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Catastrophe & Belief

Roaming

Therapeutic and Design Practices for Indigenous Healing

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Abstract

There are significant disparities in mental health care between First Nations and non-Indigenous people in settler-colonial nations. This paper, authored by a crosscultural and interdisciplinary team, argues that settler-colonial legislation, the tools and technologies of architecture, and the clinical practice of psychiatry are all implicated. Taking inspiration from Tanganekald, Meintangk-Bunganditj legal scholar Irene Watson, who yearns for freedom to roam across Country and connect with the land of her ancestors, we propose tactics for ‘roaming’ from the conventions of architecture and psychiatry to decolonize our practices. These include yarning, walking Country, and representing these itinerant practices through wandering lines. The outcomes are processes for developing new therapeutic places and practices for mental health care.

Introduction

Guest host relations in most settler-colonial nations are unsettled terrains. Invasions and massacres, policies of social control and assimilation, and environmental degradation caused by land clearing and development, have together disrupted relations of care and reciprocity between people and their environments. The impact on the cultural continuity of First Nations PeoplesFootnote1 everywhere has been profound and is ongoing. Invariably their lives have been irrevocably and detrimentally affected. Poverty, historical and enduring trauma, poor health and political marginalisation are the norm around the globe, despite 148 nations signing the United Nations Declaration of the Rights of Indigenous Peoples.Footnote2 Australia, one of the only nations to have never had a single Treaty between invader and First Nations peoples,Footnote3 has a particularly parlous record. Indigenous legal scholar Irene Watson (Tanganekald, Meintangk-Bunganditj, South Australia) laments:

When thinking of Aboriginal community, who are we?…how much do I retain and ‘own’ of my sovereign Aboriginal self, outside the body of my being? Am I free to roam across my country and to sing and to live with the land of my ancestors outside the body of my Aboriginal being/community? Or will I live the life of the sovereign self only within the mind, body and spirit, and in isolation from country and community—left to the illusionary spaces of recognition within the settled colony?Footnote4

While progressive governments have made moving speeches and apparently sincere commitments to right past wrongs, there is little evidence of substantial real or lasting change, particularly in the area of mental health and psychosocial adversity. Yet, First Nations peoples have resisted assimilation and survived, through protest, solidarity and re-invention. Community leaders continue to demand governments, health care and other professional service providers to do better.

We, the authors of this paper, agree. Our collaboration dates back many years. Janet McGaw, an architectural academic with settler-coloniser forebears, and Alasdair Vance, a child and adolescent psychiatrist, with a hybrid identity shaped by both settler and Northern Wathaurung heritage from western Victoria, Australia, are married. They co-lead a research project, Indigenous Cultural Practices for Health and Wellbeing, that is exploring the relationship between culture, health and place.Footnote5 Gunai Elder, Uncle Herb Patten, Traditional Custodian of the Gunaikurnai nation in south-east Victoria, is an Elder on the Governing Board for the project. He has also been a long-term mentor and adviser. They met over a decade ago through an earlier research project that explored Indigenous Placemaking in Melbourne,Footnote6 and continued their relationship over regular lunches. Aunty Bunta, Uncle Herb’s wife and formidable Gunditjmara Elder, activist and leader, who was born on the Framlingham mission in south-west Victoria, joined them. Sharing stories of staunch activism, proud resilience, hope and humour, these lunches always concluded with collective strategizing about how to best improve the health and wellbeing of the Aboriginal community. Although Aunty Bunta has passed into the Spirit world, her influence remains strong. Uncle Herb regularly reminds us that we are doing this work together because she was convinced of its importance. A number of the figures herein were produced by Saran, a former student with Korean-Japanese heritage who has lived in Australia since her early teens. Her independent Master of Architecture design thesis explored ideas developed by Uncle Herb, articulated in an earlier essay.Footnote7 Saran engaged closely with Janet, Alasdair, Uncle Herb, and a number of other First Nations health professionals throughout the brief development and design process.

We have asked, how might therapeutic clinical practices be re-imagined for healing First Nations peoples in Australia, given the failures of previous approaches? What architectural typologies would best support them? What creative practices could we enlist to develop them? Taking our cue from Watson, we argue they are a kind of ‘roaming’; ways of finding freedoms for bodies, minds, spirits and pens to stray from the conventions of architecture and psychiatry. This essay explores techniques we have trialled, including yarning Footnote8—a non-linear and dynamic process of communication shared by Aboriginal and Torres Strait Islander cultures across Australia; walking in Country Footnote9—a practice that describes a relational construct between people and place; and representations of spatial practices on Country with wandering lines so they can be remembered elsewhere. Moreover, there is an expectation that other-than-human-Spiritual entities will be part of the co-creative processes. Roaming is a way of inventing alternative ways of knowing, without appropriation, and without silencing minority voices through consensus.

Logics of Possession: Law, Architecture and Psychiatry

Settlers from Europe who colonised the ‘new world’ operated primarily under the logics of possession and dispossession – possession of land, possession of bodies, and dispossession of its First peoples of their culture, community and Country. Prior to settler-colonisation of Australia there were over 250 language groups and 750 clan groups with distinct dialects and cultural practices around Australia. Australia’s invasion took place only 235 years ago, unsettling the longest continuing culture in the world.Footnote10 Deploying Foucauldian theories on sovereignty, socio-legal scholar Aileen Moreton-Robinson (Quandamooka, Stradbroke Island, Queensland) argues the “possessive logic of patriarchal white sovereignty works ideologically and … discursively at the level of epistemology, to naturalise the nation as a white possession.” Footnote11 Law was its primary instrument of capture: The Doctrine of Discovery legitimatised settler-colonisation on the global stage;Footnote12 the cadastral survey reorganised the land into gridded parcels; Land Acts enabled territory to be traded, fenced, and built upon.Footnote13 The Constitution and Aboriginal ‘Protection’ Acts defined Aboriginal people as lesser beings under the control of the State. These various laws enabled settler-colonisers to exclude First Nations peoples from their Ancestral lands, restrict their movement to reserves and missions where traditional cultural practices were prohibited. They also demanded forced removal of children with mixed heritage, disrupting families and kinship networks.

Architecture’s tools and technologies of representation were enlisted to support these laws. The survey plan and property title plan extinguished the ambiguities of place, overlaying regulating lines of ownership that afforded the strategic power to implement social change. Plans, sections and elevations, in turn, facilitated the construction of churches, courtrooms, schools, and prisons where incarceration and assimilation unfolded. Psychiatry was also used as a tool of the State. Asylums captured the ‘mental defectives’Footnote14 and young women in danger of ‘moral turpitude’ – deviant behaviours that could include pregnancy outside of marriage. Enlivening relationships with Ancestral Spirits that were an aspect of Indigenous spiritual wellbeing were cast, as either ‘possession’ or madness.

Laws of possession overwrote what Watson calls “raw law.” Footnote15 Raw law is a complex but clearly defined network of obligations and nurture that emanate outwards from self to family, clan, tribe, and Country. This relational system is more than human, including plants, animals, rocks, and Ancestral Spiritual entities. Relationships of care between people and Country are reciprocal: humans engage in environmental care practices that include walking and observation, regular cool, mosaic burningFootnote16, and careful harvesting and hunting. They also exercise Spiritual care through Story, song, dance and ceremony. Communities, meanwhile, are nurtured through yarning, a circular, meandering, revealing, authentic and reciprocal Story-telling. These practices, when rigorously upheld, ensure that Country remains abundant, providing for all its living entities, of which people are only one. While some communities in remote parts of Australia have been able to maintain these care practices to an extent, none has been unaffected by settler-colonisation. As Watson elaborates:

The white way of knowing country is forged by ownership, possession and control. The Aboriginal way of knowing comes through spirituality, identity and traditions of historical connectedness. Which way holds power? Indigenous people are in occupation of many different spaces: that of extinguished and non-extinguished native title, curfews, mandatory sentencing, poverty, prisons, poor health—you know the statistics; they have been named so often before that we are becoming desensitised to their significance. What spaces are we left with? Where are we free to roam?” Footnote17

To be clear, the roaming Watson describes is not opportunistic nomadism. It is purposeful, focused and systematic. More like an expanded form of housekeeping, determined by a holistic understanding of the environmental needs of Country and cultural obligations to maintain the Songlines.Footnote18 Roaming in this way is an act of profound loyalty to people and particular place.

The consequence of the logic of possession on social, psychological and environmental adversity has been profound. In Australia, First Nations young people are more than 1.5 times as likely as non-Indigenous Australians to have separated parents who are younger, poorer, and stressed.Footnote19 Twenty-five percent fewer Indigenous Australians have completed secondary schooling than non-Indigenous peopleFootnote20 and only 30% of First Nations people are in full time employment.Footnote21 Poverty is rife as a consequence. Aboriginal and Torres Strait Islander people are more than twice as likely as non-Indigenous Australians to have a household income of less than USD$375 per week. Furthermore, the money needs to stretch further, as families tend to be larger.Footnote22 While child removal practices under the Protection Acts have ostensibly ended, more than 10 times as many young Aboriginal and Torres Strait Islander people are in out-of-home care, and over 80% live permanently away from their parents until the age of 18 years. There are a range of familial reasons but there are also environmental issues including unstable housing and overcrowding at triple the rates of non-Indigenous Australians. The logic of possession continues to be evidenced in the criminal ‘justice’ system, with young Aboriginal and Torres Strait Islander people 16 times more likely to be under supervision orders and 18 times more likely to be in detention.

Social and environmental adversity, in turn, impacts mental health. Australia’s First Nations peoples’ youth mental health statistics are particularly dire: more than twice as many Indigenous than non-Indigenous young people report high or very high levels of psychological distress (33% vs 13%) and almost twice as many report a long term mental health condition (29% vs 16%). Twice as many are hospitalized for intentional self-harm (5% vs 2%) and four times as many die from intentional self-harm or suicide (29% vs 7%) (AIHW, 2018).

In our collaboration around re-thinking architecture for mental health care for young First Nations Australians, we have been interested in exploring whether Watson’s notion of ‘roaming’Footnote23 might become a methodology for decolonising our disciplinary conventions. It has a long history as an act of resistance and cultural reclamation since colonisation. Denis Byrne cites oral histories in the colonial era of Aboriginal people roaming along linear reserves for future rail and roadway developments, as well as easements along waterways, to resist the spatial controls of the cadastral grid.Footnote24 In the contemporary era some Indigenous communities have not only maintained their cultural obligations, but also invited settlers to walk Country together. Paddy Roe’s development of the Lurujarri Trail, a Goolarabooloo Songline through cultural adoption, is a notable example.Footnote25 In this instance ‘roaming together’ is an act that defies both notions of separatism between settler and First Nations Australia and assimilation into Western sovereignty. Inspired by these precedents we have wondered, can roaming conversation replace the strictures of the clinical interview or the client brief? Can clinical care transgress the bounds of the consulting suite? Can the interiorities of architecture for mental health care roam out amongst the dirt? Can the graphic conventions of straight-line drawings wander into itinerant lines? How might young people carry the lessons of Country with them after therapy is finished? We have developed three key methods to address these questions: yarning, walking Country, and itinerant drawing.

Yarning: Roaming Conversations

Yarning has been a critically important process for developing the research project within which this essay is nested.Footnote26 It is also a process in which we authors engaged to collaboratively develop the essay itself. A yarn begins with participants locating themselves in relation to place, and to one another—who they are, who their families are, where their Ancestral lands are located—to establish their right to share the stories they are about to tell. Yarns circle around, concealing profound cultural Stories, within the prosaic and humorous. They are dialogues, not monologues, so all participants are equally enriched by the experience. Lawrence Bamblett distinguishes yarning from the “straight line stories” of Western culture.Footnote27 Quoting Gamilaroi teacher Laurie Crawford, Bamblett explains, “us blackfellas don’t tell stories in a straight line, we go all the way around it.” Footnote28 Although language was suppressed on the missions in the colonial era, and contemporary Aboriginal culture is varied as a result of colonization, contemporary yarning discourse retains many of its traditional characteristics. Knowledge is always situated within a network of relationships – human, Ancestral, geographic, and Totemic – and often within the context in which it takes place.Footnote29 It has consequently been widely adopted as a research method when working with Aboriginal and Torres Strait Islander communities.Footnote30

As we prepare for this paper, Uncle Herb positions our project in the lineage of the Victorian A boriginal Health Service (VAHS) in Fitzroy, an inner-city suburb of Melbourne through another yarn. Alasdair had volunteered there when he was a medical student in the 1980s. But Uncle Herb tells us Aunty Bunta had been one its initiators in the late 1960s, working with Aunty Edna Brown in a house they rented to provide support to the ‘Parkies’— a group of Aboriginal men who lived in public parks. The civil rights and ‘black power’ movement was emerging around Fitzroy at the same time. When the government-run Venereal Disease clinic in Gertrude Street was vacated, they moved in and expanded to provide support to the growing number of Aboriginal people reluctant to access mainstream medical services. The Koori Kollij Footnote31 followed, a novel training facility for Koori Health workers. Uncle Herb and Aunty Bunta moved to Greensborough to run the Harold Blair Hostel, a place where students who arrived from all around Australia to study at the Kollij were housed. They offered the students a culturally safe context of ‘sharing and caring’. Uncle Herb recalls the shock of young people from remote communities in the Northern Territory arriving who could not tolerate rich Western diets. He had to find a source of Kangaroo for them to cook on open fires they made in the back yard. Uncle Herb transported students to the Kollij and back each day. Academic and activist Gary Foley (Gumbaynggirr, coastal New South Wales) asserts that VAHS turned the usual hospital hierarchies on their head.Footnote32 Inspired by the Chinese Barefoot Doctors, Koori Health Workers trained at the Kollij were considered the ‘professionals’ while the mostly white doctors nurses and dentists were mere ‘technicians’.Footnote33 Koori Health Workers were trained in specific paramedical skills but were also important mediators between the community and the medicos, educating the latter in Aboriginal ways of being and doing so that they treated people appropriately. They knew the importance of yarning; the value of the cup of tea; that waiting rooms were a place for community to gather, not just a place to wait to see a doctor. Trust grew within the community and management care improved.

These early health services were housed in an architecture of ‘making-do’. Constrained by poverty and often kept out of the rental market through racism, the community made use of whatever buildings were available to them. They were a kind of fissure in the urban fabric where they could operate without interference. In this early period of the civil rights movement buildings were rarely purpose built. Interiors, however, were another matter. At each of the premises, community artists, supported by the Aboriginal Advancements League, led processes to make murals as part of an assertion of Aboriginal culture and self-determination.Footnote34 Architecture was rarely ideal but Aboriginal people are adept at working with what is available. A key part of the process has been adapting identity to maximise the likelihood of government funds or philanthropic support to flow. Uncle Herb explains that at one point the government offered money to the Aboriginal community for mental health care. After scoffing amongst themselves that they weren’t ‘mental’, strategic individuals realised that if they agreed that they were mentally unwell, financial assistance would flow. Architectural academic Carroll Go-Sam (Dyirbal gumbilbara bama, North Queensland) describes it a process of “fabricating blackness”; tactically adopting an identity for optimum advantage.Footnote35

It was not until 1993 that a purpose built architecturally designed building was constructed. A spare, modernist steel frame and infill design from award winning architect Peter Elliott. Its Aboriginal cultural identity is revealed to the street only through an Aboriginal flag. The interior, however, is a testament to its community heart, displaying a floor design developed collaboratively by VAHS clients and employees, led by Yorta Yorta artists Lyn Briggs and Lyn Thorpe. As Briggs explained: “we didn’t just want to do it ourselves, we wanted participation from community members … It’s really important in our culture to actually have a shared sort of practice … we always, always use art… creating things in different ways.”Footnote36 The award-winning design roams around the floor, alluding to the figure of the rainbow serpent, an important Creator Spirit, and the rivers of the region, and includes representations of important Totems and medicinal plants. The early community health services may have lacked architectural sophistication, but they were places of community safety and sustenance. Uncle Herb observes that satellite Aboriginal health centers have proliferated over recent years, ‘like the tentacles of an octopus’ around the city and state. Money has filtered through from government agencies, but institutionalizing forces have emerged as a result. Sharing and caring, he says, have been lost to disembodied automatic phone services. Relationships of care and reciprocity, which were always more important than aesthetics for architecture to work as a healing place, are harder to find.

These yarns remind us there is a longer history of Aboriginal led health infrastructure that are important precedents to draw on. VAHS was not a standalone medical clinic, rather it was a community network that included places to learn, live, share a meal or a cup of tea, have a yarn and a laugh, Community came first. Better health followed. The stories stand in stark contrast with the messaging in Western health research. As can be seen by the background we provided at the beginning of this paper, it is dominated by “deficit discourses.”Footnote37 Sociologist Maggie Walter (Palawa, Tasmania) has argued that scientific papers are littered with dire statistics, presented as if neutral and objective: “In a seemingly unbroken circle, dominant social norms, values and racial understandings determine statistical construction and interpretations, which then shape perceptions of data needs and purpose, which then determine statistical construction and interpretation, and so on.”Footnote38 When lack is emphasised, it is easy to overlook the innovation, drive, and know-how within the Aboriginal community to address their own health needs.

Over the past decade, yarning has been adopted in more culturally-informed Indigenous-led research to enable more intricate and multilayered relational meanings to emerge.Footnote39 The benefit of yarning is that it is a particular, dynamic and relational process of knowledge exchange through Story that is culturally safe.Footnote40 Consequently, intimacies and sensitive issues can be broached through two way knowledge sharing so all involved are enriched by the experience. Conducted according to accepted and understood Cultural protocols, yarning provides rich and multiplicitous information about Indigenous perspectives.Footnote41 Less often has it been used in clinical settings.Footnote42 Consequently most extremely unwell young Indigenous people who fail to respond to treatment in community care end up in hospitals where clinical encounters are mediated by non-Indigenous mental health staff through the standardised clinical interview in sterile interior spaces. Yarning had such a strong history in these early Aboriginal community-controlled health services. We wondered, could yarning on Country be a method to roam in the therapeutic encounter itself?

Walking Country: Spatial Roaming

Under the guidance of Elders, a ‘cultural therapy’ program was conceived within the wider Indigenous Cultural Practices for Health research project. Practitioners eschew locked wards, windowless offices and rat-maze hospital corridors in exchange for roaming open Country. Yarning and roaming together in the park outside the hospital is a dissident move; disloyal to occupational health and safety concerns by Western mental health providers but with strong allegiance to Aboriginal ways of knowing, doing and being healthy. A growing body of research is recognising the value for Indigenous peoples around the world reclaiming their cultural practices of connecting to Ancestral lands.Footnote43 These have in turn influenced Aboriginal health policies, which are finally recognising the critical importance of culture and place for health and wellbeing. Cultural therapy involves the young person, their guardian and the Aboriginal therapist encountering Country together for around eight hours over six to eight sessions. Their reflections are recorded before the sessions begin, immediately after the last session is complete, and again three months later.Footnote44

Fortunately for our project, there is a large parkland outside of the walls of the hospital which is coincidentally (or not) a pre-colonial intertribal meeting ground of the Kulin Nation.Footnote45 (). While it will only occasionally be the Ancestral Country of our participants, it welcomes the cultural therapist, the young person, and their family to engage in a journey of discovery. The form of the encounter is similar for each of the young people but the revelations and content are unique. The cultural therapist, young person and their carer(s) are all equally part of the meaning-making process. Expectant of a revelation they engage attentively with all senses and the yarn about what is revealed (). One young person will be drawn to the tree where sugar ants live; another will see Waa the crow every time he comes; another delights in making a soft bed of leaves under a tree for a rest (). How do these creatures move? What does this teach us about things like emotional regulation? How do we manage grief about grandparents who have passed? Everyone checks in with each other about what each is thinking and feeling. The Western hierarchical construct of clinician-patient does not exist. Each opinion matters equally. Cultural therapy is seeking to address Watson’s questions about how to retain and ‘own’ one’s sovereign Aboriginal self.

Figure 1. Royal Park, Parkville looking toward Melbounre’s central business district. The parkland was a pre-colonial Kulin nations’ meeting ground. Photograph: Cafuego, 2014.

Figure 1. Royal Park, Parkville looking toward Melbounre’s central business district. The parkland was a pre-colonial Kulin nations’ meeting ground. Photograph: Cafuego, 2014.

Figure 2. Author Alasdair Vance and young participant during cultural therapy. Photograph: Janet McGaw, 2023.

Figure 2. Author Alasdair Vance and young participant during cultural therapy. Photograph: Janet McGaw, 2023.

Figure 3. Author Alasdair Vance and young participant during cultural therapy. Photograph: Janet McGaw, 2023.

Figure 3. Author Alasdair Vance and young participant during cultural therapy. Photograph: Janet McGaw, 2023.

These sessions give young people the agency to forge a relationship with Country and a guided opportunity to discover it can be part of their familial network. Country is not an object experienced as a static view out of a hospital window but a subjective ecosystemic entity with which to develop a relationship. Country always leads. The group is attentive to which way the wind blows, where the sun is in the sky, if there is rain or clouds, where insects and birds congregate, how ants move, what plants are in seed and flower. They discover Country is an extensive environment—physical and spiritual—that takes in the earth, skies and waterways and Creator Spirits. Young people who have failed to engage at all in Western mental health treatment regimens are voting with their feet. Around 20 young people are either currently engaged in or have completed the Elder-governed cultural therapy program. One has withdrawn early because they felt better and had started attending school again. While some of these young people had up to seven Western diagnoses and warnings of dangerous behaviour noted on their hospital files, not one of them has showed aggression or attempted to abscond while in the park. Cultural therapy is giving young people tactics for finding ways to roam in Country when they are far from Ancestral lands, and to discover community amongst other-than-human entities in outdoor places if their human communities are fractured.

Indigenous health services, “healing centers” Footnote46 and “holding places” Footnote47 will of course always need interior space too. We wondered, could roaming in Country provide clues for understanding site differently for the purposes of developing an architectural design? Walking has been explored as a dissident spatial practice in art and architecture since the 1950s: Water Benjamin’s explorations of flânerie, Situationists concept of derive, Stalker’s walks around the grey terrains of Rome, Michel de Certeau’s tactics, and Jane Rendell’s ‘critical spatial practices,’ amongst others. Each of these theorists and practitioners were disloyal to formal and material traditions of Western art and architecture that had valued durability and “firmness, commodity and delight”. Some explored the material and socio-sensory realm through walking, others, like Debord, used walking to exploring an environment’s unconscious effect on emotion.Footnote48 None of these is quite the same as traditional Aboriginal and Torres Strait Islander practice of walking Country, which is simultaneously practical, relational, cultural and spiritual.

Occasionally non-Indigenous architects, landscape architects and artists have been invited into such a process. Architect Greg Burgess and landscape architects, Taylor and Cullity’s engagement process with the Mutitijulu Community and the Australian Nature Conservation Agency for the design of the cultural center at Uluru-Kata Tjuta, is one early project of note. So too is landscape architect and academic, Jim Sinatra’s relationship with the Goolarabooloo people, which forged a multi-decade walking Country on the Lurrujarri Trail as a pedagogy for RMIT university students. More recently, Yalinguth, a collaboration between Wurundjeri-Woiwurrung cultural heritage Aboriginal Corporation and a number of creatives – digital design, architecture, landscape architecture and community arts production –invites participants into the stories of the civil rights movement in Fitzroy via a geo-emplaced smartphone app.Footnote49 None are explicitly practices focused on the development of healing places, but they are invitations to walk Country alongside Aboriginal people in a journey toward understanding and collaboration. Burgess, Taylor and Cullity set up an on-site studio in the Mutitjulu community in the Western Desert, where they stayed for a month, joining the community hunting, camping, setting up campfires, with the community while learning the ways of the community and aspects of Tjukurpa that are appropriate for the uninitiated to hear. The Goolarabooloo invite guests to similarly walk and camp with them as they maintain the Lurujarri Songline. While these two communities are maintaining traditional practices of walking on Country, Yalinguth is an example of an invitation to discover the situated histories of activism and cultural reclamation. Each eschews separatism. None is modelling an inverse assimilation. Rather ‘roaming side by side’ is a practice of forging transversal relations across cultural difference.

Our collaboration has led to a vision by Uncle Herb for a new typology for health that might mediate health care in tertiary hospitals that returned to the holistic practices of the early years of Aboriginal health services, which Saran explored in her architecture design thesis in 2022.Footnote50 Like the Goolarabooloo, Mutitjulu and Fitzroy communities, the Aboriginal authors of this paper invited Saran to walk Country side by side with them to discover, through a reciprocal relationship with people and place how best to intervene with architecture. An important part of the process was developing methods that did not appropriate cultural practices that were not her own, but equally did not perpetuate colonising practices implicit in architectural production. Spatial designer Danièle Hromek (Budawang/Yuin, New South Wales) and lawyer Terri Janke’s (Wuthathi/Meriam, Far North Queensland/Torres Strait) advise non-Indigenous architects working with communities that they should recognise participants “as creators and not merely informants” and ensure that relationships are lasting and benefits are reciprocal.Footnote51 Saran worked with research partners and with the Aboriginal mental health workers at the service where the project is based extensively, first listening to their yarns, then walking Country with them (). Could she be disloyal to her own disciplinary practices to find new ways of representing site as well? At the end of semester her project was returned to community. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) have used the process to assist with their own work developing two Healing Centers for the state.

Figure 4. Uncle Herb’s preferred site for the Holding Place: Travancore campus, Royal Children’s Hospital. Photograph: Saran Kim, 2022.

Figure 4. Uncle Herb’s preferred site for the Holding Place: Travancore campus, Royal Children’s Hospital. Photograph: Saran Kim, 2022.

Itinerant Lines: Roaming Drawings

A challenge in any design process is representation. How might this walking and yarning be signified? What kind of rendering can capture an ontological experience like this? We have grappled with the question of how to represent encounters with site for the purposes of design as well as roaming in Country as part of cultural therapy. These methods needed to escape the abstracting process of drawing and writing that are typical in architecture and psychiatry. As philosopher Michel de Certeau says, writing renders invisible “the fragile ways in which the body makes itself heard” and “the multiple voices” inaudible, while the blank page exorcises the ambiguities of the world.Footnote52 The abstract written account of diagnosis and treatment plans in clinical treatment in reports and letters between specialists and referring practitioners silence the voices of participants and convey nothing of the context in which these treatments take place. There are clear parallels with the drawing practices that architects typically use to abstract a site into a representation on paper. The site plan has strong links to the intrinsically colonising practice of map making. Cartography was developed in Europe during the period of exploration and colonisation to give explorers a means for capturing and communicating distant places to those who had never seen them. Architectural drawing done in the enclosure of the studio is the same kind of enterprise; a way of holding in mind that which is distant.

Saran’s first drawings of the site proposed for the Holding Place were a mixture of the analytical and the critical, informed by usual architectural conventions and these revisionist practices from landscape architecture: site plans with a thorough inventory of the diverse plant species (); and a critical map revealing hidden histories of geology, hydrology and building (). But as she entered more deeply into the yarns with Uncle Herb and walked on site with the Aboriginal cultural therapists in the team, she found the notational conventions that render curvilinear space flat, and thin black lines that exaggerate property boundaries while diminishing the blurs of leaves in the wind and bird flight overhead, to be inadequate. Saran wondered what other itinerant lines might enable her to experience the site more holistically? She abandoned her hard computer drawings in favour of tools that were smudgy. On site it included bark rubbings in charcoal of the many otherwise indistinguishable eucalypts, and hand drawings in soft pencil back in the studio (). She started looking more closely too and visiting at different times of the day. She became attentive to darker hues in the grass where moisture pooled beneath the surface and the direction of cutting winds and the sound of traffic. Black and white photography, which emphasised tone rather than hue, helped her see the light differently (). One evening she captured a halo around the moon (). Saran writes:

Figure 5. Inventory of the plant species at Travancore campus, Royal Children’s Hospital. Image: Saran Kim, 2022.

Figure 5. Inventory of the plant species at Travancore campus, Royal Children’s Hospital. Image: Saran Kim, 2022.

Figure 6. Critical Map of site. Image: Saran Kim, 2022.

Figure 6. Critical Map of site. Image: Saran Kim, 2022.

Figure 7. Charcoal bark rubbings. Image: Saran Kim, 2022.

Figure 7. Charcoal bark rubbings. Image: Saran Kim, 2022.

Figure 8. a(left). Sky Country above site, during the day. Photograph: Saran Kim, 2022. Figure 8b (right): Halo moon above site, during the evening. Photograph: Saran Kim, 2022.

Figure 8. a(left). Sky Country above site, during the day. Photograph: Saran Kim, 2022. Figure 8b (right): Halo moon above site, during the evening. Photograph: Saran Kim, 2022.

I saw a halo around the moon, immediately reminding me of the Moon Man story from the book Astronomy: Sky Country by Karlie Noon and Krystal De NapoliFootnote53. It indicated that rain was coming soon, and it became true the following day. Through recognising patterns and linking them to stories I have learnt through conversations and research, I felt a sense of delight and the power of narrative; I would never forget the story and its meaning after having experienced it myself.Footnote54

The renderings captured aspects of Country that were otherwise invisible or fleeting, enabling Saran to hold Country in mind when she was developing her design in the interiorities of the studio.

We had similarly wondered how the young people who participated in Elder governed cultural therapy might also carry Country with them when cultural therapy concluded. In discussion with the Elders Board and Advisory Group we began thinking of traditional cultural practices that could be reimagined for healing. What could capture the itinerant journeys taken through the park, the insights learned from Country and the yarns shared? Instead of the Western health protocol which favours a written exchange between treating doctors, the team developed contemporary “message sticks” Footnote55 () for the young person as a personal record of their cultural therapy. Message sticks were a traditional method of communication between Australian Aboriginal tribal groups.Footnote56 Sacred sandalwood (Cherry Ballart), prepared according to cultural protocols from the Country from which it comes, is inscribed with lines and symbols that recall important themes, memories and feelings that the cultural therapy sessions evoked.

Figure 9. Message stick; a tangible record of themes uncovered during cultural therapy. Photograph: Jo Winther, 2022.

Figure 9. Message stick; a tangible record of themes uncovered during cultural therapy. Photograph: Jo Winther, 2022.

The concept mirrors the south-east Australian possum skin cloak making practice.Footnote57 Cultural reclamation of this important cultural practice by Maar artists, Vicki Couzens, Debra Couzens, Yorta Yorta artist Treahna Hamm and Yorta Yorta, Mutti Mutti and Boonwurrung artist Lee Daroch began around 20 years ago when they were invited to a printmaking workshop as part of the Roving Curator Program for the Melbourne Museum. Two pre-colonial cloaks were brought out from an underground storage room, as inspiration for their printmaking.Footnote58 They found the experience profoundly spiritual and healing. As Vicki Couzens said:

It was like a loop to your Ancestors and you could almost hear them whispering…we were not only connecting with each other, but also with our people from the past who had made the cloaks just as we were doing…The possum skin cloaks (kooramook) have strengthened our spirits, our hearts and identity.Footnote59

The coats were patchworks made from the fur of a small marsupial. Importantly, personal place-stories were marked with burnt lines on the hide so the wearer, figuratively, carried their place on their back. Their work has sparked an expansive reclamation process of this lost craft practice. It revealed the importance of finding links to traditional cultural practices for social identity.

Elders on our Governing Board have been important leaders in reclamation processes of a range of creative cultural practices. Aunty Esther Kirby OAM (who passed in 2022) championed painting, emu-egg carving and possum skin cloak making; Uncle Herb is a renowned gumleaf player and is currently developing a tertiary education program in gumleaf playing; Yoorrook Justice (Truth Telling) Commissioner Sue-Anne Hunter has led a revival of dance; and Aunty Rochelle Patten is a painter. She has also been a staunch advocate for getting young people back into relationship with Country. They have encouraged us to find ways to bring creative and embodied cultural practices into mental healthcare too.Footnote60 Like possum skin cloaks, the message sticks are particular for each young participant. The themes are discussed in the second last session, agreed by the young person, their carer, the cultural therapist and the Aboriginal research assistant, before they are burned onto the wood. The therapist hands on the message stick at the final session as a tangible record of their encounters with Country. These sticks with their sinuous lines are an invitation to roam. They empower young people to find health in old ways of being in Country.

Conclusion: Struggling With Difference

Settler-colonialism has operated under a logic of possession, dislocating First Nations Australians from Country, culture and community. The impact on mental health has been profound. Despite a decade long strategy by Western health bureaucrats to ‘close the gap’ in disadvantage between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, stark disparities remain. Drawing on our different cultural and disciplinary perspectives, and motivated by Watson’s lament for the lost places for Aboriginal people to roam freely, we have been re-imagining methods for clinical practice and design representation to develop novel architectural typologies to support them. We have explored three methods that stray from the conventions of our disciplines to find freedom for bodies, minds, spirits and pens: yarning, roaming on Country and itinerant lines. Governed by Elders, informed by traditional cultural practices, and led by Indigenous health practitioners within cross-cultural teams, these practices have become methods for forging transversal relations across difference. Roaming is a way of coming to know and represent lively, numinous, aspects of place often overlooked within Western epistemologies and practices.

Additional information

Notes on contributors

Janet McGaw

Janet McGaw, PhD, is an Associate Professor of architectural design and a registered architect. Her research, teaching and creative practice investigate ways to make urban space more equitable. She explores the relationship between place, identity and health using methods that are discursive, collaborative and sometimes ephemeral. Janet led an ARC Linkage Grant: Indigenous Placemaking in Melbourne: Representations, Practices and Creative Research (2010-2014) and is currently an investigator on the Elder-governed Indigenous Cultural Practices project within the NHMRC Million Minds research program grant (2019-2024) ID 1179461.

Alasdair Vance

Alasdair Vance is an Associate Professor of Child and Adolescent Psychiatry at the University of Melbourne and Consultant Child and Adolescent Psychiatrist, consulting with The Wadja Aboriginal Family Place, Royal Children’s Hospital, Melbourne. He has matrilineal Northern Wathaurung Heritage. Alasdair has been co-leading a proposal for an Elder-led state-wide Aboriginal Mental Health Program. Alasdair is the leader of the Elder-governed Indigenous Cultural Practices project within the NHMRC Million Minds research program grant (2019-2024) ID 1179461.

Uncle Herb Patten

Uncle Herb Patten is a Gunai Elder who serves on the Governing Board of Elders/Senior People for the Elder-governed Indigenous Cultural Practices project, University of Melbourne, funded by the NHMRC Million Minds research program grant (2019-2024) ID 1179461. He is an internationally renowned musician (gumleaf player), a painter whose work is in the collection of the National Gallery of Victoria, and is an esteemed leader within the Aboriginal community of Melbourne.

Saran Kim

Saran Kim is an award-winning recent graduate of the Master of Architecture from the University of Melbourne. She works as a graduate at Architectus and as a research collaborator at the University of Melbourne. Informed by her Japanese heritage, Saran’s design process involves studies of phenomenology, ecology and immersing herself in the temporally contingent, sensory, spatial experiences of a place. Recent work on the Landscape Architects as Change Makers research project and exhibition (Melbourne & Tokyo) included interpretation and translation, exhibition curation, graphic design and multimedia production.

Notes

1 We use a range of terms when describing the First Peoples of Australia including the collective terms First Nations, Indigenous, and Aboriginal and Torres Strait Islander, as there is no agreement within the community about which is preferred. We generally adopt the tribal affiliations, when speaking about individuals, where this is known. Occasionally we use the term Aboriginal, if the individual or groups to whom we refer use this term to self-describe.

2 United Nations General Assembly, “Resolution Adopted by the General Assembly on 13 September 2007: 61/295 United Nations Declaration of the Rights of Indigenous Peoples. https://documents-dds-ny.un.org/doc/UNDOC/GEN/N06/512/07/PDF/N0651207.pdf?OpenElement Accessed 23 December, 2023.

3 There was one dubious treaty signed between an individual, Batman, and the Wurundjeri in which land was supposedly traded for some blankets and other trinkets, but the Crown declared the land a terra nullius - land belonging to no one. Although the Federal Labour government endorsed the Uluru Statement from the Heart which has called for Treaty, Truth-telling and Voice in 2021, the referendum to add an Aboriginal Voice to Parliament was rejected at the polling booth on 14 October 2023. Since then, support for a Federal Treaty has waned. Several states had committed to advancing Treaties with First Peoples prior to the referendum, with Victoria’s the most advanced. Opposition parties have withdrawn support since the failed referendum so their future is uncertain too. For more detail see The Uluru Statement from the Heart, “The Statement” (Kensington NSW: University of NSW, 2023) https://ulurustatement.org/the-statement/view-the-statement/ Accessed 23 December 2023: and Lisa Visentin, “Voice fallout: support for treaty plunges after referendum” (Sydney: Sydney Morning Herald, 2023) (https://www.smh.com.au/politics/federal/voice-fallout-support-for-treaty-plunges-after-referendum-20231116-p5ekg5.html Accessed 23 December 2023.

4 Irene Watson, “Settled and Unsettled Spaces: Are We Free to Roam?” Aileen Moreton-Robinson (ed.) Sovereign Subjects: Indigenous Sovereignty Matters (London: Routledge, 2020): 16.

5 “Exploring the Contribution of Indigenous Cultural Practices for Health and Wellbeing in Indigenous young people” (Melbourne: University of Melbourne, 2023) https://msd.unimelb.edu.au/research/projects/current/exploring-the-contribution-of-indigenous-cultural-practices-for-health-and-wellbeing-in-indigenous-young-people Accessed 2 November 2023.

6 Indigenous Placemaking in Melbourne: Representations, Practices and Creative Research 2010-2014. For more see: https://msd.unimelb.edu.au/research/projects/completed/indigenous-placemaking-in-central-melbourne

7 Janet McGaw, Alasdair Vance and Uncle Herb Patten “A ‘holding place’: an indigenous typology to mediate hospital care.” Journal of Architectural Education 76.1 (2022): 75-84.

8 Yarning is an Aboriginal English term that describes a relational, circular, informal conversation that is inclusive of quiet, contemplative, listening with a spiritual dimension. Aboriginal English is a recognised post-contact language spoken by many Aboriginal groups in Australia. See Glenys Dale Collard, “10 ways Aboriginal Australians made English their own.” The Conversation, (Carlton: The Conversation Media Group, 2020). Available at: https://theconversation.com/10-ways-aboriginal-australians-made-english-their-own-128219 Accessed 23 December 2023.

9 Country has its etymology in Aboriginal English. It has a much more expansive meaning than the English term ‘country’ – describing the physical landscape as well as a spiritual, philosophical and familial dimensions. See Daniel Browning, Jay Arthur & Bruce Moore, The etymology of country Awaye! (Sydney: ABC, 2017). Available at: https://www.abc.net.au/listen/programs/awaye/the-etymology-of-country/8112162 Accessed 2 November 2023.

10 Anna-Sapfo Malaspinas, Michael C. Westaway, Craig Muller, Vitor C. Sousa, Oscar Lao, Isabel Alves, Anders Bergström et al. “A genomic history of Aboriginal Australia.” Nature 538, no. 7624 (2016): 207-214.

11 Aileen Moreton-Robinson, “The possessive logic of patriarchal white sovereignty: The High Court and the Yorta Yorta decision.” Borderlands e-journal 3(2): 2004.

12 Paul Patton, Deleuze and the political (London and New York: Routledge, 2000): 125. See also United Nations Economic and Security Council 2012, ‘“Doctrine of discovery”: used for centuries to justify seizure of Indigenous land, subjugate people, must be repudiated by United Nations, permanent forum told’, published 8 May 2012, Available at: https://press.un.org/en/2012/hr5088.doc.htm Accessed 29 July 2023.

13 Janet McGaw and Anoma Pieris, Assembling the Centre: Architecture for Indigenous Cultures, Australia and beyond (London: Routledge, 2015), 75.

14 Stephen Garton, “Eugenics in Australia and New Zealand: Laboratories of racial science,” in Alison Bashford & Philippa Levine (eds,) The Oxford handbook of the History of Eugenics (Oxford: Oxford University Press, 2010): 243-254. https://doi.org/10.1093/oxfordhb/9780195373141.013.0014 Accessed 23 December 2023.

15 Irene Watson, Aboriginal Peoples, Colonialism and International Law: Raw Law (Abingdon, Oxon & New York: Routledge, 2015).

16 Bill Gammage, The Biggest Estate on Earth: How Aborigines Made Australia (Sydney: Allen & Unwin, 2011): 158-306

17 Watson, “Settled and Unsettled Spaces”, 26.

18 Songlines are the journeys taken by Creator Spirits as they formed the land. They are cyclically re-enacted, in the places they recount, through storytelling, song and dance.

19 Alasdair Vance, Janet McGaw, Jo Winther, Selena White, Joseph P. Gone, and Sandra Eades. “Country and community vs poverty and conflict: Teasing apart the key demographic and psychosocial resilience and risk factors for Indigenous clinic-referred children and adolescents.” Australian & New Zealand Journal of Psychiatry (2023): 00048674231187315.

20 Australian Institute of Health and Welfare, “Education of First Nations people” (Canberra: Australian Government, 2023) https://www.aihw.gov.au/reports/australias-welfare/indigenous-education-and-skills#Attainment%20of%20Year%2012%20or%20equivalent Accessed 23 December 2023.

21 Australian Institute of Health and Welfare, “Employment of First Nations people (Canberra: Australian Government, 2023) https://www.aihw.gov.au/reports/australias-welfare/indigenous-employment

22 Australian Institute of Health and Welfare, “Income and Finance of First Nations people” (Canberra: Australian Government, 2023). https://www.aihw.gov.au/reports/australias-welfare/indigenous-income-and-finance Accessed 23 December 2023.

23 Watson, “Settled and Unsettled Spaces”

24 Denis Byrne, ‘Nervous landscape: race and space in Australia’, in T. Banvanua Mar and P. Edmonds (eds), Making settler colonial space: perspectives on race, place and identity, (London: Palgrave Macmillan, 2010): 106.

25 Kim Benterrak, Stephen Muecke and Paddy Roe, Reading the Country: Introduction to Nomadology (Perth: Fremantle Arts Centre Press, 1996 [1984])

26 “Exploring the Contribution of Indigenous Cultural Practices for Health and Wellbeing in Indigenous young people” (Melbourne: University of Melbourne, 2023) https://msd.unimelb.edu.au/research/projects/current/exploring-the-contribution-of-indigenous-cultural-practices-for-health-and-wellbeing-in-indigenous-young-people Accessed 2 November 2023.

27 Lawrence Bamblett,‘Straightline stories: representations and Indigenous Australian identities in the sports discourse’, Australian Aboriginal Studies, 2(2011): 5–20.

28 Bamblett,‘Straightline stories, 5–20.

29 Stephen Muecke, Textual spaces: Aboriginality and cultural studies, 2nd ed., (Perth, WA: API Network, 2005): 72-75.

30 Dawn Bessarab & Bridget Ng’andu, “Yarning about yarning as a legitimate method in Indigenous research,” International Journal of Critical Indigenous Studies 3(1): 37–50.

31 Koori (also spelled Koorie) is a collective term for Aboriginal people in Victoria and New South Wales, two states in south-east Australia. Kollij is a phonetic spelling of ‘college’.

32 Gary Foley, “Whiteness and Blackness in the Koori struggle for self-determination Just Policy: A Journal of Australian Social Policy (September 2000): 81.

33 Foley, “Whiteness and Blackness in the Koori struggle for self-determination”, 81.

34 Fran Edmonds and Maree Clarke, ‘Sort of Like Reading a Map’: A Community Report on the Survival of South-East Australian Aboriginal Art since 1834, (Casaurina: Cooperative Research Centre for Aboriginal Health, 2009), 30-31. Available at https://www.lowitja.org.au/content/Document/Sort-of-like-reading-a-map-amended_update%202021.pdf Accessed 21 July, 2023.

35 Carroll Go-Sam, C. 2011, ‘Fabricating blackness: Aboriginal identity constructs in the production and authorisation of architecture’, in A. Moulis and D. van der Plaat (eds), Audience: proceedings of the 28th International Conference of the Society of Architectural Historians, Australia and New Zealand, 7–10 July, Brisbane, Qld, Australia, 1–27.

36 Edmonds and Clarke, ‘Sort of Like Reading a Map’, 30-31.

37 Lawrence Bamblett, Our stories are our survival, (Canberra, ACT: Aboriginal Studies Press, 2013): 12–36.

38 Maggie Walter,”Data politics and Indigenous representation in Australian statistics.” Indigenous data sovereignty: Toward an agenda, 38(2016): 80.

39 Dawn Bessarab and Bridget Ng’andu, ‘Yarning about yarning as a legitimate method in Indigenous research’ International Journal of Critical Indigenous Studies, 3(2010): 37–50.

40 Marnee Shay, “Extending the yarning yarn: Collaborative Yarning Methodology for ethical Indigenist education research” The Australian Journal of Indigenous Education 50.1(2021): 62-70; Michelle Kennedy, Raglan Maddox, Kade Booth, Sian Maidment, Catherine Chamberlain, and Dawn Bessarab. “Decolonising qualitative research with respectful, reciprocal, and responsible research practice: A narrative review of the application of Yarning method in qualitative Aboriginal and Torres Strait Islander health research.” International Journal for Equity in Health 21, no. 1 (2022): 1-22.

41 Stuart Barlo, William (Bill) Edgar Boyd, Margaret Hughes, Shawn Wilson, and Alessandro Pelizzon. “Yarning as protected space: Relational accountability in research.” AlterNative: An International Journal of Indigenous Peoples 17, no. 1 (2021): 40-48.

42 Amy-Louise Byrne, Sandy McLellan, Eileen Willis, Venessa Curnow, Clare Harvey, Janie Brown, and Desley Hegney, ‘Yarning as an Interview Method for Non-Indigenous Clinicians and Health Researchers,’ Qualitative Health Research, 31(2021): 1345-1357.

43 Sarah Leeuw, “Activating place: geography as a determinant of Indigenous peoples’ health and well-being”. Determinants of Indigenous Peoples’ Health in Canada: Beyond the Social. Toronto: Canadian Scholars’ Press, 2015, 95; Stephen Zubrick, et al. “Social determinants of Aboriginal and Torres Strait Islander social and emotional wellbeing”, in Pat Dudgeon, Milroy, H. and Walker, R. (eds), Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice, (Canberra: Commonwealth of Australia, 2014).

44 The research findings are analysed using a multi-perspectival, constructivist grounded theory. For further details see: Janet McGaw & Alasdair Vance, “Dissonance, disagreement, difference: challenging thematic consensus to decolonise Grounded Theory” International Journal of Qualitative Methods. In press.

45 The Kulin Nation is comprised of five ‘wurrung’ language groups from central and south Victoria: Djadjawurrung, Wathaurung, Woiwurrung, Boonwurrung, Taungurung.

46 Department of Health, “A shared vision for Aboriginal social and emotional wellbeing in Victoria” Available at: https://www.health.vic.gov.au/mental-health-wellbeing-reform/a-shared-vision-for-aboriginal-social-and-emotional-wellbeing-in Accessed 30 July 2023.

47 McGaw, Vance and Patten, “A ‘holding place’” .

48 Guy Debord, “Theory of the Dérive” Visual Culture: Critical Concepts in Media and Cultural Studies Janee Morra and Macquard Smitth (ed.) 3 (1958): 77-81.

49 Janet McGaw, “People Stories and Place: Yalinguth,” Landscape Architecture Australia (1 Feb 2023). Available at https://www.yalinguth.com.au/ Accessed 29 July 2023.

50 Saran Kim, Ecotonal Ground (M.Arch Design Thesis, University of Melbourne, 2022).

51 Danièle Hromek & Terri Janke, Cultural Principles and Protocols for Designers: for Projects or Curricula involving Indigenous Peoples, Communities and Materials (Sydney: Danièle Hromek and Terri Janke, 2021).

52 Michel de Certeau, the Practice of Everyday Life, trans. S. Rendall, (Berkeley, CA:University of California Press, 1984 [1980]):131–132.

53 Karlie Noon and Krystal De Napoli, Astronomy: Sky Country, First Knowledges, 4 (Port Melbourne, VIC: Thames & Hudson Australia, 2022): 72.

54 Saran Kim, Ecotonal Ground, p. 58.

55 Alfred William Howitt. “Notes on Australian message sticks and messengers.” The Journal of the Anthropological Institute of Great Britain and Ireland 18 (1889): 314-332.

56 Piers Kelly, “Australian message sticks: Old questions, new directions.” Journal of material culture 25.2 (2020): 133-152.

57 Vicki Couzens and Lee Darroch. “Possum skin cloaks as a vehicle for healing in Aboriginal communities in the south-east of Australia.” Urban Representations: Cultural expression, identity and politics (2012): 63; Janet McGaw, “Mapping ‘Place’ in Southeast Australia: Crafting a possum skin cloak.” Craft Research 5.1 (2014): 11-33.

58 Vicki Couzens, Possum skin cloak story reconnecting communities and culture: telling the story of possum skin cloaks Kooramookyan-an Yakeeneeyt-an Kooweekoowee-yan. (PhD diss., RMIT University, 2017).

59 Amanda Reynolds, Debra Couzens, Vicki Couzens, Lee Darroch, and Treahna Hamm, Wrapped in a Possum Skin Cloak: The TooloynKoortakay Collection in the National Museum of Australia, (Canberra: National Museum of Australia, 2005).

60 Commonwealth of Australia, My Life My Lead - Opportunities for strengthening approaches to the social determinants and cultural determinants of Indigenous health: Report on the national consultations (Canberra: Commonwealth of Australia, 2017). Available at https://www.health.gov.au/sites/default/files/documents/2020/12/my-life-my-lead-report-on-the-national-consultations-my-life-my-lead-consultation-report.pdf Accessed 23 December, 2023.