the structure of settler colonialism should be investigated as sources of stress for women who are vulnerable to experiencing settler colonialism. The third manuscript documents the results of a secondary data analysis from the Strong Heart Study (SHS) that investigates the relationship between Indigenous women’s level of AL and high blood pressure during pregnancy. This secondary analysis is a quantitative, retrospective, cross-sectional, cohort design analysis using data from the Phase IV Strong Heart Study. Given that Indigenous women are at risk of experiencing settler colonialism and experience greater maternal health disparities than most all other racial/ethnic groups, I examined relationships among high blood pressure during pregnancy, AL, and factors of culture. I selected variables of settler colonialism, historical trauma, and cultural trauma (i.e., loss of access to traditional values/cultures, and native lifestyle) for this secondary analysis based on findings from the first two manuscripts. This dissertation concludes with a final chapter that describes implications for theory, policy, nursing practice, and further research. Evidence generated from this dissertation has the potential to move the nursing field forward in ways that can lead to broad, transformative impacts for Indigenous communities. It further provides a theoretical foundation for advancing nursing knowledge and guiding future research studies.



Abstract: The law does not possess the language that we desperately need to accurately capture the totality of the Palestinian condition. From occupation to apartheid and genocide, the most commonly applied legal concepts rely on abstraction and analogy to reveal particular facets of subordination. This Article introduces Nakba as a legal concept to resolve this tension. Meaning “Catastrophe” in Arabic, the term “al-Nakba” (ةᚁالنك (is often used to refer to the ruinous process of establishing the State of Israel in Palestine. But the Nakba has undergone a metamorphosis; it has evolved from a historical calamity into a brutally sophisticated structure of oppression. This ongoing Nakba includes episodes of genocide and variants of apartheid but remains rooted in a historically and analytically distinct foundation, structure, and purpose. This Article therefore proposes to distinguish apartheid, genocide, and Nakba as different, yet overlapping, modalities of crimes against humanity. It first identifies Zionism as Nakba’s ideological counterpart and insists on understanding these concepts as mutually constitutive. Considering the limits of existing legal frameworks, this Article goes on to analyze the legal anatomy of the ongoing Nakba. It positions displacement as the Nakba’s foundational violence, fragmentation as its structure, and the denial of self-determination as its purpose. Taken together, these elements give substance to a concept in the making that may prove useful in other contexts as well.


Excerpt: Cowboy takes up the entirety of this small museum and is divided into three sections, each on a full floor: on the main floor, “Mythmaking” prompts us to reflect on the cowboy as myth; on the second floor, “From Fantasy to Lived Experience” shifts the focus from the myth of the cowboy to the cowboy as worker and rodeo performer; and in the basement, “Reimagining the Past, Present, and Future” presents artists speculating on the futures made possible through creative engagement with the cowboy and its associated histories. By foregrounding the cowboy as a site of myth and meaning-making—for example, through the placement of “Mythmaking” on the main floor—the curators suggest that the primary problem plaguing the cowboy imaginary is its narrow scope, which makes particular representations more prominent than others. The exhibit expands or opens up these narrow/short-sighted/stereotypical perceptions by offering more authentic representations of the cowboy. Yet its design and organization—which emphasizes the cowboy as a multifaceted and multicultural figure—has the simultaneous effect of downplaying the historical and material conditions of settler colonialism and imperialism that make the cowboy so ubiquitous. The exhibit thus exemplifies the disjunct between frameworks of multiculturalism and decolonization. However, if we consider the exhibit from the vantage point of Indigenous and settler colonial studies, it becomes clear that even if a variety of actors engage with the cowboy, they do so precisely because it is embedded in the US settler colonial project.





Abstract: In the Winter 2020, Canada witnessed an extraordinary number of blockades and solidarity
protests in support of the Wet’suwet’en First Nation. The Wet’suwet’en had for years been fighting
against the construction of an oil pipeline across their traditional territories. After a police raid
dismantled their blockade, the traditional chiefs of the Wet’suwet’en issued a call for solidarity and
support. The response was overwhelming with an enormous number of solidarity actions, including
blockades of critical infrastructure, organized across Canada and internationally. This paper
critically examines how settler-citizens engaged in acts of solidarity with Indigenous people, with a
particular focus on how these acts of solidarity can contribute to the decolonization of Canadian
citizenship. Since the Wet’suwet’en struggle involved the assertion of Indigenous sovereignty, the
solidarity actions of Canadians raise important questions about the meaning of settler forms of
citizenship. This paper takes a relational and decolonial perspective on solidarity blockades. Such an
approach allows us to ask questions that are outside the scope of assessments concerned with the
efficacy of a particular blockading action. The paper investigates the forms of solidarity found at the
blockades, noting that a wide range of antagonistic, agonistic, and spatio-temporal relations were
enacted at the various blockading actions. These relations allowed for a contentious production of
new political subjectivities, collectivities, and citizenships
.