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THE IMPORTANCE OF PRENATAL CARE 198

Regular Checkups 198

Blood Tests 198

Prenatal Nutrition 198

Avoiding Drugs and Other Environmental Hazards 199

Prenatal Activity and Exercise 202

Preparing for Birth 202

COMPLICATIONS OF PREGNANCY AND PREGNANCY

LOSS 202

Ectopic Pregnancy 203

Spontaneous Abortion 203

Stillbirth 203

Preeclampsia 203

Placenta Previa 204

Placental Abruption 204

Gestational Diabetes 204

Preterm Labor and Birth 204

Labor Induction 204

Low Birth Weight and Premature Birth 204

Infant Mortality 205

Coping with Loss 205

CHILDBIRTH 205

Choices in Childbirth 205

Labor and Delivery 206

The Postpartum Period 208

Tips for Today and the Future 210

Summary 210

For More Information 210

Selected Bibliography 211

PART THREE

SUBSTANCE USE DISORDERS: MAKING RESPONSIBLE DECISIONS

9 DRUG USE AND ADDICTION 213

ADDICTION 214

What Is Addiction? 215

Diagnosing Substance Misuse and Addiction 216

The Development of Addiction 217

Examples of Addictive Behaviors 217

WHY PEOPLE USE AND MISUSE DRUGS 220

The Allure of Drugs 220

Risk Factors for Drug Misuse and Addiction 221

RISKS ASSOCIATED WITH DRUG MISUSE 222

HOW DRUGS AFFECT THE BODY 223

Changes in Brain Chemistry 224

Drug-Related Factors 224

Physical Factors 225

Psychological Factors 225

Social Factors 225

GROUPS OF PSYCHOACTIVE DRUGS 225

Opioids 225

Central Nervous System Depressants 228

Central Nervous System Stimulants 229

Marijuana and Other Cannabis Products 232

Hallucinogens 233

Inhalants 234

Prescription Drug Misuse 234

Synthetic Recreational Drugs 234

PREVENTING DRUG-RELATED PROBLEMS 235

Drugs, Society, and Families 235

Legalizing Drugs 236

Drug Testing 236

Treating Drug Addiction 237

Preventing Drug Misuse 240

Tips for Today and the Future 241

Summary 241

For More Information 241

Selected Bibliography 242

10 ALCOHOL: THE MOST POPULAR DRUG 244

ALCOHOLIC BEVERAGES AND THEIR EFFECTS ON THE BODY 245

Common Alcoholic Beverages 245

Absorption 247

Metabolism and Excretion 247

Alcohol Intake and Blood Alcohol Concentration 248

ALCOHOL’S IMMEDIATE AND LONG-TERM EFFECTS 249

Immediate Effects 249

Drinking and Driving 251

Long-Term Effects of Chronic Abuse 253

Alcohol Use during Pregnancy 255

Possible Health Benefits of Alcohol? 256

EXCESSIVE USE OF ALCOHOL 256

Statistics on Alcohol Use 257

Alcohol Use Disorder: From Mild to Severe 257

Binge Drinking 257

Alcoholism 257

Gender and Ethnic Differences 261

Helping Someone with an Alcohol Problem 262

© Wavebreakmedia Ltd/Getty Images

DRINKING BEHAVIOR AND RESPONSIBILITY 262

Examine Your Drinking Behavior 263

Drink Moderately and Responsibly 263

Promote Responsible Drinking 264

Tips for Today and the Future 266

Summary 266

For More Information 266

Selected Bibliography 267

11 TOBACCO USE 269

WHO USES TOBACCO? 270

Young People and Tobacco 271

Gender and Smoking 271

Tobacco and Other Drugs 271

WHY PEOPLE USE TOBACCO 271

Nicotine Addiction 273

Social and Psychological Factors 273

Genetic Factors 274

Why Start in the First Place? 274

HEALTH HAZARDS 276

Tobacco Smoke: A Toxic Mix 276

The Immediate Effects of Smoking 278

The Long-Term Effects of Smoking 279

Additional Health, Cosmetic, and Economic Concerns 282

Risks Associated with Other Forms of Tobacco Use 283

THE EFFECTS OF SMOKING ON THE NONSMOKER 286

Environmental Tobacco Smoke 286

Smoking and Pregnancy 287

The Cost of Tobacco Use to Society 288

WHAT CAN BE DONE TO COMBAT SMOKING? 288

Action at the Local Level 288

Action at the State and Federal Levels 288

FDA Regulation of Tobacco 288

International Action 289

Action in the Private Sector 289

Individual Action 289

HOW A TOBACCO USER CAN QUIT 290

Benefits of Quitting 290

Options for Quitting 290

Tips for Today and the Future 292

Summary 293

For More Information 293

Selected Bibliography 293

PART FOUR GETTING FIT

12 NUTRITION BASICS 296

COMPONENTS OF A HEALTHY DIET 298 Energy 298

Proteins—The Basis of Body Structure 299

Fats—Essential in Small Amounts 300

Carbohydrates—An Ideal Source of Energy 303

Fiber—A Closer Look 305

Vitamins—Organic Micronutrients 306

Minerals—Inorganic Micronutrients 308

Water—Vital but Often Ignored 308

Other Substances in Food 310

NUTRITIONAL GUIDELINES: PLANNING YOUR DIET 311

Dietary Reference Intakes (DRIs) 311

Dietary Guidelines for Americans 312

USDA’s MyPlate 317

DASH Eating Plan 322

The Vegetarian Alternative 322

Dietary Challenges for Various Population Groups 323

Global Nutrition Transitions 324

A PERSONAL PLAN: MAKING INFORMED CHOICES ABOUT FOOD 325

Reading Food Labels 325

Calorie Labeling: Restaurants and Vending Machines 327

Dietary Supplements 327

Protecting Yourself against Foodborne Illness 329

Environmental Contaminants 330

Organic Foods 331

Guidelines for Fish Consumption 331

Additives in Food 331

Functional Foods 331

© Maica/Getty Images RF

Food Biotechnology 332

Food Allergies and Food Intolerances 332

Tips for Today and the Future 333

Summary 333

For More Information 334

Selected Bibliography 335

13 EXERCISE FOR HEALTH AND FITNESS 342

THE BENEFITS OF EXERCISE 343

Reduced Risk of Premature Death 343

Improved Cardiorespiratory Functioning 344

More Efficient Metabolism and Improved Cell Health 344

Improved Body Composition 345

Disease Prevention and Management 345

Improved Psychological and Emotional Wellness 346

Improved Immune Function 347

Prevention of Injuries and Low-Back Pain 347

Improved Wellness for Life 347

WHAT IS PHYSICAL FITNESS? 347

Cardiorespiratory Endurance 348

Muscular Strength 348

Muscular Endurance 349

Flexibility 349

Body Composition 349

Skill-Related Components of Fitness 349

COMPONENTS OF AN ACTIVE LIFESTYLE 349

Levels of Physical Activity 350

Increasing Physical Activity 350

Reducing Sedentary Time 351

DESIGNING YOUR EXERCISE PROGRAM 353 First Steps 353

Cardiorespiratory Endurance Exercise 357

Exercises for Muscular Strength and Endurance 360

Flexibility Exercises 362

Training in Specific Skills 363

Putting It All Together 363

GETTING STARTED AND STAYING ON TRACK 364

Selecting Instructors, Equipment, and Facilities 364

Eating and Drinking for Exercise 364

Managing Your Fitness Program 366

Tips for Today and the Future 369

Summary 369

For More Information 370

Selected Bibliography 370

14 WEIGHT MANAGEMENT 374

EVALUATING BODY WEIGHT AND BODY COMPOSITION 375

Body Composition 376

Defining Healthy Weight, Overweight, and Obesity 376

Estimating Body Composition 377

Body Mass Index 377

Body Fat Distribution 378

What Is the Right Weight for You? 379

BODY FAT AND WELLNESS 380

Diabetes 380

Heart Disease and Other Chronic Conditions 382

Problems Associated with Very Low Levels of Body Fat 382

FACTORS CONTRIBUTING TO EXCESS BODY FAT 382

Energy Balance 382

Genetic Factors 383

Physiological Factors 383

Lifestyle Factors 385

Psychosocial Factors 386

Environmental Factors 387

ADOPTING A HEALTHY LIFESTYLE FOR SUCCESSFUL WEIGHT MANAGEMENT 388

Dietary Patterns and Eating Habits 389

Physical Activity and Exercise 392

Thinking and Emotions 392

Coping Strategies 392

APPROACHES TO OVERCOMING A WEIGHT PROBLEM 392

Doing It Yourself 392

Diet Books 394

Dietary Supplements and Diet Aids 395

Weight Loss Programs 396

Prescription Drugs 398

Surgery 398

BODY IMAGE AND EATING DISORDERS 399

Severe Body Image Problems 399

Eating Disorders 400

Positive Body Image: Finding Balance 403

Tips for Today and the Future 403

Summary 404

For More Information 404

Selected Bibliography 404

PART FIVE

PROTECTING YOURSELF FROM DISEASE

15 CARDIOVASCULAR HEALTH 408

THE CARDIOVASCULAR SYSTEM 409

The Heart 410

The Blood Vessels 411

RISK FACTORS FOR CARDIOVASCULAR DISEASE 412

Major Risk Factors That Can Be Changed 412

Contributing Risk Factors That Can Be Changed 418

Major Risk Factors That Can’t Be Changed 422

Possible Risk Factors Currently Being Studied 423

MAJOR FORMS OF CARDIOVASCULAR DISEASE 425

Atherosclerosis 426

Coronary Artery Disease and Heart Attack 427

Stroke 431

Peripheral Arterial Disease 433

Congestive Heart Failure 433

Other Forms of Heart Disease 434

PROTECTING YOURSELF AGAINST CARDIOVASCULAR DISEASE 434

Eat Heart-Healthy 435

Exercise Regularly 437

Avoid Tobacco Products 437

Manage Your Blood Pressure, Cholesterol Levels, and Stress/Anger 437

Tips for Today and the Future 437

Summary 438

For More Information 438

Selected Bibliography 438

16 CANCER 441

BASIC FACTS ABOUT CANCER 442

Tumors 442

Metastasis 443

The Stages of Cancer 444

Remission 444

The Incidence of Cancer 444

THE CAUSES OF CANCER 445

The Role of DNA 445

Cancer Promoters 448

Tobacco Use 448

Dietary Factors 449

Inactivity and Obesity 450

Carcinogens in the Environment 451

DETECTING, DIAGNOSING, AND TREATING CANCER 452

Detecting Cancer 452

Diagnosing Cancer 452

Treating Cancer 454

COMMON TYPES OF CANCER 454

Lung Cancer 456

Colon and Rectal Cancer 456

Breast Cancer 457

Prostate Cancer 459

Cancers of the Female Reproductive Tract 460

Skin Cancer 461

Testicular Cancer 463

Other Cancers 463

NEW AND EMERGING CANCER TREATMENTS 465

Beyond Traditional Treatments 465

Experimental Techniques 466

Support During Cancer Therapy 467

Living with Cancer 467

Tips for Today and the Future 467

Summary 468

For More Information 468

Selected Bibliography 468

17 IMMUNITY AND INFECTION 471

THE BODY’S DEFENSE SYSTEM 472

Physical and Chemical Barriers 472

The Immune System: Cells, Tissues, and Organs 473

Immunization 476

Allergy: A Case of Mistaken Identity 477

THE SPREAD OF DISEASE 480

Symptoms and Contagion 480

The Chain of Infection 480

Epidemics and Pandemics 481

PATHOGENS, DISEASES, AND TREATMENTS 482

Bacteria 482

Viruses 488

Fungi 493

Protozoa 493

Parasitic Worms 494

Emerging Infectious Diseases 494

Immune Disorders 495

SUPPORTING YOUR IMMUNE SYSTEM 496

Tips for Today and the Future 497

Summary 497

For More Information 497

Selected Bibliography 498

18 SEXUALLY TRANSMITTED INFECTIONS 499

THE MAJOR SEXUALLY TRANSMITTED

INFECTIONS 500

HIV Infection and AIDS 501

Chlamydia 511

Gonorrhea 513

© Leonardo Patrizi/Getty Images RF

Pelvic Inflammatory Disease 514

Human Papillomavirus 514

Genital Herpes 516

Hepatitis B 517

Syphilis 518

Other Sexually Transmitted Infections 519

WHAT YOU CAN DO ABOUT SEXUALLY TRANSMITTED INFECTIONS 520

Education 520

Diagnosis and Treatment 520

Prevention 520

Tips for Today and the Future 521

Summary 522

For More Information 523

Selected Bibliography 523

PART SIX

LIVING WELL IN THE WORLD

19 ENVIRONMENTAL HEALTH 526

ENVIRONMENTAL HEALTH DEFINED 527

POPULATION GROWTH AND CONTROL 529

How Many People Can the World Hold? 530

Factors That Contribute to Population Growth 530

ENVIRONMENTAL IMPACTS OF ENERGY USE AND PRODUCTION 531

Environmental Threats of Extreme Energy Sources 531

Renewable Energy 532

Alternative Fuels 533

Hybrid and Electric Vehicles 534

AIR QUALITY AND POLLUTION 534

Air Quality and Smog 534

The Greenhouse Effect and Global Warming 535

Thinning of the Ozone Layer 538

Indoor Air Quality (IAQ) 538

Preventing Air Pollution 539

WATER QUALITY AND POLLUTION 539

Water Contamination and Treatment 539

Water Shortages 541

Sewage 541

Protecting the Water Supply 541

SOLID WASTE POLLUTION 542

What’s in Our Garbage? 542

Disposing of Solid Waste 542

Biodegradability 543

Reducing Solid Waste 544

CHEMICAL POLLUTION AND HAZARDOUS WASTE 544

Asbestos 544

Lead 545

Pesticides 546

Mercury 546

Other Chemical Pollutants 546

Preventing Chemical Pollution 546

RADIATION POLLUTION 548

Nuclear Weapons and Nuclear Energy 548

Medical Uses of Radiation 549

Radiation in the Home and Workplace 549

Avoiding Radiation 549

NOISE POLLUTION 550

Tips for Today and the Future 551

Summary 551

For More Information 551

Selected Bibliography 552

20 CONVENTIONAL AND COMPLEMENTARY MEDICINE 554

SELF-CARE 555

Self-Assessment 555

Knowing When to See a Physician 556

Self-Treatment 556

PROFESSIONAL CARE 558

CONVENTIONAL MEDICINE 560

Premises and Assumptions of Conventional Medicine 560

Pharmaceuticals and the Placebo Effect 561

The Providers of Conventional Medicine 563

Choosing a Primary Care Physician 564

Choosing a Specialist 565

Getting the Most Out of Your Medical Care 565

INTEGRATIVE HEALTH 569

Alternative Medical Systems 569

Mind–Body Medicine 572

© visdia/123RF

Natural Products 573

Manipulative and Body-Based Practices 575

Other CAM Practices 575

When Does CAM Become Conventional Medicine? 576

Evaluating Complementary and Alternative Therapies 577

PAYING FOR HEALTH CARE 579

The Current System 580

Health Insurance 580

Tips for Today and the Future 583

Summary 583

For More Information 583

Selected Bibliography 584

21 PERSONAL SAFETY 586

UNINTENTIONAL INJURIES 588

What Causes an Injury? 588

Home Injuries 588

Motor Vehicle Injuries 591

Leisure Injuries 596

Work Injuries 598

VIOLENCE AND INTENTIONAL INJURIES 600

Factors Contributing to Violence 600

Assault 602

Homicide 602

Gang-Related Violence 602

Hate Crimes 603

School Violence 603

Workplace Violence 604

Terrorism 604

Family and Intimate-Partner Violence 604

Sexual Violence 607

What You Can Do about Violence 611

PROVIDING EMERGENCY CARE 611

Tips for Today and the Future 613

Summary 613

For More Information 614

Selected Bibliography 615

PART SEVEN

ACCEPTING PHYSICAL LIMITS

22 AGING: A VITAL PROCESS 617

GENERATING VITALITY AS YOU AGE 618

What Happens as You Age? 619

Life-Enhancing Measures: Age-Proofing 619

DEALING WITH THE CHANGES OF AGING 622

Planning for Social Changes 622

Adapting to Physical Changes 623

Handling Psychological and Mental Changes 625

AGING AND LIFE EXPECTANCY 627

© R Chiang/Splash News/Newscom

LIFE IN AN AGING AMERICA 628

America’s Aging Minority 628

Family and Community Resources for Older Adults 629

Government Aid and Policies 630

Changing the Public’s Idea of Aging 632

Tips for Today and the Future 633

Summary 633

For More Information 633

Selected Bibliography 634

23 DYING AND DEATH 635

UNDERSTANDING AND ACCEPTING DEATH AND DYING 636

Defining Death 637

Learning about Death 638

Denying versus Acknowledging Death 639

PLANNING FOR DEATH 639

Making a Will 639

Considering Options for End-of-Life Care 640

Difficult Decisions at the End of Life 641

Completing an Advance Directive 643

Giving the Gift of Life 645

Planning a Funeral or Memorial Service 646

COPING WITH IMMINENT DEATH 648

Awareness of Dying 648

The Tasks of Coping 648

Supporting a Person in the Last Phase of Life 649

The Trajectory of Dying 649

COPING WITH LOSS 650

Experiencing Grief 650

Supporting a Grieving Person 652

When a Young Adult Loses a Friend 652

Helping Children Cope with Loss 652

COMING TO TERMS WITH DEATH 653

Tips for Today and the Future 654

Summary 654

For More Information 655

Selected Bibliography 655

APPENDIXES

A NUTRITION RESOURCES 657

b A SELF-CARE GUIDE FOR COMMON MEDICAL PROBLEMS 658

Index 665

BOXES

ASSESS YOURSELF

Wellness: Evaluate Your Lifestyle 16

The Perceived Stress Scale 30

Are You Suffering from a Mood Disorder? 73

Are You Emotionally Intelligent? 93

Which Contraceptive Method Is Right for You and Your Partner? 166

Creating a Family Health Tree 189

Is Internet Use a Problem for You? 219

Do You Have a Problem with Alcohol? 264

Tobacco Use Disorder: Are You Hooked? 274

Your Diet versus MyPlate Recommendations 321

The 1.5-Mile Run–Walk Test 367

What Triggers Your Eating? 386

Anger, Hostility, and Heart Disease 421

Are You at Risk for CVD? 436

What’s Your UV Risk? 461

Do Your Attitudes and Behaviors Put You at Risk for STIs? 522

Environmental Health Checklist 529

Exploring What You Know about CAM 578

Are You an Aggressive Driver? 594

BEHAVIOR CHANGE STRATEGY

Behavior Change Contract 27

Taking Control of Your Sleep 56

Dealing with Social Anxiety 86

Changing Your Drug Habits 243

Kicking the Tobacco Habit 295

Improving Your Diet by Choosing Healthy Beverages 337

Planning a Personal Exercise Program 372

Creating a Personal Weight Management Plan 407

Reducing the Saturated and Trans Fats in Your Diet 440

Incorporating More Fruits and Vegetables into Your Diet 470

Talking about Condoms and Safer Sex 525

Adhering to Your Physician’s Instructions 585

Adopting Safer Habits 616

CRITICAL CONSUMER

Evaluating Sources of Health Information 18

Choosing and Evaluating Mental Health Professionals 82

Sex Enhancement Products 127

Obtaining a Contraceptive from a Health Clinic or Physician 150

Home Pregnancy Tests 192

Choosing a Drug Treatment Program 239

Alcohol Advertising 265

Tobacco Advertising 277

Using Food Labels 326

Using Dietary Supplement Labels 328

What to Wear 365

Evaluating Fat and Sugar Substitutes 391

Are All Calories and Dietary Patterns Equal for Weight Loss? 394

Avoiding Cancer Quackery 455

Sunscreens and Sun-Protective Clothing 463

Preventing and Treating the Common Cold 489

Tattoos and Body Piercing 492

Getting an HIV Test 508

Endocrine Disruption: A “New” Toxic Threat 547

Avoiding Health Fraud and Quackery 570

Choosing a Health Insurance Plan 581

Choosing a Place to Live 631

A Consumer Guide to Funerals 647

DIVERSITY MATTERS

Moving toward Health Equity 12

Diverse Populations, Discrimination, and Stress 40

Ethnicity, Culture, and Psychological Health 70

Marriage Equality 103

Genital Alteration 116

Barriers to Contraceptive Use 164

The Adoption Option 175

Abortion around the World 179

Ethnicity and Genetic Disease 187

Drug Use and Race/Ethnicity 237

Metabolizing Alcohol: Our Bodies Work Differently 247

Ethnic Foods 316

Overweight and Obesity among U.S. Ethnic Populations 385

Gender, Race/Ethnicity, and Cardiovascular Disease 424

Race/Ethnicity, Poverty, and Cancer 446

Poverty, Ethnicity, and Asthma 479

HIV/AIDS around the World 504

Poverty, Gender, and Environmental Health 545

Health Care Visits and Gender 565

Injuries among Young Men 589

Why Do Women Live Longer? 627

TAKE CHARGE

Financial Wellness 5

Life Expectancy and the Obesity Epidemic 8

Mindfulness Meditation 45

Digital Devices: Help or Harm for a Good Night’s Sleep? 50

Overcoming Insomnia 52

Realistic Self-Talk 65

Does Exercise Improve Mental Health 79

Guidelines for Effective Communication 97 Strategies of Strong Families 108

Communicating about Sexuality 137

Talking with a Partner about Contraception 165

Physical Activity during Pregnancy 202

If Someone You Know Has a Drug Problem . . . 240

Dealing with an Alcohol Emergency 250

Avoiding ETS 287

Strategies to Quit Smoking 292

Fats and Health 302

Choosing More Whole-Grain Foods 305

Eating for Healthy Bones 310

Positive Changes to Meet the Dietary Guidelines 315

Judging Portion Sizes 319

Safe Food Handling 330

Making Time for Physical Activity 352

Move More, Sit Less 353

Interval Training: Pros and Cons 355

Determine Your Target Heart Rate 357

Lifestyle Strategies for Successful Weight Management 393

If Someone You Know Has an Eating Disorder . . . 402

Warning Signs and Symptoms of Heart Attack, Stroke, or Cardiac Arrest 428

Testicle Self-Examination 464

Preventing STIs 512

Don’t Wait—Early Treatment of STIs Really Matters 521

High-Efficiency Lighting 540

Evaluating Health News 562

Head Injuries in Contact Sports 597

Repetitive Strain Injury 600

Recognizing the Potential for Abusiveness in a Partner 605

Preventing Date Rape 609

Can Exercise Delay the Effects of Aging? 621

Coping with Grief 651

Surviving the Violent Death of a Loved One 653

WELLNESS ON CAMPUS

Wellness Matters for College Students 14

Coping with News of Traumatic Events 41

Deliberate Self-Harm 77

Hooking Up 100

Questions to Ask Before Engaging in a Sexual Relationship 133

Contraception Use and Pregnancy among College Students 144

Drug Use among College Students 222

Alcoholic Energy Drinks: The Dangers of Being “Drunk and Wide Awake” 252

Peer Pressure and College Binge Drinking 258

Eating Strategies for College Students 324

The Freshman 15: Fact or Myth? 389

Meningococcal Meningitis and College Students 485

The Riskiest Sexual Behavior Is Becoming More Common 506

College Students and STIs 515

Creating Your Own Health Record 566

Cell Phones and Distracted Driving 593

Staying Safe on Campus 612

LEARN WITHOUT LIMITS

CONNECT IS PROVEN EFFECTIVE

McGraw-Hill ConnectⓇ is a digital teaching and learning environment that improves performance over a variety of critical outcomes; it is easy to use; and it is proven effective. Connect empowers students by continually adapting to deliver precisely what they need, when they need it, and how they need it, so your class time is more engaging and effective. Connect for Connect Core Concepts in Health offers a wealth of interactive online content, including Wellness Worksheets and other self-assessments, video activities on timely health topics, and practice quizzes with immediate feedback.

ADDITIONAL ADVANCED CAPABILITIES OF CONNECT

Available within Connect, SmartBook® makes study time as productive and efficient as possible by identifying and closing knowledge gaps. SmartBook is powered by the proven LearnSmart® engine, which identifies what an individual student knows and doesn’t know based on the student’s confidence level, responses to questions, and other factors. LearnSmart builds an optimal, personalized learning path for each student, so students spend less time on concepts they already understand and more time on those they don’t. As a student engages with SmartBook, the reading experience continuously adapts by highlighting the most impactful content a student needs to learn at that moment in time. This ensures that every minute spent with SmartBook is returned to the student as the most value-added minute possible. The result? More confidence, better grades, and greater success.

Connect Insight® is Connect’s new one-of-a-kind visual analytics dashboard—now available for both instructors and students—that provides at-a-glance information regarding student performance, which is immediately actionable. By presenting assignment, assessment, and topical performance results together with a time metric that is easily visible for aggregate or individual results, Connect Insight gives the user the capability to take a just-in-time approach to teaching and learning, which was never before available. Connect Insight presents data that empowers students and helps instructors improve class performance in a way that is efficient and effective.

PROVEN, SCIENCE-BASED CONTENT

McGraw-Hill’s digital teaching and learning tools are built on the solid foundation of Connect Core Concepts in Health’s authoritative, science-based content. Connect Core Concepts in Health is written by experts who work and teach in the fields of exercise science, medicine, physical education, and health education. Connect Core Concepts in Health provides accurate, reliable, current information on key health and wellness topics, while also addressing issues related to mind–body health, research, diversity, and consumer health. The pedagogical program for the 15th edition maintains important features on behavior change, personal reflection, critical thinking, and other key content and skills.

Assess Yourself features provide assessments for students to use in analyzing their own health and health-related behaviors.

Take Charge boxes challenge students to take meaningful action toward personal improvement.

Critical Consumer sections help students to navigate the numerous and diverse set of healthrelated products currently available.

Diversity Matters features discuss the ways that our personal backgrounds influence our health strengths, risks, and behaviors.

Wellness on Campus sections focus on health issues, challenges, and opportunities that students are likely to encounter on a regular basis.

Behavior Change Strategy sections offer specific behavior management/modification plans related to the chapter topic.

Ask Yourself: Questions for Critical Thinking and Reflection encourage critical reflection on students’ own health-related behaviors.

Quick Stats sections, updated for the 15th edition, focus attention on particularly striking statistics related to the chapter content.

Tips for Today and the Future end each chapter with a quick, bulleted list of concrete actions readers can take now and in the near future.

WHAT’S NEW IN CONNECT CORE CONCEPTS IN HEALTH, 15TH EDITION?

UPDATES INFORMED BY STUDENT DATA

Changes to the 15th edition reflect new research findings, updated statistics, and current hot topics that impact students’ wellness behaviors. Revisions were also guided by student performance data collected anonymously from the tens of thousands of students who have used LearnSmart with Connect Core Concepts in Health. Because virtually every text paragraph is tied to several questions that students answer while using LearnSmart, the specific concepts that students are having the most difficulty with can be pinpointed through empirical data.

Aggregated student performance data collected anonymously from LearnSmart helps pinpoint concepts students find most challenging, guiding revisions to the text and Connect program.

CHANGES

Chapter 1: Taking Charge of Your Health

∙ New Take Charge feature: Life Expectancy and the Obesity Epidemic

∙ New section on the Affordable Care Act

∙ New information on qualities and behaviors associated with each dimension of wellness

∙ Updated information on making life changes, on financial wellness, on key wellness issues for college students, and on health disparities, including an updated Diversity Matters feature: Moving toward Health Equality

∙ Updated statistics on leading causes of death in the United States; key contributors to death among Americans;

progress toward Healthy People 2020 targets; and deaths attributed to low educational attainment, poverty, and income inequality

Chapter 2: Stress: The Constant Challenge

∙ New major section on sleep and its role in stress, including a new Behavior Change Strategy: Taking Control of Your Sleep and a new Take Charge feature: Digital Devices: Help or Harm for a Good Night’s Sleep?

∙ New information on the influence of motivation on health, on connectedness and health, and on gender and stress; updated information on steps for managing stress

∙ Updated Diversity Matters feature: Diverse Populations, Discrimination, and Stress; updated Wellness on Campus feature: Coping with News of Traumatic Events; updated Take Charge feature: Mindfulness Meditation

Chapter 3: Psychological Health

∙ Updated information on psychological defense mechanisms; mood disorders; professional help; and warning signs, risk factors, and preventive factors related to suicide

∙ Updated Diversity Matters feature: Ethnicity, Culture, and Psychological Health and updated Wellness on Campus feature: Deliberate Self-Harm

∙ New and updated statistics on the prevalence of selected psychological disorders among Americans, on suicide methods, and on the prevalence of suicidal thoughts

Chapter 4: Intimate Relationships and Communication

∙ Updated information on gender roles, sexual orientation, and gender identity in relationships

∙ New and updated statistics on marital status; median age of marriage; married women in the labor force; and Americans’ attitudes toward gay relationships, online dating, cohabitation, and single-parent families

∙ Updated information on digital communication and social networks and on strategies of strong families

∙ Updated Wellness On Campus feature: Hooking Up and updated Diversity Matters feature: Marriage Equality

Chapter 5: Sex and Your Body

∙ Updated Diversity Matters feature: Genital Alteration

∙ Updated information on differentiation of an embryo, intersex, gender roles, sexual orientation, gender identity, commercial sex, and treatments for female hypoactive sexual desire disorder

Chapter 6: Contraception

∙ Updated information on modern versus traditional contraception

∙ New figure on women’s use of contraception and its effectiveness

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worn. (Length of a, 56.5 in.)

THE CEREMONY

FIG. 16. a, Regalia of otter-skin used in the Otter Rite; b, Regalia as

The exact details and order of the ceremony were not remembered by our informant, but it was certain that the family in question “fed the otter” every two years in the spring, that being the time of year when the little girl had been taken ill. Everyone was invited, men and women, and a man was selected to cook the hog, and another to supply wood and to cut the poles for swinging the kettle, both of whom were paid with a yard of wampum. The fire was kindled with a special flint-and-steel always kept with the outfit (fig. 17).

IG. 17. Flint and steel used in the Otter Rite. (Length of a, 3 in.)

It will be observed that the otter-skin has a slit down the middle of the neck, through which the owner thrust his head in such manner

F

that the otter’s nose lay under the wearer’s chin, while its body and tail hung down his back. Wearing the skin in this manner (fig. 16, b), himself impersonating the original otter, the owner would open the ceremony by walking about the fire, chanting and shaking the turtle rattle (fig. 18), which resembles those used in the Big House, while the audience kept time to his song by uttering “Hu-hu-hu-hu!” The nature of the song the writer was unable to learn, but, like the chants of the Bear Ceremony, it probably was concerned with the singer’s “dream helper.” When he had finished, another man put on the skin and took up the chant, and so on until noon the next day, when the ceremony was brought to a close and all joined in the feast. At this time the skin is told, “We will feed you again in two years.”

BUFFALO DANCE

FIG. 18. Rattle of land-tortoise shell used in the Otter Rite. (Length, 3.9 in.)

Such was the list of native Lenape ceremonies furnished by our informants; but Adams[58] mentions several more, for which the writer was unable to procure much in the way of data. One of these was the Buffalo dance, which the writer feels should be included with the Otter and Bear ceremonies, although Adams calls it a “pleasure dance.” He admits, it will be observed, that it usually took place before hunters started on the chase. His account follows:

“The Buffalo dance is a pleasure dance and always begins in the morning and lasts all day. The ground is made clean in a circle large enough to dance on, and in the center a fire is built and a fork driven into the ground on each side, and a pole placed across the fire east and west. On each side of the fire is a large brass kettle hanging across the pole with hominy in it, and when the dance is nearly over, the dancers eat the hominy, dipping their hands in the kettle. The singers are outside of the ring and beat on a dried deer hide stretched over poles. They do not use the same step in the dance, but gallop like buffaloes and bellow like them, also have horns on their heads and occasionally hook at each other. The dance is usually given before starting on a chase.”

IMPORTED CEREMONIES

SKELETON DANCE

The preceding ceremonies have all been, ostensibly at least, of native Lenape origin, but we now come to several whose outside origin is admitted by the Indians themselves. The most ancient of these is the “Human Skeleton Dance,” mentioned by Adams.[59] He calls it a rite belonging to the Wolf clan or phratry of the Delawares, but the writer’s informants say that it is not true Lenape at all, but a Nanticoke (On'ʹtko) ceremony introduced among the Lenape by the survivors of that tribe who had joined forces with them. Adams’

account, which is better than any the writer was able to obtain, is as follows:

“Human Skeleton Dance.—Given only by the Wolf clan of the Delawares. A certain dance given as a memorial to the dead was supposed to clear a way for the spirit of the deceased to the spirit land. When a member of the Wolf clan died, the flesh was stripped from the bones and buried, and the bones were dried at some private place. At the end of 12 days the skeleton would be wrapped in white buckskin and taken to a place prepared for the dance and there held up by some one. As the singers would sing the men who held the skeleton would shake it and the bones would rattle as the dancers would proceed around it. After the dance the skeleton was buried. Traditions say that in ancient times some of the head men in the Wolf clan had a dream that they must treat their dead in that way, and the custom has been handed down to them for many centuries. The other clans say the custom does not belong to them. The custom has been long dropped. There has not been a skeleton dance since 1860.”

PEYOTE RITE

One of the latest of introduced ceremonies, which was still much in favor with the Oklahoma Lenape when last visited by the writer, is the Peyote Rite, a cult now widespread among the tribes of the Central West, introduced among this people by an Indian named John Wilson, who obtained it, they say, from the Caddo on Washita river about the year 1890 or 1892. During this ceremony remarkable visions are produced by eating the dried top of a small cactus, the peyote (fig. 19), for which the cult is named, and these visions, coupled with the moral teachings embodied in the ritual, make it very attractive to the Indian, who, on joining the cult, is often persuaded to discard entirely the ancient beliefs of his own people. The writer is acquainted with two principal forms of the rite, one involving native deities only, the other, almost entirely Christian in teaching and symbolism. It is this latter form which has been

FIG. 19. Peyote “Button.” (Diameter, 1.9 in.)

adopted by the Lenape, to whom the tipi, in which the ceremony is held, is as foreign an institution as the little cactus itself, brought in from southern Texas and Mexico.

THE PEYOTE RITE AMONG THE LENAPE

Native Painting by Earnest Spybuck, a Shawnee

Paraphernalia.—For this ceremony the tipi is erected with the door to the east, and a complex series of symbols arranged inside, as shown in the smaller drawing, pl. IX. On the western side of the lodge is built a crescent-shaped mound, or “moon,” of earth, packed hard, its horns turned toward the east, which they say represents the tomb where Christ was buried, and on the center of this is placed a large peyote, dampened and flattened (fig. 19), resting either on a bed of feathers or on the bare earth; and to the west of this again, sometimes a crucifix, as shown in the illustration.

PL. IX

Between the points of the crescent is built the fire in a certain prescribed manner with overlapping sticks forming an angle pointing westward. Near the door lies another mound—a round one representing the sun. From the peyote resting on the embankment to the sun mound, directly through the middle of the fire, a line is drawn in the earth of the floor. This represents the “peyote road” along which the Peyote Spirit takes the devotee on a journey toward the sun, and also symbolizes the road to Heaven that Jesus made for the souls of men when He returned thither. West of the crescentshaped mound stands, when not in use, the highly decorated arrow or staff, frequently made in the form of a long cross, with a groove extending from end to end, representing the spirit road. A small water-drum made of a piece of deerskin stretched over a crock, as seen in pl. IX, a nicely carved drumstick, an eagle-feather fan for brushing all evil influence away from each devotee as he enters or leaves the ceremony, and a supply of dried peyote, dampened and crushed in a mortar, are all necessary for the ceremony. Each devotee, moreover, must be supplied with a decorated gourd rattle of his own.

Officers. The only officers needed for this rite are a “Road-man” or speaker, who sits in the west, just opposite the door, and a fire guard stationed at the door, whose duty it is to keep the fire burning, and to brush with the feather fan the devotees as they enter. This is illustrated in the colored plate (pl. IX), which represents also the “Road-man” guiding a newcomer to a seat.

ConductoftheCeremony. When all are gathered in the tipi, the leader first passes around a fragment herb which the people chew and rub over hands and body. Then the macerated peyote is passed, and each takes enough to make eight pellets about half an inch in diameter, of which some eat all, some only part, reserving some pellets to be eaten later. About this time the leader addresses the peyote and the fire, prays, and often delivers a regular sermon or moral lecture. He then takes the staff in his left hand, and sitting, or kneeling on one knee, he sings a certain number of peyote songs, which are a class to themselves, while the man to the left beats the

drum, then passes the staff to the person on his right, himself taking the drum while this person sings, and so the staff travels round and round the lodge, each taking his turn at singing, while the devotees, men and women alike, keep their eyes fixed upon the fire or upon the peyote lying on the mound. As the night wears on the “medicine” begins to take effect, and the devotees see many strange visions, pictures, and brilliant-colored patterns. Often one may see the Peyote Spirit, in the form of an old man, who takes his spirit on a wonderful journey along the “peyote road,” eastward toward the sun. At daybreak they all file out of the tipi bearing their paraphernalia, as seen in pl. IX, b, and when the sun appears they raise their hands in salutation, and then those who are left standing (for some fall as if dead at the sight of the sun) “give thanks to the Great Father in Heaven.” Those who fall at sunrise, they say, are the ones who visited the sun in their visions. All sleep, or at least rest, until about noon, when a feast is served, after which everyone tells what he or she saw while “on the peyote road.”

The Lenape variant of this ceremony, as related above, differs somewhat from that of other tribes practising the Christian form of the Peyote rite, but in all essentials it is almost identical.

GHOST DANCE

The Ghost dance was also introduced among the Lenape by an Indian named Wilson, about the same time, our informants thought, as the Peyote rite, and, like it, probably from the Washita River region.

Wilson would call a dance every now and then during his lifetime, at which the people appeared in their everyday dress, without such special costumes as were seen, for instance, at such functions among the Kiowa and the Arapaho. At these meetings the participants would dance round and round for a long time, with a sidewise step, to the sound of song and water-drum, sometimes for a considerable period without stopping. Occasionally one would fall

and appear to faint, and when revived would claim to have visited Heaven in spirit while his body lay as if dead. When Wilson died, the cult, so far as the Delawares were concerned, perished with him.

Such were the ceremonies surviving until recent times among the Lenape, from which have been omitted only the observances connected with the dead, shamanism, witchcraft, and war, all of which will be discussed in later papers.

CHAPTER IX

SUMMARY RELIGION

A study of the material presented shows that the Lenape believed in a Great Spirit, or Creator, whose goodness is acknowledged, who is thanked for past blessings and petitioned for their continuance, but who is not their only god. He is, however, the great chief of all, and dwells in the twelfth, or highest heaven. He created everything, either with his own hands or through agents sent by him, and all the powers of nature were assigned to their duties by his word. That these concepts are not new among the Lenape may be seen from the fact that most of the early writers who treat of this people have noticed such beliefs among them, which can be traced back as far as 1679.

This Great Spirit gave the four quarters of the earth and the winds that come from them to four powerful beings, or manĭʹtowŭk, namely, Our Grandfather where daylight begins, Our Grandmother where it is warm, Our Grandfather where the sun goes down, and Our Grandfather where it is winter. To the Sun and the Moon, regarded as persons and addressed as Elder Brothers by the Indians, he gave the duty of providing light, and to our Elder Brothers the Thunders, man-like beings with wings, the task of watering the crops, and of protecting the people against the Great Horned Serpents and other water monsters. To the Living Solid Face, or Mask Being, was given charge of all the wild animals; to the Corn Spirit, control over all vegetation, while Our Mother, the Earth, received the task of carrying and feeding the people.

Besides these powerful personages were many lesser ones, such as the Small People, the Doll Being, the Snow Boy, and the Great Bear. Certain localities, moreover, were the abode of supernatural beings, while animals and plants were thought to have spirits of their own. Besides these there were, of course, the countless spirits of the human dead who were still supposed to retain some influence in earthly affairs.

This, then, was the supernatural world which, to the mind of the Lenape, controlled all things—on which they must depend for health, for success in all their undertakings, even the daily task of deerhunting or corn-raising. Benevolent beings must be pleased, and bad spirits combated and overcome, or at least placated.

There was, however, until very lately, no conception of a “devil” in the modern sense of the word.

The main channel of communication between the supernatural world and man was the dream or vision, obtained, as before described, by fasting and consequent purification in youth. Through the vision the young man obtained his guardian spirit or supernatural helper, who gave him some power or blessing that was his main dependence through life, his aid in time of trouble, the secret of his success. No wonder, then, that visions and helpers form the basis of Lenape belief and worship. Among the guardian spirits figured not only such great powers as the Sun and the Thunder Beings, the personified powers of nature, but the spirits representing various species of animals and birds, such as the Wolf or the Owl, of plants, as “Mother Corn,” as well as the Mask Being, and even the spirits of the dead which some Lenape claimed as helpers.

Those favored by such visions were considered the leading people of their community. They usually composed rythmic chants referring to their visions, and appropriate dance songs to go with them, to recite at the Annual Ceremony.

Belief in a soul or spirit surviving the death of the body formed an integral part of Lenape philosophy. The soul is supposed to linger for

eleven days after death, and is addressed and offered food by the surviving relatives, sometimes in a formal “Feast of the Dead;” but on the twelfth day, they say, it leaves the earth and finally makes its way to the twelfth or highest heaven, the home of the Great Spirit, where it leads a happy life in a land where work and worry are unknown. Some persons are thought to have the power of communicating with the departed.

CEREMONIES

Most of the beliefs summarized above were found among the descendants of both Unami and Minsi; but when we consider their great religious ceremonies, we begin to note differences. While it is true that (1) in both cases these rites are based on the recital of the visions seen by the participants, combined with thanksgiving to the Great Spirit and his helpers for past blessings and prayers for their renewal, that (2) the New Fire ceremony figures in both, and that (3) they take place in a building of special form and decoration erected for the purpose, we note that among the Unami the ceremony is conducted only once a year, and is combined to a certain extent with the cult of the Mĭsiʹngʷ', or Mask Being, a magnified guardian spirit or personal helper; while the Minsi have in addition to that held in the fall, a spring ceremony also, cognate with the Iroquois “Thanks for the First Fruits,” or Strawberry Dance, and masked impersonators do not appear in the Minsi ceremonial house.

In the ceremonies of both Unami and Minsi, however, we note other similarities besides those first mentioned, such as the manner of prayer, the use of a drum made of a dried deerhide beaten with flat forked drumsticks each bearing a carved face, the fumigation and sweeping of the Big House, the restriction against women in their menses, and the use of twelve as a sacred number.

It therefore seems likely that the rites, in spite of the differences noted, probably have a common origin, and hence date back to a period before the separation of the Unami and the Minsi. Indeed we

have an historical account which seems to refer to this kind of ceremony as early as 1683, while under date of 1779 there is a description of the rites practically as enacted as late as 1920.

MINOR CEREMONIES

Analyzing the minor ceremonies of Lenape origin we find the cults of two types: one founded on a beneficent spirit, a personal helper such as the Mask Being, whose relations are friendly with mankind; the other based on a discarded toy or pet, which makes trouble for its former owner unless propitiated by the ceremony in question.

A good example, in fact the only one we recorded, of the first type is the ceremony in honor of the Mĭsinghâliʹkŭn, or Mask Being, among the Unami, which, however, does not find its counterpart among the Minsi, who had a Society of Masks whose rites and functions were similar to those of the Iroquois “False Face Company.”

The second class embraces the cults of the Doll, Bear, and Otter, all of which must be propitiated periodically, under pain of sickness or death.

It will be observed that recitals of visions form a part of the Bear rites, and probably also of the Otter ceremony, all of which, taken into consideration with the preceding, gives rise to speculations concerning the basic form of Lenape ceremonies. Perhaps originally, everyone who had been blessed with a vision, held a periodic ceremony at which rites appropriate to his own guardian spirit were emphasized, but at which others so blessed could recite their own visions.

Of course ceremonies of extraneous origin, such as the Peyote rite, can not be classified with those of true Lenape origin; and there are others of which our accounts are so fragmentary that we can not place them, and still others, doubtless, that have disappeared entirely.

That such may have been the case is not remarkable—not nearly so extraordinary as the fact that the Lenape have retained so much of their ancient beliefs and practices after three centuries of contact with civilization.

NOTES

[1] Handbook of American Indians, Bulletin 30, Bureau of American Ethnology, part I, p. 386, Washington, 1907. Indian Population in the United States and Alaska, 1910, p. 73, Washington, 1915. Annual Report of the Department of Indian Affairs for 1913, Ottawa, 1913.

[2] Dankers, Jaspar, and Sluyter, Peter. Journal of a Voyage to New York in 1679-80. Translated from the original manuscript in Dutch for the Long Island Historical Society, pp. 266-267, Brooklyn, 1869.

[3] Penn, William. A Letter from William Penn, Proprietary and Governour of Pennsylvania in America to the Committee of the Free Society of Traders of that Province, Residing in London, p. 6, London, 1683.

[4] Holm, Thomas Campanius. Short description of the Province of New Sweden, now called Pennsylvania. Mem. Hist. Soc. Pa., vol. III, p. 139, Phila., 1834.

[5] David Zeisberger’s History of the Northern American Indians. Edited by Archer Butler Hulbert and William Nathaniel Schwarze. Ohio Archæological and Historical Quarterly, vol. XIX, nos. 1 and 2, p. 128, Columbus, 1910.

[6] Heckewelder, John. An Account of the History, Manners and Customs of the Indian Nations who once inhabited Pennsylvania and the neighboring States. Transactions of the American PhilosophicalSociety, vol. I, p. 205, Phila., 1819.

[7] Waubuno, Chief (John Wampum). The Traditions of the Delawares, as told by Chief Waubuno. London [n.d.]. This little pamphlet contains some original material on the Minsi and some purporting to apply to the Minsi, but copied from Peter Jones’ “History of the Ojebway Indians.”

[8] Brainerd, David. Memoirs of the Rev. David Brainerd, Missionary to the Indians ... chiefly taken from his own diary, by Rev. Jonathan Edwards, including his Journal, now ... incorporated

with the rest of his diary ... by Sereno Edwards Dwight, pp. 344, 349, New Haven, 1822.

[9] Brinton, Daniel G. The Lenape and their Legends, p. 65 et seq., Phila., 1885.

[10] Loskiel, George Henry. History of the Mission of the United Brethren among the Indians in North America, p. 34, London, 1794. Zeisberger, op. cit., pp. 128-129. Heckewelder, op. cit., p. 205.

[11] Loskiel, op. cit.

[12] Zeisberger, op. cit., p. 130.

[13] Brainerd, op. cit., p. 238.

[14] Holm, op. cit., p. 139.

[15] Strachey, Wm. The Historie of Travaile into Virginia. HakluytSoc. Pub., vol. VI, p. 98, London, 1849.

[16] Brainerd, op. cit., p. 344.

[17] Loskiel, op. cit., p. 43.

[18] Brainerd, op. cit.

[19] Loskiel, op. cit.

[20] Ibid.

[21] Ibid.

[22] Zeisberger, op. cit., p. 147.

[23] Heckewelder, op. cit., p. 205.

[24] Loskiel, op. cit., p. 43.

[25] Jones, Rev. Peter. History of the Ojebway Indians, p. 83, London, 1861.

[26] Skinner, Alanson, and Schrabisch, Max. A Preliminary Report of the Archæological Survey of the State of New Jersey, Bulletin 9 of the Geological Survey of New Jersey, p. 32, Trenton, 1913.

[27] Skinner, Alanson. The Lenape Indians of Staten Island, Anthropological Papers of the American Museum of Natural History, vol. III, p. 21, New York, 1909. Idem. Two Lenape Stone Masks from Pennsylvania and New Jersey, Indian Notes and Monographs, 1920.

[28] Brainerd, op. cit., p. 237.

[29] Zeisberger, op. cit., p. 141.

[30] Ibid., op. cit., p. 139.

[31] Brainerd, John, quoted by Abbott in Idols of the Delaware Indians, American Naturalist, Oct. 1882.

[32] Jones, op. cit., pp. 87, 95.

[33] Brainerd, David, op. cit., p. 344.

[34] Penn, William, op. cit.

[35] Brainerd, David, op. cit., p. 238.

[36] Ibid., p. 346.

[37] Zeisberger, op. cit., pp. 133-134.

[38] Ibid., p. 131.

[39] A similar vision of a black and white duck was reported by the Lenape at the Grand River reserve in Ontario. See Harrington, M. R., Vestiges of Material Culture among the Canadian Delawares, American Anthropologist, n.s., vol. X, no. 3, p. 414, July-Sept., 1908.

[40] Brainerd, David, op. cit., p. 347.

[41] Zeisberger, op. cit., p. 132.

[42] Loskiel, op. cit., p. 40.

[43] Heckewelder, op. cit., p. 238 et seq.

[44] Adams, R. C. Notes on Delaware Indians, in Report on Indians TaxedandIndians not Taxed, U. S. Census 1890, p. 299.

[45] Zeisberger, op. cit., p. 138.

[46] Ibid. pp. 136, 137.

[47] Harrington, M. R. A Preliminary Sketch of Lenape Culture, American Anthropologist, vol. XV, no. 2, April-June, 1913.

[48] Adams, loc. cit.

[49] Zeisberger, op. cit., p. 138.

[50] Harrington, Canadian Delawares, pp. 414, 415. See note 39.

[51] Waubuno, op. cit., p. 27.

[52] Brainerd, David, op. cit., p. 237.

[53] Adams, loc. cit.

[54] Harrington, Canadian Delawares, p. 416.

[55] Ibid. p. 417.

[56] Marsh, Rev. Cutting. Documents Relating to the Stockbridge Mission, 1825-48, Wisconsin Historical Collections, vol. XV, pp. 164-165.

[57] Zeisberger, op. cit., p. 138.

[58] Adams, loc. cit.

[59] Ibid.

INDEX

Aʹckasor attendants of Annual ceremony, duties of, 84-85, 8788, 96-97, 103, 105, 107.

See Attendants.

Adams,R.C., on Annual ceremony, 118-122; on Buffalo dance, 182-183; on dreams or visions, 80; on Mĭsiʹngʷ' dance, 154-156; on Skeleton dance, 183-184.

Air, mannitto of, 30.

See ThunderBeings

Alder, dye from bark of, 141

Alphabetused for Lenape words, 15-16

Altarat Annual ceremony, 115

America, prophecy of whites’ coming to, 121

AmericanAnthropologist, account of Minsi ceremony in, 138-143

AmericanMuseumofNaturalHistory, Doll in collection of, 46, 168-169; Tefft collection in, 15, 38

Americantribes, concept of Great Spirit among, 19-20

Animals, as guardian spirits, 49-50, 65, 70, 77, 80, 121, 195; ceremonies of, 171-183; spirits of, 118, 125, 194; thanks to, 134.

See Wildanimals

Animamundicompared with Great Spirit, 22

Annualceremony, authorities on: Adams, 118-122; Indian comments, 111-115; Penn, 115-116; Zeisberger, 116-118; Bear ceremony resembling, 171; carved faces in, 31; chant of Pokiteʹhemun at, 67-69; chants of visions at, 66, 73-76, 195; compared with Minsi ceremony, 127-145; Four winds in ritual of, 26; native name for, 109; penalties of omitting, 113-116; rites of Mask in, 36, 146, 151; thanks given to Earth in, 29; Unami rites of, 81-111; variants of, 122-126; worship of Great Spirit in, 19; worship of Mask Being in, 35.

See Minsi

Anthony,Michael, acknowledgment to, 14, 139

Antsas guardian spirits, 78

Arapaho, Ghost dance of, 191

Arrow, ceremonial use of, at Peyote rite, 187-188; arrows of Thunder Beings, 29

Ashes, ceremonial removal of, 101, 131-132; prevention of disease by, 160

Aⁿsiptaʹgŭnor paint-dish of bark, 105

A'ʹtcigamuʹLtiⁿ, native name for Otter ceremony, 176.

See Otterceremony

Attendants, at Annual ceremony, 84-85, 87-88, 96-97, 103, 105111, 117-118, 120;

at Bear ceremony, 172-173; at Feast of first fruits, 144; at Minsi ceremony, 132-133, 137; at Otter ceremony, 179; at Peyote rite, 188.

See Aʹckas

Axe, Tornado threatened with, 47

Badluck, caused by neglect of rites, 113-116

Bag, full of snakes, 35, 153; mask worn in, 42; of Mask impersonator, 34; of tobacco offered: to bear, 172; to otter, 177

Bark, boiled for making dyes, 141; ceremonial bowls and spoons of, 131, 137; ceremonial paint-dish of, 105-106; first Big House of, 148; roof of Big House of, 83

Beadsof wampum, as invitation to dance, 142-143; payment in, 110-111, 135; used in Minsi ceremony, 141-143. See Wampum

Beans, offering of, 144; thanks to, 134; wampum string symbolizing, 141-142

Bear, abundance of, in Happy Hunting Ground, 58; ceremony of, 171-176, 199; fat of, burned, 117-118, 134; flesh of, offered to Corn Goddess, 44; hair of Mask Being like, 33; head of, fastened to mask of Mask impersonator, 34;

provision of, for feast, 117

Bearskin, bag of Mask impersonator, 34, 155; cap of Mask impersonator, 42; coat of Mask impersonator, 41; dress of Mask impersonator, 56, 152-153; leggings of Mask impersonator, 34, 41; worn by members of Mask society, 159

“Beautifultown” or Heaven, 56-57. See HappyHuntingGround

Belief: in Doll Being, 162-171; in dream or vision, 61-80; in Great Spirit, 18-24, 88-92, 192-193; in immortality, 52-60, 195-196; in supernatural beings, 17-51

Bergen, New Jersey, information from Indians at, 20

Big-Deer, Naniʹtis given up by, 170-171

BigHouseor Xiʹngwikan, Annual ceremonies in, 35, 82-122; common to both tribes, 129-133, 196-197; construction of, 82-83, 119, 148-150; Elkhair on significance of, 113-115; Mask impersonator present in, 98-99; MuxhatoLʹzing in, 123; of Bear cult, 173; of Minsi, 127-145; origin of, 147-152; prayer in, 112-113; preparation of, for Ceremony, 85-87, 117; return of hunters to, 100-101; rites of Mask in, 151-152; seating of congregation in, 93; serving of meals in, 110; turtle rattles of, 181; visions recited in, 75-76.

See Annualceremony, Meeting-house

Bilberries, at Annual feast, 118; in Happy Hunting Ground, 58

Birdsas guardian spirits, 78, 80, 121, 195

Black, and red: carved faces painted with, 83, 119; Mask painted with, 33, 41, 150, 155; and white duck, as guardian spirit, 67, 140; hog, offering of, 173; symbolizing men, 140-141

Blanket, ceremonial waving of, 145; blankets spread over sweating-oven, 125

Blessinggranted by guardian spirits, 65-67, 77, 194-195

Blood, luminous ball of, 53-54

Body, luminous form of, 53-54

Bones, burning of, at Annual ceremony, 118

Bowl, and dice game of manĭʹtowŭk, 25-26; ceremonial, in Bear cult, 173-174; bowls, bark, in Minsi ceremony, 131, 137

Bowsandarrowsof Thunder Beings, 29

Box-tortoiserattlein Annual ceremony, 94-96, 118, 120. See Rattles

Box-turtlerattleof Planting dance, 143. See Rattles

Boys, dreaming of, for power, 54; initiation of, 63-64, 78-80; pet of, 172; vision of Mask Being by, 147-152; visions of, 62-63, 72-75, 92, 140, 194-195

Brainerd,David, on animal spirits, 50; on Annual ceremony, 151-152;

on carved faces in Big House, 42; on concept of soul, 56; on dream or vision, 77; on Evil Spirit, 25; on Four Directions, 27; on Great Spirit, 22-23; on impersonator of Mask Being, 41-42; on sun, 28

Brainerd,John, on idol image or Doll, 46-47

Brasseyesof Miziʹnk, 158

“Bringingin” the meeting, 81, 92-94, 104, 122, 135, 174

Brown,William, acknowledgment to, 14

Brushhouseof Bear cult, 173-174

Buck, chant referring to, 69; prayer to, 126; ridden by Mask Being, 33, 148; women’s share in, 106

Buckskin, skeleton wrapped in, 184

Buffalo, as guardian spirit, 78; dance of, 182-183

Bunchesofwampum, symbolism of, 141-143

Burial, Wolf clan rites of, 183-184

Burning, of bones, 118; of cedar leaves, 105; of fat, 117-118, 134, 173-175; of hemlock-boughs, 133, 144-145; of hog’s head, 175; of moccasins, 47; of tobacco, 29, 98, 126, 151.

See Offering

Cactuscalled peyote, 186.

See Peyoterite

Caddo, Peyote cult originating among, 185

Canada, Lenape now resident in, 13-14, 170.

See Ontario

Canoe, coming of white men in, 121; over river to Spirit land, 54

Cantico, Penn’s term for ceremony, 115-116

Cap, bearskin, of Mask impersonator, 42

Carveddrumsticks, in Annual ceremony, 101-103, 150; in Minsi ceremony, 130-131, 139-140, 197

Carvedfaces, on drumsticks, 101, 130-131, 197; on posts of Big House, 42-43, 83, 88, 106, 119, 148, 150; on posts of Minsi Big House, 129-130, 151; representing Keepers of the Heavens, 31.

See Mask, Masks, Mĭsiʹngʷ'

Catfish, James Wolf’s dream of, 72-73

Cattle, Mask Being guardian of, 35, 157

Cayuga, False Face company of, 161; long-house, thanksgiving of Lenape in, 139; Planting dance of, 143

Cedar-leaves, burning of, at Annual ceremony, 105

Centralpost, carved faces on, 83, 119, 151; ceremonial of: in Annual ceremony, 94, 106, 119-120; in Feast of first fruits, 144; in Minsi Big House, 129-130, 135; in MuxhatoLʹzing, 123

CentralWest, Peyote cult in, 185

Ceremonies, directed by guardian spirit, 65; extinction of, 63;

in honor of dead, 55, 191, 195-196; minor, 198-199; of Big House, 75-76, 82; of Lenape, paintings of, 14; of Minsi Big House, 127-145; of Minsi to Mother Corn, 43; of Unami and Minsi, compared, 196-200; thanks given to Great Spirit in, 18, 145, 196.

See Annualceremony, Ceremony

Ceremony, of Bear, 171-176; of Buffalo, 182-183; of Doll Being, 46, 162-171; of First fruits, 144-145; of Mask Being, 35, 198-199; of Mask society, 37, 159-161; of Otter, 176-183; of Peyote, 185-191; of Skeleton dance, 183-184; of Thanksgiving, 139-143.

See Annualceremony, Ceremonies

Chant, at Otter ceremony, 180-181; of Pokiteʹhemun, 67-68; referring to Mask Being, 69; referring to visions, 66-74, 136, 174-175, 195; Unami examples of, 67-72.

See Singers, Singing, Visions

Charm, opiʹna or blessing as, 65-66; charms: from Great Horned Serpents, 49; miniature masks as, 36, 42.

See Fetishes

Chartsof Heaven drawn on deerskin, 57

Chastityof boys, 62-63

Chief, of the gods, Great Spirit as, 19;

hunter of Annual ceremony, 85, 97.

See Leader

ChiefWaubuno, description of Minsi ceremony by, 143-145; on Great Spirit, 21-22

Children, cared for by Mask Being, 34-35, 153, 155-156; Doll Being revealed to, 162-163; Little People hunted by, 49, 193; meeting of, with parents in Heaven, 53, 91; no longer piʹlsŭⁿ, 63, 112-114; part of, in Annual ceremony, 108-109; prayers for, 115.

See Boys, Girls

Cholerachecked by False Face company, 161

Christ, tomb of, at Peyote rite, 186-187.

See JesusChrist

Christianity, concepts of, in Peyote rite, 186-190; idols given up for, 38; Naniʹtis given up for, 169; visions given up for, 72.

See Devil, Missionary, Whites

Clans, see Phratries

Clothingof Naniʹtis, 167.

See Costume

Coatof bearskins of Mask impersonator, 34, 41

Colors, dyes for, 141.

See Black, Red

Comet, attributes of, 48-49

Cones, copper, adorning Miziʹnk, 158

Confederacyof the Lenape, 13

Conjurer, information of, in regard to Great Spirit, 22-23

Copperadorning Miziʹnk, 158

Corn, beans and vegetables, wampum string symbolizing, 141142; called Lenape food, 70; in rattle of Mask impersonator, 42; offering of, 144; soul likened to, 59; spirit, duties of, 193; thanks for, 145; thanks to, 134.

See MotherCorn

Corn-breadat Minsi ceremony, 137

CornGoddess, see MotherCorn

Corn-mush, see Hominy, Säʹpan

Costume, of impersonator: of Mask Being, 33-34, 41-42, 56, 152-153, 155, 158; of Otter, 177-182; of members of Mask society, 159; of Naniʹtis, 169-170; of Sun, 27; worn at Annual ceremony, 93; worn at Ghost dance, 191

Cranesor singers of Annual ceremony, 85.

See Singers

Crayfish, James Wolf’s dream of, 72-73

Creator, see GreatSpirit

Cripples, injunction to help, 91-92

Crookednoseof Miziʹnk, 158

Crops, prayer for, 44, 134; ruin of, 113; supernatural control of, 194;

watered by Thunder Beings, 193

Cross, drumsticks marked with, 101; spirit road represented by line on, 187-188.

See Crucifix

Crowas guardian spirit, 69-70

Crucifixat Peyote rite, 187

Cult, see Ceremony, Ceremonies

Dance, at Thanksgiving ceremony, 142-143; in honor of Great Spirit, 88; native terms for, 115-116; of Buffalo, 182-183; of Doll Being, 164-165; of First fruits, 128; of guardian spirits, 73; of Ghost, 190-191; of Mask impersonator in Big House, 42, 99; of Mĭsiʹngʷ', 152-156; of Skeleton, 183-184; of Weopĕʹlakis, 36; Planting, 143; Strawberry, 128, 197; dances connected with Mask society, 160.

See Dancing

Dancesongsaccompanying chants, 66.

See Chant, Singers, Singing

Dancing, at Annual ceremony, 42, 95, 99, 103, 106, 115-116, 118-122; at Feast of first fruits, 145; at Minsi ceremony, 135-136, 140; in ceremonies of Naniʹtis, 168, 171; in Happy Hunting Ground, 56, 58.

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