In recent years, efforts to recognize and accommodate cultural diversity have gained some traction in the politics of US health care. But to date, anthropological perspectives have figured unevenly in efforts to define and address mental health problems. Particularly challenging are examinations of Native peoples' experiences with alcohol.

Erica Prussing provides the first in-depth assessment of the politics of Native sobriety by focusing on the Northern Cheyenne community in southeastern Montana, where for many decades the federally funded health care system has relied on the Twelve...