Positivism assumes one objective reality and values researcher detachment, which can dismiss First Peoples' knowledge systems and perpetuate colonial patterns of treating people as objects rather than knowledge holders

Positivism focuses exclusively on qualitative storytelling methods that may not align with First Peoples' preferences for statistical evidence in healthcare decision-making

Positivism's emphasis on quantitative data collection provides the most culturally appropriate methods for understanding First Peoples' experiences and health outcomes

Positivism requires extensive community consultation and co-design of research, which makes projects too time-consuming and expensive to complete successfully