Issues surrounding substance dependence of Native Americans are examined th
rough the cultural concept of the Broken Circle. Traditional cultural views
of wellness and healing are described using the traditions of Indian Medic
ine, the value of the Circle, and what it means to live in harmony and bala
nce. Underlying factors in substance dependence of Native Americans are pre
sented along with practical counseling recommendations and implications for
treatment through both contemporary and traditional Native healing methods
.