Abstract

This article reviews Native American ritual practices, frameworks and key concepts employed by several substance abuse treatments centres in the U.S. and Canada. It also examines the way Alcoholics Anonymous’ Twelve Step programme has been modified to attract and serve the needs of Native Americans and First Nations and its potential impact on the ritual practices. Native concepts of wellbeing are highlighted and linked to the idea of living in “balance”.

Highlights

  • The majority of Native American-led addiction recovery programmes employ Native American rituals yet are based on the Twelve Step programme of Alcoholics Anonymous

  • This leads to questions of why Twelve Step is considered both an ideal model for Native Americans to use and at the same time a poor fit unless altered to incorporate Native American cultural tools for healing and concepts of wellbeing that include a focus on community, elements that are thought to make such treatment programmes distinctively “Native American” [1,2]

  • I will highlight the Native American practices employed by several substance abuse treatment centres in the U.S and Canada and the way the Twelve Step programme has been modified to attract and serve the needs of Native Americans and First Nations

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Summary

Introduction

The majority of Native American-led addiction recovery programmes employ Native American rituals yet are based on the Twelve Step programme of Alcoholics Anonymous. This leads to questions of why Twelve Step is considered both an ideal model for Native Americans to use and at the same time a poor fit unless altered to incorporate Native American cultural tools for healing and concepts of wellbeing that include a focus on community, elements that are thought to make such treatment programmes distinctively “Native American” [1,2].

Native American Ritual Practices
Native American-Led Recovery Programmes
Native Adaptations to Twelve Step
Controversies
Balance and Wellbeing
Conclusions
Full Text
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