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, teem 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.
Mots-clés Pascal : Alcoolisme, Consommation, Ethanol, Adolescent, Homme, Amérindien, Ethnie, Epidémiologie, Milieu culturel
Mots-clés Pascal anglais : Alcoholism, Consumption, Ethanol, Adolescent, Human, Amerindian, Ethnic group, Epidemiology, Cultural environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0089209
Code Inist : 002B18C05B. Création : 199608.