Native american alcoholism: A transcultural counseling perspective

Alcohol-related mental and physical health problems are critical problems among Native Americans. The intensity of these problems increased proportionately to the destruction of traditional/aboriginal ways. Despite centuries of attempts at physical and cultural genocide a semblance of traditionalism survived to the presence among many tribal groups. Nonetheless the vast majority of contemporary Native Americans are ‘marginal’—caught between their traditional culture and the demands of the dominant United States society. Treating Native Americans merely from the conventional clinical perspective spells of ethnocentrism while a pure traditional approach often serves to restrict both off-reservation mobility and inter-tribal interactions. Here the transcultural approach offers a needed bridge for effective Native American alcohol and mental health counseling.