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Alcohol and Alcoholism Advance Access first published online on November 30, 2008
This version published online on January 19, 2009
Alcohol and Alcoholism, doi:10.1093/alcalc/agn092
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© The Author 2008. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved

Cultural Analysis as a Perspective for Gender-Informed Alcohol Treatment Research in a Swedish Context

Valerie DeMarinis1,2,3*, Christina Scheffel-Birath3,4 and Helen Hansagi3,5

1 Uppsala University, Uppsala, Sweden
2 Division on Addictions, Department of Psychiatry, Cambridge Health Alliance, an affiliate of Harvard Medical School, MA, USA
3 The Centre for Dependency Disorders, Stockholm, Sweden
4 Department of Social Medicine, The Karolinska Institute, Stockholm, Sweden
5 Department of Clinical Neurosciences, The Karolinska Institute, Stockholm, Sweden

* Corresponding author: Kristinebergsstrand 35, 11252 Stockholm, Sweden. Tel: +468-738-0926; Fax: +468-738-0926; E-mail: valerie.demarinis{at}teol.uu.se

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  Abstract

Aim: An exploratory study to investigate the role of culture in women's drinking at a clinic for women with alcohol problems in a Swedish treatment context. Methods: A content analysis of the case journal material of 20 consecutive female patients at the EWA clinic (Early treatment of Women with Alcohol addiction) in Stockholm, Sweden, was conducted using an original instrument informed by the field of cultural psychiatry and emerging from recurrent themes in the case journals. Results: The patients perceived themselves as having a sub-group status. A trajectory of ritualized actions around drinking, especially private drinking rituals, was identified. Existential components of patients’ struggles with addiction in a highly secularized cultural context were identified. Multiple, contradictory explanatory frameworks for understanding drinking problems were creating cognitive dissonance. Conclusion: Using cultural analysis as a perspective for gaining gendered information may allow for identifying new patterns within specific cultural and subgroup contexts. It may contribute new information to the following treatment research areas: gender-appropriate measurement issues; service integration; gender-appropriate services for women; and, drinking rituals and patterns.


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