{"title":"Looking for \"a good doctor\": a cultural formulation of the treatment of a First Nations woman using western and First Nations method.","authors":"G. Mohatt, S. Varvin","doi":"10.5820/AIAN.0802.1998.83","DOIUrl":"https://doi.org/10.5820/AIAN.0802.1998.83","url":null,"abstract":"The following paper utilizes the DSM-IV suggested clinical and cultural formulation to present an example of how First Nations and western treatment methods can work together to treat a First Nation's woman with a serious mental disorder. The formulation provides reflections on cultural elements in the diagnosis and what distinct and common elements are present in the First Nations and western explanatory models for etiology and treatment.","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"13 1","pages":"79-96"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85056565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors influencing the pursuit of educational opportunities in American Indian students.","authors":"Chris Fore, J. Chaney","doi":"10.5820/AIAN.0802.1998.50","DOIUrl":"https://doi.org/10.5820/AIAN.0802.1998.50","url":null,"abstract":"American Indians are the most under-represented minority group across all levels of education. The present study investigates sociocultural, psychological, and nontraditional academic factors that influence American Indian students' decisions to pursue higher education (e.g., vocational training, college). Nineteen American Indians with previous academic difficulties completed several self-report measures at the beginning of an eight-week Job Corps. program. The results indicate that students who pursue educational opportunities have a more realistic self-appraisal of their academic abilities and are supported by others (e.g., family, mentors) in their academic pursuits. A hypothesized link between self-appraisal and support suggests that the availability of a mentor and/or family support is crucial in American Indian students' decision to pursue educational opportunities.","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"40 1","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82190582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors influencing the pursuit of educational opportunities in American Indian students.","authors":"C L Fore, J M Chaney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>American Indians are the most under-represented minority group across all levels of education. The present study investigates sociocultural, psychological, and nontraditional academic factors that influence American Indian students' decisions to pursue higher education (e.g., vocational training, college). Nineteen American Indians with previous academic difficulties completed several self-report measures at the beginning of an eight-week Job Corps. program. The results indicate that students who pursue educational opportunities have a more realistic self-appraisal of their academic abilities and are supported by others (e.g., family, mentors) in their academic pursuits. A hypothesized link between self-appraisal and support suggests that the availability of a mentor and/or family support is crucial in American Indian students' decision to pursue educational opportunities.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"8 2","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20752166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The American Indian Holocaust: healing historical unresolved grief.","authors":"M. Y. B. Brave Heart, L. Debruyn","doi":"10.5820/AIAN.0802.1998.60","DOIUrl":"https://doi.org/10.5820/AIAN.0802.1998.60","url":null,"abstract":"American Indians experienced massive losses of lives, land, and culture from European contact and colonization resulting in a long legacy of chronic trauma and unresolved grief across generations. This phenomenon, labeled historical unresolved grief, contributes to the current social pathology of high rates of suicide, homicide, domestic violence, child abuse, alcoholism and other social problems among American Indians. The present paper describes the concept of historical unresolved grief and historical trauma among American Indians, outlining the historical as well as present social and political forces which exacerbate it. The abundant literature on Jewish Holocaust survivors and their children is used to delineate the intergenerational transmission of trauma, grief, and the survivor's child complex. Interventions based on traditional American Indian ceremonies and modern western treatment modalities for grieving and healing of those losses are described.","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"55 1","pages":"56-78"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84997784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"American Indian adolescent inhalant use.","authors":"P J Thurman, V A Green","doi":"10.5820/aian.0801.1997.24","DOIUrl":"https://doi.org/10.5820/aian.0801.1997.24","url":null,"abstract":"<p><p>Inhalant use and use patterns, decision-making pertaining to inhalant use, cognitive capacity, cognitive egocentrism, and adherence to traditional ways were studied in a sample of male and female American Indian adolescents residing in a boarding home. Significant differences were not found for gender. Inhalant use group differences were found for only one variable, participation in tribal activities. For males, cognitive ability, cognitive egocentrism and participation in tribal activities were significant predictors of inhalant use/non-use. For females, tribal activities was the only significant predictor.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"8 1","pages":"24-40"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20383825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A description of alcohol/drug use and family history of alcoholism among urban American Indians.","authors":"K Gill, M E Elk, R A Deitrich","doi":"10.5820/aian.0801.1997.41","DOIUrl":"https://doi.org/10.5820/aian.0801.1997.41","url":null,"abstract":"<p><p>The patterns of alcohol consumption, family history of alcoholism, and lifetime and current diagnoses of substance dependence were determined in a sample of American Indians (n = 105) living in Denver. Subjects were recruited through flyers, posters, and advertisements placed in local newspapers, the Denver Indian Center, and Denver Indian Health and Family Services. Subjects were interviewed regarding their education, employment, past and present drug and alcohol use (including frequency/quantity, beverage type, and pattern of intake) and family history of alcoholism. The drug and alcohol sections of the Diagnostic Interview Schedule were administered in order to determine lifetime and current prevalence of substance dependence. Although there are limits to the generalizability of these data due to the use of a non-random sampling method, the results indicate that approximately half of the sample (50.5%) were abstinent or irregular drinkers with moderate intake (3.3 drinks/occasion). Binge drinkers (3.8%) consumed large amounts of alcohol per occasion, with a mean of 21.6 drinks. Also, 45.5% of the sample were regular drinkers (at least once/wk) with a mean of 11 standard drinks/occasion. The rate of current alcohol dependence (33.3%) and other drug dependence (18.1%) was relatively high with cocaine and cannabis the primary drugs of abuse. The most striking aspect of the sample was the very high rate of family history of alcoholism (60.6% with at least one alcoholic parent) and only 11.1% with no primary or secondary alcoholic family members.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"8 1","pages":"41-52"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20383826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J R Lightdale, E Oken, W M Klein, P J Landrigan, T K Welty
{"title":"Psychosocial barriers to health promotion in an American Indian population.","authors":"J R Lightdale, E Oken, W M Klein, P J Landrigan, T K Welty","doi":"10.5820/aian.0703.1997.34","DOIUrl":"https://doi.org/10.5820/aian.0703.1997.34","url":null,"abstract":"<p><p>Northern Plains Indians (N = 200) completed the Indian Specific Health Risk Appraisal and measures assessing beliefs about risk factors and personal risk. Participants rated personal risk optimistically, judged their risk factor standing as superior to that of their peers, and neglected to consider risk factor standing when appraising personal risk. Moreover, participants were often not improving their standing on risk factors they considered relevant to their health. Such biases in health beliefs may prevent health interventions from being successful.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"7 3","pages":"34-49"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20089375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"When I am lonely the mountains call me\": the impact of sacred geography on Navajo psychological well being.","authors":"T Griffin-Pierce","doi":"10.5820/aian.0703.1997.1","DOIUrl":"https://doi.org/10.5820/aian.0703.1997.1","url":null,"abstract":"<p><p>As we approach the twenty-first century, sacred geography continues to have a profound impact on Navajo psychological well being. This article explores the extent of the Navajo's bond with their homeland through an emphasis on orderly conditions in their world view, myths, and ceremonies. When traditional Navajos leave their homeland to pursue educational and professional endeavors or to seek biomedical treatment, a sense of emotional dislocation can undermine their success. The emotional trauma goes far beyond mere homesickness because it is based on an often unconscious sense of having violated the moral order of the universe. It is essential that mental health professionals respond with sensitivity to this issue by understanding the extent to which the sacred mountains and other landforms serve as a vital source of spiritual strength.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"7 3","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20088907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A survey of vocational rehabilitation counselors concerning American Indian and Alaska Native clients with alcohol and other drug abuse disorders.","authors":"R M Schacht, L Gaseoma","doi":"10.5820/aian.0703.1997.50","DOIUrl":"https://doi.org/10.5820/aian.0703.1997.50","url":null,"abstract":"<p><p>Vocation rehabilitation (VR) counselors in states where many American Indians reside were questioned about the characteristics of their American Indian clients with alcoholism or drug abuse problems, and the kinds of services that were provided to them. A total of 124 counselors from 14 states responded to the survey. Twenty-seven of these respondents were employed in tribally operated VR projects in nine states.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"7 3","pages":"50-67"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20089376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of computerized prenatal interviews for assessing high-risk behaviors among American Indians.","authors":"S C Lapham, E Henley, B J Skipper","doi":"10.5820/aian.0801.1997.11","DOIUrl":"https://doi.org/10.5820/aian.0801.1997.11","url":null,"abstract":"<p><p>The objectives of this study were to determine the prevalence of risk factors for adverse pregnancy outcomes among American Indians and to compare self-reported information collected under two computer interview conditions: an \"anonymous\" (N = 183) versus a \"confidential\" (N = 210) format. Results indicated that under 10% in both groups reported either use of cigarettes or other drugs of abuse, 16% reported risky drinking, 39% reported psychological distress, and 8% reported physical abuse during the current pregnancy. We concluded that confidential computer interviews were appropriate vehicles for obtaining risk information in this population.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"8 1","pages":"11-23"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20383824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}