Maintaining abstinence in a northern plains tribe
Maintaining abstinence in a northern plains tribe
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DOI：
10.1525/maq.2006.20.2.160
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发表时间：
2006-06-01
影响因子：
2.2
通讯作者：
Spicer, Paul
中科院分区：
文献类型：
--
作者：
Bezdek, Marjorie;Spicer, Paul
在本文中，我们研究了有酒精依赖史的美洲印第安人如何在重返饮酒的巨大压力下保持戒酒。这项工作建立在与解决了酒精问题的个别部落成员和社区服务提供商密切合作的基础上，以开展开放式定性访谈。利用这些，我们探索了前饮酒者对前饮酒伙伴提出的双重挑战的反应，以及当酒精不再是应对生活困难的选择时出现的强烈感受。考虑到一些美洲印第安社区（包括进行这项研究的社区）饮酒与社交之间的紧密联系，解决这些挑战对于戒酒至关重要，并且强调了即使在酗酒文化背景下也可以建立与酒精的替代关系的方式。对来自北部平原部落的 133 名个人进行了采访，他们在之前的流行病学研究中被确定为终生酒精依赖史。对这些男人和女人有意义的禁欲构成的过程的调查突显了宗教和灵性对某些人（但绝不是所有这些人）的作用，更广泛地说，Bea Medicine 所描述的“新的应对方式”的出现，迫使我们扩展有关酒精问题的文献中应对酒精问题的主要概念。
In this article, we examine how American Indian individuals with a history of alcohol dependence have been able to maintain their abstinence despite strong pressures to return to drinking. This work builds on close collaboration with individual tribal members who have resolved their problems with alcohol and community-based service providers to develop open-ended qualitative interviews. Using these, we explored bow former drinkers respond to the twin challenges raised by their former drinking associates and strong feelings that emerge when alcohol is no longer an option for coping with life's difficulties. The resolution of these challenges is central to abstinence, given the strong ties between drinking and sociality in some American Indian communities (including the one where this study was conducted) and underscores the ways in which alternate relations to alcohol can be established even within a heavy drinking cultural context. Interviews were conducted with 133 individuals from a northern plains tribe who were identified in a previous epidemiological study as having a lifetime history of alcohol dependence. Inquiry into the processes involved in the meaningful constitution of abstinence for these men and women highlights the role of religion and spirituality for some, but by no means all of these individuals and, more broadly, the emergence of what Bea Medicine has characterized as "new ways of coping," which force us to expand on leading conceptualizations of coping in the literature on problems with alcohol.