Alcohol use among American Indian adolescents: The role of culture in pathological drinking

Theresa D. O'Nell and Christina M. Mitchell

Social Science & Medicine, 1996, vol. 42, issue 4, 565-578

Abstract: Over the last 20 years, the field of substance use among American Indian adolescents has come to be dominated by survey approaches that are unable to answer important questions about how the use of alcohol and drugs is conceptualized and meaningfully integrated in the lives of Indian teens. Without a model of adolescent alcohol use that incorporates culture, the field misapprehends the social and cultural grounding of both normal and pathological drinking, and cannot accurately differentiate between normal and pathological drinking. Traditionally, the field has relied upon either a biological model or a distress model, thus locating pathology in the biochemistry of ethanol ingestion or in psychopathological distress. However, findings from an ethnographic investigation of alcohol use among American Indian adolescents suggest that the criteria for distinguishing pathological drinking lie, instead, in the developmental and gender-specific expectations that derive from cultural values. Specifically, at a Northern Plains site, teen drinking is judged by whether drinking has begun to interfere with developmental tasks relating to the cultural values of courage, modesty, humor, generosity and family honor. We conclude with suggestions for clinicians and researchers that offer the potential to facilitate the incorporation of culture into research and practice in the field of American Indian adolescent alcohol use.

Keywords: American; Indian; adolescence; alcohol; culture (search for similar items in EconPapers)
Date: 1996
References: Add references at CitEc
Citations:

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/0277-9536(95)00157-3
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:42:y:1996:i:4:p:565-578

Ordering information: This journal article can be ordered from
http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
http://www.elsevier. ... _01_ooc_1&version=01

Access Statistics for this article

Social Science & Medicine is currently edited by Ichiro (I.) Kawachi and S.V. (S.V.) Subramanian

More articles in Social Science & Medicine from Elsevier
Bibliographic data for series maintained by Catherine Liu ().