According to Kane, Caw-Wacham was a woman of the Flathead tribe, who lived along the Cowlitz River, a tributary of the Columbia. The tribe’s descriptive name no doubt designates the Salishans, who lived in that region. The adult’s profile in this portrait shows the flattening of the cranium that resulted from the constant pressure exerted on the head of infants by their portable cradles’ wooden frame.