chapter  3
20 Pages

Demoralization: A Useful Concept for Case Management with Native Americans

Certain problems have been paid a great deal of attention in the mental health literature on Native Americans. This literature has tended to focus on problems associated with behaviors. Examples of this are the work on alcoholism (Lewis, 1982; Health, 1983; Leland, 1976), suicide (Grossman and Mulligan, 1991; May, 1987), and domestic violence (Regional Differences in Indian Health, 1993) among Native Americans. This focused attention on problematic behaviors can tend to paint an incomplete clinical picture that may also be ahistorical in terms of the colonial experiences of Native Americans. It also can tend to encourage/allow a "victim blaming" view of American Indian problems among dominant culture clinicians and researchers.