Carl Case Study

The following case study examines the situation involving an Alaska Native man named Carl who has issues with iqmik, an Alaska Native chewing tobacco. 

4. How and Why Carl Uses iqmik

Carl uses iqmik throughout the day but mainly when he is thinking, feeling anxious, wanting to cheer up, focusing, hunting, and when he simply wants something in his mouth.  Carl is stressed as the sole provider and caretaker of his household and as a political figure and role model in his village. He feels a lot of pressure to be the best that he can be and not let anyone down.

Carl is internally struggling with the decision to quit. He feels iqmik is a part of him, his culture and it ties him to his father and grandfather. He remembers happy times with them while sharing iqmik. Carl does not want to lose his sense of self or culture but he is worried about his health and the health of those around him. Carl heard of the program from a nice woman from ANTHC who was doing outreach in his village.