An assistant professor of anthropology and community and behavior health at the University of Iowa, Prussing lived for three years on the Northern Cheyenne Reservation in Montana, working with community organizations, building long-lasting relationships, and gathering testimonies of alcohols’ often disruptive impacts on the lives of many Northern Cheyenne. While many young women have embraced the 12-step program, others – particularly of the older generation – find its moral assumptions foreign and unhelpful. What emerges from Prussing’s account is not a reductive and totalizing “Cheyenne culture” but rather a complex negotiation of tradition, community, and recovery in the face of persistent colonial challenges. This nuance and attention to detail makes Prussing’s call for indigenous self-determination in health care all the more powerful.

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