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Based on interviews with more than a thousand Navajo Indian men and women, this book examines the associations between childhood experiences and behavior and the development of alcohol dependence in adulthood. Because Navajo life has changed markedly over the past two generations, it also examines the role of urbanization and universal school in reshaping Navajo youth and considers the implications for changing patterns of alcohol use in adulthood. In addition the book explores a wide range of timely issues such as domestic violence, factors associated with resistance to alcohol abuse as well as remission and recovery, the treatment and prevention of alcohol dependence, and the implications of pursuing either population-based preventive interventions or interventions focussed on high risk individuals or groups.
Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.
The traditional method of composing the life history as a flowing narrative is not only morally dishonest but also intellectually inadequate because it conveys the false impression of a chronologically timeless and uninterrupted soliloquy. They are highly processed, constructed, and reified. Questions have been removed, entire sections have been reordered, and redundancies have been deleted. After the multiple stages involved in transforming a narrative life into an inscribed text, the final product bears little resemblance to the original transcription of the interview. By focusing only on the final product, life histories ignore the other two components in the communicative process. Oral History Reimagined: Emerging Research and Opportunities demonstrates the potential of the life history to serve as a new way of writing vulnerably about the “other” by refusing to hide the authors by sharing equal billing in a dialogic encounter with their informants in order to produce an ethnographic narrative that is multivocal, conversational, and co-constructed. The book examines the idea that a reflexive ethnography in the form of a reciprocal exchange between researchers and informants constitutes the logical extension of reflexivity in anthropological research. The book’s ultimate goal is a balance that dissolves the distinction between the ethnographer as theorizing being and the informant as passive data, that reduces the gap between subject and object, and that presents both ethnographer and informant as having active voices. Featuring topics on life histories, reflexive ethnography, and narrative structure of autoethnography, it is ideally designed for anthropologists, ethnographers, historians, policymakers, academicians, researchers, and students.
Scholarly considerations of the relationship between the United States government and Native Americans have largely ignored the rhetoric utilized by both in the course of their ongoing conflicts. This fascinating new study concentrates on the persuasive and public strategies of both government and Indian leaders, focusing on the written and oral records of several key episodes in American history. This approach, which author Janice Schuetz calls rhetorical ancestry reveals the ways in which government and Indian spokespersons have constituted and defined issues; created, prolonged, and managed conflict; and silenced and empowered each other's voices. Chronicling the emergence of government and Indian leaders who were forced to deal with conflicts in new ways, each chapter makes use of historical evidence to draw inferences about the rhetorical features of the discourse and its effects. Both verbal and nonverbal rhetoric—including treaties, letters, oral histories, speeches, ritual performances, media reports, biographical narratives, protests and demonstrations, political hearings, and legal proceedings—are represented here, illuminating a legacy that evolved in the personal and political language of its participants.
What is known about Aboriginal mental health and mental illness, and on what basis is this 'knowing' assumed? This question, while appearing simple, leads to a tangled web of theory, method, and data rife with conceptual problems, shaky assumptions, and inappropriate generalizations. It is also the central question of James Waldram's Revenge of the Windigo. This erudite and highly articulate work is about the knowledge of Aboriginal mental health: who generates it; how it is generated and communicated; and what has been - and continues to be - its implications for Aboriginal peoples. To better understand how this knowledge emerged, James Waldram undertakes an exhaustive examination of three disciplines - anthropology, psychology, and psychiatry - and reveals how together they have constructed a gravely distorted portrait of 'the Aboriginal.' Waldram continues this acute examination under two general themes. The first focuses on how culture as a concept has been theorized and operationalized in the study of Aboriginal mental health. The second seeks to elucidate the contribution that Aboriginal peoples have inadvertently made to theoretical and methodological developments in the three fields under discussion, primarily as subjects for research and sources of data. It is Waldram's assertion that, despite the enormous amount of research undertaken on Aboriginal peoples, researchers have mostly failed to comprehend the meaning of contemporary Aboriginality for mental health and illness, preferring instead the reflection of their own scientific lens as the only means to properly observe, measure, assess, and treat. Using interdisciplinary methods, the author critically assesses the enormous amount of information that has been generated on Aboriginal mental health, deconstructs it, and through this exercise, provides guidance for a new vein of research.
Includes section "Books and reports."
Antisocial behaviour and conduct disorders are the most common reason for referral to child and adolescent mental health services and have a significant impact on the quality of life of children and young people and their parents and carers. Rates of other mental health problems (including antisocial personality disorder) are considerably increased for adults who had a conduct disorder in childhood. This new NICE guideline seeks to address these problems by offering advice on prevention strategies and a range of psychosocial interventions.It reviews the evidence across the care pathway, encompassing access to and delivery of services, experience of care, selective prevention interventions, case identification and assessment, psychological and psychosocial indicated prevention and treatment interventions, and pharmacological and physical interventions.Readership: Intended for healthcare professionals in CAMHS, but this will also be useful to professionals in primary care (as there is much emphasis on recognition).
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.