‘You’re an anthropologist and you study… White people?’ I regularly receive a puzzled look from people when I tell them what I do. Anthropologists are supposed to study Indigenous tribes in remote locations, aren’t they? Or at least something exciting, like drug addicts or slum dwellers. When I explain further that I study White anti-racist people in Australia who work in Indigenous health, the confusion often dissipates. ‘I see, so you look at their motivations for working with Indigenous people’, they say, assuming that my goal is to question the motivations of White people and show that really they are racist. ‘No, I don’t look at their motivations exactly. I am more interested in what it means to identify as an anti-racist, and what this tells us about the whole project of helping Indigenous people.’ By this stage of the conversation, people either know exactly what I am talking about, or are more confused than ever.
Finding this object of study was the starting point of this book. It also marked the end point of ten-year journey that began at university in Melbourne in the early 1990s and ended in Darwin, four thousand kilometres and a world away. I was born and raised in Melbourne, the cosmopolitan Australian city, as the grandchild of four Jewish Holocaust survivors who fled rural Poland after the war. They worked in factories and sent their children to public schools where they excelled, went to university, and made the transition to the middle classes. I was brought up in an inner Melbourne suburb full of old White ladies and private schools. As I was a smart girl, good at maths and science, medicine was the obvious option, though I tempered it with a concurrent arts degree in history and anthropology. From the time I started at Melbourne University in the early 1990s, I was an activist, fighting against the introduction of university fees and for a free East Timor and women’s rights. It seemed obvious to me that since I was so lucky, blessed with education and material security, I should devote my spare time and energy to helping those less fortunate – the oppressed of this world – whose suffering my privilege depended on.
I first became interested in Aboriginal justice issues in 1996 when I was in the national capital of Canberra to protest against budget cuts to the education sector by the conservative federal government led by John Howard. I was vaguely aware that the budget of the Aboriginal and Torres Strait Islander Commission (the government arm for Indigenous service delivery led by elected Indigenous leaders and later shut down by the Howard government) was also being cut. The day after the main protest at Parliament House was an Indigenous Day of Protest. A huge number and range of Indigenous groups participated from around the country. I was deeply affected by their stories. I decided then that the struggle for justice for Indigenous people was the primary struggle of this country. This became a kind of mantra, directing my energies away from other causes and into Indigenous activism.
I became involved in a newly formed Indigenous solidarity group on campus. Our work centred on educating non-Indigenous people about the history of colonisation and of Aboriginal resistance, issues in the contemporary Aboriginal community, and racism and the workings of Whiteness in our society. We collaborated with the local Koori community, and particularly with Kooris studying at Melbourne University. Near the end of my medical degree, I arranged to spend three months based at the Aboriginal community-controlled health centre at Utopia, a remote community in Central Australia. I loved the desert and the people there. I felt for the first time that I had found a medical job I could imagine myself doing – a doctor in a remote Aboriginal community. As soon as I finished my medical degree, at the age of twenty-five, I bought a second-hand four-wheel drive and drove four thousand kilometres to Darwin to begin my internship at the Royal Darwin Hospital (RDH), the only public hospital in Darwin and the referral centre for all of the Northern Territory and neighbouring parts of Queensland and Western Australia.
I arrived in Darwin between Christmas and New Year’s Eve. Humidity was at its annual peak, and for three days I felt I was in a fog, unable to think of anything but the oppressive heat. I soon began work at RDH, where at least 60 per cent of the patients were Aboriginal, most of those from remote communities. The air-conditioned hospital was too cold for most of the Aboriginal patients, and the concreted area outside the main doors was always buzzing with life, with young kids running around and family groups sitting and talking in various Aboriginal languages, eating chips from the cafeteria and passing around cigarettes, with tubes and bags of bodily fluids protruding from hospital gowns.
During my last years of medical study I was drawn to prevention and public health, as it seemed the most effective way to improve the health of everyone, and a way to stem the massive flow of public money spent on overpriced drugs and diagnostic tests. Once someone sought medical attention it showed society had failed to improve the social conditions that made that person sick, and would make them sick again. It was clear to me that public health was where investments should be made.
It was not long after starting work in the hospital that I became interested in the Indigenous health research institute close by, the Darwin Institute of Indigenous Health. They held weekly meetings that many hospital staff attended, and I eagerly listened to tales of community health promotion projects where researchers supported local people to identify and resolve their own health priorities. Their presentations were littered with happy snaps of Indigenous people cheerfully participating in the research, kids playing up for the camera, island beaches, lily-strewn billabongs and damper roasting on the fire. In my personal journey of methodically applying myself to what I thought to be the most important cause in the most effective way, the Darwin Institute seemed the next logical step. Having trained as a doctor, Indigenous health was the most important area to work in; within Indigenous health, public health was the most effective way to improve health; and to ensure that public health methods worked as well as they could, we needed good quality public health research. I began infiltrating the institute, introducing myself to people after lunchtime meetings, having coffee with researchers after ward rounds, even learning a local Indigenous language in anticipation of remote community work. After a year of exhausting hospital work, I had lined up my first job at the institute as a public health researcher.
Finally, it was me that was flying on a tiny plane to a remote community, shyly meeting the council chairman and thanking him for letting me visit, explaining our project to Aboriginal Health Workers at the health centre with the aid of a brightly coloured flipchart, and tentatively trying out the Aboriginal language phrases I had learnt. White people who come to be known in an Aboriginal community through residence or frequent visits are ‘adopted’ into an Aboriginal family. Soon I too was adopted into the community I visited most as the sister of a single woman I was working with. I was instantly slotted into a kinship network that spanned the entire region, and I dutifully began to use the correct kin terms for the people I had already got to know – they turned out to be my mother-in-law, my brother’s son, and my maternal grandmother.
After two years of intermittent remote community work, combined with long stretches in front of a computer in town, translating the work into quantifiable outcomes and lists of remaining challenges (accompanied by photographs like those I had once envied at the weekly seminars), I felt I was developing a sense of what Indigenous public health research was about. There were plenty of fabulous non-Indigenous people working at the institute – skilled, friendly, and committed to Indigenous self-determination – and there were a few people who seemed to be primarily concerned with furthering their own careers. The Indigenous staff at the institute, while in general less formally educated than most of the non-Indigenous staff, were mostly diligent and great to work with, although a few seemed to work short hours and to be more interested in self-promotion than getting the job done. While many staff tried to be innovative in their work, they sometimes complained that their bosses or their funders would not let them work in a way the community really wanted them to.
Figure 0.1 The author at Utopia with Patsy Ross, 2002. Photograph: Yin Paradies. Used with permission.
In other words, the institute was not that different from any other bureaucracy. But the rhetoric of the institute promised so much more. The buzzwords were all there: Indigenous control of research, working with communities, capacity building, doing things differently. There were all the structures that made the institute a space where there was an attempt to invert dominant power relations, through mechanisms like the Indigenous ethics committee with veto rights over projects that failed to meet Indigenous ethical principles, and the requirement by some funders to have Indigenous co-investigators, Indigenous reference groups, and the incorporation of Indigenous methodologies into research designs. I knew the legacy of exploitative, disempowering research practices, and I saw that the only solution to Indigenous health was for researchers to truly commit to Indigenous control (Humphery 2000; 2001; Henry et al. 2002a; Thomas 2004). For two years, I tried to work that way, and was impressed by the skill and commitment of many of my colleagues.
Having reached the pinnacle of my own instrumentalism, the place where the rhetoric and level of resources meant there was the most potential to find the ‘real’ solutions to Indigenous health, I found myself disillusioned. My callow enthusiasm was disappointed, for instance, at the power plays that went on between staff that overshadowed the cooperation that was needed; at the way that some projects which were widely promoted by the institute and government as ‘the answer’ seemed full of dysfunction on the inside; and at the ease with which staff would criticise other projects as disempowering or even racist, but would not offer any useful assistance. Above all, I came to question the arguments circulating within the institute explaining why research had not worked in the past and why Indigenous control would fix the problem. The tendency to demonise White researchers in particular seemed, once I had got to know many of them and of course become one myself, an inadequate way to explain the situation.
I became increasingly aware that the moral politics of race and identity played a prominent role in public and private exchanges at the institute. In a seminar, for example, a question from an audience member about the method of payment of Indigenous community research staff could imply that the White researcher was not paying their Indigenous staff sufficiently and was therefore exploitative or racist. A detailed explanation and justification would always follow such a question to deflect the implication, whether or not the implication was intended. Where projects were presented to the public, White researchers would take great pains to present an ‘Indigenous face’, editing themselves out of videos, preparing presentations for Indigenous colleagues to deliver but remaining silent themselves, and perhaps exaggerating the role of community members in the project. Conflicts between Indigenous staff could include questioning of the person’s stated tribal affiliation or their very indigeneity. Whites were reluctant to question anything an Indigenous person said, even if it was clearly wrong. As I cynically wrote in my journal in the first months of my research: ‘In the political world of Indigenous health we don’t have arguments, we have positions. And the position of the “authentic Aboriginal voice” [see Chapter 5] trumps even the most eloquent argument, and has no need for it’.
Over time, I came to realise that much effort expended in the name of improving Indigenous health was directed at creating and maintaining racialised identities. In an Indigenous health institute, those who walk through the front doors every day are not just people, they are Indigenous people or non-Indigenous people. The institute is an always already racialised space. When the racial identities circulating in people’s minds are examined more closely, they immediately multiply: the Indigenous people could be ‘[remote] community people’, or ‘urban people’; the non-Indigenous people could be ‘White people’ or both non-White and non-Indigenous; the Whites could be ‘rednecks’ or anti-racist (people who are both non-White and non-Indigenous are somewhat immune from being considered ‘racist’); those not yet known to the viewer could best be classified as ‘possibly-Indigenous’ until their Indigenous status has subtly been ascertained. Much work went into maintaining one’s racial identity. For non-Indigenous people, this meant maintaining a specific racial identity as a ‘good’ White person and not an ignorant, exploitative, ‘racist’ White person: part of the solution and not part of the problem.
I began to form an answer to that fundamental question I sometimes asked myself in times of frustration, a question that haunts many White anti-racists described in this book: ‘What the hell are we White people actually doing here?’ In the course of the research that led to this book, this question developed further: ‘When a group of relatively intelligent, well-meaning people, supported by the state, attempt to enact a mode of difference that is non-oppressive, does this make any difference?’ Trapped in the Gap is an attempt at an answer.
This book would not have been possible without generous material and intellectual support. The research was supported by an Australian National Health and Medical Research Council (NHMRC) Training Scholarship for Public Health Research and a VicHealth Ph.D. scholarship. Other funding was provided by the Australian Institute of Aboriginal and Torres Strait Islander Studies Conference Support Subsidy, the Northern Territory Department of Health & Community Services Studies Assistance Award, and student bursaries from the Society for Cultural Anthropology and the Cultural Research Network. Doug Lloyd of Northern Territory General Practice Education provided office space at a critical time and Ashley Greenwood provided invaluable assistance in the final stages.
A large number of colleagues and friends have generously engaged with my work in correspondence and in person over the years. Thanks to Cath Alderton, Jon Altman, Ian Anderson, Warwick Anderson, John Avery, Philip Batty, Nicholas Biddle, John Boulton, Maggie Brady, Victoria Burbank, John Cash, Richard Chenhall, Michael Christie, Gillian Cowlishaw, Cameo Dalley, Bill Day, Ruth DeSouza, Jennifer Devlin, Angela Durey, Peter Dwyer, Deane Fergie, Cressida Fforde, Martin Forsey, Elizabeth Ganter, Graham Gee, Mick Gooda, Kelly Greenop, Ashley Greenwood, Pauline Guerin, Ghassan Hage, Chris Haynes, Chris Healy, Melinda Hinkson, Michael Jindra, Kirrily Jordan, Odette Kelada, Clare Land, Marcia Langton, Tess Lea, Mark Lock, Michael Lowe, Charlotte McCabe, Martha Macintyre, David Martin, Richard Martin, Francesca Merlan, Paul Memmott, Monica Minnegal, Terry Moore, Mark Moran, John Morton, Dirk Moses, Tim Neale, Yin Paradies, Glenn Pearson, Katya Pechenkina, Nic Peterson, Tim Pilbrow, Richard Potok, Beth Povinelli, Bruce Rigsby, Nicolas Rothwell, Tim Rowse, Will Sanders, Lisa Stefanoff, Patrick Sullivan, Peter Sutton, David Trigger, Michael Tynan, Eve Vincent, Charlie Ward, Elizabeth Watt and Jackie Yowell. Thanks especially to Jon Altman for suggesting the title of this book. Thanks to participants in the ‘Race, Culture, Indigeneity and the Politics of Disadvantage’ short course since 2003 for helping me to clarify my ideas.
Above all, I am grateful to all of those at the ‘Institute’ who participated in the research, and the then Director and senior researchers who supported this project. My research participants, who were both colleagues and friends, thought together with me about the complexities and dilemmas of Indigenous affairs. Thank you for sharing your intellectual journey and helping me with mine.
The top end of the Northern Territory showing Darwin and larger remote communities