摘要：Substance abuse in villages in rural Alaska has become an endemic tragedy. This article provides a summary contingency analysis of four behavioral repertoires: first use and experimentation with substances, regular use, problem use, and relapse. For each of these areas, the paper examines existing programs, as well as potential community-level approaches suggested by behavior analysis, and relevant questions for further research. The author suggests that far from being hopeless, severe and important social problems like those addressed here are potentially amenable to intervention, and that behavior analysis may provide powerful tools for genuine social impact. While there is a critical need for continuing basic research, our current knowledge base may be adequate to allow behavior analysts to begin to grapple with major applied issues; important knowledge can emerge from these efforts as well.
