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Updated: May 7, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Chapter 13. Using narrative therapy with Native American recreational tobacco users
1One Feather Consulting, Cattaraugus Indian Reservation , Irving, New York , USA.
This study introduces a narrative therapy technique to help Native American clients reduce tobacco use. A Success Journal tool is proposed for practitioners to support smoking cessation lifestyle changes.
Area of Science:
- Social Work Practice
- Clinical Psychology
- Indigenous Health
Background:
- Tobacco use remains a significant health issue among Native American populations.
- Social work interventions can be tailored to address cultural-specific health behaviors.
- Narrative therapy offers a framework for exploring and changing personal stories related to substance use.
Purpose of the Study:
- To describe a novel technique for smoking cessation tailored to recreational tobacco-using Native American clients.
- To highlight the application of narrative therapy principles in addressing smoking behaviors.
- To introduce a practical clinical tool for practitioners facilitating smoking lifestyle changes.
Main Methods:
- The article details a social work technique integrating narrative therapy.
- Focus on client-centered approaches to deconstruct and reconstruct smoking-related narratives.
- Introduction of the 'Success Journal' as a clinical instrument for tracking progress.
Main Results:
- The described technique provides a culturally sensitive approach to smoking cessation.
- Narrative therapy's foundation is adaptable for diverse ethnic groups facing smoking-related challenges.
- The Success Journal offers a structured method for monitoring and reinforcing positive lifestyle changes.
Conclusions:
- The proposed narrative therapy technique, supported by the Success Journal, offers a promising avenue for smoking cessation among Native American clients.
- The adaptability of narrative therapy suggests broader applicability across different ethnicities and smoking-related issues.
- Further research is warranted to evaluate the efficacy of this integrated approach in clinical settings.
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