In recent years, there has been a growing awareness that Native clients who suffer from substance abuse often face challenges that are distinct from those experienced by the mainstream population. For a number of years, I have been involved in research involving Native alcoholism and I have recently published a book on the subject titled The Path of Handsome Lake: A Model of Recovery for Native People. My book argues that many different Native cultures (in America and elsewhere) face similar challenges and disruptions because their cultures are often under great stress and/or because people are alienated from their heritage. The dyfunctional responses of many different Native people are similar because they are subjected to similar pressures. In a nutshell, due to contact with the outside world, Native cultures often experience disruptive transitions, and (in some instances) entire cultures or ways of life may face extinction. Under such circumstances, the culture loses the ability to...

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