Social and Cultural Contexts of Alcohol Use: A Case Study of a Female with Alcohol Dependence Syndrome of Tribal Ethnicity

Abstract

Introduction: Alcohol dependency is a multifaceted issue influenced by various socio-cultural factors. Understanding these factors is crucial for developing effective psychosocial interventions. This study aims to investigate the socio-cultural elements contributing to alcohol dependency and to devise a tailored intervention strategy. Aim: The primary aim of this study was to explore the socio-cultural factors associated with alcohol dependency in a female patient and to provide a psychosocial intervention to aid in her recovery. Methodology: A single-subject case study design was employed for an in-depth qualitative analysis. Data was collected through interviews, case record files, observations, and home visits. The participant was a female with Alcohol Dependence Syndrome (ICD-10), selected purposefully from the outpatient department of LGBRIMH, Tezpur, Assam, India. The study focused on recognizing the client's illness and developing coping mechanisms. Special attention was given to the client's spiritual beliefs and practices at her thaan (religious prayer house) as a central element of her recovery process. Conclusion: The study highlighted the significance of socio-cultural factors in understanding and treating alcohol dependency. It was found that acculturation and cultural shifts could contribute to psychological stress and substance use disorder. Conversely, cultural identification and spirituality emerged as personal strengths aiding in recovery. The findings underscore the importance of incorporating socio-cultural dimensions into psychosocial interventions for effective treatment of alcohol dependency.

Keywords: Socio-cultural assessment, alcohol dependence, tribal, ethnicity, case study