Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives

Mohatt, Gerald V.; Rasmus, Stacy M.; Thomas, Louis B.; Allen, James; Hazel, Kelly L.; Marlatt, G. Alan

doi:10.1111/j.1360-0443.2007.02057.x

Cited by 140 publications

(117 citation statements)

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“…2 Resilience was a core trait of participants in the study by Mohatt, Rasmus, Thomas, Allen, Hazel, & Marlat. 7 Their study 7 highlights that change is unique to each person and often occurs after reflecting on consequences and the level of satisfaction with their lives, making intentional experiments with sobriety and learning from each relapse, and finally learning to rebuild a life outside of substance use, a theme common in PP. Seligman 9 demonstrated the importance of optimism in the treatment of depression and Herrenkohl found that resilient children were marked by "positive self-esteem, ego-resilience, personal agency, low reactivity, high sociability, maintaining supportive relationships and gaining access to prosocial mentors; both individual characteristics and environmental influences".…”

Section: Discussionmentioning

confidence: 99%

The Positive Psychology of Recovery: A Review

Swaby¹

2017

MOJAMT

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Can Positive Psychology provide an adequate theory to understand and address addiction? This is the question addressed in this current review. Positive Psychology is far from merely a study about what is positive. It supports grappling with addiction from a stance of hope, optimism and growth. Using a literature review and numerous examples, this paper discusses Positive Psychology and addictions recovery. This review finds that Positive Psychology provides a compelling model for understanding and treating addiction. Positive Psychology seeks to build a life worth living, rather than merely avoiding substance use. Numerous practical Positive Psychology strategies are applied to addiction treatment. Lastly, the review also discusses a number of important gaps in the literature. It should be noted that for brevity, this review uses the abbreviation PP rather than Positive Psychology.

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Section: Discussionmentioning

confidence: 99%

The Positive Psychology of Recovery: A Review

Swaby¹

2017

MOJAMT

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“…Mainstream models of recovery have been criticized for not addressing cultural diversity, in particular, with and among Aboriginal peoples (Blue & Darou, 2005;McCabe, 2007;Mohatt et al, 2008;Spicer, 2001). This is true in Canada, where the development of the National Native Alcohol and Drug Abuse Program treatment system was developed in the 1970s.…”

Section: Introductionmentioning

confidence: 99%

“…Spontaneous recovery (SR) is generally understood as the ability to overcome problematic substance use through the experience of a major life event and in absence of formal treatment (Barker & Hunt, 2007;Mohatt et al, 2008). Although many people recover from problematic substance use on their own, there is limited research on non-intervention models of recovery.…”

Section: Introductionmentioning

confidence: 99%

“…SR is also referred to in the extant literature as spontaneous remission, natural recovery, and natural resolution (Barker & Hunt, 2007;Mohatt et al, 2008;Smart, 2007). The etymology of the term spontaneous, in the context of recovering from problematic substance use, is to "aris[e] from inherent qualities without external cause; self-generated" (Funk & Wagnalls, 1986, p. 1295.…”

Section: Introductionmentioning

confidence: 99%

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Awakening: 'Spontaneous recovery’ from substance abuse among Aboriginal peoples in Canada

Tempier¹,

Dell

Papequash³

et al. 2011

iipj

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There is a paucity of research on spontaneous recovery (SR) from substance abuse in general, and specific to Aboriginal peoples. There is also limited understanding of the healing process associated with SR. In this study, SR was examined among a group of Aboriginal peoples in Canada. Employing a decolonizing methodology, thematic analysis of traditional talking circle narratives identified an association between a traumatic life event and an ‘awakening.’ This ‘awakening’ was embedded in primary (i.e., consider impact on personal well-being) and secondary (i.e., implement alternative coping mechanism) cognitive appraisal processes and intrinsic and extrinsic motivation rooted in increased traditional Aboriginal cultural awareness and understanding. This contributed to both abstinence (i.e., recovery) and sustained well-being (i.e., continued abstinence). Three key interrelated ‘themes’ specific to the role of culture in SR and recovery maintenance were identified: Aboriginal identity, cultural practices, and traditional values. These findings, combined with the limited literature, were developed into a prospective model of SR from substance abuse in Aboriginal peoples. This model highlights the potential need for substance abuse treatment and intervention policy to consider culture as a determinant of health and well-being.

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“…Qualitative research methods were chosen for this particular study to capture participants' unique points of view and experiences in their own words (Patton, 2002). The use of qualitative methodology is especially important when working with AI participants, as cultural context is most easily revealed and understood through open-ended, qualitative research methodologies (Denzin & Lincoln, 2000;Israel et al, 2005;Mohatt et al, 2008). In addition, quantitative methods were used to augment the qualitative findings to provide an understanding of the significant variations in program recommendations between participants based on their residence in an urban versus reservation setting and self-identified gender (Greene, 2007).…”

Section: Designmentioning

confidence: 99%

Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

McMahon

Hanson

Griese

et al. 2015

American Journal of Sexuality Education

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Despite declines over the past few decades, the United States has one of the highest rates of teen pregnancy compared to other industrialized nations. American Indian youth have experienced higher rates of teen pregnancy compared to the overall population for decades. Although it's known that community and cultural adaptation enhance program effectiveness, few teen pregnancy prevention programs have published on recommendations for adapting these programs to address the specific needs of Northern Plains American Indian youth. We employed a mixed-methods analysis of 24 focus groups and 20 interviews with a combined total of 185 urban and reservation-based American Indian youth and elders, local health care providers, and local school personnel to detail recommendations for the cultural adaptation, content, and implementation of a teen pregnancy prevention program specific to this population.Gender differences and urban /reservation site differences in the types of recommendations offered and the potential reasons for these differences are discussed. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted. KEYWORDS American Indian, teen pregnancy prevention, program recommendations 218 Teen Pregnancy Prevention Program Recommendations 219 INTRODUCTIONAlthough adolescents of all races and ethnicities engage in behaviors such as unprotected sex and substance use that increase their risk for sexually transmitted infections (STIs) and teen pregnancies (Eaton et al., 2012), American Indian/Alaska Native (AI/AN) youth experience disproportionately higher rates of teen pregnancy compared with the overall population (de Ravello, Jones, Tulloch, Taylor, & Doshi, 2014). Furthermore, while the birth rate for U.S. teens aged 15-19 has dropped in 18 of the past 20 years, changes in the annual birth rates for AI/AN teens have been less consistent over the past two decades and have remained notably higher than those of non-Hispanic Whites and Asian/Pacific Islanders (Solomon-Fears, 2013). For example, in 2012, the birth rates for AI/AN teens was 34.9 per 1,000 live births while the national rate reached a historic low of 29.4 and the rate for non-Hispanic White teens was lower yet at 20.5 (Martin, Hamilton, Osterman, Curtin, & Mathew, 2013). AMERICAN INDIAN/ALASKA NATIVE SEXUAL RISK BEHAVIORSPrevious findings regarding adolescent sexual behavior also reveal that a greater proportion of urban AI/AN youth engage in sex at younger ages and are less often using any method of contraception compared to the overall population (de Ravello et al., 2014). Specifically, in a study examining the reproductive health and behaviors of urban AI/AN girls through data gathered from the 2002 National Survey of Family Growth (Rutman, Taualii, Ned, & Tetrick, 2012), findings revealed that approximately 33% of urban AI/...

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Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives

Abstract: The PA heuristic model points to important cultural elements in AN conceptualizations of recovery.

Cited by 140 publications

References 40 publications

The Positive Psychology of Recovery: A Review

The Positive Psychology of Recovery: A Review

Awakening: 'Spontaneous recovery’ from substance abuse among Aboriginal peoples in Canada

Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

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