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When a client mentions it · XI-092

Garifuna dügü

Domain XI · Traditional medicine & indigenous healing · Belize and Honduras

Full guide

What it is

The dügü is a Garifuna ancestral ceremony. It is not a psychotherapy, and a psychotherapist does not perform, lead or imitate it. The Garinagu are a people of mixed Indigenous Caribbean and African origin. In the 18th century they were forced out of Saint Vincent and settled along the Atlantic…

Format

  • B. The psychotherapist's work alongside (phases are; no source sets session counts).

Questions to explore with your client

  • What drew you to it, and what are you hoping it will change?
  • Does it involve any substance, plant preparation, remedy or supplement? Has your doctor or prescriber been told, especially about any medication you take?
  • Is it a group, retreat or community? How do they respond if someone wants to leave or raises a concern?
  • How do you and the practitioner understand what is happening, in spiritual or cultural terms? Is that a source of comfort, worry, or both?
  • Who runs it, and what training or registration do they hold?
  • What actually happens in a session or meeting, and how often?
  • What does it cost, and is there pressure to commit to more?
  • How do you feel afterwards, in the hours and days that follow?
  • Does it fit with, or clash with, the work we do here?

What practitioners of it watch for

  • elders speaking for the client; the client losing their voice; coercion. It is working when decisions are shared and the client agrees with them.
  • guilt about unmet memorial duties; grief combined with migration losses. It is working when the bond comforts the client more than it burdens them.
  • your own curiosity; workshops or retreats that market Garifuna ceremony to outsiders. It is working when the client feels respected rather than studied.
  • concealment because of past ridicule by clinicians; conflicting instructions. It is working when the client tells you about other help without hesitating.
  • fear of betraying the family; outsiders mislabelling ordinary practice as abuse. It is working when the person is safe and their cultural ties are kept wherever possible.

When to involve someone else

  • New or worsening physical symptoms, or advice to stop or change prescribed medication: involve the client's doctor or prescriber.
  • Signs of coercion, isolation from family and friends, escalating costs or secrecy: discuss openly and consider safeguarding.
  • A crisis or thoughts of suicide: follow your crisis protocol. In the US, call or text 988; in the UK and Ireland, Samaritans on 116 123.

Drawn automatically from the guide's own sections. Stay curious: neither endorse nor dismiss what the client values, and check anything that matters against the full guide and its sources. Not medical advice.