Treatment and Remission

This chapter focuses on the diverse range of therapeutic options utilized by Navajos who have experienced problems related to alcohol abuse and dependency. It describes their use of formal treatment modalities such as Alcoholics Anonymous, as well as informal forms of help including family support and religious services provided by both Christian and traditional Navajo healing systems. Also considered are the antecedents reported by individuals who effectively address their drinking problems without recourse to these treatment sectors. Navajos with more severe alcohol-related difficulties were more likely to undergo formal treatment, but the use of multiple treatment sectors was common. Individuals who had been in formal treatment were no more likely to be well than those who have not, thus complicating the evaluation of the efficacy of such programs. Those who got well without formal treatment were more likely to have stable social relationships, be employed, and be more religiously active.