Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives.
OBJECTIVE
The People Awakening (PA) study explored an Alaska Native (AN) understanding of the recovery process from alcohol abuse and consequent sobriety.


METHODS
PA utilized a cross-sectional, qualitative research design and community-based participatory research methods.


METHODS
The study included a state-wide convenience sample of 57 participants representing all five major AN groups: Aleut/Alutiiq, Athabascan, Inupiaq, Yup'ik/Cup'ik and Tlingit/Haida/Tsimshian. Participants were nominated and self-identified as being alcohol-abstinent at least five years following a period of problem drinking.


METHODS
Open-ended and semistructured interviews gathered extensive personal life histories. A team of university and community co-researchers analyzed narratives using grounded theory and consensual data analysis techniques.


RESULTS
A heuristic model of AN recovery derived from our participants' experiences describes recovery as a development process understood through five interrelated sequences: (i) the person entered into a reflective process of continually thinking over the consequences of his/her alcohol abuse; (ii) that led to periods of experimenting with sobriety, typically, but not always, followed by repeated cycling through return to drinking, thinking it over, and experimenting with sobriety; culminating in (iii) a turning point, marked by the final decision to become sober. Subsequently, participants engaged in (iv) Stage 1 sobriety, active coping with craving and urges to drink followed for some participants, but not all, by (v) Stage 2 sobriety, moving beyond coping to what one participant characterized as 'living life as it was meant to be lived.


CONCLUSIONS
The PA heuristic model points to important cultural elements in AN conceptualizations of recovery.
Mohatt
Gerald V
GV
University of Alaska Fairbanks, Department of Psychology, Fairbanks, AK 99775-6480, USA. ffgvm@uaf.edu
Rasmus
Stacy M
SM
Thomas
Lisa
L
Allen
James
J
Hazel
Kelly
K
Marlatt
G Alan
GA
D000328:Adult; D000413:Alaska / Q000208:ethnology; D000428:Alcohol Drinking / Q000523:psychology*; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000208:ethnology / Q000523:psychology* / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D003469:Culture; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D004930:Inuit / Q000523:psychology*; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D036301:Qualitative Research; D013695:Temperance / Q000523:psychology