Drug use by Native American adolescents from five Southwestern tribes is compared with a large national sample. Native Americans show higher use of alcohol, marijuana, and inhalants from the 7th through the 12th grade. They show lower use of barbiturates. Peyote may be seen as less dangerous than LSD. There are no significant differences for other drugs. Cultural characteristics that may inlfuence potential danger from drug use and intervention strategies are noted.
The results of the present study indicated that (a) performance on the rodand-frame test (RFT) in a condition in which subjects took the test in a tilted position was more adversely affected for field-dependent than fieldindependent subjects; (6) inducing a set in subjects to focus on internal cues while performing the RFT led to better performance than inducing a set to focus on external cues; and (c) under stress, performance on the RFT for field-dependent subjects appeared more extremely field dependent than in the absence of stress, and under stress, performance on the RFT for field-independent subjects appeared more extremely field independent than in the absence of stress.
Published clinical studies and extensive experience has shown that pentazocine, the first of the practical agonist/antagonist analgesics, is a potent analgesic with wide application in clinical medicine. It has been shown to have a spectrum of pharmacological activity which has qualitative differences from pure opiate agonists and these have important implications in clinical medicine. Pentazocine can provide analgesia as great as the opiates including morphine and meperidine, but does not have the same effect on mood. It is, therefore, less effective than the opiates in those situations where an anxiolytic effect is desired. Conversely, it produces less CNS depression in particular with regard to respiratory depression and nausea and vomiting. It also does not have the same potential for producing hypotension. The parenteral administration of pentazocine produces rapid strong analgesia which is of less duration than with morphine or meperidine. The oral administration of pentazocine is less predictable with regard to response but in appropriate patients it is capable of providing a similar degree of analgesia to that achieved with parenteral pentazocine. The dependence liability of pentazocine is substantially less than that with the opiates, and where abuse of parenteral pentazocine alone has taken place, it has usually been in medical and paramedical personnel seeking a support for inadequate personalities. Though physical and psychic dependence to parenteral pentazocine is undoubtedly possible, its incidence is extremely low with regard to the extent of the therapeutic use of pentazocine.
Young adult Native American students at a postsecondary educational institute showed a very high level of use of all drugs when compared with other samples of college age youth. Alcohol, marijuana, and amphetamines were drugs of choice: 31% had tried inhalants although there was little present use; 10% were involved in a drug subculture, using multiple drugs relatively heavily. The authors' interpretation of these findings is either the institution attracts drug users or young Native Americans from relatively isolated environments have higher susceptibility to drugs when they enter an urban (nonreservation) culture.
A community psychology service run by the Papago Indian tribe and staffed largely by Papago Indians who have been trained as mental health workers is described. This service is unique among mental health services for Indians in that the tribe has complete control of the funds for the service and sets its own policies. It was developed for a rather traditional Indian group, and the culture, the traditions, and the wishes of the Papago community were respected. Consultation with medicine men was built into the program from the start, and adaptation of mental health techniques to fit the culture is stressed. Before this clinic was established, few mental health resources were directly available to the reservation. Similar to other Indian tribes, the Papagos are economically disadvantaged, with an unemployment rate of over 50%, low educational attainment, and very high rates of alcoholism, suicide, and vehicular accidents. The topics covered are the tribe's view of health programs for its people, the present Papago community and traditional means of treatment, traditional psychotherapy adapted to Papago culture, the indigenous Papago mental health worker, and the non-Indian professional consultant.
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