Dissertations / Theses on the topic 'Alcoholism Treatment'
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1
Lund, Ulrika. "Treatment of alcoholism." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25817.
Abstract:
Alkoholvården i Sverige kan vara utformad på många olika och skilda sätt. Det är ett område där det finns ett flertal olika åsikter kring vilken behandling som är lämpligast eller effektivast. Uppsatsens syfte är att titta närmare på hur diskursen kring alkoholvård kan se ut i Sverige idag genom närmare granskning av de två tidskrifterna Socionomen och Alkohol & Narkotika. Två stora tidningar inom praktiker av socialt arbete. För att uppnå syftet utgår uppsatsen från följande frågeställningar:-Vilka behandlingsmetoder för alkoholmissbruk diskuteras i tidskrifterna?-Hur problematiserar tidskrifterna kring olika behandlingsformer?-Hur lyfts för respektive nackdelar för behandlingsformerna upp?-Vad väljer tidskrifterna att lyfta fram i debatten kring alkoholvården? Som metod används kritisk diskursanalys för att synliggöra diskurserna i tidskrifterna. Analysen av tidskrifterna grundar sig på en analysmodell efter diskursanalytikern Fairclough och används främst för att synliggöra hur tidskrifterna förhåller sig till uppsatsens diskursordning. Diskursordningen som används är baserad på aktuell litteratur kring alkoholmissbruksbehandling och innefattar tre diskurser: Psykologisk, psykosocial och farmakologisk.Resultaten i uppsatsen visar att den psykosociala diskursen är dominerande i de båda tidskrifterna men att även den farmakologiska diskursen nämns. De behandlingsmetoder som tas upp är i de båda tidskrifterna kognitiv beteendeterapi (KBT) och motiverande samtal. Vidare visa uppsatsen att Socionomen efterfrågar en mer strukturerad, organiserad och evidensbaserad alkoholbehandling i allmänhet. Alkohol & Narkotika å andra sidan ifrågasätter den formella vårdapparaten kring alkoholmissbruk och beskriver den som otillgänglig och bristfällig. Som alternativ för att högkonsumenter av alkohol ska få tidig hjälp tar tidskriften upp olika självhjälps metoder grundade på KBT och motiverade samtal.In Sweden, the treatment of alcoholism can be shaped in many various and separate ways. The subject of area contains various opinions regarding what treatment would be the most correct or effective. The aim in this essay is to look closer at the discourse of how the treatment of alcoholism may work in Sweden today. This will be done by closer examine the magazines, Socionomen and Alkohol & Narkotika, that are large papers within the practice of social work. To achieve the aim, this essay will start out from the following questions of issue:- What methods of treatment are discussed in the two magazines?- How do the magazines questions the various treatments? - How are the advantages and disadvantages in the different treatments highlighted?- What chooses the magazines to highlight in the debate of alcohol treatment?As the method, to make the discourses in the magazines visible, a critical analyze of discourse is being used. The analyze of the magazines is based on a model of analyzing by the discourse analyzer Fairclough, and is mainly used to make the magazines relations to the essay’s system of discourse visible. The system of discourse that is being used is based on actual literature in the area of treatment of alcohol addiction and contains three different discourses: psychological, psychosocial and pharmacological.The conclusion of this essay shows that the psychosocial discourse is the dominating discourse in both of the magazines but that the pharmacological discourse also is mentioned. The methods of treatment being raised in the magazines are cognitive behavioral therapy and motivational interviewing. Further more the essay shows that the paper Socionomen generally asks for a more structured, organized and evidence based treatment of alcoholism. In the other hand, the magazine Alkohol & Narkotika questions the formal care unit’s treatment of alcohol abuse and describes it as inaccessible and insufficient. As an alternative this magazine highlights the methods of self- help based on cognitive behavioral therapy and motivational interviewing so that those that are high consumers of alcohol will get help at an earlier stage of their abuse.
2
Clemens, Camille Willette 1963. "Variables associated with alcoholics' long term treatment success." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276617.
Abstract:
This study investigated demographic and personality variables, that counselors used in the selection of alcoholics for long term treatment and compared the completion rate for this group against completion rates reported in past studies, in order to determine if certain personality variables are associated with completion. The MMPI, Survey of Drinking Patterns and Effects, and a demographic questionnaire was administered to 355 lower class and "skid row" inpatient alcoholics from a North Tucson alcoholism treatment center. Results showed that counselors selection judgements approximated the characteristics of alcoholics who had completed long term treatment programs in past studies. Completion rates for this group studied were found to be moderately high compared to past studies. It was concluded that certain biographical and psychological variables can be used as selection criteria for determining alcoholics long term treatment completion. Implications for these findings are discussed.
3
Brent, Suzanne S. (Suzanne Stokes). "The History of Alcoholism Treatment in the United States." Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc277997/.
Abstract:
The treatment of alcoholism has had a unique historical development in the United States. This study provides a chronology of how the problem of alcoholism was defined and handled during various time periods in United States history. The process that evolved resulted in an abstinence based, comprehensive, multidisciplinary approach to the treatment of alcoholism as a primary disease based on the principles of Alcoholics Anonymous. This treatment modality, that developed outside of established medicine, is currently used by the majority of treatment providers.
Seven individuals who have been actively involved in alcoholism treatment were interviewed. In addition to archival research, biographies and autobiographies were examined to gain a broad perspective. Because alcoholism is both a collective and an individual problem an effort was made to include a microsociological frame of reference within a broad sociological view.
Alcoholism, or inebriety, was first perceived as a legal and moral problem. By the end of the 19th century, inebriety was recognized as an illness differing from mental illness, and separate asylums were established for its treatment. Alcoholism is currently accepted and treated as a primary disease by the majority of social institutions, but the legal and moral implications remain.
National Prohibition in the early part of the 20th century targeted alcohol instead of the alcoholic delaying any progress toward treatment which was made in the 19th century. The advent of Alcoholics Anonymous brought the first widely accepted hope for alcoholics. The treatment process that developed utilized the principles of Alcoholics Anonymous in a setting of shared recovery which has been difficult to quantify. In 1970 the allocation of federal funds for treatment and research brought the involvement of new disciplines creating both conflicts and possibilities. Alcoholism recovery has elucidated the connection of mind, body, and spirit.
4
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.
5
Gerber, Christine N. "Assessing family treatment in alcoholism and chemical dependence treatment /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487266011222351.
6
Liddell, Emmons Blaine 1955. "CHANGES IN PERCEIVED LOCUS OF CONTROL AND SELF-REPORTED ANXIETY IN ALCOHOLICS DURING TREATMENT (ALCOHOLISM, REHABILITATION, OUTPATIENT)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275312.
7
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.
Abstract:
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.
8
Milton, Judith L. "Alcoholism recovery and treatment needs of women." Online version, 2003. http://www.uwstout.edu/lib/thesis/2003/2003miltonj.pdf.
9
Gerdner, Arne. "Compulsory treatment for alcohol use disorders clinical and methodological studies of treatment outcome /." Lund : Dept. of Clinical Alcohol Research, Lund University, 1998. http://catalog.hathitrust.org/api/volumes/oclc/39072757.html.
10
Sitharthan, Thiagarajan. "Treating problem drinkers via mail : a randomised controlled trial of two methods of brief interventions by correspondence." Phd thesis, Department of Psychology, 2001. http://hdl.handle.net/2123/3990.
11
Proudfoot, Heather Public Health & Community Medicine Faculty of Medicine UNSW. "DSM-IV alcohol use disorders in Australia: validity, prevalence and treatment seeking." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/26323.
Abstract:
Alcohol use disorders are common and make a significant contribution to the burden of disease throughout the world. This is especially true among the younger age groups. Although these disorders are common, evidence suggests that those affected do not seek help for their disorders. In order to understand this, reviews of the treatment literature and the epidemiological data on prevalence and correlates of alcohol use disorders and treatment seeking are presented. These reviews confirm that effective treatments exist and that screening in primary care can be efficacious. The reviews also highlight deficits such as the need for more epidemiological evidence on the validity of DSM definitions of alcohol use disorders and for more Australian data on the prevalence and correlates of the disorders and related treatment seeking. This thesis sets out to address these deficits applying sophisticated statistical techniques to data from a large nationally representative Australian sample. A confirmatory factor analysis of the eleven criteria that specify alcohol dependence and abuse examined the validity of DSM-IV definitions of alcohol use disorders and the best solution was found to be a single factor, not two as currently defined. These findings question the bi-axial nature of alcohol use disorders that has underpinned their definition since the publication of DSM-III-R in 1987. Data from this national sample also confirm that, in line with research from other western countries, Australians have high levels of alcohol use disorders, especially amongst males and younger people. Also no association was found between alcohol dependence and treatment seeking, and young people were least likely to seek treatment. However, a relatively large proportion of young people who drink had been in contact with their GPs in the past year; demonstrating that there is ample opportunity for screening and referral for treatment for alcohol use disorders in this vulnerable group. This research has found that although alcohol disorders are not necessarily associated with disability, there are those who can benefit from treatment. It suggests that outcomes for such individuals may be improved by better specification of disorders as well as improved access to best treatments.
12
Friedle, James W. "Guilt, shame and defensiveness across treatment with the alcoholic patient." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/720158.
Abstract:
The purpose of the study was to test for theoretic trends of guilt' shame (quadratic) and defensiveness (linear) across treatment for alcoholic patients. The study sample consisted of91 participants. These included adult males who were in either outpatient or inpatient treatment for alcoholism.All participants were administered a questionnaire comprised of guilt, shame, and defensiveness measures. The questionnaires also asked self rating questions as a measure of progress and had a therapist section for progress ratings. Three null hypotheses were tested using trend analysis. Two way analyses of variances were also used to examine progress variables.ResultsIt was hypothesized that guilt and shame would demonstrate quadratic relationships across treatment and that defensiveness would demonstrate a linear relationship. None of the trend 2analyses demonstrated the expected relationships. The post-hoc two-way analyses of differences in guilt, shame, and defensiveness as a function of both weeks-in-treatment and progress measures yielded few significant results.Conclusions The results of this study do not support some of the major premises concerning treatment of the alcoholic patient. Research needs include operationally defining treatment approaches and refining concepts and measures.Department of Counseling Psychology and Guidance Services
13
Balow, Jane L. "Alcohol expectencies and treatment a review of the literature /." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000balowj.pdf.
14
Wright, Anneke Cornelia. "Riglyne vir nasorgdienste aan gerehabiliteerde alkoholiste / A.C. Wright." Thesis, North-West University, 2003. http://hdl.handle.net/10394/332.
Abstract:
The aim of this research was to develop guidelines for after-care services for rehabilitated
alcoholics, in order to render a more effective support service towards the rehabilitated alcoholic
on his way to full recovery. The necessity of the research project originated on account of a lack
of knowledge among social workers on the need of the rehabilitated alcoholic towards after-care
service and the specific nature that after-care services have to contain.
A literature overview of after-care services was given to the alcoholic, as a background for the
empirical study of the project. The literature study showed that after-care services as an integral
part of the total rehabilitation of the alcoholic is conceptualized. Further out of the literature
came to light that social workers have a resistance against the delivering of after-care services
and that they experience feelings of discourage regarding the alcoholic.
The empirical study confirmed that social workers experience resistance against giving after-care
services to rehabilitated alcoholics. Further they don't consider this as part of their task and they
give a low priority towards the rendering of after-care services. In spite of this, the necessity of
after-care services is being realized by the social workers.
Alcoholics who are standing on the point of being discharged from the rehabilitation center have
a need for after-care services to help them adapt in the community. They especially have a need
for individual contact with a professional person and do not want to be part of only a self-help
group. Among the alcoholics who are already functioning in the community after treatment, the
particular need of the female alcoholic came forward. This group feels that their family and
spouse do not truly have an idea of their needs. Further there was a need among the rehabilitated
alcoholics to know who will be responsible for their after-care services. This group would have
wanted to be prepared on possible risky situations and ways of handling these situations.
The research showed that there is a shortcoming in the practice concerning the rendering of aftercare
service. Guidelines were formulated from which more effective after-care services could be
given to rehabilitated alcoholics.Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2004.
15
Merlan, Julio. "Domestic violence, conflict resolution skills, and alcoholism: Treatment recommendations." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/2015.
Abstract:
Researchers agree that there is a relationship between alcoholism and domestic violence but theoretical perspectives have not established a correlation between the variables. Alcoholism and domestic violence are a manifestation of a complex system of family interactions characterized by inadequate communication skills.
16
Gammill, Cyndy G. "Interpersonal functioning among alcoholics and addicts influence on treatment and recovery /." Access abstract and link to full text, 1988. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8904095.
17
Thom, Elizabeth Whyte. "Alcohol treatment policy 1950-1990 : from alcohol treatment to alcohol problems management." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1997. http://researchonline.lshtm.ac.uk/682245/.
Abstract:
The thesis draws on historical and social policy perspectives to examine the factors influencing development and change in alcohol treatment policy between 1950 and 1990. The study uses data from primary and secondary documentation and from taped interviews. Three themes are highlighted as particularly relevant to an examination of policy trends. The first of these is the emergence and evolution of a `policy community'. Spearheaded by psychiatrists in the 1960s, the `policy community' broadened to include other professional groups and the voluntary sector by the 1990s. The second theme concerns the role of research in influencing the nature and direction of treatment policy. The study indicates increasing use of research as the rationale for policy and illustrates the move towards a `contractor' relationship between research workers and policy makers. The final theme deals with the influence on policy of ideological frames and changing conceptualisations of the alcohol problem. Two major shifts were important for treatment, the re-discovery of the disease concept of alcoholism in the 1950s and the emergence of a new public health model of alcohol problems in the 1970s. Within these broad themes, the study includes an examination of tensions - between different professional perspectives, between government departments with differing responsibilities, between different ideologies - and of moves to secure consensus in the formulation and implementation of treatment policy. The final chapter addresses shifts in thinking from the re-emergence of a `disease' model of alcoholism in the 1950s, to a `consumptionist' (population-based) model in the 1970s, towards a `harm reduction' approach to alcohol problems management in the 1990s. The thesis concludes that over the past forty years competing paradigms of the alcohol problem have emerged and gained policy salience within particular historical-social contexts in the search for policy consensus to manage the problematic aspects of alcohol consumption.
18
Malec, Tadeusz Stanislas. "Cranial electrotherapy stimulation in the treatment of primary alcoholism." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59650.
Abstract:
The present study reports on the treatment of 62 primary alcoholic patients using either Cranial Electrotherapy Stimulation (CES) or sham stimulation in a control group. The treatment consisted of half-hour sessions given five days per week during a four-week period. The variables analyzed included age, socio-demographic status, duration of alcohol dependence, frequency and volume of consumption, craving, and duration of sleep. Michigan Alcoholism Screening Test (MAST), Alcohol Dependence Scale (ADS), Drinking Behavior Inventory (DBI), Symptoms Checklist-90 Revised (SCL-90R), Hamilton Psychiatric Rating Scale for Depression, Hamilton Anxiety Scale and Diagnostic Interview Schedule concerning organic brain syndrome, were used. Laboratory tests included serum Gamma-Glutamyl Transferase (GGT) and Mean Corpuscular volume (MCV). Significantly greater improvements were obtained in the active treatment group in the depression subscale and in the Positive Symptoms Distress Level of SCL-90R. The active stimulation reduced alcohol consumption significantly during weekends, but no significant difference in the average weekly consumption was observed between active and sham treatment groups. Consistently more favorable results were observed in the active treatment group in other dependent variables.
19
Crocker, Steven M. "Hypnosis as an adjunct in the treatment of alcohol relapse." Online access for everyone, 2004. http://www.dissertations.wsu.edu/Dissertations/Fall2004/S%5FCrocker%5F122904.pdf.
20
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.
21
Wutzke, Sonia Eva. "The long term effectiveness of brief interventions for hazardous alcohol use: a 10 year follow-up." Thesis, The University of Sydney, 2001. https://hdl.handle.net/2123/27796.
Abstract:
Alcohol-related problems are a major source of morbidity and mortality in both developing
and developed countries (Edwards et a1., 1994). Excessive use of alcohol is an important
public health problem, which impacts upon many areas of physical, psychological and social
well being. The importance, short-term effectiveness and potential of brief interventions for
hazardous alcohol consumption is well documented. However, limited research has been
conducted to assess the long-term effectiveness of these interventions in reducing alcohol
consumption nor the long-term impact of these interventions on health.
Whilst previous studies have been concerned with establishing the short-term effectiveness of
early intervention programs for hazardous alcohol consumption, the current study aimed to
investigate the long-term and sustained effects of these interventions on health and lifestyle.
The cohort of subjects who participated in the Australian arm of the Phase H World Health
Organization (WHO) Collaborative Project on Identification and Treatment of Persons with
Harmful Alcohol Consumption were re-interviewed 10-years following baseline assessment.
The long—term impact of brief intervention on health was assessed by examining: (i) alcohol
consumption; (ii) alcohol—related biological indicators of consumption; (iii) experience of
alcohol—related physical, psychological and social disorders; and (iv) mortality.
Analysis of the current work reveals significant reductions in alcohol consumption at 9-
month follow-up for hazardous drinkers who received a brief intervention. The study failed to
show significant differences in outcome between treatment groups at 10-years. It is suggested
that to better maintain the benefits of early intervention, regular follow-up and reinforcement
are required.
Limitations of the study, policy recommendations and suggestions for future research are
made.
22
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.
23
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.
Abstract:
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.
24
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.
25
Brunell, Steven Craig. "Pharmacotheraphies for the treatment of alcoholism in adolescents using a rodent model." Diss., Online access via UMI:, 2006.
26
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.
27
Adams, Ruby Lee. "Long term drug and alcohol treatment program: An outcome study comparing secular-based treatment with faith-based treatment for addiction." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1842.
Abstract:
The study was conducted to see if there is as much or more of a difference in outcome of treatment for addiction in faith-based treatment than secular-based treatment. The research was conducted using a sample of thirty-seven respondents from various sites in Southern California who volunteered to fill out the questionnaire. Data was collected using a self-administrated survey questionnaire.
28
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/.
29
Towers, David Allen. "Cognitive focusing as an attentional self-regulation strategy in the treatment of substance abuse /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487266362338824.
30
Krentzman, Amy R. "Spirituality, Religiosity, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants." online version, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=case1207226235.
31
Honse, Yumiko. "Effects of prenatal ethenol treatment on native NMDA receptors /." Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3026206.
32
Vrolijk, Leandri. "Die rol van maatskaplike werkers in rehabilitasiesentrums vir alkohol-afhanklikheid : 'n ekologiese perspektief." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97018.
Abstract:
Thesis (M Social Work)--Stellenbosch University, 2015.ENGLISH ABSTRACT: Alcohol is the substance that people throughout the world abuse most often. South Africa has one of the highest alcohol use level with more than 30% of the population struggling with alcohol-related problems (Telesure, 2010; Nevid et al., 2008: 297; Pisa et al., 2010:4). Statistics showed that approximately 17,5 million South Africans are affected by alcohol, but many more South Africans’ lives are completely disrupted through constant, direct daily contact with the individual abusing alcohol like a parent or life partner (Telesure, 2010). Due to this, alcohol dependency is classified as a family illness in the medical circles and by society. Alcohol dependency can tear families apart and disrupt family dynamics and –processes including rules, rituals, routines, communication, social life, finances, homeostasis and family roles (Stepping Stones, 2013). Alcohol dependency has a great impact on the functioning and existence of a family and to restore the damage alcohol dependency creates in a family, the family should play an important role in the rehabilitation process of the alcohol dependent. This study, therefore, had the goal to determine the role of a social worker in a rehabilitation centre for alcohol dependents from an ecological perspective. A combination of quantitative and qualitative research was used in this study. Furthermore, an exploratory and descriptive research design was used during the research because the available literature showed a lack of information concerning the role of the social worker in a rehabilitation centre for alcohol dependents. A purposeful sample, namely probability sampling, was used to identify participants. The researcher could, therefore, choose participants who qualified for inclusion. The data was collected using a semi-structured questionnaire during 23 individual interviews. An overview of the participants’ beliefs and opinions concerning the subject of the study was gained. The questionnaire consisted of open- and closed questions and was based on information obtained from the literature study. Data from the semi-structured questionnaire was processed and analysed and the results of this empirical study were used as basis for the conclusion and recommendations made in this study. The main findings showed that there is a need for family counselling during a rehabilitation programme for alcohol dependents since there is a definite lack of involvement of the family during the rehabilitation process for alcohol dependents. Further findings showed that rehabilitation programmes mainly provide individual counselling to alcohol dependents and minimal focus and attention is given to the family and after care services. The most important recommendation of this study is that social workers should use the ecological perspective when providing services to alcohol dependents. This perspective can ensure that the necessary services are delivered to effectively address alcohol dependents during a rehabilitation process. Recommendations also showed that social workers should involve the family more during a rehabilitation programme since the support of a family plays an important role during the rehabilitation process.
AFRIKAANSE OPSOMMING: Wêreldwyd is alkohol die middel wat deur die meeste misbruik word en Suid-Afrika het een van die hoogste alkohol inname syfers, met meer as 30% van die bevolking wat sukkel met alkohol-verwante probleme (Telesure, 2010; Nevid et al., 2008: 297; Pisa et al., 2010:4). Statistiek dui daarop dat sowat 17,5 miljoen Suid-Afrikaners deur die inname van alkohol geaffekteer word, maar baie meer Suid-Afrikaners se lewens word egter totaal ontwrig weens konstante, direkte daaglikse kontak met die individu wat alkohol misbruik soos byvoorbeeld ’n ouer of lewensmaat (Telesure, 2010). Weens hierdie spesifieke rede word alkohol-afhanklikheid in mediese kringe en in die samelewing as ’n gesinsiekte geklassifiseer. Alkohol-afhanklikheid kan gesinne uitmekaar skeur en veroorsaak dat die gesinsdinamika en –prosesse, soos byvoorbeeld die reëls, rituele, roetines, kommunikasie, sosiale lewe, finansies, homeostase en gesinsrolle, totaal ontwrig word (Stepping Stones, 2013). Alkohol-afhanklikheid het sodoende ’n geweldige impak op die funksionering en voortbestaan van ’n gesin, en om die skade wat alkohol-afhanklikheid in ’n gesin veroorsaak te herstel, behoort die gesin ’n belangrike rol te speel in die rehabilitasieproses van die alkohol-afhanklike. Hierdie studie het daarom ten doel gehad om die rol van ’n maatskaplike werker in ’n rehabilitaisiesentrum vir alkohol-afhanklikes vanuit ’n ekologiese perspektief te bepaal. ’n Kombinasie van kwantitatiewe en kwalitatiewe navorsingsbenaderings is in hierdie studie benut. Verder is daar tydens hierdie ondersoek ’n verkennende en beskrywende navorsingsonderwerp gebruik, aangesien die beskikbare literatuur ’n gebrek aan inligting rakende die rol van ’n maatskaplike werker in ’n rehabilitasiesentrum vir alkohol-afhanklikes toon. Daar is gebruik gemaak van ’n doelbewuste steekproefmetode, naamlik die nie-waarskynlikheidsteekproef, om deelnemers te identifiseer. Die navorser kon dus die deelnemers kies wat aan die kriteria vir insluiting voldoen. Die data is ingevorder deur die gebruik van ’n semi-gestruktureerde vraelys, tydens 23 individuele onderhoude. ’n Geheelbeeld van die deelnemers se oortuigings en menings aangaande die onderwerp van die studie is verkry. Die samestelling van die vraelys bestaan uit oop- en geslote vrae en berus op inligting wat uit die literatuurstudie verkry is. Data van die semi-gestruktureerde vraelyste is verwerk en geanaliseer en die resultate van die empiriese ondersoek is as basis gebruik vir die gevolgtrekkings en aanbevelings wat in hierdie studie gemaak is. Die hoofbevindinge dui op ’n behoefte aan gesinsberading tydens ’n rehabilitasieprogram vir alkohol-afhanklikes aangesien daar ’n definitiewe gebrek aan die betrokkenheid van die gesin tydens ’n rehabilitasieprogram vir alkohol-afhanklikes is. Verdere bevindinge dui daarop dat rehabilitasieprogramme grootliks op individuele berading aan die alkohol-afhanklike fokus en minimale aandag word aan die gesin en nasorgdienste gegee. Die belangrikste aanbeveling van hierdie studie is dat maatskaplike werkers die ekologiese perspektief moet gebruik tydens dienste wat aan alkohol-afhanklikes gelewer word. Hierdie perspektief kan verseker dat die nodige dienste gelewer word om alkohol-afhanklikheid tydens ’n rehabilitasieprogram effektief aan te spreek. Aanbevelings dui ook daarop dat maatskaplike werkers die gesin tydens ’n rehabiltiasieprogram meer moet betrek aangesien die ondersteuning van die gesin ’n belangrike rol speel tydens die rehabilitasieproses.
33
Boldi, Juliet Suzanne, and Jamileth Lara. "An exploration of the role of spirituality in recovery from alcoholism." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1609.
Abstract:
This study investigates the relationship between spirituality and recovery for alcohol abusers. The data was gathered by administering a survey questionnaire that explored background information, alcohol use and recovery, and spirituality.
34
Pienaar, W. P. "Outonomie versus sorg in die behandeling van alkohol-afhanklikheid : etiese perspektiewe." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51867.
Abstract:
Thesis (MPhil)--Stellenbosch University, 2000.ENGLISH ABSTRACT: The community of the Western Cape carries the burden of the serious consequences of alcohol addiction. Alcohol abuse is very common and the consequences range from severe to devastating, not just for the individual but also for the family and the community as a whole. If answers are sought within the community, the problem deepens, and it becomes apparent why the problem of alcohol abuse is not being successfully addressed. The addict refuses treatment, the community respects the autonomy of the individual, and the problem drags on. The community also has many misperceptions concerning the causes and perpetuation of the pathological drinking behaviour of the addict, and are thus not equipped with the knowledge necessary to suggest the correct interventions for this physical and psychological illness. There is also concern that a person's autonomy and human rights are so highly regarded in the community that the appropriate treatment necessary for this serious disorder of addiction does not receive the attention it deserves. This paper investigates the causes of alcoholism and the factors which reinforce a person's drinking behaviour. The autonomy of the alcoholic is challenged and examined in depth. The importance currently assigned to autonomy and individual rights is questioned, and balanced against other important moral and ethical principles of our time. Alcohol is a drug which causes physical and psychological addiction. Addiction literally means "under the control" of something. Alcohol use is a socially acceptable habit. The psychotropic (calming) effect of alcohol serves as an effective support in or escape from stress in the life of the individual. There are also "vulnerable" individuals in the community in whom a genetic predisposition increases the chance of the development of alcohol dependence. In spite of the fact that alcohol dependence is an acquired physical condition, nobody intentionally becomes addicted to alcohol. With the knowledge of the power that addiction exercises over the life of the individual, attention is now given to the autonomy of the addict, and his/her capacity for rational decision making. The significance of the decision to request treatment for the individual, his/her family and the community is balanced against competency to take the decision. Argument is developed towards the conclusion that the alcoholic is indeed not autonomous, and does not have the competency to make decisions concerning treatment. If the autonomy of the addict is thus questioned, the way in which the person is then treated by the community becomes a difficult moral dilemma. The community's responsibility of care towards the individual and the wider community are jeopardized. The ethical principles of deontology (rules), utilitarianism (the best result for the greatest number), autonomy versus beneficence, solicitude, virtue, human rights and other principles are discussed in depth. A solution is sought that will eventually be "good" for the addict and the community. The conclusion is reached that it is "good" to intervene in the life of the addict at a certain stage of addiction. Involuntary treatment is suggested as one possible way of attacking the problem of serious alcohol abuse that is threatening to overwhelm the community. Practical suggestions are offered for the renewed application of existing treatment structures and legislation to the benefit of the addict and the community.
AFRIKAANSE OPSOMMING: Die gemeenskap in die Wes-Kaap gaan gebuk onder die ernstige gevolge wat alkoholverslaafdheid meebring. Alkoholmisbruik is baie algemeen en het ernstige tot vernietigende gevolge, nie net vir die induvidu nie, maar ook vir die gesin en die gemeenskap as geheel. As daar na antwoorde vir hierdie probleem in die gemeenskap gesoek word, verdiep die probleem en kom dit duidelik aan die lig waarom die probleem van alkoholmisbruik nie suksesvol aangespreek kan word nie. Die verslaafde persoon weier behandeling, die gemeenskap respekteer die indivdu sy · outonomiteit en die proble~m sleep voort. Die gemeenskap het ook baie wanopvattings omtrent die oorsake en instandhouding van die verslaafde se patologiese drinkgedrag en is dus nie met die nodige kennis toegerus om die korrekte ingrepe vir hierdie fisiese en psigiese siektetoestand voor te stel nie. Daar is ook kommer dat die gemeenskap 'n persoon se outonomiteit menseregte s6 hoog aanslaan dat 1 die toepaslike hantering van die ernstige verslawing nie tot sy reg kom nie. Hierdie werkstuk ondersoek die oorsake van alkoholisme en die faktore wat die persoon se drinkgedrag versterk. Die alkoholverslaafde se outonomiteit word uitgedaag en in diepte ondersoek. Die gewig wat 'n persoon se outonomiteit en 'regte' in die gemeenskap dra, word bevraagteken en met ander belangrike moreel etiese beginsels van die dag gebalanseer. Alkohol is 'n dwelm wat fisiese en psigiese verslaafdheid veroorsaak. Verslaafdheid beteken letterlik 'onder die beheer' van daardie substans. Alkohol gebruik is sosiaal 'n aanvaarbare gewoonte. Alkohol se psigotrope effek (kalmerend) dien as 'n effektiewe stut of ontvlugting vir stres in die lewe van die individu. Daar is ook 'kwesbare' individue in die gemeenskap waar 'n genetiese predisposisie die persoon meer 'vatbaar maak vir die ontwikkeling van alkohol afhanklikheid. Ten spyte van die feit dat alkohol-afhanklikheid 'n verworwe fisiese toestand is, raak niemand 'moedswillig' aan alkohol verslaaf nie. Met die kennis van die krag wat verslawing op die individua se lewe uitoefen as agtergrond word daar voorts gekyk na die outonomie en die verslaafde se vermoe tot rasionele besluitname. Die gewigtigheid van die besluit tot behandeling vir die individu, sy gesin en die gemeenskap word met kompetensie tot besluitname gebalanseer. Arguemente word gebou wat tot die gevolgtrekking lei dat die alkohol-afhanklike inderdaad nie outonoom is en nie die kapasiteit vir die neem van behandelingsbesluite besit nie. Indien die verslaafde se outonomiteit dan bevraagteken word, word die gemeenskap se verdere hantering van die persoon 'n groot morele dilemma. Die gemeenskap se verantwoordelikheid van sorg teenoor die individu en die groter gemeenskap kom in gedrang. Die etiese beginsels van deontologie (reels), konsekwensialisme (die beste vir die meeste), outonomiteit versus goedwilligheid, sorgsaamheid, deug, menseregte en ander beginsels word in diepte bespreek. Daar word voorgestel dat die gemeenskap se plig tot so~g, in die geval van endstadium alkoholisme, moreel sterker is as bloot die respek vir outonomie. Daar word tot die gevolgtrekking gekom dat dit 'goed' is om op 'n sekere stadium van verslawing in die lewe van 'n persoon in te gryp.· Nie-vrywillige behandeling word voorgestel as bloot een van die aanslae vanuit die gemeenskap om die ernstige probleem van alkoholmisbruik wat besig is om die gemeenskap te oorweldig aan te pak. Praktiese voorstelle word gemaak om huidige behandelingsstrukture en wetgewing opnuut tot voordeel van die verslaafde en die gemeenskap aan te wend.
35
Gaff-Clark, Carla J. "Qualitative analysis of chemically recovering persons who were raised in alcoholic families and their perceptions of treatment plans." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1214971.
Abstract:
The purpose of this study was to gather insights from recovering (from addictions) Adult Children of Alcoholics (ACA) at Pathway to Recovery, Inc., Indianapolis, IN, who have participated in a pilot family addictions treatment group. This research gives evidence on the group counseling support that ACA group members reported they received and/or determined they needed to receive regarding: their (1) addictions and recovery; (2) specific family of origin roles; and (3) basic ACA issues; as well as information needed to continue living a healthy, productive, drug-free life-style, and; the assistance counselors/therapists could give in this endeavor.A case study methodology was used for this research. Eight informants were purposively selected from a total of 45 ACA group members. Three interviews were conducted with each of the eight informants. Retrospective, structured, and semi-structured interviews, as described by Fraenkel and Wallen (1996) were utilized. Since an interview guide was unavailable for use in this study, one was created.The following four conclusions were drawn from the results of this study:1. The evidence collected suggests that the eight informants benefited from the three-pronged (addictions, ACA issues, specific family role) Recovery, Inc.2. The evidence (detailed in Chapter Four) indicated that many of the actions described herein assisted informants after leaving the ACA group and that the group was responsible for many of the positive changes.3. Accepting oneself was identified most often as the step needed to achieve and maintain sobriety.4. Learning about family issues and studying childhood behaviors may be painful as well as helpful.Results of this study were not generalized beyond these eight informants. However, this study contributed new information to the field of addictions and family roles research by describing the actions, behaviors, thoughts and feelings of these eight informants.Department of Educational Leadership
36
Cochran, Bryan N. "Sexual minorities in substance abuse treatment : the impact of provider biases and treatment outcomes /." Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/9050.
37
Bodin, Maria. "The Minnesota model treatment for substance dependence : program evaluation in a Swedish setting /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-938-6/.
38
Webb, Michael Blair. "Addiction and the law : a case-study of the Alcoholism and Drug Addiction Act." University of Canterbury. School of Law, 2001. http://hdl.handle.net/10092/2567.
Abstract:
The thesis presents a case study of New Zealand's Alcoholism and Drug Addiction Act 1966 - a civil commitment law used to detain alcoholics and drug addicts for up to two years in state-certified residential treatment facilities. The thesis positions itself as a call for legislative reform. The central argument is that the Act is an anachronistic and potentially draconian piece of social legislation which has no place on the modern-day New Zealand statute book. In the first part of the thesis, Chapter 1 introduces the research, outlines the structure and methodology of the thesis, and locates the study within a wider tradition of scholarship on the management of people with alcohol problems. Chapter 2 summarises the analytical framework that is used to evaluate the Act, attaching particular importance to both the philosophical traditions and the practical strategies of harm minimisation and therapeutic jurisprudence. Chapter 3 gives a positivist reading of the legislation : outlining the evolution of the Act, essaying its major provisions, and noting the efforts that have been made to refine or reform the statute since it was passed in the mid-1960s. Chapter 4 draws on the limited amount of data available to describe how the Act is currently operating 'on the ground'. In the second part of the thesis, the Alcoholism and Drug Addiction Act is put into a comparative context by describing examples of similar-type statutes that exist in two other jurisdictions. Chapter 5 focuses on the New South Wales Inebriates Act 1912; Chapter 6 focuses on the Swedish Act on Care of Addicts in Certain Cases 1989. The final part of the thesis builds a case for reform of the Alcoholism and Drug Addiction Act. Chapter 7 identifies various practical and clinical problems with the Act, which mean that the statute does not work in instrumental terms. It is submitted that the Act cannot be said to make better provision for the care and treatment of alcoholics. Chapter 8 highlights several legal and philosophical difficulties with the Act, which mean that the legislation does not work in value terms. It is submitted that the Act is offensive to the right to refuse treatment and fundamentally conflicts with the principles of individual autonomy and informed consent. Chapter 9 proposes three options for reforming the Act, expressing a preference for the outright repeal of the statute. Finally, Chapter 10 draws conclusions from the preceding discussion, and speculates on the likelihood that the recommended reforms will be implemented.
39
Guy, Carol Richert. "Perceived social support: Its impact on length of sobriety." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1967.
Abstract:
This study examined the relationship between perceived social support and length of sobriety. In particular this study investigated whether higher reports of perceived social support had an effect on an individual's length of sobriety. Sixty-seven male and female residents of an inpatient alcohol and drug treatment center participated in this study.
40
Wertz, Jennifer S. "The effect of motivational interviewing on treatment participation, self-efficacy, and alcohol use at follow-up in inpatient alcohol dependent adults." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-07282008-134958/.
41
Flores, Guadalupe Leon Gomez. "Dually diagnosed mental health clients: A comparative study of those receiving treatment in a dual diagnosis program and those receiving only mental health treatment." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1297.
42
Pretorius, Liezille Jean. "Women's discourses about secretive alcohol dependence and experiences of accessing treatment." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5188.
Abstract:
Thesis (PhD (Psychology))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: There is a paucity of research documenting women’s undisclosed drinking. This study explored the discursive accounts of women’s alcohol dependence, treatment history and barriers in accessing alcohol dependence treatment. The goals of this dissertation were to explore women’s alcohol dependence history; explore women’s treatment history (or lack thereof); identify barriers and nature of barriers that limit women’s access to alcohol dependence treatment; identify the reasons for women not accessing treatment, and to interpret women’s experiences of treatment per se. A Human Scientific Approach was adopted to examine and interpret how women’s drinking is socially constructed. A social constructionist approach was utilised to access and construct meaning from the discourses emanating from the women’s narratives of their experience with alcohol and their attempts at rehabilitation. Ten women were interviewed using the life story (narrative) interview method. The findings illustrate two major discourses namely, secret drinking and inaccessibility of appropriate treatment facilities for women alcohol dependents. This means that participants feel forced to conceal their drinking and to drink secretively because of the stigma associated with women drinking heavily. The stigma they experience translates into barriers (mostly internal barriers) to seeking institutionalised treatment. This makes it easier for them to seek alternative treatment such as an anonymous fellowship, like Alcoholics Anonymous. Other discourses signify the importance of problem identification and treatment readiness. This means that if the alcohol dependent woman realises what the real problem is causing her to use alcohol as an escape or as a coping strategy, she will be more willing to address the underlying problem. Recommendations are made focusing on micro and macro-level intervention strategies such as access to treatment, public health campaigns and policies to improve the quality of life of women recovering from alcohol dependence.
AFRIKAANSE OPSOMMING: Daar is min inligting beskikbaar oor die dokumentering van vroue wat in-die-geheim alkohol gebruik. Hierdie studie het die diskursiewe weergawe van vroue se alkoholgebruik, behandelingsgeskiedenis en hindernisse tot die behandeling van alkohol-misbruik verken. Die doelstellings van hierdie verhandeling is om die volgende te verken: Vroue se afhanklikheidsgeskiedenis; vroue se rehabiliteringsgeskiedenis (of die gebrek daaraan); die identifisering van hindernisse en die aard van die probleme wat vroue se toegang tot die behandeling van alkohol-misbruik beperk; die identifisering van redes waarom vroue rehabilitering weier; en die interpretasie van vroue se belewings van behandeling per se. ‘n Humanisties-wetenskaplike benadering is gebruik om die sosiale konstruksie van vroue se drinkgewoontes te ondersoek en te interpreteer. Die verstaan van en die skep van betekenis van die diskoerse van die vroue, en die temas wat na vore gekom het vanuit hul vertellings/narratiewe van hul alkohol-ervarings en hul pogings tot rehabilitering, is binne die raamwerk van die sosiaal-konstruksionistiese uitgangspunt aangepak. Onderhoude is met tien vroue gevoer en die narratiewe metode is gebruik. Die bevindings toon twee hoofdiskoerse naamlik, drinkery in-die-geheim en die ontoeganklikheid van gepaste behandelingsfasiliteite vir vroue met afhanklikheidsprobleme. Dit beteken dat vroue ondervind dat hulle gedwing word om in-die-geheim te drink, as gevolg van die stigmatisering van vroue en oormatige alkohol-gebruik. Hierdie stigmatisering kan herlei word tot hindernisse (meestal interne hindernisse) te make met ge-institutionaliseerde behandeling. Om die rede is dit makliker vir vroue om alternatiewe behandeling soos anonieme gemeenskappe, byvoorbeeld Alkoholiste Anoniem te oorweeg. Ander diskoerse beklemtoon die identifisering van probleme en die instemming tot rehabilitering. Dit beteken dat wanneer die alkoholis die werklike probleem vir alkohol-gebruik verstaan as ‘n ontsnapping of as ‘n hanteringsstrategie, sy meer gewillig sal wees om die onderliggende probleem aan te spreek. Aanbevelings is gemaak met die fokus op mikro- en makrointervensiestrategieë, soos die toegang tot rehabilitering, openbare gesondheidsveldtogte en beleide ten einde die leef-kwaliteit van vroue in die herstelproses van alkoholafhanklikheid te verbeter.
43
Connolly, Jennifer. "The Influence of Comorbid Negative Mood on Craving's Relationship to Post-Treatment Alcohol Use." Thesis, Griffith University, 2013. http://hdl.handle.net/10072/366223.
Abstract:
Alcohol is ranked as the third highest burden of disease worldwide and the eighth highest leading cause of death. An estimated 19.5% of Australians consume alcohol in quantities that place them at risk of alcohol-related injury or disease over their lifetime. Alcohol misuse is also highly problematic, being associated with a range of negative physical, psychological and social consequences. While treatments are effective in helping people to achieve reductions, relapse rates are high, with up to 80% of treated alcohol users eventually relapsing. The ability to identify which treatment seekers may be at greater risk for relapse would enable appropriate tailoring of interventions and planning of aftercare. Craving has been widely studied as a potential predictor of relapse, but has performed inconsistently. The effect of comorbid depression on craving’s predictive performance however, has been largely neglected, despite demonstrated associations between negative affect and craving, and between negative affect and substance use. The aim of this thesis was to explore the performance of craving as a predictor of posttreatment alcohol use outcomes in the presence of comorbid depressed mood, under the hypothesis that presence of negative affect would augment effects of craving, strengthening its predictive power and increasing vulnerability to post-treatment relapse. Two studies were conducted, one with a sample of drinkers with comorbid depression, and the other with a sample of drinkers with a range of depression severity.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
Griffith Health
Full Text
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Stevens, Mildrett Elizabeth. "Resilience of young people exposed to parental alcohol abuse." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2618_1308728030.
Abstract:
This study explores the possible resilient factors which prevent young people who have been exposed to parental alcohol abuse from abusing alcohol themselves. Additionally, this study explores the coping mechanisms of young people living with a (n) alcohol abusing parent(s). This study uses a qualitative methodological design. The initial plan was purposive sampling. However it became evident that this type of sampling is not possible as no suitable candidates were found. One participant volunteered to participate in the study and suggested a few other suitable candidates. The candidates were contacted and invited to become part of the study. Individual interviews were conducted with the participants, using an interview guide and a voice recorder. The researcher ended up using snowball sampling as the candidates suggested other possible candidates. The findings suggest that the participants experienced an array of emotional, developmental and socio-economical difficulties. Feelings of shame, fear, anxiety and a deep sense of unhappiness about the situation was shared by all the participants. The family, friends and some teachers were instrumental in helping to find coping mechanisms during this challenging time of growing up with an alcohol abusing parent. Religion, academics, and positive role-modelling were contributing factors to their resilience in not using alcohol themselves even though they were exposed to alcohol-abusing parents.
45
Garber, Lynn B. "Women and Alcoholism: Self-efficacy for drinking refusal and social support for abstinence as predictors of treatment outcomes." Marietta College / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=marietta1286032820.
46
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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Aguiar, Daniele Oliveira. "Narrativas de vida de mulheres alcoolistas: contribuições para a prática da enfermeira no CAPS ad." Universidade do Estado do Rio de Janeiro, 2014. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=6767.
Abstract:
Estudo de natureza qualitativa utilizou o Método de Narrativa de Vida, cujo objeto foi a motivação da mulher alcoolista para iniciar e aderir ao tratamento no Centro de Atenção Psicossocial de Álcool e outras Drogas (CAPS ad). Os objetivos foram: a) conhecer os motivos que levam a mulher alcoolista a iniciar e aderir ao tratamento; b) descrever o itinerário terapêutico percorrido pela mulher alcoolista; c) identificar os fatores que favorecem a adesão da mulher alcoolista ao tratamento; d) discutir a contribuição das narrativas das mulheres alcoolistas para a prática da enfermeira no CAPS ad. Foram entrevistadas 26 mulheres usuárias de álcool em tratamento no CAPS ad, oriundas de dois cenários distintos no Estado do Rio de Janeiro: um CAPS ad de uma cidade do interior do Estado na região Sul Fluminense no Médio Paraíba e um CAPS ad na cidade do Rio de Janeiro. O arcabouço teórico de sustentação do estudo baseou-se em dois pontos: A Reforma Psiquiátrica no Mundo e no Brasil, a evolução da Política Pública, a Legislação Brasileira para atendimento de usuários de álcool e outras drogas, incluindo Itinerários Terapêuticos, a atuação da Equipe Interdisciplinar no CAPS ad e o papel da Enfermeira e da enfermagem na Saúde Mental e no CAPS ad. O alcoolismo feminino, retratando a evolução do papel da mulher contemporânea na sociedade, questões de gênero e as implicações biológicas, culturais e sociais do alcoolismo onde Edwards e colaboradores discutem as questões biopsicosociais envolvidas na questão. A coleta de dados utilizou a entrevista aberta, com pergunta única: Fale-me a respeito de sua vida que tenha relação com a sua motivação para iniciar e aderir ao tratamento de dependência alcoólica que realiza no CAPS ad. A análise evidenciou: que um dos motivos que caracteriza o alcoolismo feminino refere-se ao prazer proporcionado pelo álcool como escape para as mulheres aliviarem o peso de suas vidas. Estas viveram e experimentaram a solidão, a dor, o sofrimento, a vergonha, a discriminação, as perdas e os agravos físicos e psicológicos decorrentes do uso abusivo de bebida alcoólica. Estas mulheres viveram seus conflitos e suas dores sozinhas com raríssimas exceções, até chegarem ao fim do poço, quando então decidiram procurar e aceitar ajuda. Os itinerários terapêuticos apresentados foram: Hospital Geral; Unidade Básica de Saúde; Pré-natal; Alcoólicos Anônimos (AA); CAPS; CAPS i; Ambulatório de Psiquiatria; Hospital Psiquiátrico e Clínica Especializada de Internação. A motivação para terem iniciado o tratamento foram: desejo de mudarem a realidade que viveram; a perda do poder familiar, ou seja, a perda da guarda dos filhos; a solidão que viveram e a imposição de terceiros para iniciarem o tratamento. Como motivação para adesão ao tratamento foi encontrada na totalidade das narrativas a permanência para conseguir ficar sem uso de bebida alcoólica, e o apoio que receberam da equipe interdisciplinar. Na percepção das mulheres em relação à atuação da equipe interdisciplinar do CAPS ad foi relatada sobre a ajuda que receberam, a escuta, o acolhimento, a paciência, o relacionamento interpessoal entre usuários e profissionais, o cuidado, a força para continuar e a valorização delas como sujeitos essenciais de suas histórias.Study of qualitative nature used the Narrative of Life Method, which object was the motivation of the alcoholic woman to begin and adhere to treatment in the Center of Psychosocial Attention of Alcohol and others Drugs (CAPS ad). The objectives were: a) to know the motives that lead the alcoholic woman to begin and adhere to treatment; b) to describe the therapeutic itinerary traveled by the alcoholic woman; c) to identify the factors that favor the adhesion of the alcoholic woman to the treatment; d) discuss narratives`s contribution of the alcoholics women for the nurse`s practice in the CAPS ad. Twenty-six women users of alcohol in treatment in CAPS ad, originated from two scenarios distinct in Rio de Janeiro State: one CAPS ad of a city in the state in the southern region in the Middle Paraíba Fluminense and one CAPS ad at Rio de Janeiro city. The theoretical support for the study was based on two points: The Psychiatric Reform in the World and in Brazil, the evolution of Public Policy, the Brazilian legislation for serving users of alcohol and other drugs, including Therapeutic Itineraries, the performance of the team interdisciplinary in CAPS ad and the role of nurse and nursing in Mental Health and CAPS ad. The female alcoholism, depicting the changing role of contemporary woman in society, gender issues and biological implications, cultural and social aspects of alcoholism where Edwards and colleagues discuss the biopsychosocial issues involved in this matter. The data collection used the open interview, with single question: "Tell me about your life that is related to their motivation to initiate and adhere to the treatment of alcoholic dependence that performs treatment at a CAPS ad." The analysis showed: that one of the motives that characterizes the female alcoholism refers to the pleasure derived from alcohol as an escape for women lighten the weight of their lives. They have lived and experienced the loneliness, the pain, the suffering, shame, discrimination, losses and physical and psychological injuries resulting from the abuse of alcoholic beverage. These women lived its conflicts and sorrows alone with very few exceptions, until they reached the "end of the pit," when then decided to seek and accept help. The therapeutic itineraries presented were: General Hospital, Basic Health Unit, Prenatal, Alcoholics Anonymous (AA), CAPS, CAPS infant, Psychiatry Clinic, Psychiatry Hospital and Hospitalization Clinic. The motivation for having started the treatment was: desire to change the reality they lived, the loss of family power, that is, loss of child custody; loneliness they lived and the imposition of a third part to initiate treatment. As motivation to treatment adherence was found in all the narrative permanence to get run out of alcohol use, and support they received from the interdisciplinary team. In the perception of women regarding the role of the interdisciplinary team in CAPS ad was reported on the help they received, the listening, acceptance, patience, interpersonal relationship between users and professionals, the care, the strength to continue and valorization of them as essential subjects of theirs stories.
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Cleary, Daniel J. "Down on All Fives." Cleveland State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=csu1430069959.
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Porter, Mark Robert. "An analysis of treatment retention and attrition in an Australian therapeutic community for substance abuse treatment." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/568.
Abstract:
Research undertaken in the last three decades has consistently reported that the length of time spent in inpatient and outpatient alcohol and other drug (AOD) treatment programs predicts treatment success (De Leon, Melnick, Kressel, & Jainchill, 1994; Hubbard, Craddock, & Anderson, 2003; Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999). However, treatment attrition rates are high and present a major problem for improving treatment outcomes. Various factors that have been reportedly associated with increased AOD treatment attrition rates include being female, younger clients, clients using methamphetamines, and clients with elevated psychopathology scores. The aim of this thesis is to improve understanding of various factors reported in the research literature to influence AOD treatment retention, including client psychopathology, age, gender and primary drug of abuse. The research was conducted in two phases. Phase one involved an analysis of archival data of clients admitted to a single Australian therapeutic community (TC) program over a 6-year period (2000-2005).The second stage involved a focus group comprised of nine Australian and New Zealand therapeutic community managers and senior clinicians who discussed the findings from the first phase of the study and provided feedback on these findings. The focus group also discussed barriers and solutions to incorporating these findings in TC treatment services. The results from the first phase indicated that elevated anxiety and depression scores at entry to treatment were strong predictors of client retention at 8 weeks, and retention at 14 weeks was predicted by high self-esteem scores at entry. Clients receiving medication (primarily anti-depressant medication) were more likely retained at 14 weeks. Older clients (24 – 29 years, and 30 – 50 years) were significantly more likely to drop out of treatment by the 14 week stage compared with the younger client group (17 – 24 years). The second stage revealed general agreement with the findings, provided support for the efficacy of TC treatment for clients with comorbid mental health problems, highlighted challenges and benefits of working with mental health services, and suggested other factors influencing treatment retention. The first stage findings contribute to the understanding of TC treatment retention factors with an Australian population, but do not support previous findings that female clients, younger clients, clients with elevated anxiety or depression scores, or clients with methamphetamine abuse problems are more likely to drop out of TC treatment. This study involved the collection of a large client database from a single TC over six years, including the longitudinal collection of client psychometric data at various stages throughout treatment. This study makes an important contribution to the understanding of various client factors and their respective influence on client retention and attrition within an Australian therapeutic community. The study has relevance for residential substance abuse treatment services in many countries, but has special relevance within Australia where few studies focusing on TC retention have been undertaken. There have been even less studies focusing on TC retention that have included longitudinal psychometric data collected from a client population primarily comprised of young methamphetamine-users.
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Carey, Dena Carol, and Marianne Louise Grant. "Predictors of client completion for a long-term Christian-based residential addiction treatment program." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1887.