The Appalachian Inheritance

Within Southern Appalachia there are distinct, historic patterns of exploitation. These patterns have helped to give shape to certain cultural tendencies that are strikingly similar to the clinical manifestations of groups who have experienced traumatic stress. Once normative adaptations to the well documented crises that come with unemployment, over the generations they became ingrained in the culture. The resulting cultural traits-an enduring sense of resignation, deep depression, and disrupted relationships represent the presence of a culturally transmitted traumatic stress syndrome that is induced by exploitation.