A web article that goes into great length to explain the hole in the Indian soul. It may be found here if you wish to read the entire article:
http://www.d.umn.edu/cla/faculty/tba...lth/paper.html
It also goes into great length to tell of genocide commited against the Indian as late as the mid 1970's via forced sterilizations (hysterectomies) on child bearing Indian women as one example of the trauma visited upon the Indian. That may be read at the above link as well.
However, I will provide below some of the article in relation to how it defines the Indian "Soul Wound".


The "Soul Wound" is essentially the physical, psychological and spiritual damage which is the direct and residual result of the mass genocide and colonization campaign that followed the initial contact between American Indianís and Europeans and Americans. The "Soul Wound" is the result of the shameful history of persecution of American Indians which continues to this day to be propagated by all of society. Another very important facet of the Soul Wound concept is that it includes a recognition by Duran and Duran (1995) that American Indians are also greatly affected today not only by continuing actions of oppression by society, but also by intergenerational posttraumatic stress disorder. This essentially means that the trauma of over five hundred years of oppression has been instilled and passed from generation to generation. This is not to suggest that it is a genetic ailment, only that it is passed from parents and other family and friends on to their offspring, through the demonstrated behaviors observed by the child. The fact that today American Indian people are still exposed to a great many injustices remains one of the principle reasons that they are unable to heal from this pervasive and all consuming wound. The fact that the Holocaust committed against American Indian people has yet to be acknowledged by most of the world and certainly not the United States remains a principle impediment to the healing process.
In addition to this wound of the soul which plagues American Indian people there is also a general misunderstanding of how to effectively conduct research within the American Indian community in order to develop culturally specific ways of treating American Indian health problems. This block on research affects not only the necessary treatment of the "Soul Wound", it also decreases the tendency for American Indian people to seek treatment for any health problem that plagues them. Essentially the "Soul Wound" and the society at large create a self sustaining situation whereby the "Soul Wound" is the principle reason for the distrust by American Indian people of anything administered to them by the white world, including health care, and as a result effective treatment methods and consistency in treatment are not easily attained.