Native Americans and Alcoholism The abuse of alcohol and alcoholism are included in the most critical health problems nationwide. They are some of the most challenging illnesses to cure. Please make no mistake; they are health problems. They do not stem from criminal behavior or moral issues. However, alcohol-related criminal offenses presently account for most arrests made nationwide, with the most significant percentage being severe violent offenses. These include but are not limited to car accidents, aggravated assaults, spouse and child abuse, suicides, rapes, and homicides. Society as a whole has to pay the cost financially, physically, emotionally, spiritually, and culturally. Many research studies have proven that socially acceptable drinking patterns and cultural sanctions are pertinent to alcoholism in general and individual alcohol abuse (Wolfgang, 1975). Different cultures drink in different ways, for different reasons, and are even targeted by alcohol advertising agencies differently. One of the cultures that have been affected to a radical extent is the Native American culture. Alcohol abuse extensively has been connected to the economic, medical, and social issues of the Native Americans. Alcohol abuse is the singular most severe health problem for this culture, accounting for the three leading causes of death: homicide, suicide, and cirrhosis of the liver (Frederick, 1974). Within the Native American culture, 90 percent of homicides are alcohol-related, and alcohol contributes to over 75 percent of all suicides. The conviction rates for alcohol-related violent crimes among the Native American culture are nothing short of horrific in comparison to other cultures. They hold the highest severe violent crime rate in the nation, three times that of Whites and twice that of Hispanics and Blacks. Offenses that alcohol also plays a factor in, for example, public drunkenness, is twenty times that of Whites and eight times that of Hispanics and Blacks (French, 1991). Numbers do not lie. We as a society need to identify, analyze, and address the problem of alcoholism in the Native American culture. In a special report, on Alcohol and Health, from the United States Department of Health, Education, and Welfare, Morris Chafetz informed Congress that society had paid preliminary observation to an indisputable fact: “Certain cultures use alcoholic beverages and are little troubled with alcoholic problems, while others suffer major alcoholic disturbances due to the drinking. Since all societies and cultures have problems, many groups have developed ways of coping with the pains of life in a nonalcoholic manner and, presumably, in ways that have less destructive personal and social consequences. We have tried Prohibition, and it failed. We have tried campaigns of slogans, and they have failed. We have tried educational programs based on fear, and they have failed. Therefore, I suggest we learn from other experiences and cultures"(Chafetz, 1974). This report and its solution to the nationwide problem of alcohol abuse among Native Americans is repelling and unacceptable. We, as a society, need not to learn from other cultures. We need to learn from the culture exemplifying the issue at hand, the Native American culture itself, with continuous research on the disease of alcoholism. In recent studies, physiologists assert they can isolate the origins of alcoholism. This is done by analyzing neurological, genetic, and endocrinological malfunctions that are susceptible to alcohol abuse. In 1973, the American Medical Association (AMA) published the Manual on Alcoholism. In this manual, they stated that alcoholism is not the consequence of an alcoholic personality, that alcohol abuse is the outcome of drinking a particular beverage, that alcoholism is not an allergic manifestation, and that there are many other factors besides just alcohol itself that cause alcoholism. The AMA presently cites endocrine deficiencies, alcohol appestat, metabolic disturbances, acetylcholine, receptor-site imbalances, and glandular dysfunctions as physiological factors subscribing to alcoholism. The AMA also acknowledges numerous psychological factors that contribute to alcoholism. They include parental relationships, selfdestructiveness, and learned responses. Sociological factors that they have identified include permissiveness, abstinence, and ambivalence. The AMA has determined that alcohol abuse and alcoholism come not just from a single entity but instead from a complicated and complex interplay of sociological, physiological, and psychological causes (French & Hornbuckle, 1980). Alcohol abuse and alcoholism are crucial and challenging issues for every culture. However, present concentration on the Native American culture is a must. “The following from the final report on alcohol and drug abuse prepared for the American Indian Policy Review Commission is a clear statement of the alcohol problem among Native Americans: The steamrolling effect of civilized society upon the Indian people has wreaked havoc that extends far beyond the loss of material possessions. The American Indians and Alaska Natives are caught in a world wherein they are trying to find out who they are and where they fit in. The land, which was once their mother giving them food and clothing, was taken. Their spiritual strengths were decried as pagan, and family ties were broken. Their own forms of education, i.e., that of legends, how to live, and respect themselves and others, were torn asunder by white society's reading, writing, and arithmetic. No culture could be expected to be thrust into a world different from its own and adapt without problems or cultural shock. The Indian people of today are proud of their heritage and are fighting to maximize its influence upon their lives in a dominant white world. The destructive use of alcohol and drugs among Native Americans and Alaska Native individuals, families, and communities is inextricably interwoven into all aspects of their lives. Any effort to alleviate the problem must be comprehensive in scope and with the total commitment of the Indian people” (Snake, 1976). For a clear understanding of the culturalistic effects on the Native American alcoholism problem, it is critical to understand the catastrophic past, disruptive events, policies, and acts associated with and mandated by the United States federal government. The following is a brief summary of these events, only touching the unjust abuse and oppression this culture has endured. Wars and violent massacres of multiple and various Native American tribes while European settlers strived to colonialize North America. Genocide is the deliberate and unmerciful slaughter of multitudes from a specific ethnic group/nation with the sole purpose of destroying and totaling eliminating that group/nation. Genocide occurred from the 1400s up until 1870, when President Grant’s Peace Policy stated that Native Americans had to be declared officially "renegades" before aggressive pursuit could occur. For over 120 years, from 1832 all the way until 1953, the General Indian Intercourse Act was active, prohibiting the use or sale of alcohol of any kind to or by Native Americans. This Act prevented Native Americans from developing a societal acceptable drinking norm. This caused many Native Americans to rebel and necessitated challenges within the culture. The policy of Removal began in 1835. This policy displaced Native Americans, their families, and their community to what whites called "Indian territory” (French & Hornbuckle, 1980). On October 6, 1879, the country's first off-reservation boarding school, The Carlisle Indian Industrial School, was opened in Pennsylvania. The creation of these boarding schools is credited to Richard Henry Pratt, a Civil War veteran. These schools’ purpose was to assimilate Native American children, thus eliminating the Native American culture (French & Hornbuckle, 1980). The United States government forcibly removed tens of thousands of Native American children from their homes and families. They were forced to attend these assimilation boarding schools, which the churches and the federal government ran. The motto for these schools was, "Kill the Indian in him and save the man." It is not known how many children were taken. However, there were over 20,000 recorded by 1900, and the number tripled by 1925. These children endured massive abuse, including being taken far away from their loved ones, communities, and families. They were strictly punished if they were caught speaking their native language, demonstrating any kind of act that might be perceived as Native American and representing cultural or traditional practices of the Native American culture. They were also stripped and forbidden of traditional Native American clothing and banned from possessing any personal belongings that could resemble or remind them of where they came from. They endured spiritual, cultural, emotional, sexual, and physical abuse along with neglect. They experienced horrendous treatment that was nothing short of torture in many cases. Many children's fates and whereabouts are still to this day unknown (Little, 2017). The Dawes Act of 1887, also considered Allotment was when the Native American's tribal land was divided into independently owned farms undermining aboriginal culture and tribal authority. The mass of excess land was given to white settlers. In 1898, the Curtis Act heightened Allotment, and the Dawes Act, by outlawing tribal churches, governments, schools, courts, etc. The Wheeler-Howard Act of 1934, also known as the Indian Reorganization Act, tried to repair or mend the destruction from the combination of Allotment and Removal of federally mandated policies. Native Americans were permitted to hold land, as reservations, in tribal collectives. However, they were forbidden land rights on these reservations. Soon after, the same land they were permitted to hold was leased out to ranchers and farmers of European descent by the Bureau of Indian Affairs (BIA). During McCarthy’s anticommunism era, the Termination of 1953 was enacted. Whites considered tribalism as a form of anti-Americanism and considered it threatening. Therefore, Termination was created to turn Native American reservations from a communistic orientation to a capitalistic one. In 1954, Relocation occurred. This was an attempt to get Native Americans, especially those young, off the reservation and into urban areas. The propaganda used was implementing false hope of better employment opportunities and better education opportunities that did not exist. Presently in the United States, only about half of the entire Native American population still reside on reservations. Sadly, the half that moved off the reservation with empty promises of prosperity live in dangerous Native American communities that are nothing short of a ghetto (French & Hornbuckle, 1980). The present federal policy is the Self-Determination Act of 1975. It endeavors to mainstream this culture into the mass population. Be that as it may, most Native Americans fight not to be assimilated or mainstreamed. They just consider the Self-Determination Act an appendage to the Termination Act. In 1978, Congressman Cunningham enacted the Native Americans Equal Opportunity Act. This Act called for all Native American treaties to be illegal. This Act would literally exonerate the U.S. federal government's responsibility of and all present, past, or future legal obligations regarding American treaties, preferences, or any other special programs. The extent of how biased this "Equal Opportunity Act" was is that its existence eliminated Native American programs' continuation. Thus, forcing many marginal Native Americans into a deeper, more tenuous predicament that would undeniably lead to more alcoholism and alcohol abuse. Three and a half centuries of disastrous federal policy toward Native Americas, ranging from outright genocide to current termination policies, have wreaked havoc with traditional Native American culture (French & Hornbuckle, 1980). In order to comprehensively address the crucial, critical, and related issues of Native Americans' alcohol dependency, one must first recognize the circumstances concerning their culture and marginality. Within the present Native American population, sixty percent are considered marginal Native Americans, twenty-five percent are considered traditional Native Americans, and fifteen percent are considered middle-class Native Americans (French & Hornbuckle, 1980). Traditional Native Americans, also called "full-bloods," live on the reservations and strive to carry their ancestors' traditions and rituals. Since the dominant white race had rebuked any cultural avenue to elevate tension and stress, alcohol has become an opportune method of escape and ritualism for traditional Native Americans (Elk & Neihardt, 1961). Traditionalists drink vast amounts of alcohol rapidly for intensive periods of time, followed by periods of abstinence. It is very unusual for traditionalists to be observed by outsiders intoxicated. Visibility of traditionalist are protected, private, and restricted by their specific tribe, thus minimizing any stigma attached to this behavior (Reid, 1970). The Middle-Class Native Americans, also called "Uncle Tomahawks," are phenotypically Native Americans but act as if they are white, subscribe to the Protestant Ethic, and those who have drinking problems manifest to their white counterparts (French & Hornbuckle, 1977). The remaining sixty percent of the population is considered marginal. They are torn between the decree of the dominant white society, their expectations, policies, laws, and cultural heritage. This includes the rural, non-reservation populations such as The Lumbee Indians of North Carolina, who are prime examples of non-reservation rural populations whose culture has been torn away from them. "They represent remnants of eastern tribes decimated by the colonial slave trade, wars, and Removal. Many marginals suffer from the dilemma of looking "Native American" and wanting to be "Native American" but not knowing the exact nature of their traditional cultural heritage. Their psycho-cultural perspective is frustration and ambiguity, creating a situation in which alcohol provides a convenient yet unacceptable method of escape” (French & Hornbuckle, 1980). Marginal Native Americans consume large quantities of alcohol, drink excessively in public, and drink more frequently than the two other Native American classifications. The result of this is many severe health, economic, legal, and social problems. Violence is initiated frequently to others and towards oneself. These situations are often accompanied by jail, prison, or institutionalization of some kind. Some of the more severe health problems consist of mental health issues, diabetes, and cirrhosis of the liver, all stemming from alcohol abuse. It is vital that clinicians working within the Native American population who struggle with alcoholism, whether they are Native American or not, be knowledgeable and culturally sensitive to their significant political, social, and cultural issues. It has been proven through multiple research studies that alcohol abuse is strongly connected to cultural environments. In a society or group where there are well-established sanctions, values, and drinking customs agreed upon by all that accompany alcohol consumption, along with appropriations against drunkenness, then it is hypothesized that the rate of alcoholism will be low. "Given that culture is now considered the single most significant factor concerning general patterns of alcohol use and abuse, Native Americans have been severely handicapped in their adjustment to alcohol use. They have not been allowed to develop acceptable drinking norms” (French & Hornbuckle, 1980). Repeatedly, Native Americans have involuntarily reformed their tribal traditions and ways. Each time they are forced to modify their traditional culture, they are pushed into a downward spiral that leads to more alcohol consumption. "Cultural marginality and escapism through alcohol have become major Native American problems. Policies and programs fail because Native Americans are stripped of their cultural identity and denied access to their people's ways and hence their psychological security. To make Native Americans learn white ways at the expense of their traditions leads to conflict that is often internalized and is concealed through alcohol abuse” (French & Hornbuckle, 1980). The result for the Native American culture is physical and mental health problems, colossal aggression within themselves that lead to suicidal ideations, aggression towards others that led to assaults, and abuse of various kinds. Much too commonly, these results lead to homicide and suicide. Research has shown that the most mentally, physically, and spiritually healthy Native Americans are not only knowledgeable of their culture but also proud of it and practice it. It is past time for us as a society to advocate for the Native American culture. As one, we are just individual raindrops. Together we make an ocean. Together, we can make a difference. References Chafetz, M. E. (1974). Prevention of alcoholism in the United States utilizing cultural and educational forces. Preventive Medicine, 3(1), 5–10. Elk, B., & Neihardt, J. G. (1961). Black elk speaks; being the life story of a holy man of the oglala sioux. University of Nebraska Press. Frederick, C. (1974). Suicide, homicede, and alcoholism among, American Indians: Guidelines for help—National Institute of Mental Health, 1973, 36 pages. available from the U.S. Government Printing Office, Washington, D.C. 20402 (stock number 1724-00324), for 50 Cents. Psychiatric Services, 25(4), 2–3. https://doi.org/10.1176/ps.25.4.252-c French, L. (1991). Emerging Social Problems among the Qualla Cherokees. University of Georgia Press. French, L, & Hornbuckle, J. (1980). Alcoholism among Native Americans: an analysis. Social Work, 25(4), 275–280. http://www.jstor.org/stable/23712094 French, L., & Hornbuckle, J. (1977). An analysis of indian violence: The Cherokee example. American Indian Quarterly, 3(4), 335–356. https://doi.org/10.2307/1183859 Little, B. (2017, August 16). How Boarding Schools Tried to ‘Kill the Indian’ Through Assimilation. History.com. Retrieved March 6, 2022, from https://www.history.com/news/how-boarding-schools-tried-to-kill-the-indian-throughassimilation Reid, J. (1970). A Law of Blood. New York University Press. Snake, R. (1976). (rep.). Report on alcohol and drug abuse : final report to the American Indian Policy Review Commission (pp. 1–97). Washington, DC: United States. American Indian Policy Review Commission. Task Force Eleven, Alcohol and Drug Abuse. Wolfgang, M. E. (1975). Patterns in criminal homicide. Patterson Smith.