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1
Adams, Brett. „An experimental study of the role of an exercise programme in the treatment of alcoholism“. Thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/25697.
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2
McMillan, C. L. „Differential assessment and treatment of alcoholism“. Thesis, University of Ulster, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.378672.
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3
Parker, Phyllis R. „Alcoholism, group therapy and self-esteem, residential group treatment in the North“. Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0034/MQ62489.pdf.
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4
Chadwick, R. M. „A comparative study of relevant talking in the group treatment of alcoholism“. Thesis, University of Aberdeen, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372611.
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5
Dirks, Bryan Larry. „A follow up study of alcohol dependent patients following in patient treatment at the Avalon Treatment Centre“. Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/25880.
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This is a report of an investigation assessing outcome in a consecutive series of alcohol dependent patients admitted to the Avalon Treatment Centre from 21 October 1985 to 14 April 1986. Although extensive work has been done on the epidemiology of alcoholism among "coloured" people * [classified in terms of the population registration Act]. A direct result of the original field survey by Gillis, Keet and Slabbert was the establishment of this centre. A follow up study of people identified as having drinking problems in the original field survey showed that few people stopped drinking on their own account. Little is known about treatment outcome of patients hospitalized at this centre. Treatment at The Avalon Treatment Centre is based on therapeutic community principles, group therapy, family and social case work as well as the use of antabuse. Contact with Alcoholics Anonymous is encouraged during and after hospitalisation. In addition patients are also followed up by a community sister.
6
Craig, Susanna D. „The effects of exercise on alcohol consumption and depression in DUI probationers“. Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-12162009-020232/.
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7
Hoffman-Konn, Lisa Denise. „Communal Coping in Couple Alcohol Treatment“. Diss., Tucson, Arizona : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1262%5F1%5Fm.pdf&type=application/pdf.
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8
Rufus, Brett Charles. „Relapse prevention therapy: an integrated approach to the treatment of alcohol disorders and comorbid anxiety : a review of literature on anxiety, alcoholism and relapse prevention therapy - recommendations for clinical psychology groups conducted as part of an inpatient alcohol rehabilitation programme in the Western Cape“. Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50078.
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Thesis (MA)--University of Stellenbosch, 2004.ENGLISH ABSTRACT: Two recent local studies of relapse among individuals who had attended inpatient alcohol rehabilitation programmes in the Western Cape found relapse rates of up to 60%. A high incidence of comorbid anxiety, low self-efficacy and avoidant coping style were principal reasons cited for relapse. The following literary review was undertaken in an effort at better understanding current findings on the comorbid relationship between alcohol abuse/dependency and anxiety, and on dysfunctional coping styles and relapse. It also reviews current literature and theory concerning the treatment of alcoholics using the Relapse Prevention (RP) model of therapy. Based on these findings, recommendations are made for the application of RP to the clinical psychology groups run for alcohol abusing/dependent inpatients at Neuro Clinic D, Stikland Hospital, Western Cape. Relapse Prevention Therapy was selected because of its integrated approach to addressing both substance abuse and the inadequate coping styles that often render people vulnerable to anxiety, depression and relapse. It was also chosen because of the more constructive, less punitive approach it takes to substance dependence/abuse and the issue of lapses and relapse. The recommendations made in this review should not, in any way, be seen as criticism of the existing programme at Neuro Clinic D. They are, essentially, the individual reflections of the author based on the four months he spent conducting clinical psychology groups in the unit and the findings of two local studies that looked at some of the reasons for relapse following treatment in this and other local facilities. The specific focus on the groups run by clinical psychologists should also not be seen as ignoring the important and valuable work done by other professionals in the unit; notably those in psychiatry, nursing, social work, occupational therapy and pastoral care. On the contrary, information gathered by these professionals is vital to the team effort of rehabilitation, and the identification of psychosocial stressors and cognitive patterns that place people at risk of relapse.
AFRIKAANSE OPSOMMING: Twee onlangse plaaslike studies van terugvalonder pasiënte wat binnepasiëntalkoholrehabilitasieprogramme in die Weskaap bygewoon het, het terugvalkoerse van tot 60% gerapporteer. 'n Hoë voorkoms van komorbiede angs, lae sin van self-vermoë en 'n vermydende streshanteringstyl was die hoofredes aangevoer vir die terugval. Die volgende literatuur-oorsig is onderneem in 'n poging tot 'n beter begrip van huidige bevindinge oor die komorbiede verhouding tussen alkoholmisbruik/afhanklikheid en angs, en oor wanfunksionele streshanteringstyle en terugval. Die oorsig beskou ook huidige literatuur en teorie aangaande die behandeling van alkoholiste deur middel van die Relapse Prevention (RP) model (Terugvalvoorkomingsmodel) van terapie. Op grond van hierdie bevindinge word aanbevelings gemaak VIr die toepassing van RP op die kliniese-sielkundegroepe aangebied VIr alkoholmisbruikende/afhanklike binnepasiënte by Neurokliniek D, Stiklandhospitaal, Weskaap. RP is gekies op grond van sy geïntegreerde benadering tot beide substansmisbruik en die onvoldoende streshanteringstyle wat dikwels mense kwesbaar maak vir angs, depressie en terugval. Die model is ook gekies as gevolg van die meer konstruktiewe, minder strafgerigte benadering tot substansafhanklikheid/misbruik en tot val en terugval. Die aanbevelings in hierdie oorsig moet in geen opsig beskou word as kritiek op die bestaande programme in Neurokliniek D nie. Hulle is, in wese, die individuele gevolgtrekkings van die skrywer gebaseer op sy vier maande ondervinding met sielkundegroepe in die eenheid en op die bevindinge van twee plaaslike studies wat ondersoek ingestel het na sommige van die redes vir terugval na behandeling in hierdie en ander plaaslike fasiliteite. Die spesifieke fokus op die groepe wat deur kliniese sielkundiges bestuur word moet ook nie gesien word as 'n geringskatting van die belangrike werk van ander professionele mense in die eenheid nie, in die besonder dié in psigiatrie, verpleging, maatskaplike werk, arbeidsterapie and pastorale sorg. In teendeel, inligting ingesamel deur hierdie mense is lewensbelangrik vir die spanpoging van rehabilitasie, en vir die identifisering van psigo-sosiale stressors en kognitiewe patrone wat pasiënte vatbaar maak vir terugval.
9
Ermann, Lauren Sheli. „The Lived Experiences of Older Women in Alcoholics Anonymous“. Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/51176.
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The purpose of this study was to describe, analyze, and better understand the lived experiences of women age 50 and older in Alcoholics Anonymous (AA). Guiding this inquiry were the following research questions: 1) How do the older women participants experience the AA program? 2) What aspects of AA do older women consider beneficial? 3) What aspects of AA do older women consider detrimental? 4) What do older women consider as important conditions to succeed in the AA program? 5) How did these older women elicit meaning in their involvement with AA? and 6) How was the narrative aspect of AA experienced by the participants?Fourteen older women from AA meetings in Southwest Virginia participated in two qualitative interviews. The results were represented by narrative descriptions of each participant\'s experiences and analyzed for common themes across the stories, which were presented and discussed. For these participants, the AA program was found to intersect with narrative therapy. AA, like narrative therapy, highlights deconstructing and re-authoring life stories through personal narratives. Storytelling itself proved to be among the most important traditions of AA and a core benefit to the storyteller (and to a lesser extent, the listener). Study participants found that telling their stories allowed for 1) a way to give back to the program, 2) a feeling of belonging to the group, 3) a welcome reminder to the speaker of her past struggles with alcoholism, and 4) a spiritual experience. Many of the women articulated their early concerns with publicly sharing at meetings, as well as their ongoing considerations of boundaries, over-sharing, and conflicts of interest in storytelling. Finally, in an unexpected finding, the women cultivated and maintained intimate friendships with other women in AA that addressed relevant issues beyond sobriety including everyday needs and life challenges. Social activities often transcended the boundaries of the meetings.
Ph. D.
10
Cornwall, Jane. „Alcohol dependence and avoidant attachment : implications for therapy“. Thesis, University of Wolverhampton, 2007. http://hdl.handle.net/2436/14641.
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The literature review revealed co-morbidity between adverse childhood experiences, adult psychopathology and alcohol dependence, although causality was questionable due to multiple variables. The current study used 54 clients at the acute end of the spectrum of severe alcohol dependence from a specialist tertiary substance misuse service (clients) and a control group of 54 non-problematic drinkers from an NHS working population (controls) to examine possible differences in security of attachment and maladaptive schemas and investigated how early relational experiences influenced core beliefs regarding self, others and intimate relationships and therapeutic implications for severely alcohol dependent clients’ engagement in specialist services. The study was divided into two sections: (1) quantitative analysis using Feeney, Noller and Hanrahan’s (1994) Attachment Style Questionnaire to measure attachment style and Young’s Schema Questionnaire (Young & Brown, 2001) to measure maladaptive schemas in the domain of disconnection and rejection and (2) qualitative analysis, using Interpretational Phenomenological Analysis (IPA) to explore eight severely alcohol dependent clients’ subjective experiences of intimate relationships. Clients scored significantly lower in secure attachment style and significantly higher in both avoidant and ambivalent attachment style than controls and suggested overlapping between the two dimensions, known as ‘fearful avoidant’ attachment. Clients scored significantly higher than controls in all five sub-categories of maladaptive schemas in the domain of disconnection and rejection, namely mistrust/abuse, emotional deprivation, abandonment, social isolation/alienation and defectiveness/shame. IPA revealed common themes of negative parent-child interaction: physical and psychological abuse, neglect and explicit maternal rejection and emotional deprivation and hostile and abusive parent-parent interaction. These aetiological factors influenced fearful avoidant attachment and maladaptive core beliefs. Negation of children’s needs implicated an immaturely developed diffuseness of identity and defective self that inhibited formation of intimate adult relationships. A bio-psychosocial explanation suggested alcohol ameliorated hyper-vigilant anxiety and depression from adverse childhood experiences within a threatening family environment that implicated insecure attachment, maladaptive core beliefs and negative self-identity, inhibiting emotional intimacy. It advocated screening procedures and an integrated CBT and schema-based therapeutic approach for those at the more severe end of the spectrum of alcohol dependence deemed at risk of not engaging or disengaging prematurely from services.
11
Kinsella, Amanda Jane. „Mindfulness-based cognitive therapy for alcohol dependency and dysregulated mood : investigating self-efficacy and the role of self-compassion“. Thesis, University of the West of England, Bristol, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.570709.
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12
Singulane, Bianca Aparecida Ribeiro. „Aliança terapêutica e satisfação com o tratamento na psicoterapia por internet para dependentes de álcool“. Universidade Federal de Juiz de Fora, 2016. https://repositorio.ufjf.br/jspui/handle/ufjf/1286.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
Introdução: O consumo de álcool salienta-se como um grave problema de saúde pública no Brasil e no mundo. Porém, o número de usuários que procuram ajuda ou que conseguem tratamento ainda é reduzido. As terapias por computador (e-terapias) têm sido apontadas como alternativas de tratamento para diversos transtornos mentais, dentre eles o uso problemático de álcool e outras drogas. Uma preocupação importante relacionada a esta modalidade de atendimento refere-se à aliança terapêutica e a satisfação com o tratamento, condições básicas para que haja um atendimento psicoterapêutico de qualidade. Objetivo: O presente trabalho contempla objetivos de dois estudos: o primeiro pretendeu avaliar a literatura sobre aliança terapêutica nas Terapias cognitivo-comportamentais realizadas por videoconferência para diferentes transtornos mentais; e o segundo almejou avaliar a aliança terapêutica e a satisfação com o tratamento em uma psicoterapia por videoconferência para dependentes de álcool. Metodologia: No primeiro estudo foi realizada uma revisão sistemática de literatura, incluindo artigos empíricos dos últimos 11 anos, escritos nas línguas inglesa, portuguesa ou espanhola, que avaliavam a aliança terapêutica na TCC realizada por videoconferência. No segundo estudo, foi realizado um estudo de casos múltiplos, retirados de uma amostra que participou da TCC por videoconferência para dependentes de álcool. Os resultados foram analisados por meio de uma triangulação de dados, trabalhados de forma qualitativa e quantitativa. Resultados: No artigo 1 observou-se que a maioria dos estudos indicou que a aliança foi alta no decorrer das sessões de TCC por videoconferência, podendo ser comparada com a formada na psicoterapia presencial. Já os resultados do estudo 2 mostraram que, na TCC por videoconferência, houve formação de uma aliança terapêutica de qualidade e que os clientes ficaram satisfeitos com tratamento. Discussão: Apesar das limitações destes estudos, podemos inferir que há indícios tanto na revisão de literatura, quanto no estudo empírico, de que a aliança terapêutica e a satisfação com o tratamento na TCC por videoconferência pode ser comparável com os resultados encontrados na psicoterapia presencial. Assim, ela pode ser uma alternativa viável de tratamento para indivíduos com dependência de álcool.
Introduction: Alcohol consumption stands out as a serious public health problem in Brazil and worldwide. However, the number of users seeking help or who fail treatment is still low. The computer therapies (e-therapies) have been identified as alternative treatment for various mental disorders, including the abuse of alcohol and other drugs. A major concern related to this type of service refers to the therapeutic alliance and treatment satisfaction, basic conditions so that there is a psychotherapeutic care quality. Objective: This study includes two study objectives: the first aimed to evaluate the literature on therapeutic alliance in cognitive-behavioral therapies conducted by videoconference for different mental disorders; and the second craved evaluate the therapeutic alliance and treatment satisfaction in psychotherapy by videoconference to alcoholics. Methodology: In the first study was carried out a systematic review of the literature, including empirical articles from the past 11 years, written in English, Portuguese or Spanish that evaluated the therapeutic alliance in CBT held by videoconference. In the second study, we conducted a study of multiple cases, drawn from a sample of CBT participated by videoconference for alcoholics. The results were analyzed by means of a data triangulation worked qualitative and quantitative manner. Results: In Article 1 it was observed that most studies indicated that the alliance was high during the CBT sessions by videoconference and can be compared to that formed in the presence psychotherapy. Already the second study results showed that, in CBT by video conference, there is formation of a therapeutic alliance of quality and that clients were satisfied with treatment. Discussion: Despite the limitations of these studies, we can infer that there is evidence of the therapeutic alliance and treatment satisfaction in CBT by videoconference can be comparable with the results found in face psychotherapy. Thus, it can be a viable alternative treatment for patients with alcohol dependence.
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Gumier, Andressa Bianchi. „Terapia por internet para dependentes de álcool: desenvolvimento de um protocolo de pesquisa e intervenção“. Universidade Federal de Juiz de Fora, 2015. https://repositorio.ufjf.br/jspui/handle/ufjf/305.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Diante do crescente envolvimento dos indivíduos com álcool e da falta de ofertas de tratamento em relação à demanda, tem aumentado na literatura estudos avaliando a eficácia e a efetividade de intervenções realizadas por internet. A partir de uma revisão de literatura sobre o tema, verificou-se que, no país, ainda não foi realizado nenhum estudo com esses propósitos. Porém, anterior à realização de um ensaio clínico randomizado desta natureza, faz-se primordial o estabelecimento de um protocolo de intervenção terapêutica padronizado que possa auxiliar e orientar os clínicos e pesquisadores no desenvolvimento de uma terapia realizada por internet. A criação de um protocolo de pesquisa clínica contribui para uma melhor compreensão do estudo e possibilita um melhor julgamento da confiabilidade, da repetibilidade e da reproducibilidade dos seus resultados. O presente trabalho tem como objetivo geral desenvolver um protocolo de pesquisa e intervenção para a realização de um ensaio clínico randomizado para avaliar a efetividade de uma terapia realizada por internet com a presença de um terapeuta para dependentes de álcool baseada na Terapia Cognitivo-Comportamental, na Prevenção de Recaída e em princípios da Entrevista Motivacional.
Given the increasing involvement of individuals with alcohol and the lack of treatment offers over demand, studies to evaluate the efficacy and effectiveness of interventions through the internet have increased in the literature. From a literature review on the topic, it was found that, in Brazil, no studies for these purposes were done. However, prior to carrying out a randomized clinical trial of this nature, it is essential to establish a standard therapeutic intervention protocol that can assist and guide clinicians and researchers in the development of a therapy performed through the internet. The creation of a clinical research protocol contributes to a better understanding of the study and provides a better judgment of the reliability, repeatability and reproducibility of their results. The main objective of this essay is develop a protocol for research and intervention for conducting a randomized clinical trial to evaluate the effectiveness of a therapy performed through the internet with the presence of a therapist for alcoholics based on Cognitive-Behavioral Therapy, in Relapse Prevention and principles of Motivational Interviewing.
14
Jones, Katherine Champe. „Training on the diagnosis, treatment, and referral of substance abusers and their families in AAMFT-accredited master's level marriage and family therapy programs“. Thesis, Virginia Tech, 1989. http://hdl.handle.net/10919/44115.
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Because of the prevalence of substance abuse in America and
the association between this issue and common problems
brought to the family therapist, it is important that family
therapists be trained to diagnose and either treat or refer
substance abusing clients and their families. This study
gathered information from the Directors of Master's level
family therapy programs accredited by AAMFT about the
content and format of training that students in their
programs receive preparing them to work with substance
abusing families. Twenty of the 22 programs were
represented by completed questionnaires. Five programs were
reported as having a required substance abuse course; four,
a popular elective. Three respondents reported plans to
increase their coverage of the topic in their curricula.
The average of the responses for prevalence of substance
abuse as a central issue in practicum cases was 30%.
Although about 75% of the respondents believed that their
graduates were ready to diagnose and refer these cases, only
25% believed that these same students were ready to treat
substance abuse cases. Data showed that 40% of the
respondents believed it advisable for AAMFT to require a
separate course on substance abuse. Comments from those
opposed to such a requirement noted the crowdedness of
existing curricula, the importance of academic freedom, and
the abundance of other topics to be covered.
Master of Science
15
Mainville, Sylvie. „Investigating the Delivery of Therapeutic Recreation Services on the Internet: a Pilot Study Using Leisure Education for the Prevention of Alcohol Abuse“. Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc278246/.
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This pilot study, grounded in social learning theory, demonstrated that leisure education services can be delivered on the Internet. Participants (n=40) successfully accessed the Web page program and responded to instruments and surveys. The treatment group (n=16) effectively completed four leisure education sessions on-line. Confidentiality, privacy, and anonymity issues were controlled. Responses were monitored and feedback provided as to the complexity of the program and comprehension
of the participants. The leisure education program had no significant effect on posttest measures of alcohol expectancies and leisure motivations. Mean changes frompretest to posttest may indicate trends. The small n and convenience sample may have introduced many extraneous variables. Professional implications include compliance issues (57% experimental mortality rate), technology-related anxiety, and limited professional competency to work in this environment. Future research which examines the provision of leisure education and other components of therapeutic recreation service on-line is
warranted.
16
Freeman, Denise A. „"It's like a Gordian Knot" : how older men in sobriety experience their emotions in therapy, using Interpretative Phenomenological Analysis“. Thesis, Roehampton University, 2015. http://hdl.handle.net/10142/556933.
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Older men are an under-researched population in Counselling Psychology. This thesis explores how older men in sobriety experience their emotions in therapy and aims to understand the meaning of these experiences from a psychologically gendered subject perspective. Semi-structured interviews were carried out with six older men (aged 62 and above) and interview transcripts were analysed using Interpretative Phenomenological Analysis (IPA), a qualitative methodology that focuses on the lived experience and the meaning people give to these experiences. The analysis highlighted significant challenges for older men when attempting to unlock, process or discuss emotions in therapy. The analysis also revealed positive transformational effects by those who were able to transcend the confines of gendered constructs with concerted emotional investments. The two master themes are: (1) CONTROL/REGULATION OF EMOTIONS including subthemes: Challenges to unlocking emotion; Importance of therapeutic emotional containment; Role of Alcoholics Anonymous (AA) in the emotion sharing experience and (2) TRANSFORMATION/ALLEGIANCE TO SELF, including subthemes: Selfactualisation; Going into the heart of emotions as an emotional-spiritual journey. Participants expressed challenges to unlocking their emotions in therapy,which were mainly experienced as controlled or suppressed. Aging, masculinity and helpseeking theories, as well as addiction and recovery literature, are discussed in light of the findings along with suggestions for future research and implications in Counselling Psychology.
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Cançado, Mariana Figueira Lopes. „Psicoterapia por internet para dependentes de álcool de um site especializado: viabilidade, aceitabilidade e resultados clínicos iniciais“. Universidade Federal de Juiz de Fora (UFJF), 2017. https://repositorio.ufjf.br/jspui/handle/ufjf/5662.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Apesar do consumo problemático de álcool ser um problema de saúde pública a busca por tratamento é pequena e a oferta de serviços especializados é insuficiente. Nos últimos anos cresceu o número de ofertas de tratamentos online para diferentes transtornos, incluindo o problemas com o uso de álcool. Este estudo teve como objetivo avaliar a viabilidade e aceitabilidade de uma psicoterapia online para dependentes de álcool e descrever os resultados clínicos iniciais. Para isso foi realizado um estudo piloto com os participantes com uso sugestivo de dependência cadastrados no site www.informalcool.org.br/bebermenos. Os convites foram realizados por e-mail e a psicoterapia proposta foi feita inteiramente por videoconferência. Observamos que entre o cadastramento e a realização da psicoterapia existem algumas etapas de perda. Foi feita a descrição dos participantes em cada etapa para melhor compreensão do perfil dos mesmos. Observou-se que o perfil prevalente para esta intervenção entre todas as etapas do recrutamento e da psicoterapia por internet foi homens, empregados, com alta escolaridade, em estágio de contemplação para mudança do comportamento de beber, com uma média de idade entre 37 e 41,3 anos e pontuação no teste AUDIT entre 22,7 e 26,0. Nenhum dos participantes da psicoterapia online havia se tratado anteriormente para o seu uso de álcool. Encontrou-se que a taxa de resposta aos e-mails convite para a psicoterapia por internet foi de 28,2%, e todos os participantes elegíveis convidados para participar aceitaram iniciar o tratamento, confirmando aceitabilidade. Dos 12 pacientes que iniciaram a psicoterapia 6 finalizaram. Houve redução no número de doses consumidas, de 9,6 doses para 3 doses por ocasião e aumento na quantidade de dias abstinente, de 14 dias para 21,3 dias. Consideramos que a amostra neste estudo apresentou boa aceitabilidade a proposta de psicoterapia por internet, ainda que se apresentem taxas de perda, uma vez que estas existem em estudos clínicos e em psicoterapia. Consideramos viável a realização de um ensaio clínico para avaliar a eficácia e efetividade da psicoterapia por internet.
Although problematic alcohol consumption is a public health problem, the search for treatment is small and the supply of specialized services is insufficient. In recent years there has been an increase in the number of online treatments for different disorders, including alcohol use disorders. This study aimed to evaluate the viability and acceptability of an online psychotherapy for alcohol dependents and to describe the initial clinical results. For this, a pilot study was carried out with the participants with suggestive use of dependence registered in the site www.informalcool.org.br/bebermenos. The invitations were made by e-mail and the proposed psychotherapy was done entirely by videoconference. We observe that between the registration and the accomplishment of the psychotherapy there are some stages of loss. The participants were described at each stage to better understand their profile. It was observed that the prevalent profile for this intervention between all stages of recruitment and internet psychotherapy was men, employed, with high schooling, in contemplation readiness to change drinking behavior, with a mean age between 37 and 41.3 years and AUDIT score between 22.7 and 26.0. None of the participants in online psychotherapy had previously treated themselves for their alcohol use. It was found that the response rate to e-mail invitations to online psychotherapy was 28.2%, and all eligible participants invited to attend agreed to initiate treatment, confirming acceptability. Of the 12 patients who started psychotherapy six finalized. There was a reduction in the number of standard drinks consumed, from 9.6 drinks to 3 drinks per occasion and an increase in the number of days abstinent, from 14 days to 21.3 days. We consider that the sample in this study presented a good acceptability to the proposal of psychotherapy delivered by Internet, even though there are rates of loss, since these exist in clinical studies and in psychotherapy. We consider it feasible to conduct a clinical trial to evaluate the efficacy and effectiveness of online psychotherapy.
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Figueiredo, Flavia Cristina Almeida Leite. „Complicações pulmonares relacionadas ao transplante de medula óssea“. Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-16122008-154325/.
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Transplante de medula óssea (TMO) é um procedimento terapêutico que tem como o objetivo a substituição da medula óssea doente por outra saudável. É utilizado em pacientes oncológicos e pode representar a cura da malignidade hematológica ou o resgate da medula óssea para a continuidade do tratamento antineoplásico. No TMO são empregadas drogas com alta toxicidade que agem ao nível sistêmico e que podem causar severos danos ao organismo. Esses danos resultam em complicações diversas que irão influenciar o prognóstico e sobrevida do paciente. As complicações pulmonares são associadas a altas taxas de mortalidade, sobretudo quando a ventilação mecânica (VM) é necessária. Ainda não há consenso na literatura quanto às causas, os fatores de risco e o tratamento adequado. Este estudo teve como objetivo identificar os fatores preditivos para insuficiência respiratória (IRP) em paciente oncológicos após o TMO autólogo e investigar o impacto da ventilação não-invasiva (VNI) na evolução clínica destes pacientes. Foi realizado o levantamento retrospectivo de 161 pacientes submetidos ao TMO autólogo no Hospital A.C. Camargo entre 1995 e 2005. Houve forte associação de IRP e óbito (p< 0,001) e também observamos associação com mucosite (p=0,016) e etilismo (p=0,036), essa associação permaneceu significante na análise multivariada [mucosite (p=0,004) e etilismo (p=0,02)]. De acordo com a análise de sobrevida encontramos associação com o maior número de regimes de quimioterapia no passado (p= 0.005), mucosite (p= 0.029), etilismo (p= 0.044) e redução da capacidade de difusão de monóxido de carbono (p=0.048). Em nosso estudo a taxa de mortalidade permanece alta para aqueles pacientes que desenvolvem IRP e necessitam de VM. A VNI não demonstrou efeito protetor na sobrevida dos pacientes que evoluíram com IRP. A mucosite mostrou-se um fator de piora no prognóstico destes pacientes devendo ser agressivamente evitada e tratada. O impacto do etilismo na incidência de insuficiência respiratória (IRP) e mortalidade destes pacientes merece destaque especial com necessidade de mais pesquisas. O stress oxidativo parece ter um importante efeito causal para as complicações pulmonares após o TMO podendo ser potencializado pelo etilismo. O maior número de esquemas de quimioterapia no passado aumentou a mortalidade, isso poderia representar pacientes com neoplasias mais resistentes ao tratamento ou pacientes que foram expostos ao efeito cumulativo das drogas. A capacidade de difusão de monóxido de carbono é um teste bastante útil para prever risco de óbitoBone marrow transplantation (BMT) is a therapeutic procedure to replace unable marrow for another healthy one. Its used in cancer patients to cure or refresh marrow to keep the cancer treatment. Respiratory failure (RF) after BMT is associated with high mortality specially when mechanical ventilation (MV) is needed, it may be due to treatment-related toxicity, infection, or immunologic insufficiency. Many studies have trying to identify causes, predicting factors and response for the usual treatment, but until now there is no agreement in literature. The aim of this study is to identify which factors evaluated in routine anamnesis and exams pretransplant can affect the prognosis of those patients. We retrospectively collected variables in 161 consecutive cancer patients who had undergone autologous BMT. The variables obtained from the in-hospital period were submitted to univariated and multivariated stepwise logistic regression analyses. Survival analysis also was computed in 100 days follow up. There were highest association for respiratory failure (RF) with death (p<0.001) and we also found a significant association with alcohol abuse (p =0.036) and mucositis (p=0.016), and those variables remained statically significant in multivariated analysis [mucositis (p=0.004) and alcohol abuse (p=0.02)]. According to survival analysis we found significance for the major number of chemotherapy regimens received in the past (p= 0.005), mucositis (p= 0.029), alcohol abuse (p= 0.044) and decreased monoxide carbon diffusion (p=0.048). In our study the mortality rate remains high for those patients who develop RF and need MV. It seems not to have impact what kind of ventilatory support is used (invasive or non-invasive ventilation). Mucositis needs special attention because treating it we can be preventing RF and decrease mortality rates. The effect of alcohol abuse in mortality rate and RF deserve a special attention because its socially accepted and his deleterious action its not explained. The oxidative stress seems to have an important main effect over post-transplant complications and it can be increased by alcohol abuse history. The major number of chemotherapy regimens received in the past increase mortality, it could represent patients who had baseline disease more difficult to treat, more resistant, or patients who were exposed to a cumulative side effect of drugs. Monoxide carbon diffusion is a useful test to identify the risk for death
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Marques, Ana Lucia Marinho. „Itinerários terapêuticos de sujeitos com problemáticas decorrentes do uso de álcool em um centro de atenção psicossocial“. Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5163/tde-07052010-143843/.
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Os problemas decorrentes do uso de álcool trazem impactos relevantes para o campo da saúde pública e levam ao desenvolvimento de políticas e propostas de tratamento baseadas em perspectivas e abordagens teórico-práticas que apresentam marcantes diferenças entre si, o que resulta na pluralidade de ofertas terapêuticas atuais. Tratase de questão complexa que envolve fatores de diversas ordens: socioculturais, econômicos, políticos, sócio-familiares e individuais. Tal complexidade deve ser considerada na construção das práticas de saúde e na compreensão dos processos de busca, escolha e adesão as propostas de tratamento, como interativos, relacionais e dotados de significados singulares. O presente estudo visou conhecer os itinerários terapêuticos de sujeitos com problemáticas decorrentes do uso prejudicial de álcool em um Centro de Atenção Psicossocial para usuários de álcool e outras drogas CAPSad. A pesquisa, de caráter qualitativo, foi orientada pela perspectiva etnometodológica, e empregou os procedimentos metodológicos de revisão bibliográfica, pesquisa documental, entrevistas semi-estruturadas, grupo focal, observação participante e construção de diário de campo. O trabalho de campo foi realizado no CAPSad Travessia, situado no município de Santana de Parnaíba/SP, no período de janeiro a março de 2009. Os resultados mostraram que os itinerários terapêuticos dos participantes foram compostos por um conjunto de ações sucessivas e muitas vezes sobrepostas. Os sujeitos tendem a recorrer simultaneamente a diversos lugares de tratamento e cuidado e chegam ao serviço de saúde sem a formulação clara do problema e nem tampouco com conhecimento sobre a proposta do serviço. Tal percurso não se configura como resultado de escolhas racionais prévias, mas da experiência construída no processo, que dota de significados as vivências e problemáticas relacionadas ao uso de álcool e a própria necessidade de busca de ajuda e enfrentamento do problema. Nesse processo, nota-se a importância das redes sócio relacionais, no contexto das quais são compartilhados os significados atribuídos às experiências e a orientação e sustentação dos processos de busca de ajuda. Concluímos que a preocupação em conhecer os saberes e práticas dos sujeitos na construção de seus itinerários terapêuticos deve compor as práticas de cuidado, desenvolvidas pelos profissionais nos serviços de saúde, comprometidas com o fortalecimento dos sujeitos individuais e coletivos, com a construção de direitos e cidadania e com a produção de saúde e de vidaProblems in consequence of the use of alcohol bring on relevant impacts to public health field and lead to the development of policies and treatment proposals based on perspectives and theoretical-practical approaches that present marked differences among them, resulting on the plurality of current therapeutic offers. This is a complex question that involves factors in several orders: sociocultural, economics, politics, socio-familiars and individuals. This complexity should be considered in the construction of health practices and understanding of the processes of search, choice and adherence to the treatment proposals, as interactive, relational and endowed of singular meanings. This study aimed to know the therapeutic itineraries of individuals with problems in consequence of harmful use of alcohol in a Psychosocial Care Center for users of alcohol and others substances CAPSad. The research used qualitative methods and was oriented by the ethnomethodological perspective. It employed the methodological procedures of bibliographical review, documental research, semi-structured interviews, focus group, participant observation and construction of field diary. The fieldwork was conducted in CAPSad Travessia, located in the city of Santana de Parnaíba/SP, from January to March of 2009. The results showed that the therapeutic itineraries of the participants were composed of a set of successive and often overlapping actions. The individuals tend to appeal simultaneously to several places of treatment and care and arrive to the health service without a clear formulation of the problem and neither informed about the proposal of the service. This pathway do not configure itself as a result of previous rational choices, but as the experience built during the process, which attributes meanings to the experiences and problems related to alcohol use and to the own necessity of help search and confrontation of the problem. In this process, it is possible to note the importance of social relational networks, in the context of which the meanings attributed to the experiences and the orientation and sustentation of process of help searching are shared. We conclude that the preoccupation in knowing the knowledge and practices of the individuals on the construction of their therapeutic itineraries must compose the care practices, developed by professionals in the health services, committed with the strengthening of individual and collective subjects, with the construction of rights and citizenship and with the production of health and life
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Snapp, C. Thomas. „Trust, a cognitive therapeutic issue for pastoral care with adult children of alcoholics“. Theological Research Exchange Network (TREN), 1991. http://www.tren.com.
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Nicholson, Nichole. „Diagnosed Identity: Using Performance to Rupture Dominant Narratives of Adult Children of Alcoholics“. OpenSIUC, 2010. https://opensiuc.lib.siu.edu/theses/383.
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Using autoethnography, performance praxis, and narrative theory, this thesis seeks to examine the discourses of the Recovery Industry in relationship to Adult Children of Alcoholics (ACoA). The Recovery Industry creates normalized identity scripts that may be problematic for some people who fall under this diagnosis/category. By using subversive performance praxis, the author hopes to rupture these dominant narratives in hope of creating new possibilities for identity narratives.
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Adams, Douglas R. „An early counselling intervention program for problem drinkers contrasting group and individual delivery formats“. Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/31113.
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It is hypothesized that group treatment may be more effective than an individual treatment format. The purpose of this study was to address several deficiencies of previous research in contrasting group and individual treatment delivery formats and to assess the differential effectiveness of these two formats. The treatment area chosen was that of early problem drinker treatment as it was relatively easy to control treatment content across treatment formats since detailed content manuals and theory have been well developed in this area.
Subjects were selected from those respondents to a media advertisement who passed several screening criteria and were alternately assigned to a group or individual format. A lack of the requisite number of subjects required some specific design changes. Each treatment condition was given a structured eight-week treatment program of once per week meetings of seventy-five minutes each or a wait-list control condition. Statistical contrasts were then performed on the following variables: total drink units per week, maximum drink units per day, Profile of Mood States -a measure of current affective state, Weissman Social Adjustment Scale - a measure of social functioning level, and a general problem checklist. Data units were gathered
pre-treatment, weekly during treatment for drink units, at post-treatment follow-up, and at six months following the end of treatment. The other data were gathered pre-treatment, post-treatment, and at the six-month follow-up.
Results of the data manipulations indicated that the treatment intervention was associated with greater improvement on alcohol consumptions than a wait-list control group, but that group treatment was not associated with greater treatment gains than the individual format on any measures. These results are given to be tentative given several major limitations of this study which are discussed.
The research was found to be relevant in the area of treatment planning, and is interpreted as providing a more theoretically meaningful contrast of the two formats than previously achieved due to greater experimental control of possibly confounding variables. A useful initial test was performed of a treatment program developed for this study which shows promise for helping problem drinkers. It is also suggested that this research provides some important conclusions for the contrast of group and individual formats in psychological interventions generally. Future directions are suggested.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Campbell, Samadhi Deva. „Process of Motivational Enhancement Therapy: Relationships between Therapist and Client Behaviours, and Alcohol Use Outcome“. Thesis, University of Canterbury. Psychology, 2007. http://hdl.handle.net/10092/1414.
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Motivational Interviewing (MI) is an evidence-based, directive, client-centered therapy designed to develop discrepancy and resolve ambivalence by eliciting and reinforcing client Change Talk. However, the exact link between the process engaged in during MI and outcome is only starting to be uncovered. The present thesis has replicated and expanded on the current knowledge of the relationship between Therapist and Client Behaviours during a MI-based intervention (Motivational Enhancement Therapy; MET) and outcome, and has provided support for the emergent theory of the inner workings of MI. This was achieved by coding 106 audiotaped MET sessions primarily by the methods outlined in the Motivational Interviewing Skill Code Version 2.0. Data was drawn from 28 participants who received 3-4 sessions of MET within the context of a randomised controlled trial for mild-moderate alcohol dependence at the Community Alcohol and Drug Service of Christchurch. Therapist and Client Behaviours were analysed within sessions (categorised into Early, Mid, or End Intervals) and across sessions, and compared with whether the client had drank within national drinking guidelines during the 6-months after MET (Controlled Drinkers). In terms of Client Behaviours during MET it was found that Uncontrolled Drinkers (compared with Controlled Drinkers) uttered a significantly higher frequency of Sustain Talk, lower Ability Language strength (over all MET and during End Intervals), and lower Commitment Language strength (during Session 2 and 4, and change over MET). Giving Information was the only Therapist Behaviour where significant differences were observed over all MET, with a higher frequency given to the Uncontrolled Drinkers. However, during End Intervals within MET Sessions, Controlled Drinkers received a significantly higher frequency of Advise without Permission and a lower frequency of Emphasise Control statements. In most instances MI-Consistent Therapist Behaviours were associated with higher strength of Ability and Commitment Language, and a lower frequency of Sustain Talk. MI-Inconsistent Therapist Behaviour, Direct, was associated with lower Client Language strength. Limitations to these results include small sample, limited ability to make inferences about causality, coder biases, and uneven reliability. However, this exploratory study was unique in investigating the relationship between Therapist Behaviours and the strength of Client Language, and in examining these factors within and across multiple sessions, and has produced a number of potentially valuable findings that warrant further investigation.
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Flack, Elizabeth F. „The differential characteristics between transformational change experiences and volitional change in recovering substance dependent individuals“. View electronic thesis, 2008. http://dl.uncw.edu/etd/2008-1/flacke/elizabethflack.pdf.
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Pieterse, Luna. „Die benutting van musiek in maatskaplike groepwerk met dwelmafhanklikes“. Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53369.
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Thesis (MSocialWork)--Stellenbosch University, 2003.ENGLISH ABSTRACT: An exploratory study was conducted to determine the nature and extent of the emotions and emotional experiences of alcoholics and chemically dependent adults. The study was also conducted to explore the theoretical field of music therapy and determine how music can be utilized to social group work with alcoholics and chemically dependent adults. The exploratory study was also conducted to determine how many knowledge social workers have about music therapy, and to what extent they believe it can practically be used in social group work with alcoholics and chemically dependent adults. The researchers' interest in group work and the importance of the use of creative aids during group work is the motivation for this study. The aim of the study is thus to establish guidelines for the use of music in social group work in order to provide effective intervention for alcoholics and chemically dependent adults. The most general personality traits, emotions, defence mechanisms, communication and motivational problems of alcoholics and chemically dependent adults, have been enclosed in the literature study. The corresponding principles, goals and intervention processes of group work and music therapy was also highlighted. Focus was especially placed on the corresponding functions of group work and music namely the handling of defence mechanisms, the exploration and expression of emotions, the improvement of communication, the development of a positive self-esteem, socialisation and the facilitation of personal motivation. The value of group work and music in the addressing of alcoholics' and chemically dependent adults' problems and needs, has been investigated because of the specific corresponding functions of group work and music. The umversum IS social workers at institutions that make use of group work interventions in their treatment programmes for alcoholics and chemically dependent adults. A combination of quantitative and qualitative research methods was used, namely structured interviews as well as structured questionnaires. The results of this study generally confirmed the findings of the literature study. The recommendations can be divided into three areas namely recommendations concerning policy, programmes and training of social workers, recommendations concerning the corresponding functions of group work and music, and recommendations concerning future research. The importance of further research in the testing of the value of music in group work for specific client groups was especially recommended.
AFRIKAANSE OPSOMMING: 'n Verkennende studie is in hierdie ondersoek geïmplimenteer ten einde die aard en omvang van volwasse dwelmafhanklikes se emosies en emosionele belewenisse te beskryf, 'n teoretiese verkenning van musiekterapie te doen en dit in verband te bring met maatskaplike groepwerk, en te bepaal in watter mate musiek tydens groepwerk met volwasse dwelmafhanklikes toegepas kan word. Die verkennende studie is ook geïmplimenteer om te bepaal in watter mate maatskaplike werkers kennis oor bogenoemde vorm van intervensie het en in watter mate hulle van mening is dat die benutting van musiek in groepwerkprogramme vir dwelmafhanklikes in inrigtings uitvoerbaar is. Die motivering vir hierdie studie het na vore gekom weens die navorser se belangstelling in kreatiwiteit in die uitvoer van maatskaplike groepwerk. Die doel van hierdie studie is dus om riglyne daar te stel vir die benutting van musiek in maatskaplike groepwerk ten einde effektiewe intervensie aan dwelmafhanklikes in inrigtingsverband te lewer. Die literatuurstudie het die algemene persoonlikheidstrekke, emosies, verdedigingsmeganismes, kommunikatiewe en motiveringsprobleme van dwelmafhanklikes ingesluit. Die gemeenskaplike beginsels, doelstellings en intervensieproses van groepwerk en musiekterapie is ook in die literatuurstudie uitgelig. Daar is veral gefokus op die gemeenskaplike funksies van groepwerk en musiek naamlik die hantering van verdedigingsmeganismes, die eksplorering en uitdrukking van emosies, die bevordering van kommunikasie, die ontwikkeling van 'n positiewe selfbeeld, sosialisering en die fasilitering van persoonlike motivering. Weens die spesifieke gemeenskaplike funksies van groepwerk en musiek, is daar besluit om die waarde van groepwerk en musiek in die aanspreek van dwelmafhanklikes se probleme, te ondersoek. Die universum is maatskaplike werkers by inrigtings wat intervensie aan dwelmafhanklikes deur middel van groepwerk, bied. Die ondersoek is deur 'n kombinasie van gestruktureerde onderhoude sowel as gestruktureerde vraelyste, gerig. Kwalitatiewe en kwantitatiewe inligting is dus ingesamel. Die resultate van hierdie ondersoek het tot 'n groot mate die bevindinge van die literatuurstudie bevestig naamlik dat dwelmafhanklikes met sekere persoonlikheidseienskappe, emosies, verdedigingsmeganismes en kommunikatiewe probleme presenteer; dat groepwerk 'n gewenste metode om bogenoemde behoeftes en probleme aan te spreek en te hanteer, is; en dat die benutting van musiek in groepsituasies waardevol in die fasilitering van die uitdrukking van emosies, die afbreek van verdedigingsmeganismes en die fasilitering van onder andere ontspanning, kan wees. Die aanbevelings het op drie areas gefokus naamlik algemene aanbevelings rakende inrigtingsbeleid, programme en skoling van maatskaplike werkers, aanbevelings ten opsigte van die gemeenskaplike funksies van groepwerk en musiek, en aanbevelings ten opsigte van verdere navorsing. Daar word aanbeveel dat die benuttingswaarde van musiek in groepwerk met 'n spesifieke kliëntegroep, getoets moet word.
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Schmidt, Eric A. (Eric Alexander). „Node-Link Mapping and Rational Recovery: Enhancing the Recovery Process“. Thesis, University of North Texas, 1997. https://digital.library.unt.edu/ark:/67531/metadc277722/.
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Alcoholics Anonymous (AA) continues to be the most accepted approach for the treatment of addictions in the United States. However, due to recent evidence questioning the effectiveness of AA, the need for alternative approaches to the treatment of addictions has become clear. The following research addresses the efficacy of one such alternative, Rational Recovery (RR). Node-Link Mapping (NLM), a graphic communication technique which uses links and nodes as building blocs to facilitate and enhance communication of information as well as awareness in a counseling environment, was implemented to enhance the recovery process. Three groups of ten (10), chemically dependent, adjudicated subjects were exposed to three different treatment approaches at an outpatient counseling center. The Experimental group received RR with NLM, the Comparison group was exposed only to RR, and the Control group continued in treatment according to the protocol of the counseling agency. All subjects were given the Substance Abuse Subtle Screening Inventory-2 (SASSI-2) as a measurement of symptoms associated with chemical dependency. The subjects were also administered the Rotter Internal-External Locus of Control Scale (Rotter I-E Scale) to determine locus of control prior to treatment and any change after treatment.
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Walsh, James Jason JR. „American Hamlet: Shakespearean Epistemology in Infinite Jest“. Cleveland State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=csu1409079425.
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Lu, Shiou-Fang, und 陸秀芳. „Effect of Mucis Therapy on Improving Anxiety and Depression for Alcoholism“. Thesis, 2002. http://ndltd.ncl.edu.tw/handle/60604167010533852372.
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碩士國立臺灣大學
護理學研究所
91
The purpose of this study was to examine the effect of music therapy on improving anxiety and depression for alcoholism. The design of this study was pre-post test control experimental. The people were 54 of alcoholism from two acute psychiatric ward of middle Taiwan. The subjects were assigned to either the experimental group or the control group by blocked randomization. The experimental group received music therapy, listening to the music selected by themselves for 30 minutes, one time each day. The study period was 5 days. The control group received accompany and mental support were given by primary nurse. The time and period was the same as the experimental one. The measurement instruments of this study include five dimensions. They are (1) The demographic variables of the alcoholism (2) State anxiety inventory (3) Beck depression inventory (4) Hospital anxiety depression scale(5) physiology measuring devices. Descriptive (frequency distribution, mean, standard deviation, percentile) and inferential (paired-t test, two sample t- test) statistics were applied to analyze the data. The major findings were as follows : (1) there is no obvious difference on demography information of experimental and control groups (2) there is no obvious difference on music background between this two group (3) the pre-treatment anxiety-depression status and physiology response show no difference between this two groups (4) the experimental group receiving music therapy has significant difference on anxiety and depression status, blood pressure and heart rate. The study revealed that music therapy was an economic, easy-performing method effective on improving anxiety-depression status. This method could be performed in the hospital or at home. The evidence-based result of this study revealed that music therapy could decrease anxiety status or improve depression status that could be a good rehabilitative way for alcoholism.
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De, Beer Nelene. „'n Intervensieprogram met die laerskoolkind van die alkoholis : 'n maatskaplikewerkperspektief (Afrikaans)“. Thesis, 2000. http://hdl.handle.net/2263/22758.
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AFRIKAANS: Alkoholisme is reeds vir dekades 'n problematiese aangeleentheid in die samelewing en dit is 'n verskynsel wat voortduur, ten spyte van die negatiewe impak wat dit op die alkoholis, die alkoholisgesin en die samelewing het. Alkohol word ten spyte van die verslawende effek wat dit op die mens kan hê, nie as 'n dwelmmiddel beskou nie en is vrylik beskikbaar. Drie tot ses persone word negatief beïnvloed deur 'n enkele persoon se alkoholafhanklikheid en alkoholmisbruik word as die derde grootste gesondheidsprobleem in die wêreld beskou. Daar bestaan 'n positiewe verband tussen alkoholmisbruik en motorongelukke, mishandeling en molestering van kinders, gesinsgeweld, aanrandings, huisbrake, verkragtings en moord. Die alkoholisgesin openbaar dikwels eienskappe van 'n disfunksionele gesin en die kind van die alkoholis loop 'n groot risiko om self aan alkohol verslaaf te raak en probleme ten opsigte van sy/haar maatskaplike funksionering te openbaar. Die navorsingstelling naamlik, indien die laerskoolkind van die alkoholis ondersteuning en leiding ontvang deur middel van 'n intervensieprogram in spelterapie vanuit die gestaltbenadering, behoort sy maatskaplike funksionering te verbeter. Die doel van die ondersoek was om die laerskoolkind van die alkoholis deur middel van 'n intervensieprogram in spelterapie te ondersteun en te bemagtig om die realiteite van ouerlike alkoholisme te hanteer. Sodoende kan hierdie kind in staat gestel word om 'n hoër vlak van maatskaplike funksionering as voorheen te bereik. Om hierdie doel te bereik is sowel 'n literatuurstudie as 'n empiriese ondersoek geloods. Die literatuurstudie het die navorser in staat gestel om insig in die impak van alkoholafhanklikheid op die alkoholis, die alkoholisgesin en die kind van die alkoholis te ontwikkel. Literatuur oor spelterapie en die gestaltbenadering is ook bestudeer. Die empiriese ondersoek het behels dat ses laerskoolkinders wie aan ouerlike alkoholisme blootgestel word, betrek is by 'n intervensieprogram wat uit elf individuele en vier groepsessies bestaan het. Intervensie navorsing is in die vorm van 'n kombinasie tussen kwalitatiewe- en kwantitatiewe navorsing aangewend en kwasi-eksperimentele navorsingsprosedures is benut om te bepaal tot watter mate die onafhanklike veranderlike die afhanklike veranderlike beïnvloed het. Selfontwerpte vraelyste is as meetinstrumente tydens die toepassing van die enkelstelselontwerp benut. Sodoende is die doeltreffendheid van die intervensieprogram bepaal, is die navorsingstelling bevestig en is die mate waarin die doel van die studie bereik is, bepaal. Die resultate van die studie is statisties geanaliseer en die volgende gevolgtrekkings is gemaak: - 'n Intervensieprogram in spelterapie vanuit die gestaltbenadering is 'n sinvolle hulpverleningsmetode met die laerskoolkind van die alkoholis. Die kind kan deur middel van hierdie program holisties benader word, onvoltooidhede op sy voorgrond kan hanteer word en hy kan bemagtig word om sy gevoelens te identifiseer, te besit en dit te hanteer. Die kind kan in staat gestel word om keuses te maak, nuwe gedragspatrone aan te leer, insig in die verskynsel van alkoholisme te ontwikkel, ondersteuningsnetwerke te benut en om homself te onderhou.
- Intervensie navorsing kan met sukses in maatskaplike werk benut word, aangesien daar doelgerig, prakties en wetenskaplik te werk gegaan kan word om reeds bestaande kennis oor alkoholisme uit te brei. 'n Intervensieprogram met die laerskoolkind van die alkoholis kon met sukses ontwikkel, gelmplementeer, gemeet en geevalueer word.
- An intervention program in play therapy through the gestalt therapy approach is an effective helping method with the primary school child that is exposed to parental alcoholism. A holistic approach of the child can take place through this program and the child's homeostasis can be improved, his awareness can be increased and the unfinished business on the child's figure ground can be handled. The child can also be empowered to identify and experience his feelings, to make choices, to learn new behaviour, to gain insight in alcoholism, to use a support system and to support himself
- Intervention research can be successfully used in social work. This research method can be done purposefully, practical and scientific and existing knowledge on alcoholism can be extended. An intervention program with the primary school child that is exposed to parental alcoholism can be developed, implemented, measured and evaluated through intervention research.
Thesis (D Phil (Social Work))--University of Pretoria, 2007.
Social Work and Criminology
Unrestricted
30
Robillard, Charles Michael. „A study of participation in a therapeutic recreation program and its relationship to leisure functioning and sobriety /“. 2009. http://dspace.sunyconnect.suny.edu/handle/.
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Maxfield, Paul. „Whiskey & tangerines: An ethnodrama exploring a couple’s transition from alcoholism to long-term recovery“. Diss., 2018. http://hdl.handle.net/2097/39266.
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Doctor of PhilosophyDepartment of Special Education, Counseling and Student Affairs
Doris W. Carroll
According to SAMHSA statistics, about 22 million people in the US meet the criteria for a Substance Use Disorder (SUD), with alcohol use disorders (AUDs) being the most prevalent form of SUD. Of those with SUDs, only 10% or two million receive formal treatment. It is estimated that 64% of those completing treatment for SUDs relapse within the first year of sobriety. However, for individuals who manage to make it five years without relapsing, the risk of relapse reduces to 14%, suggesting that the needs of individuals in short-term recovery differ from those in long-term recovery. It has also been found that family involvement in the treatment and recovery process is beneficial to individuals in recovery. However, SUDs contribute to elevated levels of stress and dissatisfaction in couples and families, which puts them at high risk for divorce or dissolution prior to individuals seeking treatment. For families who remain intact until the individual completes treatment, the transition to a recovery lifestyle that supports the individual’s recovery presents a different set of challenges. Additionally, lingering frustrations and resentments from the period of active addiction may also serve to destabilize the couple or family, contributing to the high levels of divorce among those recovering from SUDs. In short, few couples are able to sustain their partnerships through active addiction, and the transition to recovery. While these couples are in the minority, their successful experiences can provide valuable insight into the recovery process. The present study examines the successful transition from active addiction to long-term recovery for one such couple. In particular, the study investigates the shifting narratives related to family roles, couple-hood, communication, alcohol, alcoholism, and recovery. The data is presented in the form of an ethnodramatic script. Ethnodrama is used to engage audiences both on emotional as well as informational levels. While ethnodrama may not provide specific answers, it is intended to provoke awareness, insight, and discussion by allowing audiences to vicariously experience the represented lives of the participants. Following the ethnodrama, an analysis of the script is presented, incorporating narrative theoretical frameworks so that the ways in which narratives function to facilitate (or frustrate) change within the individuals as well as the dynamics of the couple relationship can be expanded. The result of this analysis is the production of a Narrative Change Model, which can be useful in understanding the ways that narratives operate within the transition from active addiction to long-term sobriety and may have broader implications in explaining the narrative mechanisms behind other, more subtle change processes.
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Jurková, Michaela. „Analýza historických dokumentů Abstinentního penzionátu zámek Tuchlov“. Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-368791.
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Background: First institution specialized in treatment of alcohol was opened by Bedrich Konarik-Becvan in 1911 in Velke Kuncice. This hospital was closed in 1915 and therefore there was the necessity of creation of the new medical institution. The czechoslovak abstinent association along with Bedrich Konarik found suitable premises and then in 1923 the second anti-alcoholic institution in Tuchlov was opend. Aims: The aim of this thesis is to map the existence (commencement and the expiry) of Abstinential pension Chateau Tuchlov. Use historical documents to describe the composition of the patients, their succesful/unsuccesful treatment attempts, and which therapeutical procedures were used. Methods: The content quality analysis of historical documents, which have not been yet completed has been used for the data collection. The key information are archive sheets from the National Museu archive, so like periodical magazines "Vyssi narod" and "Zdravy lid". Results: Since 1908, when Bedrich Konarik - Becvan began publishing about the alcohol addiction, he pointe dout the necessity of creating the new facilities focused on the treatment of this addictive substance. After the closure of Velke Kuncice medical center, he grabbed the possibility of creating of the new medical institution, and so react to...
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Němcová, Lucie. „Proces léčby alkoholismu v rámci společenství Anonymních alkoholiků“. Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-311194.
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This thesis concerns an alternative approach to the alcohol-addiction treatment within the fellowship of Alcoholics Anonymous and highlights the importance of self-help groups in the contemporary society. This worldwide biggest self-help group uses sociologically important processes to achieve a new way of life connected with sobriety. I have studied these processes through the participant observation. Alcoholics Anonymous influences its members through its specific culture which reflects in group rituals, high level of group affiliation, spirituality and co-constructed community story, which bears the member's knowledge. This thesis looks on the transition to identity of the sober alcoholic and the new way of living according to Twelve-Step program of Alcoholics Anonymous through the perspective of drift model of conversion, transition rituals or principles used in the narrative therapy. Within these processes there occurs radical reconstruction of perceptual, cognitive and behavioral schemes which influence the meanings in the interpretation of everyday life and consecutively change the identity of the individual and his social action. These changes of the individual are strengthened by the group members and then gradually spread out of the group boundaries too.
34
Erasmus, Maeve Sophia. „The object relations of individuals who misuse alcohol and have co-morbid depressive or bipolar disorders and/or personality disorders“. Diss., 2016. http://hdl.handle.net/10500/21914.
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This study explored the Object Relations of a sample of 45 subjects who were using alcohol and were diagnosed with co-morbid Depressive or Bipolar disorders and/or Personality disorders. All subjects were receiving treatment at a government psychiatric hospital in South Africa. The similarities and differences in the Object Relations of these individuals were identified. A biographical questionnaire, the Alcohol Use Disorder Test (AUDIT), which was used as a screening measure, and the Bells Object Relations and Reality Testing Inventory (BORRTI) were administered to obtain information from a purposive sample. Descriptive and inferential statistics were used to analyse the results of the assessment measures. Analysis of the BORRTI data indicated a high rate of depressive and personality disorders within this sample. Results of the sub-sample (n=29) whose scores were included in the Pearson’s Correlation Coefficient analysis indicate that higher levels of alcohol consumption result in increased levels of hallucinations and delusions. Other correlations were identified between high levels of alcohol consumption and heightened levels of reality distortions and more uncertainty in the perceptions of these individuals. Significant differences in the scores of the male and female participants were identified. With the female participants, the higher the level of alcohol consumption, the lower the individuals scored in terms of pathological levels of egocentricity, uncertain perceptions, insecure attachments, alienation, social incompetence as well as hallucinations and delusions. Alternatively, in the male sample, higher levels of alcohol consumption result in increased hallucinations and delusions, reality distortions, uncertainty in perceptions, alienation, social incompetence and egocentricity.Psychology
M.A. (Research Psychology)
35
Hsiao, Wei-Ting, und 蕭尉庭. „Mesenchymal Stem Cell-Based Therapy for Non-alcoholic Fatty Liver Disease: A Preclinical Study“. Thesis, 2015. http://ndltd.ncl.edu.tw/handle/6h36s8.
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碩士國立陽明大學
臨床醫學研究所
103
Non-alcoholic fatty liver disease (NAFLD) is a common metabolic disorder. Recently, human mesenchymal stem cells (MSCs) have been reported to reduce inflammatory response and promote tissue regeneration through secretion of growth factors. Here we provide two therapeutic strategies for treating NAFLD by using MSC-based or MSC lysate-based approach. Results showed diet-induced NAFLD were ameliorated in our mice model in either MSC-based or MSC lysate-based approaches based on liver Oil red O and Sirius red stain results, and different extends of acceleration of regeneration, reversion of fibrosis and reduction of inflammation were also showed in the liver. And we also discovered adiponectin-induced correction of metabolic disorder in either approaches. Besides, MSC-based approach can also restored the ratio of HDL/LDL; MSC lysate-based approach can increased glucose tolerance and provided hepatoprotection effect by reducing serum GOT and GPT level. These results showed that MSC-based and MSC lysate-based therapeutic approaches are strong potential candidates for NAFLD therapy.
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Grigg, Darryl Norman. „An ecological assessment of the efficacy of individual and couples treatment formats of Experiential Systemic Therapy for alcohol dependency“. Thesis, 1994. http://hdl.handle.net/2429/6940.
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This study investigates the differential treatment efficacy of Experiential Systemic
Therapy (ExST) with a comparison treatment called Supported Feedback Therapy (SFT) as
it is applied to the problem of alcohol dependency. The inquiry also compares the treatment
effectiveness of ExST when offered to the individual alcoholic (ExST-I) and when provided
in couples therapy conjoint treatment (ExST-C).
An ecological approach to assessment was developed for the investigation. Selfreport
questionnaires tapping an array of areas including indices of alcohol use,
intrapersonal functioning, couples adjustment, and family characteristics were employed to
measure treatment effects from the perspectives of father, mother, and eldest child.
Participating families met inclusion criteria including an alcoholic dependent father and a
non-alcohol abusing mother in a state of marital distress residing in an intact family situation
with at least one child living at home.
One hundred and fourteen families were randomly assigned to participating
therapists and one of three treatment conditions including ExST-I, ExST-C,or SFT. Therapy
was conducted at two out-patient clinics, one located in an urban setting and the other
operating in a rural context. Data were collected from all participating families before and
after treatment. Data were also gathered at a three month follow-up from participants in
the ExST-I and ExST-C treatment conditions.
The results of the mixed model multivariate analyses indicated that there were no
significant differences between ExST and SFT evident at post-treatment; however, both
treatments were found to have promoted highly significant improvements on measures of
drinking behavior, intrapersonal symptomology, marital adjustment and family satisfaction.
When ExST-I and ExST-C were compared, the results revealed no significant differences
between the treatment formats although both parents reported highly significant post
treatment changes on all instruments. Additionally, the significant changes associated with ExST-I and ExST-C which were reported by both parents at post-treatment were found to be
equally durable at the end of a three month follow-up. The results of the analyses based on
the eldest child’s perspective showed that the assessments of family satisfaction were
unaffected by the treatment conditions and remained consistent across all measurement
occasions.
Within system analyses which provided detailed examination of the magnitude of
changes reported by both parents at post-treatment were performed. The within system
results based on measures probing the assessment domains of alcohol, intrapersonal, couple
and family from the father and mother perspectives, revealed that the improvements
achieved by the treatments were far reaching and touched a wide array of areas in
statistically significant and clinically relevant fashions.
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„Phyllanthus urinaria treatment in experimental model of non-alcoholic steatohepatitis“. Thesis, 2009. http://library.cuhk.edu.hk/record=b6074767.
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Immortalized normal hepatocytes AML-12 or primary hepatocytes were cultured in control, and the methionine and choline deficient (MCD) culture medium in the presence or absence of Phyllanthus urinaria for 24 hours. Hepatocyte triglyceride contents, release of alanine aminotransferase, lipoperoxides and reactive oxygen species production were determined in the cell culture study. Age-matched wild-type C57BL/6 and diabetes db/db mice were fed control or MCD diet for 10 days with or without Phyllanthus urinaria. The levels of Hepatic steatosis, necroinflammation, triglycerides and oxidative stress were investigated. Hepatic expression of inflammatory factors and lipid regulatory mediators were assayed. The results demonstrated that Phyllanthus urinaria reduced steatosis and alanine aminotransferase (ALT) levels in culture of hepatocytes in a dose-dependent manner. Phyllanthus urinaria protected the livers against MCD-induced hepatic fat accumulation and steatohepatitis in mice. This effect was associated with repressed levels of hepatic lipid peroxides, reduced expression of cytochrome P450 (CYP) 2e1, pro-inflammatory tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), dampened activation of inflammatory C-jun N-teuninal kinase (JNK) and nuclear factor kappaB (NF-kappaB), increased expression of lipolytic Cyp4a10 and suppressed transcriptional activity of lipogenic CCAAT/enhancer binding protein beta (C/EBPbeta). Hepatic acyl co-enzyme A oxidase (ACO) that regulated hepatic beta-oxidation of fatty acid and other lipid regulators were not affected by Phyllanthus urinaria.Non-alcoholic steatohepatitis (NASH) results from excessive accumulation of hepatic fat (steatosis) and oxidative stress. Therefore, inhibition of fatty acid cytotoxicity and liver inflammtary change is an important goal in the treatment of NASH. Phyllanthus urinaria, a herbal medicine, has been reported to have potential anti-oxidant property. We tested the effects of Phyllanthus urinaria on nutritional steatohepatitis both in vitro and in vivo, and determined the mechanism of its action.
Our study indicated that Phyllanthus urinaria effectively prevented MCD-induced steatohepatitis. This effect were probably mediated through dampening oxidative stress, ameliorating inflammation and decreasing lipid accumulation. Phyllanthus urinaria deserves further evaluation for its potential therapeutic effect on NASH in humans.
Shen, Bo.
Adviser: Henry Ly Chan.
Source: Dissertation Abstracts International, Volume: 70-09, Section: B, page: .
Thesis submitted in: November 2008.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2009.
Includes bibliographical references (leaves 128-142).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstracts in English and Chinese.
School code: 1307.
38
GuillermoRiley und 羅丹儒. „Trehalose and Omega-3 Polyunsaturated Fatty Acids Therapy: A Promising New Approach for Non-Alcoholic Fatty Liver Disease“. Thesis, 2018. http://ndltd.ncl.edu.tw/handle/wwgsqf.
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碩士國立成功大學
臨床醫學研究所
106
Background: Non-alcoholic fatty liver disease (NAFLD) is considered as one of the most common causes of chronic liver disease worldwide. Therefore, the development of new treatment strategies is imperative. The use of omega-3 polyunsaturated fatty acids (omega-3 PUFAs) have demonstrated, in animal models and human clinical trials, to improve liver steatosis, liver function tests, cholesterol and serum triglycerides levels. Recently, an alpha-linked disaccharide named trehalose, showed to prevent NALFD development in an animal model. Trehalose inhibits a specific type of glucose transporter in the hepatocyte cell membrane, decreasing fructose uptake and subsequently leading to a starvation like environment triggering a cellular autophagy response. Purpose: To evaluate, individually and in a combined way, the use of omega-3 PUFAs and trehalose in the prevention and treatment of NAFLD in a high fructose diet-induced animal model. Experimental design: Male Wistar rats (37) were exposed to a high fructose diet (HFrD) 60% for 24 weeks. All rats were divided into six experimental groups: normal chow, NAFLD model, prophylaxis, trehalose, omega-3 PUFAs and trehalose + omega-3. Normal chow group was exposed to a regular rat diet. NAFLD model group was exposed only to HFrD. Prophylaxis group, was exposed to simultaneous treatment of trehalose and omega-3 PUFAs trehalose since the beginning of the HFrD for sixteen weeks. After 16 weeks of HFrD exposure, rats were expose to an eight-week treatment with trehalose at a dose of 3 mg/kg/day (trehalose), omega-3 PUFAs at a dose of 2.4 mg/kg/day (omega-3 PUFAs), and combined dosage of trehalose and omega-3 PUFAs (Trehalose + omega-3 PUFAs). Results: The combine use of trehalose and omega-3 PUFAs prevents and reverse NAFLD histological and metabolic features (hyperglycemia, insulin resistance, hypertriglyceridemia, hypercholesterolemia), by a de novo lipogenesis downregulation and a beta oxidation upregulation mediated by the expression of the peroxisome proliferator activated receptor alpha (PPAR-α) and sterol regulatory element binding protein 1c (SREBP-1c), respectively. Conclusions: The concomitant use of trehalose and omega-3 PUFAs prevent and reverse histological and metabolic features of NAFLD, through a de novo lipogenesis down regulation and a beta oxidation upregulation in a diet-induced animal model.
39
Botha, Dawn Eileen. „The alcoholic family : pastoral conversations with adult children unravelling the web of identity“. Diss., 2005. http://hdl.handle.net/10500/1437.
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This participatory research journey looked at the lives of adult children of alcoholics, with particular reference to how identity is affected by growing up in a home where one or both parents are struggling with alcohol abuse, and how this struggle with identity carries through into adulthood. A study was made of the particular discourses which impacted negatively upon the child from this home and the manner in which the discourses had a negative impact later on as an adult. Through narrative pastoral conversations the possibilities for healing, as well as the barriers for healing were explored. Through this exploration alternative stories were created. A vital part of the study was focused upon the witnessing of the stories of the participants` lives and the acknowledgement of some of the events from their childhood that formed their identity and contributed to who they are today.Practical Theology
M.Th. (Practical Theology)
40
„Hepatoprotection of the traditional Chinese medicinal formula Wu-zi-yan-zong-wan against chronic alcohol-induced injury“. Thesis, 2008. http://library.cuhk.edu.hk/record=b6074567.
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Finally, the hepatoprotection of the 50%EtWZ was evaluated using rat model. The results indicated that the 50%EtWZ possessed potent hepatoprotective activities. The protective effect of the extract against hepatotoxicity induced by long-term treatment with ethanol might be attributed to its inhibitory action on oxidative stress. Although multiple factors could be involved in the inhibition of oxidative injury in the liver, the inhibition of CYP2E1 pathway and the enhanced GSH-related antioxidant capacity might be responsible for the protective effect. In addition, the 50%EtWZ also produced anti-inflammatory effect partly by interfering Toll-Like-Receptor-4 (TLR-4)-mediated signal pathway and reducing the production of Tumor Necrosis Factor-alpha (INF-alpha) in Kupffer cells during long-term ethanol exposure.First, in order to determine which kind of extract possesses the strongest hepatoprotective effect on ethanol-induced cytotoxicity, various extracts were screened for cytochrome P450 2E1 isoenzyme (CYP2E1) inhibitory activity using the fluorogenic CYP2E1 substrate and HepG2 cells overexpressing human CYP2E1. The results showed that all extracts (aqueous, 50% ethanol, and 90% ethanol) of WZ produced inhibitory effect on CYP2E1. The 50% ethanol extract of WZ (50%EtWZ) displayed a stronger CYP2E1 inhibition than the aqueous and 90% ethanol extracts. The aqueous extract and 50%EtWZ showed protective effect against ethanol-induced cytotoxicity at concentrations equivalent to 100 and 1000 mug raw herb/ml. At the same concentration of 100 1.1g/ml, the 50%EtWZ exhibited a more potent protective effect. Higher degree of cytotoxicity was found in the 90% ethanol extract of WZ. Thus, 50%EtWZ was chosen for further study.
In summary, all data suggest that the inhibition of CYP2E1 pathway and the inhibition of oxidative stress by the 50%EtWZ, together with the anti-inflammatory effect on Kupffer cells, may contribute to its hepatoprotection against chronic ethanol-induced liver injury.
Second, the chemical components of the 50%EtWZ were analyzed by chromatographic fingerprints. The fingerprint revealed six hepatoprotective compounds including schisandrin B, schisandrin, deoxyschisandrin, betaine, hyperin, and quercitrin in the formula.
Third, the protective mechanism of the 50%EtWZ was investigated in E47 cells model. The 50%EtWZ protected against CYP2E1-dependent toxicity and oxidative stress induced by ethanol. The mechanism of protection involved the decrease of reactive oxygen species production and the inhibition of lipid peroxidation. The hepataprotection was associated with the maintenance of mitochondrial GSH. Pre-treating E47 cells with the 50%EtWZ significantly inhibited the expression of CYP2E1. Therefore, the protective effect of the 50%EtWZ was most likely attributed to its antioxidant activities and the inhibition of CYP2E1. In addition, the 50%EtWZ prevented ethanol-induced apoptosis and protected against oxidative damage to mitochondria which are critical for maintenance of cell viability.
Wu-Zi-Yan-Zong-Wan (WZ), a traditional medicinal formula, is used for treatment of male sexual dysfunctions. In this study, the hepatoprotection afforded by Wu-Zi-Yan-Zong-Wan treatment and its biochemical mechanism involved against chronic alcohol-induced injury were investigated.
Chen, Mengli.
"May 2008."
Adviser: Che Chun Tao.
Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1609.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2008.
Includes bibliographical references (p. 157-179).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstracts in English and Chinese.
School code: 1307.
41
Lin, Tsung-Han, und 林宗翰. „A Study on the Adjustment Effects of Drama Therapy for the Children of Alcoholics Family：Taking the Case of the Students of Nan-Tou County A Primary School for Example“. Thesis, 2012. http://ndltd.ncl.edu.tw/handle/52505086740443130786.
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碩士國立臺灣藝術大學
表演藝術教學碩士學位班
100
The purpose of this study is to examine the effects of the drama therapy guidance program on life adjustment of the alcoholics families’ children. This study took fourth and sixth grade students in the elementary school of Nan-Tou County as research objects. “Scales of Elementary School Children Life Adjustment” served as the assessment tool and the SPSS statistical package applied as the analysis for the effects. Finally, the record verbatim text analysis data were assessed by qualitative description. Both quantitative and qualitative methods were employed. The acquisition and analysis of data from the scales and the team process records were used in order to know what changed of life adjustment in the drama therapy group, and what kinds of therapeutic elements influenced the change of life adjustment. The conclusion of the study were as follows: 1. There were no significant difference in the quantitative results of aspect for the life adjustment on the children of alcoholics family. The result showed that the signs of the contradiction in their actual capacity. 2. The result obtained from “Scales of Elementary School Children Life Adjustment” showed that “total adjustment” have significant differences in scores, especially in interpersonal skill. 3. The drama therapeutic elements of spontaneity, role playing, related to the events in the reality, aesthetic distance, transformation made influence on life adjustment of members.
42
Stawicki, Sabina. „Therapieprozess- und Ergebnisforschung in der Ambulanten Langzeit-Intensivtherapie für Alkoholkranke (ALITA)“. Doctoral thesis, 2007. http://hdl.handle.net/11858/00-1735-0000-0006-AC5C-6.
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Hörauf, Waltraud. „Co-Abhängigkeit und Resilienz von Frauen mit alkoholabhängigen Angehörigen : ein Beitrag zur Biografieforschung für die Seelsorge“. Diss., 2014. http://hdl.handle.net/10500/13792.
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German textDie Alkoholabhängigkeit ist die am stärksten verbreitete Abhängigkeitserkrankung in Deutschland. Unbekannt ist die Zahl der betroffenen Angehörigen. Nach Erarbeitung not-wendiger theoretischer Grundlagen und Vorstellung aktueller Forschungsergebnisse stan-den narrative Interviews mit Frauen von alkoholabhängigen Partnern im Mittelpunkt der Forschungsarbeit. Durch Datenanalyse und Dateninterpretation mit Methoden der rekon-struktiven Sozialforschung wurde ein tieferes Verständnis für die Lebensgeschichte der beiden ausgewählten Biografinnen gewonnen. Risiko- und Schutzfaktoren konnten diffe-renziert erfasst und resilienzfördernde Maßnahmen für Seelsorge und Beratung abgeleitet werden. Besondere Beachtung fand die Bedeutung des christlichen Glaubens als Resilienz-faktor. Weitere Beobachtungen durch Einbeziehung aller Interviews als Datenmaterial wurden als Hilfen für das Verständnis der Gesamtproblematik ausgewertet. Aus der Dis-kussion der Ergebnisse ergaben sich Handlungsempfehlungen für die christliche Gemeinde und richtungsweisende Impulse für Seelsorge und Beratung. Schlüsselbegriffe:
Alcohol dependence is the most widespread addictive disease in Germany, the number of affected relatives unkown. After acquiring theoretical foundations and current research results, my research focused on narrative interviews with wives of alcohol dependent part-ners. By the use of reconstructive social research methods, data analysis and interpretation a deeper understanding of the life history of the two selected biographers was obtained. After detecting risk and protective factors, resilience promoting factors for pastoral care and counselling could be derived. Special attention was paid to the importance of Christian faith. For an understanding of the overall problem, all interviews were included as data material and evaluated. From the discussion of the results, recommendations for the Chris-tian Church and impulses giving direction for pastoral care and counselling were derived.
Practical Theology
M. Th. (Practical Theology)
44
Barr, Barbara Ann. „Children behind bars : who is their God? : towards a theology of juveniles in detention“. Thesis, 2014. http://hdl.handle.net/10500/13741.
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Children detained in juvenile detention centers in the United States are a unique population.
They are neither incarcerated, nor are they free to live in society. Although some popular literature does exist on juvenile detention, such literature is minimal. Further, there are few research studies on this population in any field of inquiry. Indeed the entire subject of juvenile detention has been largely overlooked by research scientists, as well as theologians.
The focus of this empirical study is the theology and spirituality of children in a single juvenile detention center in New Jersey, US. Currently, there are no studies on this topic. This study begins to address that void and represents the first theological research of its kind on this population. The methodological approach of the thesis is multi-disciplinary. While the study addresses theology and spirituality as separate categories, it also integrates theology with research in psychology and clinical mental health.
The project itself consists of 200 individual, face-to-face interviews with male juvenile residents detained in the Ocean County Juvenile Detention Center, Toms River, New Jersey, US. An original questionnaire has been developed by the author as a research tool.
This empirical research adds to the academic literature on children in juvenile detention centers in the United States and recommends ways that staff may communicate with children to begin a theological dialogue. Further, this thesis offers a specific methodology and research tool to be duplicated for use in other juvenile detention centers toward working with children in a concrete, evidence-based, spiritual context.
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This study also includes a chapter on the evolution of the author’s spirituality and theology in the course of the project and attempts to locate the self of the researcher within the study.
Finally, this thesis presents an outline for a new hermeneutic in working with children in a juvenile detention setting. This new approach represents a practical step toward bridging an existing gap between a stated need for a new hermeneutic for working with children in theological literature and its inception.Philosophy, Practical and Systematic Theology
D. Th. (Practical Theology)
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Bartels, Claudia. „Evaluation neuroprotektiver Strategien am Beispiel ausgewählter neurodegenerativer Erkrankungen: Amyotrophe Lateralsklerose und Alkoholabhängigkeit“. Doctoral thesis, 2007. http://hdl.handle.net/11858/00-1735-0000-0006-AC5D-4.
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