Cognitive Behavioral Treatment for Alcoholism in African Americans

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Most African Americans can trace their roots to West Africa (Baker, 1988). In Africa, fermented grains and palm sap were used to make beer and wine. Drinking was not a forbidden practice, but it was regulated. Alcohol was strictly reserved for ceremonial use, and drinking excessively was not allowed (Umunna, 1967). Because of this, there was a very small amount of drinking problems among tribal Africans. Traditions were, and still are, an important aspect of African culture, so it is not surprising that most people chose to adhere to the customs of their tribe and avoid the recreational use of alcohol. There are several different theories that discuss the use of alcohol during slavery days. One of these suggests that alcohol was used as a means to reward the slave after a hard day’s work (Wright, Kail, & Creecy, 1990). After a day spent laboring in all types of conditions, alcohol might have been seen as a way to escape the harsh reality the enslaved Africans continually experienced. The elixir could help numb not only the body, but the mind as well, from the physical and emotional pain they were subjected to. Another proposed theory is that alcohol was used as a way to control the slaves, especially on weekends and holidays, and keep them from escaping (Joyner, 1991). Because alcohol is a depressant, naturally, it slows the central nervous system down. The effects of this decrease in activity include lack of coordination and balance and blurred vision. Both of these skills would be highly important to a person planning on running away from the plantation, especially at night. Therefore, distributing alcohol was an effective way for the slave masters to majorly decrease the chances of escape. Although there are many varying opinio...

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...The client must take the tools and techniques they learned in therapy and apply them in order to successfully abstain from substance use.

Works Cited

Behavioral health and black/african americans. (2010). Retrieved March 27, 2014, from http://www.samhsa.gov/obhe/african-american.aspx
Berlin, I. (2009). African immigration to colonial america. Retrieved March 24, 2014, from http://www.gilderlehrman.org/history-now/essays/african-immigration-colonial-america
O'Quinn, K. D. (2008). Cognitive behavioral therapy with african american clients. Retrieved April 1, 2014, from http://www.pitt.edu/~kdost8/CBT.html
Straussner, S. L. A. (2001). Ethnocultural factors in substance abuse treatment. New York, NY: The Guilford Press.
Substance use among black adolescents. (2011, October 4). Retrieved March 27, 2014, from http://www.samhsa.gov/data/2k11/WEB_SR_004/WEB_SR_004.htm

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