Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

Describes two courses utilizing modern American fiction, poetry, and drama in which vivid depictions of the disasters wrought by excessive drinking are found. Posits these as examples of how literature that addresses problems related to drinking and alcoholism can be used in a focused way in alcohol education. (LKS)

Explores issues surrounding sexual trauma and chemical dependency. Aims to provide direction for relapse prevention with a relapse-prone population and explores application of traditional milieu substance-abuse treatment for sexual-trauma survivors. Makes recommendations for working with sexual-trauma survivors who are also substance abusers. (RJM)

Briefly describes the current recovery movement with its support groups for addicts and their relatives and friends. The response of publishers to this movement is also noted. An annotated bibliography lists resources for information related to alcoholism, codependency, drug addiction, dysfunctional families, food addiction, religious addiction,…

Examines factors--such as unemployment, economic deprivation, racism, issues pertaining to gender roles--and their contribution to substance abuse in African American men. Specifically reviews the use of alcohol, opiates, crack, and cocaine. Argues that a biopsychosocial model offers the best framework in conceptualizing substance abuse and…

Describes contributions of Alcoholics Anonymous (AA) to drug and alcohol treatment. Discusses potential for AA's steps to encourage growth, and examines their consistency with counseling philosophy. Proposes and contrasts 12 new steps based on counseling theory to stimulate constructive discussion. Advocates more solid boundaries between AA and…

Combining childhood roles and interpersonal theory produces a schematic model that includes all adult children of alcoholics, enhances understanding of the group dynamic, and suggests specific group treatment strategies. (Author)

Argues for the existence of historical unresolved grief among American Indians. Outlines the historical legacy of war, genocide, and boarding schools resulting in intergenerational trauma and a host of associated social problems. Suggests healing strategies that integrate modern and traditional approaches to healing at the individual, family, and…

Presents a case-control study of the association between nearly lethal suicide attempts and facets of alcohol consumption; namely, drinking frequency, drinking quantity, binge drinking, alcoholism, drinking within 3 hours of suicide attempt, and age began drinking. In bivariate analyses, all measures were associated with nearly lethal suicide…

Attempts to delineate indicators in children's depictions of family that suggest the presence of parental alcoholism. Kinetic Family Drawings from two groups of children were collected. Statistical analysis revealed two of six items of the evaluation - depiction of isolation of self and isolation of other family members - were significantly higher…

Ninety men with alcohol problems and their female partners were randomly assigned to 1 of 3 outpatient conjoint treatments: alcohol behavioral couples therapy (ABCT), ABCT with relapse prevention techniques (RP/ABCT), or ABCT with interventions encouraging Alcoholics Anonymous (AA) involvement (AA/ABCT). Couples were followed for 18 months after…

The study examines alcohol-related attitudes among adolescents and adults in a high consumption community, exploring whether adolescents and adults hold similar or different views regarding adolescent drinking. Data were gathered from adults in a Midwestern city via random telephone survey of 487 adults (30% with children under the age of 21).…

This monograph is designed to help scientists, decision makers, and service providers develop a deeper understanding of the role families and culture play in the prevention of alcohol and other drug abuse in Hispanic/Latino American populations. It also provides information on models of service delivery that are directed at strengthening families…

Since psychopathology may be linked to substance abuse behavior, one aspect of that relationship should have an effect on the development and consequences of the other. This study sought to determine whether psychopathology would decrease after a 28-day period of alcoholism treatment. Thirty Caucasian adults who had sought inpatient treatment for…

Early adolescent alcohol use and abuse has become a public health issue. Research studies indicate that early adolescent drinking may lead to emotional, social, and academic impairments, health and developmental problems, and even death. This study emphasized the need to better understand the predisposing triggers of adolescent alcohol use…