Amulets were shamanic talismans, carved of bone, ivory, and  sometimes horn or wood, as is this unusual example. This amulet appears to  represent an otter, one of a shaman’s universal helper spirits, indicated by  the mammalian ears, four legs, and long stout tail. The head of the creature is  not only unusual for being depicted as a comparatively flat face looking  straight upward, but also because of the small humanoid face that is carved in  the otter’s mouth. Transformation is a common theme in shamanic objects and  designs, and the human face may indicate the shaman’s spirit within the otter,  assuming the animal’s form. Frequently seen in Tlinglit shamanic imagery, land  otters sometimes appear as emaciated forms with exposed vertebrae to emphasize  their otherworldly aspects.
              Amulets were sometimes carved by the shaman himself, and  sometimes by commission with recognized artists, made to manifest the shaman’s  helpers for the patients and observers involved in a healing ritual or  divination. The artistry displayed in this amulet suggests that it was created  by a skilled traditional carver, and the broad brow and large eyes indicate a  Tlinglit origin for this sculpture. Tlinglit shamanism remained strong into the  last decade of the nineteenth century, while in other regions, such as among  the Haida, missionary influence had greatly curtailed their traditional  activities by that time. 
              The shaman would imbue an amulet with his spirit and  sometimes leave the amulet with a patient, held in place or bound to the  afflicted area, in order to affect a cure.
                
Shamanic objects were held in  high and cautious esteem by the general populace, who feared and respected the  unfathomable power of the shamans.