According to the National Institute of Mental Health (NIMH) if a person experiences symptoms of avoidance, arousal, reactivity, re-experiencing, cognition and mood changes related to a particular event lasting over a month would constitute a diagnosis of Post Traumatic Stress Disorder (PTSD) (NIMH, 2016). The symptom of avoidance in the description of the Yup’ik people who survived The Great Death has illustrated the survivors as quiet and to themselves avoiding emotions by not talking about the experience. Re-experiencing the tragic events was not an option for the Yup’ik, they merely choose not to talk about it.
Consequently, the Yup’ik people as a whole struggled with the cognition and mood changes that evolved after the Great Death. …show more content…
Although they learned how to speak English and adopted the ways of Christianity, the Yup'ik people became stoic never revealing emotion. Lack of eye contact would diminish any ability to make progress with open verbal or nonverbal communication.

Space Along with the barriers related to communication both verbal and nonverbal the dominion of space for a survivor of The Great Death would solely refer to their interpersonal area. Again would be difficult to reach, related to they retreated into themselves sharing nothing. The Yup’ik survivors left everything behind their village, their dead and their culture.
Social organization Concurrently with the abandonment of their spirituality and culture, this has left the Yup’ik people with a lack of social organization. Unlike those of Chinese descent that continue to follow their cultural beliefs with the assistance and support of extended family at times several generations living together ensuring the continuation of spiritual and cultural beliefs.
Environmental control Ultimately the Yup'ik survivors gave up all interaction with the external environment allowing the missionaries to educate their children they became hopeless for the future and feared the wrath of their new