American Indian and Alaska native mental health research : journal of the National Center最新文献

{"title":"Attitudes about drugs and the drug use of Indian youth.","authors":"F Beauvais","doi":"10.5820/aian.0501.1992.38","DOIUrl":"https://doi.org/10.5820/aian.0501.1992.38","url":null,"abstract":"Alcohol, marijuana, and inhalants are the easiest drugs to obtain, but all drugs are available to some students. Younger students felt that inhalants were easier to get than marijuana. Availability does not have a major effect on use; if there is motivation to use, drugs are available. Perceived harm is linked to use, and 8th-grade reservation youth show the lowest belief that drugs are harmful; only 51% believe that using marijuana regularly will lead to \"a lot\" of harm. In general, non-Indian youth show higher rates of perceived harm, congruent with their lower rates of drug use.","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"5 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12592738","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":"Native alcohol policy options. You've been given a map: blazing a trail is up to you.","authors":"R Peters","doi":"10.5820/aian.0403.1990.60","DOIUrl":"https://doi.org/10.5820/aian.0403.1990.60","url":null,"abstract":"","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 3","pages":"60-3; discussion 126-32"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672857","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":"Panic disorder among American Indians: a descriptive study.","authors":"G Neligh,&nbsp;A E Barón,&nbsp;P Braun,&nbsp;M Czarnecki","doi":"10.5820/aian.0402.1990.43","DOIUrl":"https://doi.org/10.5820/aian.0402.1990.43","url":null,"abstract":"<p><p>Little is known about panic disorder among American Indians. In a pilot project involving two Northwest Coast Indian villages, community health representatives screened the population for panic disorder, substance abuse, and major depression using DSM-III criteria. Accompanying the screening were subsequent patient education and further evaluation by a psychiatrist, a social worker, and primary care physicians. Of fifty community residents who agreed to take the screening examination, seven were found who met diagnostic criteria for panic disorder. Four of the seven had symptoms of alcohol abuse which complicated the course and diagnosis of panic disorder, and individuals with panic disorder reported more than twice the lifetime prevalence of depression in comparison with other community members. Limitations of the study and refinements of study design are needed in future study discussions.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 2","pages":"43-53"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13287592","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 ethics of heroism in medieval and American Indian tales.","authors":"A Scott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Oral-traditional stories detail their heroes' growth through a narrative pattern of exile and return that places the heroes in situations repeatedly challenging their strength and resolve. Through the motif of the quest, medieval and American Indian tales alike reaffirm general psychological truths that bear upon our understanding of human nature. Stories about heroes are stories about us: about our desires to grow up, to defeat death, to prove ourselves in difficult situations, and to achieve recognition or admiration among our peers (Becker, 1973, p. 4). In this way, medieval and American Indian tales are about self-actualization. They maintain that \"one has within oneself proclivity toward growth and unity of personality ... and an automatic thrust toward expression\" of these qualities (Yalom, 1980, p. 9). All forms of literature, however, reflect ideas peculiar to their cultures. The ways in which these basic human truths are represented in medieval and American Indian tales suggest the differing religious or social concerns that have informed these truths and have given them shape. To a large degree, the medieval knight's view of \"self\" and \"other\" encompasses the view that Western humanity has had (and continues to have) of itself. This is a view conditioned upon the superiority of the \"self\" as measured against the inferiority of the \"other,\" reinforced through existing social (hierarchial) and religious (Judeo-Christian) codes of behavior. Such codes are not only inadequate to the task of interpreting American Indian perceptions of \"self\" and \"other,\" they are inimical to the ethical foundation underlying them. Scott Momaday remarks that \"you cannot understand how the Indian thinks of himself in relation to the world around him unless you understand his conception of what is appropriate; particularly what is morally appropriate within the context of that relationship\" (Basso, 1984, p. 46). For the American Indian hero, self-actualization is self-transcendence. By \"becoming a part of something greater\" than himself, the American Indian hero sustains a moral vision that not only reveals his \"latent nobility\" but also protects, even strengthens, the relational fabric of his community. By reading these and other American Indian tales, Western healers may become more sensitive to the moral conflicts uniquely experienced by American Indians and to the needs of others who desire to revise or strengthen their own moral structures by including ideas of relatedness and relationship.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"3 3","pages":"37-58"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13252567","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":"Psychiatric function and roles in an Indian health program context.","authors":"M A Smith","doi":"10.5820/aian.0401.1990.41","DOIUrl":"https://doi.org/10.5820/aian.0401.1990.41","url":null,"abstract":"<p><p>This paper relates the experience of a non-Indian psychiatrist who successfully functioned in an urban Indian health care setting. It illustrates the process of becoming a part of a mental health team and the complexities of becoming a culturally-sensitive psychotherapist. This is accomplished by relating personal experiences, observations, case examples and self-questioning of therapeutic roles and functions. The author concludes that a psychiatrist should not rigidly define his or her role upon entering a particular setting but instead should allow a multitude of roles to unfold. Psychiatrists are also urged to remain constant students of the culture of the patients and organization, applying that knowledge as dictate by the treatment situation.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 1","pages":"41-52"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13253665","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":"Substance abuse among American Indians in an urban treatment program.","authors":"C G Gurnee,&nbsp;D E Vigil,&nbsp;S Krill-Smith,&nbsp;T J Crowley","doi":"10.5820/aian.0303.1990.17","DOIUrl":"https://doi.org/10.5820/aian.0303.1990.17","url":null,"abstract":"<p><p>Chart reviews were used to describe demographic and clinical characteristics of 68 urban American Indian people attending an Indian-oriented outpatient substance-abuse treatment program in Denver, Colorado, and to describe program staff's assessment of client's response to treatment. Alcohol and marijuana were the drugs abused most frequently. The program admitted about equal numbers of males and females; age averaged 24 years. Although Colorado has only Ute reservations, 49% of clients were Sioux, while none were Ute. Moreover, 87% of clients were not active in Indian religion and culture. Clients had low educational achievement and very low income. Few were in stable marriages. In comparison to counselors, clients underestimated the severity of their problems. By counselors' assessment, 78% of clients did not finish the program, and only two fully achieved the treatment goals. Areas for further clinical research are suggested.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"3 3","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13252699","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":"Ojibway adolescent time spent with parents/elders as related to delinquency and court adjudication experiences.","authors":"D Zitzow","doi":"10.5820/aian.0401.1990.53","DOIUrl":"https://doi.org/10.5820/aian.0401.1990.53","url":null,"abstract":"<p><p>This study sought to determine whether volume of time spent by adolescents (ages 12-18) with their families (parent/elder present) and the existence of family dysfunctional factors (substance use, domestic abuse, and negative well-being within the family) shared a relationship with adolescent experience in court adjudication and juvenile delinquency behaviors. Results indicated that adolescents experiencing greater volume of family contact tended to have less involvement with both court adjudication and delinquency behaviors (r = -.16 to -.38). Increased frequency of family dysfunctional factors served as a predictor of adolescent involvement with court adjudication and juvenile delinquency (r = .24 to .59).</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 1","pages":"53-63"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13253666","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":"Tewa children who have epilepsy: a health care dilemma.","authors":"L M Debruyn","doi":"10.5820/aian.0402.1990.25","DOIUrl":"https://doi.org/10.5820/aian.0402.1990.25","url":null,"abstract":"<p><p>This paper explores the part ethnicity may play in utilization of available western health care methods by Tewa families who have a child with epilepsy. Suggestions are made for appropriate responses by non-Indian health care providers to Tewa patients with epilepsy and their families. Findings indicate that, on the surface, Tewa families behave much like other Americans generally in utilization of western health care services. However, the Tewa are extremely reluctant to discuss with non-Indian health care providers traditional healing practices that may be used simultaneously. Such reluctance is well-documented in literature on the Tewa Pueblos and is substantiated in the present research. Suggestions are made for health care providers who wish to be \"culturally aware\" about the appropriateness of routinely asking a patient about his or her perception of the traditional etiology of the disease. The roles of the family and the western health care system are challenged. The response of Tewa extended families to children who have epilepsy is complex and not necessarily supportive. Often considered the primary health care provider for Native Americans, the Indian Health Service is based on an acute care model and lacks the ability to serve chronically disabled American Indian children. Finally, the paper argues that epilepsy is varied enough to complicate the development of a single model of chronic illness that is appropriate for those who suffer from the disability.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 2","pages":"25-41"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13287591","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":"Determinants of blood pressure in Navajo adolescents.","authors":"J L Coulehan,&nbsp;M D Topper,&nbsp;V C Arena,&nbsp;T K Welty","doi":"10.5820/aian.0303.1990.27","DOIUrl":"https://doi.org/10.5820/aian.0303.1990.27","url":null,"abstract":"<p><p>Hypertension is becoming more common among Navajo people, especially among young men. In a group of 580 Navajo adolescents, we looked for factors associated with variations in blood pressure level. Using our criteria, 11.1% of adolescent males and 1.6% of females had an elevated screening blood pressure. In males, blood pressure was a function of age only, and not significantly related either to obesity (body mass index) or measures of acculturation and personal adjustment. In females, blood pressure was not related to age, but was associated with body mass index. Systolic pressure in females was also associated with poor personal adjustment. Level of acculturation (by our index) had no bearing on blood pressure level in this population.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"3 3","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13252566","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":"Locus of control and drinking behavior in American Indian alcoholics and non-alcoholics.","authors":"P J Thurman,&nbsp;D Jones-Saumty,&nbsp;O A Parsons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many investigators have attempted to determine whether alcoholics differ from non-alcoholics in their perceived locus of control. The present study examined the responses of alcoholic and non-alcoholic American Indian males and females on Levenson's Multidimensional Locus of Control Scale. Subjects were 80 American Indian males and 40 American Indian females. All subjects were members of either an eastern (Cherokee) or western (Cheyenne) Oklahoma tribe. Results indicate no significant differences between the Cherokee male alcoholic and non-alcoholic group. Cheyenne male alcoholics reported significantly lower internal control scores than did Cheyenne male non-alcoholics. Within the female sample, alcohol use and tribal membership showed a significant interaction with locus of control. These findings suggest that locus of control may be a potentially useful clinical construct in the development of treatment plans and therapeutic issues for American Indian patients who are alcoholics.</p>","PeriodicalId":76990,"journal":{"name":"American Indian and Alaska native mental health research : journal of the National Center","volume":"4 1","pages":"31-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13253784","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}