WHO Owns the Language: “Domination Code” in the Mental Health Gap Action Program

Abstract

Sociohistorical analysis of four words commonly used in the language of Western mental health, Indigenousintelligencedisorder, and depression reveal a “Domination Code” masking past and present professional complicity of the U.S. and global mental health system in the oppression of Indigenous peoples. A historicity is offered of concepts of inferior Indigenous intelligence and current pseudoscientific ideologies within Western biological psychiatry dominating WHO’s mhGAP (Mental Health Gap Action Programme) exported to these communities. mhGAP’s cultural hegemony is achieved through Western mental health ideologies that decontextualize, depoliticize, minimize, and marginalize the lived experience of cultural oppression on health and wellbeing. This program appears to violate the spirit of Article 23 of the United Nations Declaration on the Rights of Indigenous people.