Social learning theory postulates that modeling of overt behavior and the individual's cognitive representation of his/her behavior are two factors causally related to one's actions. Four factors are identified as central to alcohol abuse among American Indians: (a) rapid consumption of alcohol; (b) outmoded models of prolonged intoxication; (c) non-responsibility for intoxicated behavior; and (d) the peer drinking group. It is demonstrated that each of these four factors can be adequately accounted for using a social learning theory paradigm and consequently addressed within a behavioral treatment program.